Active NPI 1033109632 Individual Practitioner Male Practitioner

Jacob Blaine Oldham

Orthopaedic Surgery • Show Low, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Oldham is a certified Orthopaedic Surgery practicing in Show Low, AZ. With approximately 26 years of clinical experience since graduating from Mayo Medical School in 2000, Jacob Oldham delivers high-quality medical care to the local community at 4951 S WHITE MOUNTAIN RD BLDG A.

Jacob Oldham maintains professional affiliations with Summit Healthcare Medical Associates, White Mountain Regional Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 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

4951 S White Mountain Rd Bldg A

Show Low, AZ 859017827

Telephone 9285376700

Fax 9285322138

Associated Practice Facility / Clinic

🏢 Summit Healthcare Medical Associates Facility NPI 1467878108

Medicare Profile & Education

Medical School

Mayo Medical School

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Show Low, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +8.3 yrs vs City Avg

City Avg: 17.7 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Show Low, AZ (501 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oldham (26 Years) 26 Yrs

Show Low Specialty Average (17.7 Years) 17.7 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
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	4,536	13	$1.61	$0.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	848	81	$10.24	$1.01
99213 Established patient office or other outpatient visit, typically 15 minutes	193	126	$189.13	$87.45
20610 Aspiration and/or injection of fluid from large joint	140	91	$154.71	$68.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	75	$268.10	$123.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$263.90	$106.83
73030 X-ray of shoulder, minimum of 2 views	74	42	$76.72	$33.51
73564 X-ray of knee, 4 or more views	69	51	$111.96	$45.48
73502 X-ray of hip, 2-3 views	44	31	$108.00	$44.89
73562 X-ray of knee, 3 views	33	27	$95.18	$39.35
73130 X-ray of hand, minimum of 3 views	25	20	$84.08	$35.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$394.79	$160.94
27447 Replacement of knee joint, both sides of knee	22	21	$4353.05	$1223.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$356.00	$125.14
J1040 Injection, methylprednisolone acetate, 80 mg	20	17	$15.00	$9.70
73110 X-ray of wrist, minimum of 3 views	17	11	$91.94	$39.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$385.75	$163.73
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$3245.75	$1145.18
23430 Anchoring of biceps tendon	12	12	$1718.67	$358.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	1,191	25	$76.13	$15.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	848	77	$5.00	$1.05
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	724	11	$27.00	$9.47
20610 Aspiration and/or injection of fluid from large joint	315	150	$175.67	$68.45
99213 Established patient office or other outpatient visit, typically 15 minutes	263	166	$161.93	$87.24
73564 X-ray of knee, 4 or more views	196	96	$129.00	$44.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	186	186	$177.41	$107.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	103	$190.12	$123.34
J1040 Injection, methylprednisolone acetate, 80 mg	141	62	$15.35	$11.89
73030 X-ray of shoulder, minimum of 2 views	120	67	$72.18	$33.29
73562 X-ray of knee, 3 views	98	56	$89.59	$38.98
73130 X-ray of hand, minimum of 3 views	75	39	$72.80	$35.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$274.28	$159.20
J1020 Injection, methylprednisolone acetate, 20 mg	61	27	$5.25	$4.69
73502 X-ray of hip, 2-3 views	51	33	$71.25	$44.02
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	45	14	$215.00	$74.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	37	$76.55	$54.38
27447 Replacement of knee joint, both sides of knee	39	35	$5500.00	$1209.13
73522 X-ray of both hips, 3-4 views	37	33	$75.00	$49.69
73110 X-ray of wrist, minimum of 3 views	32	17	$96.69	$37.56
73565 X-ray of both knees while standing	30	29	$87.83	$38.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$344.69	$167.63
73610 X-ray of ankle, minimum of 3 views	20	11	$89.40	$35.72
20600 Aspiration and/or injection of fluid from small joint	18	17	$136.67	$56.87
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$5565.00	$947.11
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$3185.00	$156.49
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$3185.00	$976.00
23430 Anchoring of biceps tendon	14	13	$1798.00	$361.57
23472 Prosthetic repair of shoulder joint, total shoulder	12	11	$3509.33	$1399.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	4,368	13	$10.00	$1.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	765	80	$10.00	$1.15
20610 Aspiration and/or injection of fluid from large joint	123	88	$164.63	$67.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$269.00	$109.56
99213 Established patient office or other outpatient visit, typically 15 minutes	106	87	$185.80	$87.46
73564 X-ray of knee, 4 or more views	92	56	$106.96	$44.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$409.00	$161.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	54	$270.00	$124.94
73502 X-ray of hip, 2-3 views	36	31	$106.00	$46.03
73030 X-ray of shoulder, minimum of 2 views	34	27	$78.31	$34.81
73130 X-ray of hand, minimum of 3 views	29	24	$83.41	$35.71
73562 X-ray of knee, 3 views	28	26	$92.00	$38.86
27447 Replacement of knee joint, both sides of knee	26	26	$2979.85	$1061.43
20985 Computer-assisted surgery for muscle and bone procedure	18	18	$360.00	$134.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$342.00	$131.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$505.00	$193.46
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$90.00	$39.15
73110 X-ray of wrist, minimum of 3 views	12	11	$93.75	$39.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	10,081	20	$10.00	$2.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	730	67	$10.00	$1.26
20610 Aspiration and/or injection of fluid from large joint	123	70	$166.46	$70.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$269.00	$110.80
99213 Established patient office or other outpatient visit, typically 15 minutes	95	75	$185.00	$90.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$409.00	$165.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	42	$270.00	$128.06
73030 X-ray of shoulder, minimum of 2 views	34	31	$76.10	$33.56
73565 X-ray of both knees while standing	31	31	$95.00	$39.84
73502 X-ray of hip, 2-3 views	26	19	$106.00	$41.61
73130 X-ray of hand, minimum of 3 views	25	21	$85.28	$35.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$505.00	$196.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$112.00	$55.23
27447 Replacement of knee joint, both sides of knee	13	13	$2758.77	$784.71
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$190.00	$71.80
73564 X-ray of knee, 4 or more views	12	12	$103.00	$44.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	514	53	$9.32	$1.46
20610 Aspiration and/or injection of fluid from large joint	102	68	$176.91	$67.53
99213 Established patient office or other outpatient visit, typically 15 minutes	81	73	$214.04	$74.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$457.33	$164.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$284.11	$107.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$312.98	$108.75
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	31	12	$210.00	$79.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$623.07	$203.55
73030 X-ray of shoulder, minimum of 2 views	14	13	$75.00	$32.84
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$4651.85	$1245.84
73565 X-ray of both knees while standing	13	13	$95.00	$38.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,601	143	$6.49	$1.59
20610 Aspiration and/or injection of fluid from large joint	186	145	$253.02	$66.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	123	$379.28	$107.42
99213 Established patient office or other outpatient visit, typically 15 minutes	124	93	$252.26	$72.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$593.86	$162.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$379.50	$107.41
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	32	18	$378.09	$141.21
27447 Replacement of knee joint, both sides of knee	26	25	$5222.15	$881.34
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$5229.50	$844.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$774.62	$201.87
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$403.67	$101.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,294	109	$7.00	$1.81
20610 Aspiration and/or injection of fluid from large joint	166	119	$180.00	$64.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	117	$318.00	$105.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$488.00	$161.64
99213 Established patient office or other outpatient visit, typically 15 minutes	93	78	$216.00	$71.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg	47	17	$10.00	$0.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$320.00	$105.82
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	27	11	$330.00	$146.08
27447 Replacement of knee joint, both sides of knee	19	19	$4107.00	$1108.32
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$301.00	$99.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$308.00	$102.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$600.00	$199.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,428	123	$7.00	$1.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$488.00	$158.98
20610 Aspiration and/or injection of fluid from large joint	185	137	$180.00	$66.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	127	$318.00	$105.52
99213 Established patient office or other outpatient visit, typically 15 minutes	94	78	$216.00	$71.99
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	46	21	$330.00	$152.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg	39	17	$10.00	$0.11
27447 Replacement of knee joint, both sides of knee	25	25	$4271.28	$1329.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	19	$308.00	$103.06
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$3094.19	$938.15
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$1951.06	$246.37
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$4108.00	$1353.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$320.00	$101.48
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$1868.00	$225.56
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$301.00	$100.01

