WILLIAM HIGGINBOTHAM III MD
NPI 1285605139
Orthopaedic Surgery in Southfield, MI
Quality Rating: 87.82 out of 100 score
NPI Status: Active since January 30, 2006
Contact Information
22250 PROVIDENCE DR
SUITE 401
SOUTHFIELD, MI
ZIP 48075
Phone: (866) 974-2673
Fax: (866) 939-2673
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM HIGGINBOTHAM
This page provides the complete NPI Profile along with additional information for William Higginbotham, a provider established in Southfield, Michigan with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1285605139 assigned on January 2006. The practitioner's primary taxonomy code is 207X00000X with license number 4301042913 (MI). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1285605139
- Provider Name
- WILLIAM HIGGINBOTHAM III MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 22250 PROVIDENCE DR SUITE 401 SOUTHFIELD, MI 48075
- Location Phone
- (866) 974-2673
- Location Fax
- (866) 939-2673
- Mailing Address
- 18444 N 25TH AVE STE 310 PHOENIX, AZ 85023
- Mailing Phone
- (866) 974-2673
- Mailing Fax
- (866) 939-2673
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-30-2006
- Last Update Date
- 01-17-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301042913
- License State
- MI
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (No Referrals) - HMO
- UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4341367 | MEDICAID (05) | MI | |
| B45731 | MEDICARE UPIN (02) | MI |
Medicare Participation & PECOS Enrollment Status
William Higginbotham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE000N)
Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)
15 DME suppliers used 24 Medicare Claims 24 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hip replacement
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Knee replacement
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
X-ray of hand, minimum of 3 views
X-ray of hip, 2-3 views
X-ray of knee, 3 views
X-ray of knee, 4 or more views
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 113 times for 79 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 290 times for 191 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 60 times for 58 patientsA hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.
This service was performed for 60 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 892 times for 82 patientsA knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
This service was performed for 60 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 81 times for 81 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 18 times for 18 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 32 times for 31 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 21 times for 21 patientsAn X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
This service was performed 15 times for 12 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 115 times for 91 patientsAn X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
This service was performed 71 times for 54 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 184 times for 118 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48075 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.82, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 87.82 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 82.09
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 77.3
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 77.3
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Closing the Referral Loop: Receipt of Specialist Report | 66% | 528 |
| Diabetes: Medical Attention for Nephropathy | 88% | 26 |
| Documentation of Current Medications in the Medical Record | 98% | 2035 |
| e-Prescribing | 98% | 194 |
| Falls: Screening for Future Fall Risk | 5% | 775 |
| Osteoporosis Management in Women Who Had a Fracture | 0% | 21 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 96% | 1348 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 65% | 62 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98% | 755 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 95% | 755 |
| Provide Patients Electronic Access to Their Health Information | 85% | 1565 |
| Screening for Osteoporosis for Women Aged 65-85 Years of Age | 1% | 534 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 775 |
| Use of High-Risk Medications in Older Adults | 1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 775 |
