Active NPI 1356315980 Individual Practitioner Male Practitioner

Dr. Brian D Buchanan , MD

Internal Medicine • Bedford, VA

Professional Overview & Biography Verified Profile Summary

Dr. Brian Buchanan, MD is a registered healthcare professional specializing in Internal Medicine in Bedford, VA. Practice services are available at 1710 WHITFIELD DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1710 Whitfield Dr

Bedford, VA 245231401

Telephone 5405868889

Fax 5405868717

Associated Practice Facility / Clinic

🏢 Brian D Buchanan Md Inc Facility NPI 1518075845

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bedford, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 36.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Bedford, VA (3758 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	350	180	$129.70	$90.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	121	$168.41	$126.18
36415 Insertion of needle into vein for collection of blood sample	178	132	$10.00	$2.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	78	$64.00	$55.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	102	12	$45.00	$14.36
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	62	62	$155.00	$21.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$145.00	$130.21
93880 Ultrasound of both sides of head and neck blood flow	47	47	$255.00	$37.86
81003 Automated urinalysis test	40	32	$45.00	$2.23
83036 Hemoglobin A1C level	34	25	$37.00	$9.61
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	28	27	$275.00	$200.08
93880 Ultrasound of both sides of head and neck blood flow	21	21	$255.00	$194.35
20610 Aspiration and/or injection of fluid from large joint	19	14	$101.05	$66.39
99495 Transitional care management services for problem of at least moderate complexity	19	16	$220.00	$205.39
80061 Blood test, lipids (cholesterol and triglycerides)	18	17	$66.00	$13.29
82947 Blood glucose (sugar) level	18	17	$23.00	$3.90
84450 Liver enzyme (sgot), level	17	16	$14.00	$5.14
84460 Liver enzyme (sgpt), level	17	16	$14.00	$5.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$35.00	$22.95
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$248.00	$33.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	464	232	$121.95	$91.63
36415 Insertion of needle into vein for collection of blood sample	281	211	$10.04	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	155	$155.00	$131.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	195	138	$64.00	$57.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	162	15	$44.93	$14.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$145.00	$135.08
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	72	67	$155.00	$22.09
90756 Vaccine for influenza for injection into muscle	67	65	$40.00	$27.89
93880 Ultrasound of both sides of head and neck blood flow	66	64	$255.00	$39.34
G0008 Administration of influenza virus vaccine	65	63	$30.00	$17.01
81003 Automated urinalysis test	57	46	$44.47	$2.25
84450 Liver enzyme (sgot), level	56	53	$14.00	$5.18
82947 Blood glucose (sugar) level	55	52	$23.00	$3.93
84460 Liver enzyme (sgpt), level	55	52	$14.00	$5.30
80061 Blood test, lipids (cholesterol and triglycerides)	55	52	$66.00	$13.39
85610 Blood test, clotting time	52	11	$18.00	$4.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	23	$35.23	$23.10
93880 Ultrasound of both sides of head and neck blood flow	33	33	$255.00	$205.39
G0444 Annual depression screening, 5 to 15 minutes	25	25	$45.00	$19.06
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	22	21	$275.00	$209.21
83036 Hemoglobin A1C level	22	21	$37.00	$9.71
69210 Removal of impacted ear wax	21	20	$80.00	$48.61
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$248.00	$34.08
J1030 Injection, methylprednisolone acetate, 40 mg	19	17	$16.00	$5.70
17000 Destruction of skin growth	18	12	$109.67	$58.41
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$85.00	$15.08
99496 Transitional care management services for problem of high complexity	17	15	$300.00	$283.79
20610 Aspiration and/or injection of fluid from large joint	15	13	$108.80	$70.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$95.00	$53.78
99495 Transitional care management services for problem of at least moderate complexity	13	12	$220.00	$209.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	378	218	$114.16	$75.84
36415 Insertion of needle into vein for collection of blood sample	338	221	$15.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	177	$159.93	$110.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	188	20	$33.00	$14.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	167	84	$45.00	$23.43
84450 Liver enzyme (sgot), level	162	145	$15.00	$5.15
84460 Liver enzyme (sgpt), level	162	146	$15.00	$5.27
82947 Blood glucose (sugar) level	159	140	$12.00	$3.91
80061 Blood test, lipids (cholesterol and triglycerides)	159	142	$43.00	$13.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	90	$75.00	$45.96
81003 Automated urinalysis test	111	81	$15.00	$2.24
85610 Blood test, clotting time	99	17	$18.00	$4.25
G0008 Administration of influenza virus vaccine	84	84	$37.00	$16.72
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	77	75	$56.36	$22.79
90756 Vaccine for influenza for injection into muscle	75	75	$40.00	$27.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$150.00	$117.92
93880 Ultrasound of both sides of head and neck blood flow	72	72	$75.00	$40.87
93880 Ultrasound of both sides of head and neck blood flow	52	52	$375.00	$203.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	36	$65.00	$54.14
G0444 Annual depression screening, 5 to 15 minutes	44	44	$25.00	$18.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	15	$118.00	$92.84
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	31	31	$500.00	$211.81
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	30	14	$220.00	$136.28
J1030 Injection, methylprednisolone acetate, 40 mg	26	21	$35.00	$5.59
93000 Routine ekg using at least 12 leads including interpretation and report	25	23	$55.00	$17.31
20610 Aspiration and/or injection of fluid from large joint	22	17	$150.00	$62.98
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$84.00	$35.45
17000 Destruction of skin growth	21	20	$115.00	$56.64
99495 Transitional care management services for problem of at least moderate complexity	20	20	$240.00	$187.80
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	18	12	$50.00	$41.51
69210 Removal of impacted ear wax	12	11	$90.00	$49.07
99496 Transitional care management services for problem of high complexity	12	11	$295.00	$247.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$155.00	$107.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	434	234	$114.92	$73.55
36415 Insertion of needle into vein for collection of blood sample	394	257	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	214	$160.00	$107.78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	252	117	$45.00	$22.51
84460 Liver enzyme (sgpt), level	212	175	$15.00	$5.77
84450 Liver enzyme (sgot), level	211	174	$15.00	$5.63
82947 Blood glucose (sugar) level	210	171	$12.00	$4.28
80061 Blood test, lipids (cholesterol and triglycerides)	208	171	$43.00	$14.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	197	34	$33.00	$16.53
85610 Blood test, clotting time	160	22	$18.00	$4.28
