Medicare Procedure and Patient Information
2012 Medicare Procedure Volume
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 128 |
|---|
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Dr. John S. Alspaugh, MD, FACS is a general surgeon in Virginia Beach, VA specializing in general surgery, hand surgery and plastic surgery. He graduated from Ohio State University College of Medicine. Dr. John S. Alspaugh, MD, FACS is affiliated with Children's Hospital of The King's Daughters, Sentara Health and ASSOCIATES IN PLASTIC SURGERY, INC.
Breast Reconstruction
Breast reconstruction is surgery to restore the appearance of the breast, usually after a mastectomy. The choice of how to proceed after the removal of a breast is a deeply personal one, with some women opting to wear a prosthetic form in a bra, and others choosing to embrace their new breastless form as a reminder of their strength and survival. Those options are perfectly acceptable, but many women feel most comfortable with their missing breast tissue surgically replaced. Breast reconstruction can be part of a patient's return to normal after experiencing breast cancer.
There are a few different methods used to create the round shape of the breast on the chest. A flap of fat, skin, and muscle can be taken from the side, abdomen or buttock and implanted on the chest to create a breast from the patient's own tissue. Alternatively, the skin over the chest may be gradually stretched to allow for the placement of an implant. Stretching of the skin is done using expanders, which are similar to breast implants, except they increase in size when saltwater solution is injected into them. Many women also choose to combine the flap procedure with implant placement to achieve their desired result. Once the new breast shape is formed, a nipple can be created and even tattooed to match the other side.
Reconstruction may be done in a single surgery or broken up into multiple procedures:
Breast reconstruction is not perfect. The two breasts may not always look exactly identical, although they will be close. There may be small scars, and a loss of sensation in the reconstructed breast. A reconstructed breast will not produce milk, so patients may have trouble breastfeeding. Still, reconstruction is a great option for women who want that part of their appearance back.
Dermabrasion
Dermabrasion, also known as dermaplaning, uses a high-speed rotating device to scrape away outer layers of the skin and create a smoother surface. This surgical procedure is most commonly used on the face, but it may be performed on other parts of the body as well. It treats the following skin issues:
During dermabrasion, a nurse or other healthcare professional holds the skin taut so that the doctor can apply gentle but constant pressure on the skin using the device. Depending on how much skin needs treatment, it may take a few minutes to over an hour to complete the surgery.
A waxy or moist dressing is placed on the skin at the end of the procedure. The treated area will be red and swollen for about two to three weeks. Itchiness and tingling will likely be present for some time. Although less common, enlarged pores, cold sores, rashes, and permanent skin discoloration may also occur. Normal activities may be resumed about two weeks following dermabrasion. However, swimming in chlorinated water and sports that involve the use of balls should be avoided for four to six weeks.
Skin Issues
The skin is the largest organ in the body, protecting and covering the more sensitive inner organs. Considering its size and that it is constantly exposed to the elements, the skin is usually relatively problem-free. However that doesn't mean that issues don't come up from time to time that might need the help of a professional. The most common skin issues that people seek medical help with are cosmetic issues, acne, eczema, dermatitis, psoriasis, and skin growths.
Professional cosmetic skin treatments exist to treat wrinkles, scars, dark spots, remove excess hair, tone and tighten skin, and otherwise improve the appearance of the skin. They may use lasers, light therapy, chemical peels, microdermabrasion, or many other forms of skin treatment.
Acne occurs when hair follicles become clogged with oil and dead skin cells, most commonly on the face or back. The clogged follicles can then become infected and inflamed. Treatments include antibiotics, anti-inflammatories, and retinoid creams.
Eczema is dry, sensitive skin that causes an itchy red rash, often in response to specific triggers. It is common in childhood but can sometimes last into adulthood. The main treatment involves keeping skin well moisturized.
Dermatitis is the medical name for any kind of skin inflammation or rash. Rashes can happen because of an allergy or contact with an irritating substance. They may be red, itchy, or even painful. They are often treated with antihistamines or moisturizing creams containing cortisone.
Psoriasis is patches of thick, red skin that is covered in silvery scales. It is often itchy and sore. Psoriasis is thought to be caused by an immune disorder, and it runs in families. Psoriasis is not contagious. There is no cure, but there are medicated creams available to treat the symptoms.
Skin growths, including warts and moles, are usually not serious. However, some skin growths should be examined by a doctor to make sure they don't cause problems in the future. Warts are harmless, rough, bumpy growths caused by a viral infection. They occur most often on the hands and feet. Because they are caused by a virus, they are contagious. Moles are brown or black spots that are sometimes raised slightly from the surface of the skin. They happen when clumps of pigment cells form in a cluster instead of spread out. Moles are harmless except that they are more vulnerable to cancer than other parts of the skin. Skin cancer is the most common form of cancer in the United States, and its risk increases with sun exposure and fair skin tone.
