Active NPI 1104894021 Individual Practitioner Male Practitioner

Dr. Jeffrey Ross Cusmariu , MD

Orthopaedic Surgery • Birmingham, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Cusmariu, MD is a certified Orthopaedic Surgery practicing in Birmingham, AL. With approximately 30 years of clinical experience since graduating from Duke University School Of Medicine in 1996, Dr. Cusmariu delivers high-quality medical care to the local community at 2700 10TH AVE S STE 200.

Dr. Cusmariu maintains professional affiliations with Stv Orthopedic Surgeons Llc, St. Vincent'S Orthopedics, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2700 10th Ave S Ste 200

Birmingham, AL 352051248

Telephone 0593378382

Fax 2058768063

Associated Practice Facility / Clinic

🏢 Uab Stv Orthopedics, Llc Facility NPI 1710054432

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Birmingham, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +7.1 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

113 Specialists

Practicing in Birmingham, AL (368 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cusmariu (30 Years) 30 Yrs

Birmingham Specialty Average (22.9 Years) 22.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,120	23	$25.06	$17.36
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	345	65	$10.00	$6.96
99213 Established patient office or other outpatient visit, typically 15 minutes	159	104	$92.55	$81.99
20610 Aspiration and/or injection of fluid from large joint	91	59	$114.93	$57.33
73030 X-ray of shoulder, minimum of 2 views	77	46	$108.78	$30.37
73502 X-ray of hip, 2-3 views	67	45	$109.37	$41.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	55	$134.84	$116.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$169.78	$151.48
73560 X-ray of knee, 1-2 views	49	34	$86.00	$29.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	38	$61.60	$49.90
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	43	29	$235.00	$89.99
73565 X-ray of both knees while standing	37	34	$156.00	$34.57
73564 X-ray of knee, 4 or more views	34	29	$118.65	$40.99
72100 X-ray of lower and sacral spine, 2-3 views	24	23	$126.79	$34.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$125.14	$97.79
72040 X-ray of upper spine, 2-3 views	14	12	$100.43	$34.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	6,216	13	$3.64	$0.74
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	928	19	$56.73	$16.73
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	278	83	$32.91	$6.63
99213 Established patient office or other outpatient visit, typically 15 minutes	158	113	$207.94	$82.79
20610 Aspiration and/or injection of fluid from large joint	91	59	$207.69	$66.09
73030 X-ray of shoulder, minimum of 2 views	70	48	$147.31	$29.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	60	$315.94	$116.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$441.95	$154.39
73502 X-ray of hip, 2-3 views	58	49	$143.90	$39.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	46	$114.94	$51.59
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	52	42	$264.40	$94.87
73564 X-ray of knee, 4 or more views	34	26	$203.82	$37.42
73562 X-ray of knee, 3 views	27	21	$136.63	$33.58
72100 X-ray of lower and sacral spine, 2-3 views	27	27	$153.30	$33.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$239.68	$95.41
73560 X-ray of knee, 1-2 views	16	13	$94.06	$28.92
72040 X-ray of upper spine, 2-3 views	16	16	$142.69	$33.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$289.00	$122.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	8,064	17	$2.75	$1.75
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	800	18	$25.00	$15.70
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	390	77	$10.00	$6.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	95	$60.00	$52.92
99213 Established patient office or other outpatient visit, typically 15 minutes	123	96	$90.00	$85.38
20610 Aspiration and/or injection of fluid from large joint	106	70	$136.70	$64.57
73560 X-ray of knee, 1-2 views	74	52	$86.00	$30.36
73030 X-ray of shoulder, minimum of 2 views	59	41	$108.00	$30.74
73565 X-ray of both knees while standing	59	50	$156.00	$36.15
73502 X-ray of hip, 2-3 views	57	42	$108.00	$42.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$130.00	$119.60
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	42	39	$240.60	$90.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$115.00	$106.45
73564 X-ray of knee, 4 or more views	29	25	$117.00	$40.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$165.00	$154.85
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$125.00	$37.04
27447 Replacement of knee joint, both sides of knee	15	15	$5982.00	$1153.85
73503 X-ray of hip with pelvis, minimum of 4 views	14	12	$128.00	$48.34
72040 X-ray of upper spine, 2-3 views	11	11	$96.00	$30.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	10,584	18	$2.75	$2.18
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	704	13	$25.00	$16.26
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	387	78	$10.00	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	130	102	$87.88	$85.63
20610 Aspiration and/or injection of fluid from large joint	113	77	$134.73	$67.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	73	$60.04	$53.30
73502 X-ray of hip, 2-3 views	72	49	$108.00	$43.02
73030 X-ray of shoulder, minimum of 2 views	68	52	$108.00	$31.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	56	$129.46	$124.03
73560 X-ray of knee, 1-2 views	62	47	$86.00	$30.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$164.98	$159.42
