Dr. Michael O'donnell, MD
2000 Washington St, Newton, MA 02462 • +1-949-555-8298
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Newton Percentiles
NPI #1609223676 • CBSA Regional • Gastroenterology
Dr. Michael O'donnell, MD (NPI #1609223676) practices Gastroenterology in Newton, MA (02462) with sub-specialty concentration in 39 Active CMS HCPCS Codes, recording 2,536 annual CMS services across 477 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Newton percentile) (+0.24σ vs MA state mean, 84.39th statewide percentile).
Procedural volume for Dr. O'donnell is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 938 annual services, $97–$133 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 634/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 533/yr).
Cash-pay intake data for NPI 1609223676 (2000 Washington St, Newton) indicates $224.00 typical out-of-pocket visit spend against a $224.00 locality benchmark, paired with 12-minute average reception wait and 4.69/5 biomarker openness.
Clinical background for Dr. O'donnell (MD, NPI #1609223676) includes accredited doctoral training (2009, 17 yrs in practice) and virtual + in-office availability across MA.
Compared against Newton, MA Gastroenterology peers
2,536 annual services across 477 beneficiaries
Standard deviations from MA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 938 | 12th | $97 – $133 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 634 | 12th | $235 – $321 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 533 | 12th | $195 – $267 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 254 | 12th | $261 – $358 |
| 99204 | New Patient Digestive & Hepatology Consultation | 178 | 12th | $137 – $188 |
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Dr. Michael O'donnell, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. O'donnell National Provider Identifier | NPI #1609223676 (MD) | CMS NPPES Registry (02462) |
| Dr. O'donnell Newton CMS Volume Rank | 0.00th Pct (2,536 CMS svcs; Z +0.244σ) | CMS Medicare Part B (MA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Newton, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 12 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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