Dr. James Tretter, DO
1870 Amherst St, Suite 2b, Winchester, VA 22601 • +1-297-555-2820
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Winchester Percentiles
NPI #1629079371 • CBSA Regional • Vascular Surgery
Dr. James Tretter, DO (NPI #1629079371) practices Vascular Surgery in Winchester, VA (22601) with sub-specialty concentration in 66 Active CMS HCPCS Codes, recording 640 annual CMS services across 337 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Winchester percentile) (-0.96σ vs VA state mean, 2.78th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Tretter (averaging 1.9 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (288 encounters), paired with 99213 (166x).
For out-of-network patients contacting +1-297-555-2820, Dr. Tretter's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.67/5 composite reality score over 22 submissions).
Credentialed as an DO specialist with 24 years post-graduation experience since completing medical school at an LCME/COCA institution (2002), Dr. Tretter coordinates 66 Active CMS HCPCS Codes workups from 1870 Amherst St, Suite 2b (+1-297-555-2820).
Compared against Winchester, VA Vascular Surgery peers
640 annual services across 337 beneficiaries
Standard deviations from VA Vascular Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 288 | 12th | $126 – $172 |
| 99213 | Established Preventive & Chronic Care Visit | 166 | 12th | $96 – $132 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 83 | 12th | $46 – $63 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 64 | 12th | $148 – $202 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 38 | 12th | $175 – $240 |
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Dr. James Tretter, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tretter National Provider Identifier | NPI #1629079371 (DO) | CMS NPPES Registry (22601) |
| Dr. Tretter Winchester CMS Volume Rank | 0.00th Pct (640 CMS svcs; Z -0.958σ) | CMS Medicare Part B (VA Vascular Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winchester, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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