Active NPI 1376544262 Individual Practitioner Male Practitioner

Dr. J. Paul Maddox , MD

Orthopaedic Surgery • Dothan, AL

Professional Overview & Biography Verified Profile Summary

Dr. J. Maddox, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Dothan, AL. Practice services are available at 1500 ROSS CLARK CIR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 Ross Clark Cir

Dothan, AL 363014754

Telephone 3347932663

Fax 3348362247

Associated Practice Facility / Clinic

🏢 Sbjs Pc Facility NPI 1134106065

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Dothan, AL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

17 Specialists

Practicing in Dothan, AL (368 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	154	$125.00	$119.03
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	184	55	$18.00	$6.58
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	81	69	$426.00	$122.30
20610 Aspiration and/or injection of fluid from large joint	76	58	$121.00	$63.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$186.00	$156.62
72100 X-ray of lower and sacral spine, 2-3 views	41	39	$139.00	$35.60
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	28	25	$205.00	$48.88
73562 X-ray of knee, 3 views	24	16	$102.00	$36.92
72148 MRI scan of lower spinal canal	22	22	$991.00	$117.38
73502 X-ray of hip, 2-3 views	14	13	$90.00	$42.73
72040 X-ray of upper spine, 2-3 views	12	11	$101.00	$36.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	352	214	$125.00	$120.22
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	280	77	$18.00	$6.69
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	177	133	$426.00	$124.88
20610 Aspiration and/or injection of fluid from large joint	103	78	$121.00	$66.25
72100 X-ray of lower and sacral spine, 2-3 views	87	75	$139.00	$37.32
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	74	53	$205.00	$51.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$186.00	$160.50
72148 MRI scan of lower spinal canal	43	43	$991.00	$119.58
73562 X-ray of knee, 3 views	29	23	$102.00	$38.14
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	19	$770.61	$233.81
73030 X-ray of shoulder, minimum of 2 views	14	12	$103.00	$32.25
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$88.00	$86.57
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$5592.00	$1396.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$251.00	$190.73
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3877.00	$1189.65
72040 X-ray of upper spine, 2-3 views	11	11	$101.00	$34.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	295	188	$88.00	$87.58
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	262	75	$18.00	$7.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg	156	20	$5.25	$0.16
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	155	121	$426.00	$130.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	107	$125.00	$124.09
20610 Aspiration and/or injection of fluid from large joint	133	93	$121.00	$66.44
72100 X-ray of lower and sacral spine, 2-3 views	115	100	$139.00	$36.98
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	64	54	$205.00	$53.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$128.00	$108.49
72148 MRI scan of lower spinal canal	44	43	$991.00	$128.57
73562 X-ray of knee, 3 views	34	27	$102.00	$37.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$186.00	$162.98
72040 X-ray of upper spine, 2-3 views	30	29	$101.00	$36.91
73030 X-ray of shoulder, minimum of 2 views	23	17	$103.00	$31.07
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	11	$793.00	$256.32
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3877.00	$1208.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	506	283	$78.11	$70.37
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	439	129	$18.00	$6.92
20610 Aspiration and/or injection of fluid from large joint	179	129	$121.00	$59.07
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	156	109	$426.58	$132.73
72100 X-ray of lower and sacral spine, 2-3 views	108	96	$139.00	$35.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$128.00	$100.92
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	49	34	$771.98	$241.87
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	46	38	$196.57	$54.36
73562 X-ray of knee, 3 views	41	34	$102.00	$36.14
72148 MRI scan of lower spinal canal	40	40	$991.00	$124.57
73502 X-ray of hip, 2-3 views	29	23	$90.00	$41.66
72040 X-ray of upper spine, 2-3 views	28	27	$101.00	$35.35
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	28	27	$5592.00	$1324.02
73030 X-ray of shoulder, minimum of 2 views	22	18	$103.00	$29.75
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	20	20	$51.93	$50.16
22845 Placement of stabilizing device to front, 2-3 spine bone segments	17	17	$2175.00	$709.02
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$3877.00	$1198.42
27447 Replacement of knee joint, both sides of knee	11	11	$6298.00	$1201.45
72070 X-ray of middle spine, 2 views	11	11	$115.00	$29.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	688	12	$17.24	$11.18
99213 Established patient office or other outpatient visit, typically 15 minutes	607	324	$75.00	$68.65
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	503	146	$18.00	$6.78
20610 Aspiration and/or injection of fluid from large joint	231	150	$121.00	$55.90
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	177	139	$268.89	$133.12
72100 X-ray of lower and sacral spine, 2-3 views	138	113	$139.00	$33.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$128.00	$99.14
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	80	61	$108.00	$53.23
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	74	40	$779.08	$225.21
72148 MRI scan of lower spinal canal	69	69	$991.00	$119.96
73562 X-ray of knee, 3 views	44	35	$102.00	$33.03
72040 X-ray of upper spine, 2-3 views	39	38	$101.00	$33.27
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	34	34	$49.42	$48.92
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	28	28	$5592.00	$1258.46
73030 X-ray of shoulder, minimum of 2 views	27	24	$103.00	$27.34
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	26	18	$1321.12	$272.01
72070 X-ray of middle spine, 2 views	23	23	$115.00	$30.99
73502 X-ray of hip, 2-3 views	22	18	$90.00	$38.94
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	18	$2096.44	$639.57
64721 Release and/or relocation of hand nerve	16	13	$1211.00	$371.63
72141 MRI scan of upper spinal canal	15	15	$991.00	$91.00
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	14	14	$1178.00	$486.27
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$5222.15	$628.43
27130 Replacement of thigh bone and hip joint with prosthesis	13	12	$6244.00	$1265.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$64.00	$41.66
72146 Mri scan of middle spinal canal	11	11	$991.00	$130.34
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	11	11	$1139.00	$453.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	595	349	$75.00	$66.70
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	342	112	$18.00	$7.08
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	169	122	$268.00	$130.21
20610 Aspiration and/or injection of fluid from large joint	163	119	$121.00	$54.30
72100 X-ray of lower and sacral spine, 2-3 views	145	133	$139.00	$30.22
72148 MRI scan of lower spinal canal	115	114	$991.00	$124.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$128.00	$99.00
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	82	44	$767.88	$222.53
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	74	55	$108.00	$51.69
72040 X-ray of upper spine, 2-3 views	46	46	$101.00	$29.19
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	35	33	$49.42	$48.63
73562 X-ray of knee, 3 views	34	27	$102.00	$31.09
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	34	34	$5485.09	$1339.15
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	31	21	$1298.16	$285.60
72141 MRI scan of upper spinal canal	27	27	$991.00	$124.15
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	24	$5050.38	$626.24
73502 X-ray of hip, 2-3 views	18	18	$90.00	$36.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$64.00	$40.44
73030 X-ray of shoulder, minimum of 2 views	13	13	$103.00	$25.87
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$2175.00	$667.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	513	324	$75.00	$66.97
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	382	125	$18.00	$6.69
20610 Aspiration and/or injection of fluid from large joint	214	128	$121.00	$46.99
72148 MRI scan of lower spinal canal	111	109	$991.00	$122.61
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	109	94	$268.00	$132.60
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	87	53	$770.01	$240.25
72100 X-ray of lower and sacral spine, 2-3 views	83	77	$138.30	$31.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$128.00	$96.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	65	$64.00	$40.00
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$93.00	$68.28
72110 X-ray of lower and sacral spine, minimum of 4 views	48	44	$174.00	$43.24
22614 Fusion of additional segment of spine	46	11	$1353.00	$362.22
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	42	42	$5592.00	$1320.09
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	38	37	$49.42	$48.63
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	37	30	$108.00	$56.45
72040 X-ray of upper spine, 2-3 views	29	28	$101.00	$29.80
73502 X-ray of hip, 2-3 views	27	23	$90.00	$37.37
73562 X-ray of knee, 3 views	27	21	$102.00	$30.97
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	23	$5497.00	$706.53
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	23	18	$1355.00	$305.04
22840 Placement of stabilizing device to back of 1 spine bone in neck	22	22	$5481.00	$703.91
73030 X-ray of shoulder, minimum of 2 views	22	20	$103.00	$26.19
72146 Mri scan of middle spinal canal	15	15	$991.00	$132.53
72070 X-ray of middle spine, 2 views	14	12	$115.00	$30.74
64721 Release and/or relocation of hand nerve	14	12	$1211.00	$377.34
72170 X-ray of pelvis, 1-2 views	14	14	$97.00	$26.64
72141 MRI scan of upper spinal canal	14	14	$991.00	$118.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$118.00	$99.85
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$6244.00	$1260.91

