Dr. David Fagan, MD
11 Medical Park, Valley, AL 36854 • +1-575-555-2098
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Valley Percentiles
NPI #1912929068 • CBSA Regional • Family Practice
Dr. David Fagan, MD (NPI #1912929068) practices Family Practice in Valley, AL (36854) with sub-specialty concentration in 63 Active CMS HCPCS Codes, recording 3,167 annual CMS services across 319 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Valley percentile) (-0.08σ vs AL state mean, 68.24th statewide percentile).
Fee-schedule auditing of NPI 1912929068 highlights 793 annual claims for 99214 (50th Valley percentile; $70–$95 self-pay corridor) plus 585 encounters under 99213 and 226 under G0439.
Self-pay new patient consultations with Dr. Fagan (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.74/5 modern protocol openness score across 20 patient logs.
Credentialed as an MD specialist with 23 years post-graduation experience since completing medical school at an LCME/COCA institution (2003), Dr. Fagan coordinates 63 Active CMS HCPCS Codes workups from 11 Medical Park (+1-575-555-2098).
Compared against Valley, AL Family Practice peers
3,167 annual services across 319 beneficiaries
Standard deviations from AL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 793 | 50th | $70 – $95 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 585 | 49th | $53 – $73 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 226 | 49th | $80 – $109 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 170 | 52th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 113 | 48th | $96 – $131 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (63 HCPCS billing breadth) | 1,280 | 50th | $63 – $91 |
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Dr. David Fagan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fagan National Provider Identifier | NPI #1912929068 (MD) | CMS NPPES Registry (36854) |
| Dr. Fagan Valley CMS Volume Rank | 50.00th Pct (3,167 CMS svcs; Z -0.081σ) | CMS Medicare Part B (AL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Valley, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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