Active NPI 1598768830 Individual Practitioner Male Practitioner

Dr. Thomas Vincent Distefano , MD

Orthopaedic Surgery • Yuma, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Distefano, MD is a certified Orthopaedic Surgery practicing in Yuma, AZ. With approximately 33 years of clinical experience since graduating from Tulane University School Of Medicine in 1993, Dr. Distefano delivers high-quality medical care to the local community at 2460 S PARKVIEW LOOP STE 3.

Dr. Distefano is affiliated with Yuma 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, hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2460 S Parkview Loop Ste 3

Yuma, AZ 853645357

Telephone 9283367846

Fax 9283367256

Associated Practice Facility / Clinic

🏢 Yuma Regional Medical Center Facility NPI 1194706655

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Yuma, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +4.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Yuma, AZ (501 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Distefano (33 Years) 33 Yrs

Yuma Specialty Average (28.3 Years) 28.3 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	19,320	22	$3.00	$0.48
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	6,600	66	$22.00	$6.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,763	234	$20.00	$0.99
20610 Aspiration and/or injection of fluid from large joint	614	229	$136.10	$69.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	233	$175.13	$118.06
99213 Established patient office or other outpatient visit, typically 15 minutes	323	207	$120.07	$84.48
73562 X-ray of knee, 3 views	227	155	$94.81	$36.21
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	155	35	$266.26	$119.31
73030 X-ray of shoulder, minimum of 2 views	85	68	$94.28	$30.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$303.00	$156.58
20605 Aspiration and/or injection of medium joint or joint capsule	42	34	$123.00	$41.61
73502 X-ray of hip, 2-3 views	35	31	$197.51	$40.30
73130 X-ray of hand, minimum of 3 views	33	23	$87.67	$33.59
73610 X-ray of ankle, minimum of 3 views	29	22	$83.83	$31.78
73110 X-ray of wrist, minimum of 3 views	29	19	$87.62	$36.84
64624 Destruction of nerve branches of knee using imaging guidance	22	16	$771.00	$136.43
73630 X-ray of foot, minimum of 3 views	21	17	$89.19	$31.10
64454 Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	13	12	$739.00	$91.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	19,656	24	$3.00	$0.72
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	8,641	83	$22.00	$6.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,156	241	$20.00	$1.05
20610 Aspiration and/or injection of fluid from large joint	700	247	$136.00	$70.49
99213 Established patient office or other outpatient visit, typically 15 minutes	335	198	$120.16	$84.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	197	$175.00	$119.89
73562 X-ray of knee, 3 views	250	159	$97.00	$37.34
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	184	34	$266.00	$122.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$303.00	$155.14
73030 X-ray of shoulder, minimum of 2 views	89	73	$96.00	$30.84
20605 Aspiration and/or injection of medium joint or joint capsule	35	28	$123.00	$39.42
73630 X-ray of foot, minimum of 3 views	29	20	$89.00	$31.89
73502 X-ray of hip, 2-3 views	23	20	$201.13	$41.79
73130 X-ray of hand, minimum of 3 views	23	14	$89.00	$32.88
29824 Partial removal of collar bone at shoulder using an endoscope	22	21	$1916.00	$191.18
64624 Destruction of nerve branches of knee using imaging guidance	22	19	$771.00	$138.33
29827 Repair of shoulder rotator cuff using an endoscope	22	21	$2838.00	$975.96
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	20	$2696.00	$162.43
29828 Release of shoulder biceps tendon using an endoscope	20	20	$2965.00	$405.50
27447 Replacement of knee joint, both sides of knee	19	19	$6077.00	$1212.23
73610 X-ray of ankle, minimum of 3 views	18	18	$89.00	$34.34
73110 X-ray of wrist, minimum of 3 views	15	12	$89.00	$38.05
64454 Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	13	13	$739.00	$89.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$200.00	$105.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	34,440	42	$3.00	$1.46
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	5,707	69	$22.00	$12.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,549	203	$20.00	$1.12
20610 Aspiration and/or injection of fluid from large joint	586	212	$301.41	$74.16
73562 X-ray of knee, 3 views	295	178	$97.00	$38.35
99213 Established patient office or other outpatient visit, typically 15 minutes	254	174	$120.00	$85.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	180	$175.00	$122.05
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	178	43	$266.00	$123.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$303.00	$159.25
73030 X-ray of shoulder, minimum of 2 views	73	62	$96.00	$32.69
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	44	24	$373.00	$82.98
J1030 Injection, methylprednisolone acetate, 40 mg	39	15	$15.00	$5.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$200.00	$107.06
73110 X-ray of wrist, minimum of 3 views	24	17	$89.00	$37.53
20605 Aspiration and/or injection of medium joint or joint capsule	20	17	$267.95	$45.76
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$2696.00	$165.41
27447 Replacement of knee joint, both sides of knee	19	19	$6077.00	$1226.76
29824 Partial removal of collar bone at shoulder using an endoscope	19	19	$1916.00	$199.34
29828 Release of shoulder biceps tendon using an endoscope	18	18	$2965.00	$478.79
73502 X-ray of hip, 2-3 views	18	17	$213.00	$44.42
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$2838.00	$1023.18
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	16	12	$1814.00	$786.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$77.00	$53.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	5,044	11	$3.00	$2.18
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,960	46	$55.00	$10.20
