DR. ANDREW DAVID HOTRUM MD
NPI 1376071019
General Practice in Lancaster, OH

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
81.6/100
CMS Quality Rating
952 MARQUETTE DR NE, LANCASTER, OH 43130(210) 535-9468 Get Directions Write a Review

NPPES record last updated: January 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2021, May 25, 2017 (2 updates tracked since 2017).

About Dr. Andrew David Hotrum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW DAVID HOTRUM MD (NPI 1376071019) is an individual general practice provider in Lancaster, Ohio, licensed in Ohio (35.140962) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2017).

NPPES Registry Identity

NPI1376071019
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ANDREW DAVID HOTRUMCredential: MD
Location Address952 MARQUETTE DR NELancaster, OH 43130-8393
Mailing Address1001 Covington StYoungstown, OH 44510-1617 · (330) 480-2371
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateJanuary 30, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2021
NPI 1376071019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in OH · 35.140962
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
952 MARQUETTE DR NE, Lancaster, OH 43130

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew David Hotrum Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931477890
PECOS Enrollment IDI20210129001599
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
885 services188 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
721 services140 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
393 services125 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
364 services71 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
330 services136 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
309 services117 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.44
Promoting Interoperability100
Improvement Activities40
Cost29.89

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims655 services$29.87 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers168 claims5,237 services$7.07 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims596 services$16.00 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier271 claims9,471 services$0.92 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6220
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims471 services$2.51 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
2 suppliers59 claims1,269 services$2.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Hotrum's NPI number?

The NPI number for Andrew Hotrum is 1376071019. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Andrew Hotrum located?

Andrew Hotrum practices at 952 Marquette Dr NE, Lancaster, OH 43130. The listed phone number is (210) 535-9468.

What is Andrew Hotrum's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Andrew Hotrum enrolled in Medicare?

Yes. Andrew Hotrum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Hotrum accept?

Health plans from CareSource and Molina Healthcare list Andrew Hotrum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Hotrum was last updated on January 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.