73565 X-ray of both knees while standing	51	46	$156.00	$36.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$114.97	$107.44
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	31	24	$250.16	$95.85
73110 X-ray of wrist, minimum of 3 views	24	11	$100.00	$37.25
73564 X-ray of knee, 4 or more views	21	16	$117.00	$36.34
72100 X-ray of lower and sacral spine, 2-3 views	16	13	$125.00	$36.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	10,412	16	$2.75	$2.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	558	104	$10.00	$6.99
99213 Established patient office or other outpatient visit, typically 15 minutes	169	117	$75.00	$70.62
20610 Aspiration and/or injection of fluid from large joint	152	73	$118.62	$58.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	103	$115.00	$101.76
73560 X-ray of knee, 1-2 views	84	50	$86.00	$30.54
73502 X-ray of hip, 2-3 views	84	62	$108.00	$41.35
73030 X-ray of shoulder, minimum of 2 views	78	49	$105.69	$30.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$164.00	$156.13
73565 X-ray of both knees while standing	60	47	$156.00	$35.32
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	50	41	$239.70	$87.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	35	$61.00	$41.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	21	$85.00	$50.40
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$125.00	$34.97
73564 X-ray of knee, 4 or more views	19	16	$117.00	$40.09
72040 X-ray of upper spine, 2-3 views	14	14	$96.00	$34.92
27447 Replacement of knee joint, both sides of knee	14	14	$5982.00	$1306.53
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$5930.00	$1308.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	23,856	39	$2.50	$2.14
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	715	136	$10.00	$6.58
20610 Aspiration and/or injection of fluid from large joint	284	108	$89.37	$47.34
99213 Established patient office or other outpatient visit, typically 15 minutes	260	174	$75.00	$65.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	125	$115.00	$96.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$164.00	$145.32
73502 X-ray of hip, 2-3 views	111	74	$108.00	$36.63
73560 X-ray of knee, 1-2 views	98	66	$86.00	$27.41
73030 X-ray of shoulder, minimum of 2 views	80	57	$98.00	$26.41
73565 X-ray of both knees while standing	70	64	$156.00	$31.19
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	59	51	$235.00	$78.43
73564 X-ray of knee, 4 or more views	52	41	$117.00	$36.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$61.00	$40.33
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$125.00	$32.02
73080 X-ray of elbow, minimum of 3 views	20	11	$102.00	$26.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$85.00	$47.68
72040 X-ray of upper spine, 2-3 views	16	16	$96.00	$32.02
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$5930.00	$1136.44
73503 X-ray of hip with pelvis, minimum of 4 views	15	12	$128.00	$46.75
27447 Replacement of knee joint, both sides of knee	13	13	$5982.00	$1217.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	10,752	17	$2.50	$2.14
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	622	116	$10.00	$6.95
99213 Established patient office or other outpatient visit, typically 15 minutes	239	155	$75.00	$65.43
20610 Aspiration and/or injection of fluid from large joint	193	81	$82.49	$49.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	89	$115.00	$96.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$164.00	$150.73
73030 X-ray of shoulder, minimum of 2 views	83	55	$98.00	$25.29
73560 X-ray of knee, 1-2 views	75	56	$86.00	$27.31
73502 X-ray of hip, 2-3 views	75	57	$108.00	$36.52
73565 X-ray of both knees while standing	60	51	$156.00	$31.24
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	55	43	$233.55	$78.71
73564 X-ray of knee, 4 or more views	30	22	$117.00	$35.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	22	$85.00	$49.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$61.00	$39.84
73130 X-ray of hand, minimum of 3 views	18	14	$94.00	$28.28
73080 X-ray of elbow, minimum of 3 views	17	16	$102.00	$28.09
72040 X-ray of upper spine, 2-3 views	15	14	$96.00	$29.73
20550 Injection into tendon or ligament	14	11	$79.00	$43.39
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$125.00	$31.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$161.00	$127.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	595	136	$10.00	$6.63
20610 Aspiration and/or injection of fluid from large joint	242	96	$81.21	$47.59
99213 Established patient office or other outpatient visit, typically 15 minutes	210	140	$78.31	$65.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	114	$120.54	$95.34
73560 X-ray of knee, 1-2 views	106	67	$86.00	$26.38
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	99	24	$281.36	$146.65
73502 X-ray of hip, 2-3 views	90	64	$114.00	$34.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$171.89	$147.15
73565 X-ray of both knees while standing	76	65	$156.00	$30.77
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	62	51	$166.94	$76.48
73030 X-ray of shoulder, minimum of 2 views	60	49	$101.73	$23.35
73564 X-ray of knee, 4 or more views	47	34	$134.55	$28.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	43	$63.89	$38.99
73110 X-ray of wrist, minimum of 3 views	32	22	$102.63	$28.81
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$134.55	$30.00
73130 X-ray of hand, minimum of 3 views	21	17	$97.86	$24.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$118.00	$96.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$238.00	$185.41

