Active NPI 1689696809 Individual Practitioner Male Practitioner

Dr. Peter T Hallowell , MD

Surgery • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Hallowell, MD is a certified Surgery practicing in Charlottesville, VA. With approximately 32 years of clinical experience since graduating from Howard University College Of Medicine in 1994, Dr. Hallowell delivers high-quality medical care to the local community at 1300 JEFFERSON PARK AVE.

Dr. Hallowell is affiliated with University Of Virginia Physicians Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of incisional hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Jefferson Park Ave

Charlottesville, VA 229033363

Telephone 4349242150

Fax 4342439433

Associated Practice Facility / Clinic

🏢 University Of Virginia Physicians Group Facility NPI 1821545294

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Charlottesville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +12.4 yrs vs City Avg

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

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hallowell (32 Years) 32 Yrs

Charlottesville Specialty Average (19.6 Years) 19.6 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes	57	41	$238.00	$62.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$335.00	$87.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$458.00	$128.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	56	$233.38	$65.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$329.59	$96.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$299.00	$81.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$458.00	$127.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$145.31	$35.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	56	$205.30	$66.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$298.73	$97.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$453.25	$136.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$296.50	$84.10
49654 Repair of incisional hernia using an endoscope	12	12	$3488.54	$834.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	81	$196.77	$66.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	71	$284.83	$99.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$432.65	$134.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$287.33	$84.16
49505 Repair of groin hernia (5 years or older)	14	14	$1413.00	$534.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$114.82	$36.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	84	$187.44	$51.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	53	$266.28	$79.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$295.64	$77.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$110.18	$26.24
49505 Repair of groin hernia (5 years or older)	16	15	$1320.00	$542.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$359.60	$113.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$414.80	$126.05
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$714.00	$279.83
49560 Repair of incisional or abdominal hernia	12	12	$2660.00	$612.28
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$202.91	$51.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	90	$179.78	$51.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	77	$259.29	$79.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$281.95	$76.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$418.82	$129.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$348.43	$111.74
49560 Repair of incisional or abdominal hernia	13	13	$2501.92	$669.64
47562 Removal of gallbladder using an endoscope	12	12	$2083.00	$573.95
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$682.00	$275.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$107.55	$25.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	84	$173.97	$50.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	64	$254.22	$77.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$279.34	$76.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$426.10	$124.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$340.20	$107.45
49505 Repair of groin hernia (5 years or older)	13	13	$1421.54	$523.73
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	11	$725.00	$114.77
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$626.00	$270.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	104	$171.00	$49.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	55	$250.00	$75.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$257.38	$74.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$395.55	$128.19
49568 Placement of mesh to repair incisional or abdominal hernia	16	16	$626.00	$267.77
49560 Repair of incisional or abdominal hernia	14	13	$2249.00	$579.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$335.00	$109.86
49505 Repair of groin hernia (5 years or older)	11	11	$1123.64	$519.52

Medical Specialties & State Licenses

CMS Verified: 2021-07-31

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101244376

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35-070624

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2270251 (OH)

Medicaid State Provider ID

1689696809 (VA)

Commercial Insurance / Payer ID Unison

000000204800 (OH)

Commercial Insurance / Payer ID Wellcare

363607 (OH)

Commercial Insurance / Payer ID Anthem

000000503725

Commercial Insurance / Payer ID Aetna

7911277

Commercial Insurance / Payer ID Railroad Medicare - Uhpl

P00120698 (OH)

Commercial Insurance / Payer ID Buckeye

738059 (OH)

Hospital & Practice Group Affiliations

University Of Virginia Physicians Group

1215 Lee St, Charlottesville, VA 229080816

University Of Virginia Physicians Group

1300 Jefferson Park Ave, Charlottesville, VA 229033363

University Of Virginia Physicians Group

1204 W Main St, Charlottesville, VA 229032824

Practice Associates & Co-Workers

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

40 Associated Practitioners

Maneesh Koneru

Student in an Organized Health Care Education/Training Program

NPI 1003566456

Melinda Bowles-Childress , ACNP

Nurse Practitioner - Acute Care

NPI 1013255637

Dr. Akhil Khetarpal , MD

Radiology - Vascular & Interventional Radiology

NPI 1023451341

Doctor of Medicine (M.D.)

Sarah Papa

Student in an Organized Health Care Education/Training Program

NPI 1043013022

Dr. Mohamad El Moheb , MD

Student in an Organized Health Care Education/Training Program

NPI 1063099323

Doctor of Medicine (M.D.)

Dr. Mark Fleming , MD

Surgery

NPI 1063943660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 12, 2020

Registered at 1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 229033363 (Tel: 4349242150)

✅

NPI Profile Active October 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 20, 2008

Registered at UVA HOSPITAL, LEE STREET, 1ST FLOOR, CHARLOTTESVILLE, VA 229080001 (Tel: 4342434811)

📍

Updated Business Mailing Address October 20, 2008

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007 (Tel: 4342951000)

👤

Provider Name / Credentials Updated October 20, 2008

Recorded as PETER HALLOWELL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2008

Surgery (License #0101244376 in VA)

🟢

Initial NPI Registration & Enumeration July 24, 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: 1689696809

Entity Type:

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

Enumeration Date: July 24, 2006

Last Update: July 31, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9007

Charlottesville, VA 229069007

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.