Physician
Family Medicine
Family Medicine
DERRY, NH
Contact information is sourced from hospital affiliations. None on file.
No hospital affiliations found.
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
77067 Screening mammography | $520 | $131 | $131 | 63 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $366 | $262 | $262 | 14 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $357 | $180 | $128 | 21 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $289 | $127 | $84 | 414 |
77080 Dxa bone density measurement of hip, pelvis, spine | $225 | $39 | $39 | 42 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $198 | $90 | $59 | 65 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $160 | $128 | $128 | 97 |
91320 Sarscv2 vac 30mcg trs-suc im | $155 | $128 | $128 | 23 |
77063 Screening 3d breast mammography | $150 | $53 | $53 | 63 |
90662 Influenza vaccine split virus, preservative free | $130 | $71 | $71 | 65 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $80 | $15 | $10 | 29 |
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | $73 | $41 | $41 | 16 |
90480 Admn sarscov2 vacc 1 dose | $66 | $41 | $41 | 23 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $55 | $24 | $19 | 30 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $55 | $41 | $41 | 41 |
G0008 Administration of influenza virus vaccine | $38 | $31 | $31 | 70 |
G0009 Administration of pneumococcal vaccine | $35 | $31 | $31 | 15 |
83036 Hemoglobin a1c level | $30 | $9 | $9 | 41 |
G0444 Annual depression screening, 5 to 15 minutes | $6 | $3 | $3 | 95 |
91312 Sarscov2 vac bvl 30mcg/0.3ml | $0 | $0 | $0 | 42 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.