Medical Specialties & State Licenses

CMS Verified: 2023-12-29

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AL 21127

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.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License AL MD21127

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Hospital & Practice Group Affiliations

Stv Orthopedic Surgeons Llc

2217 Decatur Hwy, Gardendale, AL 350712301

Phone: 2059337838

Stv Orthopedic Surgeons Llc

2700 10th Ave S, Birmingham, AL 352051248

Phone: 2059337838

St. Vincent's Orthopedics, Pc

2700 10th Ave S, Birmingham, AL 352051248

Phone: 2059337838

St. Vincent's Orthopedics, Pc

2217 Decatur Hwy, Gardendale, AL 350712301

Phone: 2059337838

St. Vincent's Orthopedics, Pc

805 Saint Vincents Dr, Birmingham, AL 352051636

Phone: 2059393699

St. Vincent's Orthopedics, Pc

2700 10th Ave S, Birmingham, AL 352051248

Stv Orthopedic Surgeons Llc

810 Saint Vincents Dr, Birmingham, AL 352051601

Phone: 2059397000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Sabrina Dotson , PT

Physical Therapist

NPI 1083658736

Physical Therapist

Dr. Phillip Triantos , MD

Radiology - Diagnostic Radiology

NPI 1104821297

Doctor of Medicine (M.D.)

Karen Connor , PA-C

Physician Assistant - Surgical

NPI 1104889765

Physician Assistant (Certified)

Brandon Sadler , ATC

Specialist/Technologist - Athletic Trainer

NPI 1467099945

Certified Athletic Trainer

Alayna Dees

Physical Therapist

NPI 1609493477

Dr. Sophia Lal , DO

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1649215138

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address December 29, 2023

Registered at 2700 10TH AVE S STE 200, BIRMINGHAM, AL 352051248 (Tel: 2052593991)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2023

Orthopaedic Surgery (License #MD21127 in AL)

📍

Updated Practice Location April 11, 2023

Registered at 2700 10TH AVE S STE 200, BIRMINGHAM, AL 352051248 (Tel: 0593378382)

📍

Updated Business Mailing Address April 11, 2023

Registered at PO BOX 370, FORTSON, GA 318080370

✅

NPI Profile Active November 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 29, 2016

Registered at 833 SAINT VINCENTS DR, STE 403, BIRMINGHAM, AL 352051606 (Tel: 2059390447)

📍

Updated Business Mailing Address November 29, 2016

Registered at 2700 10TH AVE S, STE 200, BIRMINGHAM, AL 352051248 (Tel: 2058383090)

👤

Provider Name / Credentials Updated November 29, 2016

Recorded as JEFFREY CUSMARIU, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2016

Orthopaedic Surgery (License #21127 in AL)

🟢

Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104894021

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 08, 2006

Last Update: December 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2700 10th Ave S Ste 200

Birmingham, AL 352051248

Phone: 2052593991

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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