Active NPI 1821002544 Individual Practitioner Male Practitioner

Dr. Michael John Tozzi , DO

Surgery • South Hill, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Tozzi, DO is a certified Surgery practicing in South Hill, VA. With approximately 33 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1993, Dr. Tozzi delivers high-quality medical care to the local community at 416 BRACEY LN.

Dr. Tozzi is affiliated with Mcv Associated Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof 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

416 Bracey Ln

South Hill, VA 239701631

Telephone 4344474736

Fax 4344474810

Associated Practice Facility / Clinic

🏢 Lake Country Surgical, Plc Facility NPI 1750395661

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in South Hill, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +7.3 yrs vs City Avg

City Avg: 25.7 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

4 Specialists

Practicing in South Hill, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tozzi (33 Years) 33 Yrs

South Hill Specialty Average (25.7 Years) 25.7 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	153	79	$127.80	$54.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$313.92	$106.18
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$202.02	$87.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	25	$199.85	$74.97
99221 Initial hospital inpatient care per day, typically 30 minutes	36	35	$283.67	$78.64
45380 Biopsy of large bowel using an endoscope	19	19	$1423.00	$179.28
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$1128.33	$173.02
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$220.14	$69.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	75	$202.49	$87.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	53	$124.51	$55.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$305.61	$108.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	33	$199.00	$77.12
99221 Initial hospital inpatient care per day, typically 30 minutes	44	42	$280.00	$79.24
99238 Hospital discharge day management, 30 minutes or less	32	32	$207.88	$78.38
45380 Biopsy of large bowel using an endoscope	25	25	$1192.36	$176.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$878.00	$172.64
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$61.00	$54.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	45	$131.64	$56.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$303.07	$111.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	44	$202.11	$70.97
99213 Established patient office or other outpatient visit, typically 15 minutes	55	44	$216.15	$91.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	30	$109.59	$38.43
99441 Telephone medical discussion with physician, 5-10 minutes	31	31	$92.61	$54.09
45380 Biopsy of large bowel using an endoscope	21	21	$1147.00	$180.34
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$273.90	$91.57
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$878.00	$184.99
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$204.71	$71.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	114	68	$187.51	$90.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	56	$111.00	$57.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	34	$97.00	$37.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$274.00	$112.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$418.00	$165.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	26	$186.24	$72.07
29580 Strapping, unna boot	28	11	$195.00	$81.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$272.00	$126.97
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$248.00	$101.26
99441 Telephone medical discussion with physician, 5-10 minutes	20	20	$44.50	$39.29
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$878.00	$183.18
45380 Biopsy of large bowel using an endoscope	14	14	$1147.00	$203.87
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$972.00	$113.49
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$762.00	$82.96
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$927.00	$175.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	153	81	$109.48	$45.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	49	$96.08	$39.94
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$188.18	$75.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$269.89	$108.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	55	$268.00	$107.71
29580 Strapping, unna boot	56	13	$157.61	$71.27
99213 Established patient office or other outpatient visit, typically 15 minutes	52	44	$182.88	$75.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	29	$182.30	$72.12
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$244.89	$101.24
45380 Biopsy of large bowel using an endoscope	30	29	$1135.67	$189.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$875.74	$193.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$343.79	$139.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$965.56	$101.89
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$157.77	$17.55
49505 Repair of groin hernia (5 years or older)	13	13	$1421.00	$561.20
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$38.00	$37.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	85	$107.00	$45.11
99213 Established patient office or other outpatient visit, typically 15 minutes	78	57	$180.00	$74.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	49	$93.86	$39.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$266.00	$107.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	49	$264.00	$103.83
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$184.00	$76.42
99221 Initial hospital inpatient care per day, typically 30 minutes	42	41	$240.00	$101.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	22	$179.00	$73.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$405.00	$164.63
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$157.00	$18.87
49505 Repair of groin hernia (5 years or older)	15	15	$1386.67	$550.17
47562 Removal of gallbladder using an endoscope	15	15	$1642.00	$673.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$943.00	$82.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$852.00	$184.38
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2915.00	$338.02
45380 Biopsy of large bowel using an endoscope	12	12	$1113.00	$192.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	53	$173.99	$72.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$374.43	$161.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	48	$251.39	$106.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	23	$166.92	$72.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	32	$105.10	$43.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$261.79	$106.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	24	$89.00	$39.01
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$183.47	$73.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	16	$453.91	$202.00
47562 Removal of gallbladder using an endoscope	13	13	$1572.77	$663.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$799.83	$102.08
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$157.00	$18.62
76937 Ultrasonic guidance for blood vessel access	11	11	$71.00	$14.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	42	$65.49	$43.00
99213 Established patient office or other outpatient visit, typically 15 minutes	69	58	$119.17	$71.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	26	$74.06	$38.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	30	$152.48	$71.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	44	$189.63	$105.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$187.41	$105.09
29580 Strapping, unna boot	44	15	$112.64	$62.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	40	$248.69	$135.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$434.57	$200.20
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$119.29	$73.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$358.32	$161.50
47562 Removal of gallbladder using an endoscope	16	16	$2013.99	$657.16
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$265.57	$18.86
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$469.75	$121.16
36569 Insertion of central venous catheter for infusion, patient 5 years or older	11	11	$334.36	$92.47
99238 Hospital discharge day management, 30 minutes or less	11	11	$139.26	$71.65

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0102200839

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

007313365 (VA)

Hospital & Practice Group Affiliations

Mcv Associated Physicians

1755 N Mecklenburg Ave, South Hill, VA 239704080

Phone: 4344473151

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 17, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2009

Registered at 416 BRACEY LN, SOUTH HILL, VA 239701631 (Tel: 4344474736)

📍

Updated Business Mailing Address June 17, 2009

Registered at PO BOX 850, SOUTH HILL, VA 239700850 (Tel: 4344474736)

👤

Provider Name / Credentials Updated June 17, 2009

Recorded as MICHAEL TOZZI, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2009

Surgery (License #0102200839 in VA)

🟢

Initial NPI Registration & Enumeration July 28, 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: 1821002544

Entity Type:

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

Enumeration Date: July 28, 2006

Last Update: June 17, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 850

South Hill, VA 239700850

Phone: 4344474736

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.