Skin issues can be embarrassing or irritating, but most are minor and can be treated without serious problems. Some, however, can be a sign of a more significant issue, so it is important to see a doctor for anything out of the ordinary.
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 128 |
|---|
The top procedures that Dr. John S. Alspaugh, MD, FACS treated as a general surgeon in Virginia Beach, VA during 2013 were reconstructive surgery, plastic surgery procedures, wound repair (e.g. stitches) and tissue transfer.
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 190 |
|---|---|
| hospital care | 15 |
| inpatient care | 15 |
| plastic surgery procedures | 17 |
| reconstructive surgery | 17 |
| tissue transfer | 17 |
| wound repair (e.g. stitches) | 17 |
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 62 |
|---|---|
| Female | 104 |
| Non-Hispanic White | 153 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 68 |
|---|---|
| From 75 to 84 | 46 |
| 85 and over | 31 |
| Less than 65 | 21 |
| Hypertension | 69 |
|---|---|
| High Cholesterol | 61 |
| Stroke | 8 |
| Ischemic Heart Disease | 27 |
| Depression | 23 |
| Chronic Kidney Disease | 26 |
| Asthma | 7 |
| Osteoperosis | 10 |
| Atrial Fibrilation | 13 |
| Heart Failure | 16 |
| Chronic Obstructive Pulmonary Disease | 15 |
| Diabetes | 27 |
| Dementia | 12 |
| Cancer | 16 |
The top procedures that Dr. John S. Alspaugh, MD, FACS treated as a general surgeon in Virginia Beach, VA during 2014 were reconstructive surgery, plastic surgery procedures, wound repair (e.g. stitches) and tissue transfer.
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 192 |
|---|---|
| hospital care | 11 |
| inpatient care | 11 |
| plastic surgery procedures | 12 |
| reconstructive surgery | 12 |
| tissue transfer | 12 |
| wound repair (e.g. stitches) | 12 |
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 56 |
|---|---|
| Female | 89 |
| From 65 to 74 | 68 |
|---|---|
| From 75 to 84 | 38 |
| 85 and over | 28 |
| Less than 65 | 11 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 68 |
| Stroke | 0 |
| Ischemic Heart Disease | 30 |
| Depression | 28 |
| Chronic Kidney Disease | 30 |
| Asthma | 11 |
| Osteoperosis | 12 |
| Atrial Fibrilation | 13 |
| Heart Failure | 19 |
| Chronic Obstructive Pulmonary Disease | 17 |
| Diabetes | 30 |
| Dementia | 12 |
| Cancer | 19 |
The top procedures that Dr. John S. Alspaugh, MD, FACS treated as a general surgeon in Virginia Beach, VA during 2015 were reconstructive surgery, plastic surgery procedures, wound repair (e.g. stitches) and tissue transfer.
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 196 |
|---|---|
| plastic surgery procedures | 21 |
| reconstructive surgery | 21 |
| tissue transfer | 21 |
| wound repair (e.g. stitches) | 21 |
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 130 |
|---|---|
| Female | 204 |
| Non-Hispanic White | 304 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 164 |
|---|---|
| From 75 to 84 | 106 |
| 85 and over | 40 |
| Less than 65 | 24 |
| Hypertension | 65 |
|---|---|
| High Cholesterol | 66 |
| Stroke | 0 |
| Ischemic Heart Disease | 24 |
| Depression | 24 |
| Chronic Kidney Disease | 19 |
| Asthma | 16 |
| Osteoperosis | 11 |
| Atrial Fibrilation | 10 |
| Heart Failure | 11 |
| Chronic Obstructive Pulmonary Disease | 13 |
| Diabetes | 29 |
| Dementia | 11 |
| Cancer | 19 |
The top procedures that Dr. John S. Alspaugh, MD, FACS treated as a general surgeon in Virginia Beach, VA during 2016 were reconstructive surgery, plastic surgery procedures, wound repair (e.g. stitches) and tissue transfer.
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 174 |
|---|---|
| plastic surgery procedures | 21 |
| reconstructive surgery | 21 |
| tissue transfer | 21 |
| wound repair (e.g. stitches) | 21 |
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 63 |
|---|---|
| Female | 89 |
| Non-Hispanic White | 137 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 80 |
|---|---|
| From 75 to 84 | 43 |
| 85 and over | 17 |
| Less than 65 | 12 |
| Hypertension | 64 |
|---|---|
| High Cholesterol | 57 |
| Stroke | 0 |
| Ischemic Heart Disease | 17 |
| Depression | 20 |
| Chronic Kidney Disease | 16 |
| Asthma | 13 |
| Osteoperosis | 9 |
| Atrial Fibrilation | 9 |
| Heart Failure | 9 |
| Chronic Obstructive Pulmonary Disease | 9 |
| Diabetes | 19 |
| Dementia | 0 |
| Cancer | 22 |
The top procedures that Dr. John S. Alspaugh, MD, FACS treated as a general surgeon in Virginia Beach, VA during 2017 were reconstructive surgery, plastic surgery procedures, wound repair (e.g. stitches) and tissue transfer.