Medical Specialties & State Licenses

CMS Verified: 2026-08-06

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AZ 41236

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

NUCC Taxonomy Code: 207X00000X

State License NM MD2005-0490

Hospital & Practice Group Affiliations

White Mountain Regional Medical Center

118 S Mountain Ave, Springerville, AZ 859385104

Phone: 9283334368

Summit Healthcare Medical Associates

4951 S White Mountain Rd, Show Low, AZ 859017801

Phone: 9285376700

Practice Associates & Co-Workers

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

32 Associated Practitioners

Raelynn Musick , NP

Nurse Practitioner - Family

NPI 1073946562

Nurse Practitioner

Quezia Hall , PA

Physician Assistant

NPI 1073985651

Physician Assistant

Katheryn Johnston , FNP-C

Nurse Practitioner - Family

NPI 1083262620

Family Nurse Practitioner (Certified)

Constance Collman , FNP

Nurse Practitioner - Family

NPI 1174187546

Family Nurse Practitioner

Dr. Ryan Varga , DO

Family Medicine

NPI 1184060808

Doctor of Osteopathic Medicine (D.O.)

Dr. Benjamin Richardson , DO

Obstetrics & Gynecology

NPI 1215222013

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location August 06, 2026

Registered at 4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 859017827 (Tel: 9285376700)

📍

Updated Business Mailing Address August 06, 2026

Registered at 4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 859017827 (Tel: 9285376700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2026

Orthopaedic Surgery (License #41236 in AZ)

📍

Updated Practice Location October 20, 2022

Registered at 4830 HIGHWAY 260 STE 103, LAKESIDE, AZ 859295851 (Tel: 9285378777)

📍

Updated Business Mailing Address October 20, 2022

Registered at 4830 HIGHWAY 260 STE 103, LAKESIDE, AZ 859295851 (Tel: 9285378777)

✅

NPI Profile Active October 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 12, 2011

Registered at 2050 2ND ST SE, KIRTLAND AFB, NM 871175524 (Tel: 5058463174)

📍

Updated Business Mailing Address October 12, 2011

Registered at 2050 2ND ST SE, KIRTLAND AFB, NM 871175524

👤

Provider Name / Credentials Updated October 12, 2011

Recorded as JACOB OLDHAM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2011

Orthopaedic Surgery (License #MD2005-0490 in NM)

🟢

Initial NPI Registration & Enumeration October 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Jacob Oldham. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1033109632

Entity Type:

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

Enumeration Date: October 25, 2005

Last Update: August 06, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4951 S White Mountain Rd Bldg A

Show Low, AZ 859017827

Phone: 9285376700

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.