Active NPI 1437193323 Individual Practitioner Male Practitioner

Dr. John M Carl , MD

Surgery • Charlottesville, VA

Professional Overview & Biography Verified Profile Summary

Dr. John Carl, MD is a registered healthcare professional specializing in Surgery in Charlottesville, VA. Practice services are available at 500 MARTHA JEFFERSON DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 Martha Jefferson Drive
5th Floor

Charlottesville, VA 229114668

Telephone 4346545260

Fax 4346545262

Associated Practice Facility / Clinic

🏢 Central Virginia Radiation Oncologists P C Facility NPI 1124009170

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Charlottesville, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.6 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

38 Specialists

Practicing in Charlottesville, VA (909 Statewide)

Telehealth Adoption Rate

18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.5% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$217.63	$111.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$325.59	$163.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	14	$95.19	$49.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$251.20	$130.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	12	$110.60	$56.85
47562 Removal of gallbladder using an endoscope	18	18	$1270.06	$654.03
49505 Repair of groin hernia (5 years or older)	15	14	$999.00	$523.55
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$176.29	$91.77
49650 Repair of groin hernia using an endoscope	13	13	$865.50	$431.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$771.08	$251.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	28	$89.47	$49.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$331.00	$163.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$238.19	$124.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$221.39	$111.52
49650 Repair of groin hernia using an endoscope	23	23	$982.00	$486.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$264.26	$129.11
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$168.26	$89.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$104.62	$56.38
49505 Repair of groin hernia (5 years or older)	17	17	$1050.76	$519.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$369.60	$172.22
47562 Removal of gallbladder using an endoscope	14	14	$1325.00	$653.76
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$145.67	$72.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$328.74	$168.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$218.00	$109.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	20	$147.00	$70.77
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$150.00	$91.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	18	$80.00	$38.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$276.00	$134.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$219.00	$129.24
47562 Removal of gallbladder using an endoscope	19	19	$1353.00	$674.42
49505 Repair of groin hernia (5 years or older)	19	19	$1069.00	$534.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$91.00	$55.30
49650 Repair of groin hernia using an endoscope	17	17	$957.65	$438.52
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$205.00	$100.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	18	$80.00	$38.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$331.00	$168.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$218.00	$111.56
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$150.00	$88.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$219.00	$130.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$147.00	$71.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$276.00	$135.14
47562 Removal of gallbladder using an endoscope	14	14	$1353.00	$647.60
49505 Repair of groin hernia (5 years or older)	13	13	$1069.00	$552.74
49650 Repair of groin hernia using an endoscope	12	12	$953.33	$494.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$331.00	$164.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$218.00	$109.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$276.00	$140.34
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$150.00	$76.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	18	$80.00	$40.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	13	$147.00	$69.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$219.00	$105.08
49650 Repair of groin hernia using an endoscope	22	22	$880.00	$457.28
47562 Removal of gallbladder using an endoscope	19	19	$1353.00	$685.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$408.00	$206.02
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$91.00	$46.04
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$385.00	$191.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$777.00	$265.06
49505 Repair of groin hernia (5 years or older)	12	12	$1069.00	$542.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$327.00	$162.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	55	$213.00	$106.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$215.00	$107.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	27	$86.00	$39.07
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$145.00	$73.48
49650 Repair of groin hernia using an endoscope	28	28	$904.29	$417.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$273.00	$135.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$144.00	$72.11
49505 Repair of groin hernia (5 years or older)	19	18	$1049.00	$526.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$403.00	$200.90
47562 Removal of gallbladder using an endoscope	14	14	$1393.00	$665.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$749.50	$261.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$411.00	$204.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$327.00	$163.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	59	$213.00	$106.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	31	$86.00	$38.96
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$145.00	$71.58
49505 Repair of groin hernia (5 years or older)	31	31	$1049.00	$532.27
47562 Removal of gallbladder using an endoscope	26	26	$1393.00	$641.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$273.00	$135.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$403.00	$201.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$618.00	$261.77
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$732.20	$189.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$215.00	$100.20
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$758.00	$189.38

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	48	43	$213.00	$105.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$327.00	$160.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$411.00	$199.59
99213 Established patient office or other outpatient visit, typically 15 minutes	38	29	$145.00	$70.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$215.00	$105.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	17	$86.00	$38.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$273.00	$130.70
49505 Repair of groin hernia (5 years or older)	24	24	$1049.00	$519.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$618.00	$260.45
47562 Removal of gallbladder using an endoscope	17	17	$1393.00	$620.81
46600 Diagnostic examination of the anus using an endoscope	15	14	$177.00	$87.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$403.00	$200.15
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$758.00	$188.21

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101227465

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Jeffrey Mai , MD, PhD

Neurological Surgery

NPI 1013025857

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Jesse Wallace , AG-ACNP

Nurse Practitioner - Acute Care

NPI 1013697267

Adult-Gerontology Acute Care Nurse Practitioner

Scott Campbell

Urology

NPI 1033575386

Dr. James Freeman , MD

Internal Medicine

NPI 1053529669

Doctor of Medicine (M.D.)

Dr. Christopher Willms , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1093786329

Doctor of Medicine (M.D.)

Dr. Samuel Oliver , MD

Internal Medicine - Critical Care Medicine

NPI 1134573215

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2016

Registered at 500 MARTHA JEFFERSON DRIVE, 5TH FLOOR, CHARLOTTESVILLE, VA 229114668 (Tel: 4346545260)

📍

Updated Business Mailing Address November 30, 2016

Registered at PO BOX 79777, BALTIMORE, MD 212790777 (Tel: 4346547794)

👤

Provider Name / Credentials Updated November 30, 2016

Recorded as JOHN CARL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Surgery (License #0101227465 in VA)

🟢

Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437193323

Entity Type:

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

Enumeration Date: June 15, 2006

Last Update: March 13, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 79777

Baltimore, MD 212790777

Phone: 4346547794

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.