Dr. Frank Wootton, MD
885 Kempsville Rd, Suite 114, Norfolk, VA 23502 • +1-607-555-8424
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Norfolk Percentiles
NPI #1750366761 • CBSA Regional • Gastroenterology
Within the Norfolk, VA (CBSA local) Gastroenterology cohort, Dr. Frank Wootton, MD with sub-specialty concentration in 42 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 58.45th VA percentile (-0.34σ Z-score) based on 1,348 billed procedures for 857 patients.
Fee-schedule auditing of NPI 1750366761 highlights 499 annual claims for 99214 (50th Norfolk percentile; $267–$366 self-pay corridor) plus 337 encounters under 45380 and 283 under 43239.
Direct cash-pay transparency modeling sets Dr. Wootton's baseline new-consult rate near $209.00 in Norfolk, VA (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Spanning 34 years of clinical practice following 1992 graduation from medical training, Dr. Frank Wootton integrates 42 Active CMS HCPCS Codes diagnostics for Norfolk metro patients.
Compared against Norfolk, VA Gastroenterology peers
1,348 annual services across 857 beneficiaries
Standard deviations from VA 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 | 499 | 50th | $267 – $366 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 337 | 50th | $644 – $883 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 283 | 46th | $535 – $733 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 135 | 51th | $717 – $983 |
| 99204 | New Patient Digestive & Hepatology Consultation | 94 | 47th | $377 – $516 |
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Dr. Frank Wootton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wootton National Provider Identifier | NPI #1750366761 (MD) | CMS NPPES Registry (23502) |
| Dr. Wootton Norfolk CMS Volume Rank | 50.00th Pct (1,348 CMS svcs; Z -0.338σ) | CMS Medicare Part B (VA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Norfolk, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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