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Dr. Denise A Niemira  Md image

Dr. Denise A Niemira Md

5452 U.S. Rt. 5 Ste. D
Newport VT 05855
802 346-6140
Medical School: Other - 1976
Accepts Medicare: No
Participates In eRX: Yes
Participates In PQRS: Yes
Participates In EHR: No
License #:
NPI: 1871688499
Taxonomy Codes:
207Q00000X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Denise A Niemira is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:G0439 Description:PPPS, subseq visit Average Price:$180.37 Average Price Allowed
By Medicare:
$110.98
HCPCS Code:99218 Description:Initial observation care Average Price:$134.56 Average Price Allowed
By Medicare:
$92.66
HCPCS Code:G0402 Description:Initial preventive exam Average Price:$194.94 Average Price Allowed
By Medicare:
$154.62
HCPCS Code:99238 Description:Hospital discharge day Average Price:$101.05 Average Price Allowed
By Medicare:
$68.91
HCPCS Code:93227 Description:Ecg monit/reprt up to 48 hrs Average Price:$57.24 Average Price Allowed
By Medicare:
$26.47
HCPCS Code:99217 Description:Observation care discharge Average Price:$93.71 Average Price Allowed
By Medicare:
$69.09
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$57.00 Average Price Allowed
By Medicare:
$37.45
HCPCS Code:90656 Description:Flu vaccine no preserv 3 & > Average Price:$29.44 Average Price Allowed
By Medicare:
$12.39
HCPCS Code:99221 Description:Initial hospital care Average Price:$112.82 Average Price Allowed
By Medicare:
$95.85
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$118.45 Average Price Allowed
By Medicare:
$103.03
HCPCS Code:99308 Description:Nursing fac care subseq Average Price:$80.50 Average Price Allowed
By Medicare:
$65.16
HCPCS Code:36415 Description:Routine venipuncture Average Price:$17.69 Average Price Allowed
By Medicare:
$3.00
HCPCS Code:99212 Description:Office/outpatient visit est Average Price:$56.43 Average Price Allowed
By Medicare:
$42.14
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$79.91 Average Price Allowed
By Medicare:
$68.72
HCPCS Code:85610 Description:Prothrombin time Average Price:$16.07 Average Price Allowed
By Medicare:
$5.56
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$79.73 Average Price Allowed
By Medicare:
$69.68
HCPCS Code:99307 Description:Nursing fac care subseq Average Price:$49.39 Average Price Allowed
By Medicare:
$42.06
HCPCS Code:G0008 Description:Admin influenza virus vac Average Price:$29.38 Average Price Allowed
By Medicare:
$24.16
HCPCS Code:G0009 Description:Admin pneumococcal vaccine Average Price:$26.50 Average Price Allowed
By Medicare:
$24.16

HCPCS Code Definitions

99218
Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low 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 low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit.
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
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.
99212
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 problem focused history; A problem focused examination; Straightforward medical decision making. 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 self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99221
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low 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 low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit.
G0009
Administration of pneumococcal vaccine
99217
Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])
G0008
Administration of influenza virus vaccine
99238
Hospital discharge day management; 30 minutes or less
99308
Subsequent nursing facility 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 low 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, 15 minutes are spent at the bedside and on the patient's facility floor or unit.
99307
Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. 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 stable, recovering, or improving. Typically, 10 minutes are spent at the bedside and on the patient's facility 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.
99231
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low 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 stable, recovering or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.
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.
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1437133352
Hematology/Oncology
2,765
1760592083
Pulmonary Disease
1,655
1578689568
Ophthalmology
1,486
1770545485
Nephrology
1,121
1144213984
General Surgery
896
1972680494
Anesthesiology
853
1922083427
Diagnostic Radiology
748
1366465429
Orthopedic Surgery
681
1932219409
Emergency Medicine
595
1609067156
Ophthalmology
591
*These referrals represent the top 10 that Dr. Niemira has made to other doctors

Publications

None Found

Map & Directions

5452 U.S. Rt. 5 Ste. D Newport, VT 05855
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