| Use of High-Risk Medications in Older Adults | 3% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 775 |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 0 | 5 | 1 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 0 | 10 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 0 + 1 + 0 + 1 + 6 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1285605139 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710981071 | ANTHONY EDWARD BOUTT MD Individual | Obstetrics & Gynecology | 22250 PROVIDENCE DR 408 SOUTHFIELD, MI 48075 (248) 465-4470 |
| 1396747499 | PATRICIA ANNE BARBER MD Individual | Family Medicine | 22250 PROVIDENCE DR FL 5 SOUTHFIELD, MI 48075 (248) 849-3444 |
| 1003810839 | BRASWELL DRUE DEEN MD Individual | Family Medicine | 22250 PROVIDENCE DR 5TH FLOOR.FL 5 SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1003814955 | DR. ALASDAIR I.L. MCKENDRICK M.D. Individual | Colon & Rectal Surgery | 22250 PROVIDENCE DR SUITE 208 SOUTHFIELD, MI 48075 (248) 557-8780 |
| 1912906447 | KAREN BARNES MITCHELL MD Individual | Family Medicine | 22250 PROVIDENCE DR 500 SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1558361972 | GARY G OTSUJI MD Individual | Family Medicine | 22250 PROVIDENCE DR 5TH FLOOR SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1639170129 | SUSAN COHEN ZELTZER MD Individual | Family Medicine | 22250 PROVIDENCE DR 5TH FLOOR SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1710988209 | KAMRAN ZAKARIA MD Individual | Family Medicine | 22250 PROVIDENCE DR 500 SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1336131291 | LUCILLE DESSLER RN, NP Individual | Registered Nurse | 22250 PROVIDENCE DR 5TH FLOOR SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1346234770 | PETER LOUIS BONO DO Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 22250 PROVIDENCE DR SUITE 601 SOUTHFIELD, MI 48075 (248) 569-7745 |
| 1255325684 | RODERICK CLAYBROOKS MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 22250 PROVIDENCE DR SUITE 601 SOUTHFIELD, MI 48075 (248) 569-7745 |
| 1336130863 | MICHIGAN SPINE AND BRAIN SURGEONS, PLLC Organization | Neurological Surgery | 22250 PROVIDENCE DR SUITE 601 SOUTHFIELD, MI 48075 (248) 569-7745 |
| 1164404471 | DR. MARY JO ELNICK MD Individual | Ophthalmology | 22250 PROVIDENCE DR STE 304 SOUTHFIELD, MI 48075 (248) 569-4366 |
| 1528041084 | LISA MARY STARKEY NP Individual | Internal Medicine (Cardiovascular Disease) | 22250 PROVIDENCE DR STE #705 SOUTHFIELD, MI 48075 (248) 552-9858 |
| 1295719896 | DR. ATHANASIUS Z LOBO M.D. Individual | Internal Medicine | 22250 PROVIDENCE DR SUITE 206 SOUTHFIELD, MI 48075 (248) 569-0288 |
| 1770568057 | DR. FREDERICK LUDWIG JARDON MD Individual | Ophthalmology | 22250 PROVIDENCE DR SUITE 304 SOUTHFIELD, MI 48075 (248) 569-4366 |
| 1164401188 | DR. GREGORY PAUL KARRIS MD Individual | Internal Medicine (Gastroenterology) | 22250 PROVIDENCE DR SUITE 604 SOUTHFIELD, MI 48075 (248) 569-1770 |
| 1265403372 | MICHAEL B. HAYNES M.D. Individual | Orthopaedic Surgery | 22250 PROVIDENCE DR SUITE 401 SOUTHFIELD, MI 48075 (248) 569-0306 |
| 1619943180 | DR. IRAM A REHMAN MD Individual | Internal Medicine (Nephrology) | 22250 PROVIDENCE DR STE 406 SOUTHFIELD, MI 48075 (248) 557-9010 |
| 1477522423 | DR. ALI REZA ASHTARI M.D. Individual | Internal Medicine (Nephrology) | 22250 PROVIDENCE DR SUITE 406 SOUTHFIELD, MI 48075 (248) 557-9010 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285605139, enumerated in the NPI registry as an "individual" on January 30, 2006
The provider is located at 22250 Providence Dr Suite 401 Southfield, Mi 48075 and the phone number is (866) 974-2673
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Diabetes: Medical Attention for Nephropathy, Documentation of Current Medications in the Medical Record, e-Prescribing, Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, Provide Patients Electronic Access to Their Health Information , Use of High-Risk Medications in Older Adults. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
Medicare beneficiaries should expect a typical cost of $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hip replacement, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Knee replacement, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, X-ray of hand, minimum of 3 views, X-ray of hip, 2-3 views, X-ray of knee, 3 views and X-ray of knee, 4 or more views.
This NPI record was last updated on January 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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