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AL 9249

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000636083A (GA)

Medicaid State Provider ID

121532 (AL)

Medicaid State Provider ID

000636083B (GA)

Medicaid State Provider ID

009956245 (AL)

Commercial Insurance / Payer ID Bcbs - Rcc

515-21690 (AL)

Commercial Insurance / Payer ID Bcbs - Healthwest

511-08270 (AL)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jennifer Echols , PA

Physician Assistant

NPI 1003206673

Physician Assistant

Leigh Money , ATC

Specialist/Technologist - Athletic Trainer

NPI 1043558455

Certified Athletic Trainer

Dr. Benjamin Werner , DPM

Podiatrist

NPI 1063484004

Doctor of Podiatric Medicine

Dr. Timothy Haley , MD

Orthopaedic Surgery

NPI 1073515730

Doctor of Medicine (M.D.)

Tiffany Hudmon , PTA

Physical Therapy Assistant

NPI 1073739884

Physical Therapist Assistant

Melissa Toombs , CRNP

Nurse Practitioner - Family

NPI 1104297415

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2014

Registered at 1500 ROSS CLARK CIR, DOTHAN, AL 363014754 (Tel: 3347932663)

📍

Updated Business Mailing Address November 20, 2014

Registered at PO BOX 729, DOTHAN, AL 363020729 (Tel: 3347932663)

👤

Provider Name / Credentials Updated November 20, 2014

Recorded as J. MADDOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2014

Orthopaedic Surgery (License #9249 in AL)

🟢

Initial NPI Registration & Enumeration August 02, 2005

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: 1376544262

Entity Type:

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

Enumeration Date: August 02, 2005

Last Update: November 20, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 729

Dothan, AL 363020729

Phone: 3347932663

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.