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	149	33	$220.00	$134.53
81003 Automated urinalysis test	141	107	$15.00	$2.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	106	$75.00	$44.64
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	102	94	$60.82	$22.49
G0008 Administration of influenza virus vaccine	92	89	$37.00	$16.42
93880 Ultrasound of both sides of head and neck blood flow	87	87	$78.45	$40.09
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	82	82	$35.00	$17.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$144.86	$114.71
93880 Ultrasound of both sides of head and neck blood flow	57	57	$369.74	$197.01
93000 Routine ekg using at least 12 leads including interpretation and report	42	40	$55.00	$16.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	38	32	$65.00	$52.70
93970 Ultrasound study of arm or leg veins with compression and maneuvers	36	35	$84.00	$34.46
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	33	33	$500.00	$205.19
69210 Removal of impacted ear wax	31	31	$90.00	$46.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	16	$50.00	$40.71
J1030 Injection, methylprednisolone acetate, 40 mg	26	22	$35.00	$6.30
G0444 Annual depression screening, 5 to 15 minutes	25	25	$25.00	$17.83
99496 Transitional care management services for problem of high complexity	21	20	$295.00	$229.15
99495 Transitional care management services for problem of at least moderate complexity	20	20	$226.50	$162.26
36410 Insertion of needle into vein, patient 3 years or older	15	14	$25.00	$17.19
90670 Pneumococcal vaccine for injection into muscle	15	15	$265.00	$209.02
20610 Aspiration and/or injection of fluid from large joint	15	12	$150.00	$60.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$195.00	$144.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	498	270	$159.76	$100.99
99213 Established patient office or other outpatient visit, typically 15 minutes	470	287	$113.20	$68.28
36415 Insertion of needle into vein for collection of blood sample	431	266	$15.00	$2.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	327	147	$45.00	$20.28
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	283	53	$156.36	$127.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	241	30	$30.71	$19.22
81003 Automated urinalysis test	220	160	$15.00	$2.71
82947 Blood glucose (sugar) level	219	196	$12.00	$4.75
84460 Liver enzyme (sgpt), level	213	189	$15.00	$6.41
84450 Liver enzyme (sgot), level	212	189	$15.00	$6.26
80061 Blood test, lipids (cholesterol and triglycerides)	212	190	$43.00	$16.20
85610 Blood test, clotting time	204	29	$18.00	$4.75
93880 Ultrasound of both sides of head and neck blood flow	133	133	$237.47	$120.42
G0008 Administration of influenza virus vaccine	122	118	$36.14	$20.24
17003 Destruction of precancer skin growth, 2-14 growths	120	35	$15.92	$4.97
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	120	116	$41.81	$23.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	97	$75.00	$41.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$138.00	$108.78
93000 Routine ekg using at least 12 leads including interpretation and report	95	88	$55.00	$15.85
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	75	71	$56.75	$21.22
17000 Destruction of skin growth	72	62	$117.00	$58.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	38	$65.00	$50.25
20610 Aspiration and/or injection of fluid from large joint	39	26	$150.00	$53.31
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	35	34	$500.00	$197.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	34	25	$118.00	$85.97
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$117.00	$70.44
11100 Biopsy of single growth of skin and/or tissue	28	26	$175.00	$99.51
93970 Ultrasound study of arm or leg veins with compression and maneuvers	26	26	$79.92	$32.47
69210 Removal of impacted ear wax	25	20	$90.00	$43.86
99496 Transitional care management services for problem of high complexity	21	21	$295.00	$217.30
90670 Pneumococcal vaccine for injection into muscle	19	19	$265.00	$198.44
J1030 Injection, methylprednisolone acetate, 40 mg	16	14	$35.00	$6.74
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$56.00	$21.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	751	324	$159.89	$99.50
99213 Established patient office or other outpatient visit, typically 15 minutes	581	369	$111.71	$67.55
36415 Insertion of needle into vein for collection of blood sample	561	302	$15.00	$2.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	425	188	$45.00	$18.70
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	395	84	$151.00	$125.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	276	29	$30.00	$23.58
84460 Liver enzyme (sgpt), level	263	215	$15.00	$4.13
85610 Blood test, clotting time	255	36	$18.00	$5.28
84450 Liver enzyme (sgot), level	254	208	$15.00	$3.70
80061 Blood test, lipids (cholesterol and triglycerides)	240	198	$43.00	$11.24
81003 Automated urinalysis test	238	170	$15.00	$3.02
82947 Blood glucose (sugar) level	235	193	$12.00	$3.07
17003 Destruction of precancer skin growth, 2-14 growths	188	57	$15.37	$5.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	156	124	$75.00	$40.20
93880 Ultrasound of both sides of head and neck blood flow	151	150	$227.98	$113.57
G0008 Administration of influenza virus vaccine	125	121	$30.00	$24.99
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	111	111	$32.00	$23.57
17000 Destruction of skin growth	110	94	$118.13	$58.64
93000 Routine ekg using at least 12 leads including interpretation and report	105	101	$55.00	$15.75
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	99	97	$56.19	$20.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$138.00	$106.20
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$117.00	$68.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	61	12	$10.00	$2.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	60	47	$65.00	$49.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	56	34	$118.00	$84.77
11100 Biopsy of single growth of skin and/or tissue	51	48	$172.45	$95.71
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	50	32	$51.00	$41.61
99306 Initial nursing facility visit, typically 45 minutes per day	46	40	$204.00	$154.22
20610 Aspiration and/or injection of fluid from large joint	44	30	$150.00	$54.22
90670 Pneumococcal vaccine for injection into muscle	34	33	$265.00	$185.45
69210 Removal of impacted ear wax	33	29	$90.00	$45.48
G0009 Administration of pneumococcal vaccine	33	33	$35.00	$24.99
99316 Nursing facility discharge management, more than 30 minutes	31	27	$125.00	$97.73
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	23	23	$500.00	$211.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	23	21	$77.00	$64.19
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	16	$50.00	$38.32
17110 Destruction of up to 14 skin growths	21	14	$163.00	$95.35
93970 Ultrasound study of arm or leg veins with compression and maneuvers	20	20	$84.05	$32.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$240.00	$190.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	13	$405.00	$280.07
J1030 Injection, methylprednisolone acetate, 40 mg	13	13	$35.00	$5.74
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	13	13	$20.00	$15.95
J1670 Injection, tetanus immune globulin, human, up to 250 units	11	11	$175.00	$172.74

