DR. GEORGE WILLIAM ZIMMERMAN D.O.
NPI 1750362927
Orthopaedic Surgery in Harrisonburg, VA
NPI Status: Active since November 07, 2005
Contact Information
2509 PLEASANT RUN DR
HARRISONBURG, VA
ZIP 22801
Phone: (540) 689-5500
Fax: (757) 431-7116
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About GEORGE ZIMMERMAN
This page provides the complete NPI Profile along with additional information for George Zimmerman, a provider established in Harrisonburg, Virginia with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1750362927 assigned on November 2005. The practitioner's primary taxonomy code is 207X00000X with license number 0102205078 (VA). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1750362927
- Provider Name
- DR. GEORGE WILLIAM ZIMMERMAN D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2509 PLEASANT RUN DR HARRISONBURG, VA 22801
- Location Phone
- (540) 689-5500
- Location Fax
- (757) 431-7116
- Mailing Address
- PO BOX 1430 HARRISONBURG, VA 22803
- Mailing Phone
- (540) 689-5500
- Mailing Fax
- (757) 431-7116
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-07-2005
- Last Update Date
- 04-17-2019
- 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.
- 0102205078
- License State
- VA
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 048956 (GA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
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 |
---|---|---|---|
1750362927 | MEDICAID (05) | VA |
Medicare Participation & PECOS Enrollment Status
George Zimmerman 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)
3 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Other DME (DE000N)
Commode chair, mobile or stationary, with fixed arms (HCPCS:E0163)
3 DME suppliers used 14 Medicare Claims 14 Services Paid
Orthotic Devices
DME-Orthotic Devices (DF011N)
Knee orthosis, elastic with joints, prefabricated, off-the-shelf (HCPCS:L1812)
1 DME suppliers used 45 Medicare Claims 45 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
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, 20-29 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Hip replacement
Initial hospital inpatient care per day, typically 50 minutes
Knee replacement
Lower limb (leg) arthroscopy (minimally invasive joint repair)
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 30-44 minutes
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
Treatment of broken neck of thigh bone with bone implant
X-ray of knee, 1-2 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 162 times for 123 patientsThis 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 69 times for 60 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 190 times for 143 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 79 times for 70 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 17 times for 12 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 27 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 29 times for 29 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 80 patientsLower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
This service was performed for 14 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 86 times for 86 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 40 times for 40 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 17 times for 17 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 14 times for 14 patientsThis procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
This service was performed 12 times for 12 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 12 times for 11 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 115 times for 99 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 22801 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.88
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $21.72
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.08
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $17.52
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Colorectal Cancer Screening | 28% | 342 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
e-Prescribing | 84% | 177 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Falls: Screening for Future Fall Risk | 91% | 192 |
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
Implementation of fall screening and assessment programs | Yes | N/A |
Implementation of fall screening and assessment programs to identify patients at risk for falls and address modifiable risk factors (e.g., Clinical decision support/prompts in the electronic health record that help manage the use of medications, such as benzodiazepines, that increase fall risk). | ||
Implementation of medication management practice improvements | Yes | N/A |
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
Medication Reconciliation | 99% | 251 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Patient-Specific Education | 78% | 481 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Pneumococcal Vaccination Status for Older Adults | 29% | 194 |
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 64% | 764 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Provide Patient Access | 100% | 481 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Secure Messaging | 25% | 481 |
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Specialized Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Use of decision support and standardized treatment protocols | Yes | N/A |
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Use of High-Risk Medications in the Elderly | 1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 185 |
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication |
Reviews for DR. GEORGE WILLIAM ZIMMERMAN D.O.
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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 | 7 | 5 | 0 | 3 | 6 | 2 | 9 | 2 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 6 | 6 | 4 | 9 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 6 + 6 + 4 + 9 + 4 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1750362927 is valid because the calculated check digit 7 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 |
---|---|---|---|
1598932618 | CHRISTOPHER J HESS MD Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5500 |
1821336306 | JASON P WILSON P.A. Individual | Physician Assistant | 2509 PLEASANT RUN DR ROCKINGHAM, VA 22801 (540) 689-5500 |
1295766525 | THOMAS S. WEBER M.D. Individual | Family Medicine (Sports Medicine) | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5500 |
1427584127 | KELLEY WIESE MS, LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (609) 240-9651 |
1073673695 | DR. THOMAS IVAN KRISZTINICZ MD Individual | Orthopaedic Surgery | 2509 PLEASANT RUN DR ROCKINGHAM, VA 22801 (540) 689-4500 |
1821484163 | DR. MARK DANIEL WILLIAMS D.O. Individual | Orthopaedic Surgery | 2509 PLEASANT RUN DR ROCKINGHAM, VA 22801 (540) 689-5500 |
1376706952 | RMH MEDICAL GROUP LLC Organization | Durable Medical Equipment & Medical Supplies | 2509 PLEASANT RUN DR ROCKINGHAM, VA 22801 (540) 689-5500 |
1245627462 | STEPHEN MICHAEL CROWE ERNST MD Individual | Orthopaedic Surgery | 2509 PLEASANT RUN DR ROCKINGHAM, VA 22801 (540) 689-4500 |
1346634573 | DR. ERWIN SECRETOV M.D. Individual | Orthopaedic Surgery | 2509 PLEASANT RUN DR ROCKINGHAM, VA 22801 (540) 689-5500 |
1457595258 | BENJAMIN ISAAC MWANIKA DO Individual | Family Medicine (Sports Medicine) | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5500 |
1780924795 | ELIZABETH CLAIRE KAIN PA-C Individual | Physician Assistant | 2509 PLEASANT RUN DR ROCKINGHAM, VA 22801 (540) 689-5500 |
1962060525 | HUNTER HENSLEY Individual | Physician Assistant | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5500 |
1417484742 | ANDREW FONTAINE MD Individual | Orthopaedic Surgery | 2509 PLEASANT RUN DR ROCKINGHAM, VA 22801 (540) 689-4500 |
1194599522 | TAYLOR AMANDA ALLEN LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5500 |
1548007032 | SHELBY M FONTAINE PA-C Individual | Physician Assistant | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5500 |
1811439169 | ANTHONY MARK RODRIGUES PA-C Individual | Physician Assistant | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5500 |
1730909052 | ABIGAIL K HINKLE PA-C Individual | Physician Assistant (Surgical) | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-1000 |
1851655518 | ROMY NICOLAS ABOU MRAD MD Individual | Internal Medicine (Rheumatology) | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5700 |
1891353561 | KRYSTAL NICHOLE TRUMP DO Individual | Family Medicine (Sports Medicine) | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5500 |
1093109142 | BENJAMIN PATRICK PERSONS MD Individual | Internal Medicine (Rheumatology) | 2509 PLEASANT RUN DR HARRISONBURG, VA 22801 (540) 689-5700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750362927, enumerated in the NPI registry as an "individual" on November 07, 2005
The provider is located at 2509 Pleasant Run Dr Harrisonburg, Va 22801 and the phone number is (540) 689-5500
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. 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.
Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $70.08 and an average copayment of 17.52. 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, 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, 20-29 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Hip replacement, Initial hospital inpatient care per day, typically 50 minutes, Knee replacement, Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 30-44 minutes, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, Treatment of broken neck of thigh bone with bone implant, X-ray of knee, 1-2 views and X-ray of knee, 4 or more views.
This NPI record was last updated on November 07, 2005. 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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