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Dr. Adrian  Messerli  Md image

Dr. Adrian Messerli Md

900 S Limestone Ctw 324 Uk Division Of Cardiology
Lexington KY 40536
859 230-0295
Medical School: Louisiana State University School Of Medicine In Shreveport - 1997
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: No
License #: 38675
NPI: 1659383289
Taxonomy Codes:
207RC0000X 207RI0011X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Adrian Messerli is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:92980 Description:Insert intracoronary stent Average Price:$1,580.00 Average Price Allowed
By Medicare:
$762.12
HCPCS Code:93458 Description:L hrt artery/ventricle angio Average Price:$612.50 Average Price Allowed
By Medicare:
$224.91
HCPCS Code:93018 Description:Cardiovascular stress test Average Price:$169.75 Average Price Allowed
By Medicare:
$14.32
HCPCS Code:93227 Description:Ecg monit/reprt up to 48 hrs Average Price:$165.00 Average Price Allowed
By Medicare:
$25.37
HCPCS Code:78452 Description:Ht muscle image spect mult Average Price:$145.00 Average Price Allowed
By Medicare:
$73.62
HCPCS Code:93306 Description:Tte w/doppler complete Average Price:$125.45 Average Price Allowed
By Medicare:
$61.87
HCPCS Code:99223 Description:Initial hospital care Average Price:$248.00 Average Price Allowed
By Medicare:
$185.95
HCPCS Code:99205 Description:Office/outpatient visit new Average Price:$247.00 Average Price Allowed
By Medicare:
$186.56
HCPCS Code:99238 Description:Hospital discharge day Average Price:$115.00 Average Price Allowed
By Medicare:
$66.11
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$196.00 Average Price Allowed
By Medicare:
$149.67
HCPCS Code:99215 Description:Office/outpatient visit est Average Price:$171.00 Average Price Allowed
By Medicare:
$130.55
HCPCS Code:99220 Description:Initial observation care Average Price:$206.00 Average Price Allowed
By Medicare:
$169.71
HCPCS Code:93016 Description:Cardiovascular stress test Average Price:$56.15 Average Price Allowed
By Medicare:
$21.21
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$130.00 Average Price Allowed
By Medicare:
$95.46
HCPCS Code:93010 Description:Electrocardiogram report Average Price:$40.00 Average Price Allowed
By Medicare:
$8.12
HCPCS Code:93010 Description:Electrocardiogram report Average Price:$40.00 Average Price Allowed
By Medicare:
$8.12
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$125.00 Average Price Allowed
By Medicare:
$96.90
HCPCS Code:93000 Description:Electrocardiogram complete Average Price:$42.00 Average Price Allowed
By Medicare:
$17.27
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$91.00 Average Price Allowed
By Medicare:
$66.56
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$85.00 Average Price Allowed
By Medicare:
$65.34

HCPCS Code Definitions

99205
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99214
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
93306
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography
93458
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed
99213
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99204
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99215
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99233
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Typically, 35 minutes are spent at the bedside and on the patient's hospital floor or unit.
99232
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
99223
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit.
99220
Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit.
99238
Hospital discharge day management; 30 minutes or less
93227
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional
93016
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report
93018
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only
93010
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
93010
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
78452
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection
93000
Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1548271489
Family Practice
4,019
1184636003
Cardiovascular Disease (Cardiology)
1,442
1447288923
Family Practice
1,105
1477596542
Family Practice
753
1992700926
Hematology/Oncology
753
1255383162
Hematology/Oncology
739
1124038047
Family Practice
562
1063419562
Cardiovascular Disease (Cardiology)
480
1700891454
Hematology/Oncology
468
1871544817
Family Practice
391
*These referrals represent the top 10 that Dr. Messerli has made to other doctors

Publications

The president and the pheochromocytoma. - The American journal of cardiology
President Eisenhower experienced an acute heart attack in September 1955 and died of ischemic cardiomyopathy 14 years later. The autopsy revealed, unexpectedly, a 1.5-cm pheochromocytoma in the left adrenal gland. In view of these hitherto unreported findings, the investigators analyzed the blood pressure pattern of the president throughout his life. Although hypertension was documented on and off from 1930 until his death, it is unknown whether the pheochromocytoma was present during his presidency. During the later part of President Eisenhower's life, excessive systolic and diastolic blood pressure spikes were documented, although he concomitantly had severe ischemic cardiomyopathy. In conclusion, most likely, the pheochromocytoma was the underlying cause of this erratic blood pressure pattern and may have worsened the course of the president's ischemic cardiomyopathy.
Relation of homocysteine and C-reactive protein to urinary albumin loss. - The American journal of cardiology
This study shows that elevated high-sensitivity C-reactive protein and plasma total homocysteine contribute independently to the likelihood of an increased urinary albumin:creatinine ratio. This result suggests that total homocysteine and C-reactive protein may be acting by separate mechanistic pathways.
Relation of albumin/creatinine ratio to C-reactive protein and to the metabolic syndrome. - The American journal of cardiology
We hypothesized that the association of high sensitivity C-reactive protein (CRP) with urinary albumin excretion (UAE) is predominately mediated through its correlation with the metabolic syndrome. Serum CRP and urine albumin:creatinine ratios (ACR) from 720 preventive cardiology patients were analyzed to estimate age- and gender-adjusted relative risk of high CRP and metabolic syndrome for high ACR. These data demonstrate that CRP independently predicts the presence of UAE, a marker of endothelial dysfunction.
The Lescol Intervention Prevention Study (LIPS): start all patients on statins early after PCI. - Cleveland Clinic journal of medicine
The Lescol Intervention Prevention Study (LIPS) was the first randomized trial to show a significant reduction in the risk of cardiac events in patients started on fluvastatin immediately after a successful percutaneous coronary intervention. The benefit was independent of baseline cholesterol levels. The results suggest that all patients should be discharged on lipid-lowering therapy after a percutaneous coronary intervention. Currently, this is seldom done.

Map & Directions

900 S Limestone Ctw 324 Uk Division Of Cardiology Lexington, KY 40536
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