Medical Specialties & State Licenses

CMS Verified: 2021-01-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101032060

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010015961 (VA)

Medicaid State Provider ID

010109132 (VA)

Commercial Insurance / Payer ID Anthem

145692 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Annette Schwendinger , NP

Nurse Practitioner - Family

NPI 1184840282

Nurse Practitioner

Jesseka Bettenhausen , FNP-C

Nurse Practitioner - Family

NPI 1386688505

Family Nurse Practitioner (Certified)

Dr. Eunyoung Lee , ANP, PhD

Nurse Practitioner - Adult Health

NPI 1841476249

Adult Nurse Practitioner, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2021

Internal Medicine (License #0101032060 in VA)

✅

NPI Profile Active April 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2011

Registered at 1710 WHITFIELD DR, BEDFORD, VA 245231401 (Tel: 5405868889)

📍

Updated Business Mailing Address April 12, 2011

Registered at 1710 WHITFIELD DR, BEDFORD, VA 245231401 (Tel: 5405868889)

👤

Provider Name / Credentials Updated April 12, 2011

Recorded as BRIAN BUCHANAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2011

Internal Medicine (License #0101-032060 in VA)

🟢

Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356315980

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 13, 2006

Last Update: February 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1710 Whitfield Dr

Bedford, VA 245231401

Phone: 5405868889

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.