Active NPI 1134460546 Individual Practitioner Male Practitioner

Dr. Nathan Paul Cain , DO

Surgery • Hurricane, WV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Cain, DO is a certified Surgery practicing in Hurricane, WV. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Cain delivers high-quality medical care to the local community at 3661 TEAYS VALLEY RD.

Dr. Cain is affiliated with Metropolitan Hospital Authority and accepts Medicare assignment.

Frequently performed procedures and clinical services include established 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

3661 Teays Valley Rd

Hurricane, WV 25526

Telephone 3047572518

Associated Practice Facility / Clinic

🏢 Dr Leonard A Fichter Inc Facility NPI 1477686137

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hurricane, WV

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -9.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Hurricane, WV (221 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cain (13 Years) 13 Yrs

Hurricane Specialty Average (22.5 Years) 22.5 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	24	12	$205.00	$34.14
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$261.00	$63.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	12	$205.00	$34.78

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	205	47	$216.00	$34.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	164	58	$150.00	$48.39
99213 Established patient office or other outpatient visit, typically 15 minutes	77	54	$261.00	$63.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	48	$324.00	$126.09
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	45	$1191.00	$83.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	30	$314.00	$93.55
45378 Diagnostic exam of large bowel using a flexible endoscope	35	35	$1133.00	$169.54
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$261.00	$63.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$334.00	$77.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$341.59	$79.16
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$731.00	$232.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$314.00	$94.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$401.00	$122.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	264	71	$150.00	$37.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	202	58	$258.53	$35.56
99213 Established patient office or other outpatient visit, typically 15 minutes	76	59	$261.00	$65.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	43	$314.00	$95.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	58	$324.00	$131.68
45378 Diagnostic exam of large bowel using a flexible endoscope	38	38	$1133.00	$174.80
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$261.00	$64.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$345.39	$82.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$1191.00	$83.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$314.00	$92.03
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$362.00	$92.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$401.00	$132.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	465	101	$145.37	$37.67
99213 Established patient office or other outpatient visit, typically 15 minutes	205	118	$251.29	$66.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	179	59	$312.84	$35.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	73	$309.81	$133.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	36	$299.08	$97.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	44	$1142.09	$95.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$320.56	$82.95
45378 Diagnostic exam of large bowel using a flexible endoscope	35	35	$1098.63	$171.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$383.93	$82.96
45380 Biopsy of large bowel using an endoscope	15	15	$556.20	$199.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$381.43	$134.71
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$266.36	$66.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	518	142	$133.00	$39.19
99213 Established patient office or other outpatient visit, typically 15 minutes	239	137	$233.98	$50.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	75	$287.00	$137.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$297.00	$74.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$1059.00	$103.86
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$232.00	$51.31
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$179.00	$101.01
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	23	22	$307.00	$88.49
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$1007.00	$188.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$279.00	$75.93
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$321.00	$97.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$356.00	$122.75
45380 Biopsy of large bowel using an endoscope	13	13	$516.00	$203.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$297.00	$75.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	534	142	$125.00	$38.52
99213 Established patient office or other outpatient visit, typically 15 minutes	342	196	$218.00	$49.82
99221 Initial hospital inpatient care per day, typically 30 minutes	139	127	$168.00	$99.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	76	74	$999.00	$106.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	49	$264.98	$76.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$280.00	$74.92
45378 Diagnostic exam of large bowel using a flexible endoscope	43	43	$950.00	$188.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$338.97	$124.15
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	29	26	$289.00	$86.44
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$302.00	$113.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$226.00	$70.91
45380 Biopsy of large bowel using an endoscope	15	15	$486.00	$197.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	214	58	$117.00	$37.82
99221 Initial hospital inpatient care per day, typically 30 minutes	71	66	$158.00	$98.19
99213 Established patient office or other outpatient visit, typically 15 minutes	66	52	$205.00	$50.02
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$942.00	$97.53
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$272.00	$97.58

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WV 3355

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 00000000000000000000

Hospital & Practice Group Affiliations

Metropolitan Hospital Authority

1818 Albion St, Nashville, TN 372082918

Phone: 6153414000

Secondary Practice Locations

1900 23rd St

Cuyahoga Falls, OH 442231404

Phone: 3309717000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. David Ratliff , MD

Surgery

NPI 1497730386

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 02, 2018

Registered at 3661 TEAYS VALLEY RD, HURRICANE, WV 25526 (Tel: 3047572518)

📍

Updated Business Mailing Address August 02, 2018

Registered at 3661 TEAYS VALLEY RD, HURRICANE, WV 255269701 (Tel: 3047572518)

👤

Provider Name / Credentials Updated August 02, 2018

Recorded as NATHAN CAIN, DO

✅

NPI Profile Active March 09, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2013

Registered at 1900 23RD ST, CUYAHOGA FALLS, OH 442231404 (Tel: 3309717000)

📍

Updated Business Mailing Address March 09, 2013

Registered at 1900 23RD ST, CUYAHOGA FALLS, OH 442231404 (Tel: 3309717000)

👤

Provider Name / Credentials Updated March 09, 2013

Recorded as NATHAN CAIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2013

Surgery (License #00000000000000000000 in OH)

🟢

Initial NPI Registration & Enumeration March 09, 2013

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: 1134460546

Entity Type:

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

Enumeration Date: March 09, 2013

Last Update: August 02, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3661 Teays Valley Rd

Hurricane, WV 255269701

Phone: 3047572518

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.