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 183 |
|---|---|
| plastic surgery procedures | 20 |
| reconstructive surgery | 20 |
| tissue transfer | 20 |
| wound repair (e.g. stitches) | 20 |
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 67 |
|---|---|
| Female | 87 |
| From 65 to 74 | 77 |
|---|---|
| From 75 to 84 | 47 |
| 85 and over | 19 |
| Less than 65 | 11 |
| Hypertension | 66 |
|---|---|
| High Cholesterol | 57 |
| Stroke | 0 |
| Ischemic Heart Disease | 29 |
| Depression | 32 |
| Chronic Kidney Disease | 25 |
| Asthma | 11 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 11 |
| Heart Failure | 18 |
| Chronic Obstructive Pulmonary Disease | 12 |
| Diabetes | 23 |
| Dementia | 7 |
| Cancer | 22 |
The top procedures that Dr. John S. Alspaugh, MD, FACS treated as a general surgeon in Virginia Beach, VA during 2018 were reconstructive surgery, plastic surgery procedures, wound repair (e.g. stitches) and tissue transfer.
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 167 |
|---|---|
| plastic surgery procedures | 12 |
| reconstructive surgery | 12 |
| tissue transfer | 12 |
| wound repair (e.g. stitches) | 12 |
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 51 |
|---|---|
| Female | 95 |
| Non-Hispanic White | 127 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 73 |
|---|---|
| From 75 to 84 | 43 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 62 |
|---|---|
| High Cholesterol | 69 |
| Stroke | 0 |
| Ischemic Heart Disease | 28 |
| Depression | 22 |
| Chronic Kidney Disease | 27 |
| Asthma | 10 |
| Osteoperosis | 8 |
| Atrial Fibrilation | 13 |
| Heart Failure | 17 |
| Chronic Obstructive Pulmonary Disease | 10 |
| Diabetes | 25 |
| Dementia | 0 |
| Cancer | 28 |
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 161 |
|---|
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 55 |
|---|---|
| Female | 81 |
| Non-Hispanic White | 119 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 76 |
|---|---|
| From 75 to 84 | 40 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 60 |
|---|---|
| High Cholesterol | 63 |
| Stroke | 0 |
| Ischemic Heart Disease | 28 |
| Depression | 24 |
| Chronic Kidney Disease | 23 |
| Asthma | 10 |
| Osteoperosis | 17 |
| Atrial Fibrilation | 13 |
| Heart Failure | 13 |
| Chronic Obstructive Pulmonary Disease | 16 |
| Diabetes | 15 |
| Dementia | 0 |
| Cancer | 21 |
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 178 |
|---|
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 36 |
|---|---|
| Female | 98 |
| Non-Hispanic White | 121 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 69 |
|---|---|
| From 75 to 84 | 44 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 66 |
|---|---|
| High Cholesterol | 66 |
| Stroke | 0 |
| Ischemic Heart Disease | 24 |
| Depression | 24 |
| Chronic Kidney Disease | 30 |
| Asthma | 9 |
| Osteoperosis | 18 |
| Atrial Fibrilation | 13 |
| Heart Failure | 16 |
| Chronic Obstructive Pulmonary Disease | 15 |
| Diabetes | 21 |
| Dementia | 0 |
| Cancer | 27 |
The top procedures that Dr. John S. Alspaugh, MD, FACS treated as a general surgeon in Virginia Beach, VA during 2021 were minor procedures and wound repair (e.g. stitches).
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 132 |
|---|---|
| minor procedures | 11 |
| wound repair (e.g. stitches) | 11 |
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 26 |
|---|---|
| Female | 87 |
| Non-Hispanic White | 102 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 65 |
|---|---|
| From 75 to 84 | 35 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 55 |
|---|---|
| High Cholesterol | 64 |
| Stroke | 0 |
| Ischemic Heart Disease | 25 |
| Depression | 23 |
| Chronic Kidney Disease | 19 |
| Asthma | 0 |
| Osteoperosis | 18 |
| Atrial Fibrilation | 0 |
| Heart Failure | 13 |
| Chronic Obstructive Pulmonary Disease | 12 |
| Diabetes | 20 |
| Dementia | 0 |
| Cancer | 32 |
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
| doctor visit | 105 |
|---|
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 27 |
|---|---|
| Female | 64 |
| From 65 to 74 | 60 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 66 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 0 |
| Ischemic Heart Disease | 15 |
| Depression | 19 |
| Chronic Kidney Disease | 16 |
| Asthma | 0 |
| Osteoperosis | 15 |
| Atrial Fibrilation | 12 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 0 |
| Dementia | 0 |
| Cancer | 24 |
Volume of procedures performed by Dr. John S. Alspaugh, MD, FACS for Medicare patients.
