Dr. James Eppelbaum, DO
401 Main St, Saegertown, PA 16433 • +1-684-555-2612
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Saegertown Percentiles
NPI #1558609065 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. James Eppelbaum (DO, NPI 1558609065) at 401 Main St in Saegertown with 857 annual clinical services (353 beneficiaries), corresponding to a -0.44σ regional deviation and focused low-volume boutique caseload (33.33th Saegertown percentile) with sub-specialty concentration in 13 Active CMS HCPCS Codes.
Procedural volume for Dr. Eppelbaum is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 360 annual services, $158–$216 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 266/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 103/yr).
Direct cash-pay transparency modeling sets Dr. Eppelbaum's baseline new-consult rate near $209.00 in Saegertown, PA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
From 401 Main St in Saegertown (+1-684-555-2612), Dr. Eppelbaum, DO (8-year clinical track record) delivers 13 Active CMS HCPCS Codes care.
Compared against Saegertown, PA Family Practice peers
857 annual services across 353 beneficiaries
Standard deviations from PA 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 | 360 | 33.33th | $158 – $216 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 266 | 35.33th | $121 – $166 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 103 | 35.33th | $181 – $248 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 77 | 28.33th | $34 – $49 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 51 | 35.33th | $217 – $297 |
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Dr. James Eppelbaum, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Eppelbaum National Provider Identifier | NPI #1558609065 (DO) | CMS NPPES Registry (16433) |
| Dr. Eppelbaum Saegertown CMS Volume Rank | 33.33th Pct (857 CMS svcs; Z -0.440σ) | CMS Medicare Part B (PA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saegertown, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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