The highest averages for the top procedures that Dr. John S. Alspaugh, MD, FACS treated as a general surgeon in Virginia Beach, VA were reconstructive surgery, plastic surgery procedures, tissue transfer and wound repair (e.g. stitches).
| doctor visit | 164 |
|---|---|
| hospital care | 13 |
| inpatient care | 13 |
| minor procedures | 11 |
| plastic surgery procedures | 17 |
| reconstructive surgery | 17 |
| tissue transfer | 17 |
| wound repair (e.g. stitches) | 16 |
Information about Medicare patients treated by Dr. John S. Alspaugh, MD, FACS.
| Male | 52 |
|---|---|
| Female | 90 |
| Black / African American | 0 |
|---|---|
| Asian / Pacific Islander | 0 |
| Non-Hispanic White | 96 |
| Hispanic | 0 |
| Native American / Alaskan Native | 0 |
| Other | 0 |
| 75 to 84 | 40 |
|---|---|
| 85 and over | 12 |
| Less than 65 | 7 |
| 65 to 74 | 72 |
The highest averages of the most common conditions of Medicare patients that Dr. John S. Alspaugh, MD, FACS treated were hypertension, high cholesterol, ischemic heart disease and cancer.
| Hypertension | 58 |
|---|---|
| High Cholesterol | 58 |
| Stroke | 0 |
| Ischemic Heart Disease | 22 |
| Depression | 21 |
| Chronic Kidney Disease | 21 |
| Asthma | 7 |
| Osteoporosis | 10 |
| Heart Failure | 12 |
| Chronic Obstructive Pulmonary Disease | 10 |
| Diabetes | 19 |
| Atrial Fibrillation | 9 |
| Cancer | 20 |
| Dementia | 3 |
Dr. John S. Alspaugh, MD, FACS graduated from Ohio State University College of Medicine. He completed residency at Virginia Commonwealth University (VCU) Affiliated Hospitals. He is certified by the Board Certified and has a state license in Virginia.
Medical School: Ohio State University College of Medicine
Residency: Virginia Commonwealth University (VCU) Affiliated Hospitals (1986)
Board Certification: Board Certified
Licensed In: Virginia
Dr. John S. Alspaugh, MD, FACS is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. John S. Alspaugh, MD, FACS. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| Allergan Inc. |
$3,289
NATRELLE $1,556 |
BOTOX COSMETIC $220 |
NATRELLE IMPLANTS $159 |
ACZONE $115 |
NATRELLE INSPIRA BREAST IMPLANTS $102 |
Other $1,137 |
|---|---|---|---|---|---|---|
| Musculoskeletal Transplant Foundation Inc. |
$2,135
$2,135 |
|||||
| Allergan, Inc. |
$1,373
BOTOX $891 |
BOTOX COSMETIC $206 |
NATRELLE SALINE-FILLED BREAST IMPLANTS $65 |
NATRELLE $15 |
$195 |
|
| Mentor Worldwide LLC |
$1,077
MemoryGel Breast Implants $410 |
ARTOURA Breast Tissue Expander $166 |
Facial $131 |
FlexHD Acellular Hydrated Dermis $130 |
Reconstruction $126 |
Other $113 |
| AbbVie Inc. |
$443
NATRELLE SALINE-FILLED BREAST IMPLANTS $189 |
BOTOX $144 |
$110 |
|||
| Other |
$1,584
SURGICAL $148 |
SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT $138 |
AEROFORM TISSUE EXPANDER SYSTEM $123 |
Belotero $95 |
SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAT IMPLANT $94 |
Other $985 |
| Food and Beverage | $8,476 |
|---|---|
| Gift | $1,350 |
| Education | $58 |
| Entertainment | $16 |
Dr. John Alspaugh practices plastic surgery, hand surgery, and general surgery. Dr. Alspaugh's areas of expertise include cleft lip and palate, facelift, and eyelid surgery. He graduated from Ohio State University College of Medicine and then he performed his residency at a hospital affiliated with Virginia Commonwealth University (VCU). He is professionally affiliated with Children's Hospital of The King's Daughters and Sentara Health.