J1030 Injection, methylprednisolone acetate, 40 mg	844	212	$15.00	$5.54
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	751	229	$373.00	$109.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	508	258	$165.00	$122.89
73562 X-ray of knee, 3 views	266	162	$96.68	$37.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	181	41	$20.00	$1.19
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	160	42	$264.34	$126.98
99213 Established patient office or other outpatient visit, typically 15 minutes	134	99	$116.00	$86.76
J7333 Hyaluronan or derivative, visco-3, for intra-articular injection, per dose	133	35	$363.00	$352.98
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	111	33	$363.00	$75.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$303.00	$160.60
73030 X-ray of shoulder, minimum of 2 views	72	64	$95.39	$31.32
73130 X-ray of hand, minimum of 3 views	28	23	$89.00	$32.43
20610 Aspiration and/or injection of fluid from large joint	26	22	$136.00	$75.62
73110 X-ray of wrist, minimum of 3 views	25	18	$89.00	$37.00
73610 X-ray of ankle, minimum of 3 views	24	13	$89.00	$34.40
20606 Aspiration and/or injection of fluid from medium joint using ultrasound guidance	22	19	$346.00	$73.42
29824 Partial removal of collar bone at shoulder using an endoscope	21	21	$1916.00	$220.26
29828 Release of shoulder biceps tendon using an endoscope	20	20	$2965.00	$658.68
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$2696.00	$168.16
27447 Replacement of knee joint, both sides of knee	16	16	$6077.00	$1240.13
20550 Injection into tendon or ligament	15	13	$142.00	$43.63
73502 X-ray of hip, 2-3 views	14	14	$213.00	$43.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$77.00	$51.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$200.00	$101.95
64454 Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	11	11	$739.00	$97.76
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$4179.00	$1151.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	843	215	$15.00	$5.84
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	479	168	$373.00	$107.29
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	388	88	$363.00	$79.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	198	$165.00	$103.38
73562 X-ray of knee, 3 views	235	147	$96.77	$35.79
99213 Established patient office or other outpatient visit, typically 15 minutes	217	146	$116.00	$71.46
20610 Aspiration and/or injection of fluid from large joint	170	96	$136.00	$65.65
J7333 Hyaluronan or derivative, visco-3, for intra-articular injection, per dose	100	31	$363.00	$64.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$303.00	$154.38
73030 X-ray of shoulder, minimum of 2 views	76	54	$95.34	$30.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	56	$77.00	$42.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$200.00	$100.61
64624 Destruction of nerve branches of knee using imaging guidance	31	20	$771.00	$145.81
73130 X-ray of hand, minimum of 3 views	28	20	$89.00	$32.69
29824 Partial removal of collar bone at shoulder using an endoscope	21	21	$1916.00	$267.47
64454 Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	21	21	$739.00	$114.18
73630 X-ray of foot, minimum of 3 views	19	13	$89.00	$28.06
27447 Replacement of knee joint, both sides of knee	17	17	$6077.00	$1323.45
73502 X-ray of hip, 2-3 views	17	14	$213.00	$42.30
73110 X-ray of wrist, minimum of 3 views	16	11	$89.00	$36.27
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	15	$4179.00	$1163.68
29828 Release of shoulder biceps tendon using an endoscope	14	14	$2965.00	$795.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	878	238	$15.00	$6.14
20610 Aspiration and/or injection of fluid from large joint	628	232	$136.00	$64.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	237	$165.09	$102.65
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	355	89	$363.00	$77.75
99213 Established patient office or other outpatient visit, typically 15 minutes	320	192	$116.00	$70.22
73562 X-ray of knee, 3 views	261	164	$97.00	$34.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$303.00	$155.70
73030 X-ray of shoulder, minimum of 2 views	69	53	$96.00	$27.80
73110 X-ray of wrist, minimum of 3 views	48	24	$87.38	$32.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$200.00	$99.92
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	39	27	$1397.00	$1065.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$77.00	$40.81
73502 X-ray of hip, 2-3 views	33	25	$213.00	$39.72
20550 Injection into tendon or ligament	30	28	$142.00	$38.93
73130 X-ray of hand, minimum of 3 views	29	20	$89.00	$31.14
73560 X-ray of knee, 1-2 views	24	18	$89.00	$28.02
73610 X-ray of ankle, minimum of 3 views	22	18	$89.00	$31.15
20605 Aspiration and/or injection of medium joint or joint capsule	22	20	$123.00	$38.50
27447 Replacement of knee joint, both sides of knee	21	20	$6077.00	$1258.99
23120 Partial removal of collar bone	20	19	$1521.00	$278.14
73630 X-ray of foot, minimum of 3 views	19	13	$89.00	$29.16
23430 Anchoring of biceps tendon	18	17	$2281.00	$555.45
73140 X-ray of finger, minimum of 2 views	16	11	$71.00	$31.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	634	212	$15.00	$6.61
20610 Aspiration and/or injection of fluid from large joint	342	199	$136.00	$61.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	205	$148.01	$101.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	220	220	$303.00	$154.10
99213 Established patient office or other outpatient visit, typically 15 minutes	217	156	$102.45	$67.80
73562 X-ray of knee, 3 views	170	108	$96.68	$32.17
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	112	70	$1397.00	$509.79
73030 X-ray of shoulder, minimum of 2 views	67	49	$94.69	$26.36
73610 X-ray of ankle, minimum of 3 views	61	24	$85.97	$26.84
73110 X-ray of wrist, minimum of 3 views	53	20	$89.00	$32.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$201.27	$100.25
73502 X-ray of hip, 2-3 views	45	31	$203.40	$34.58
73560 X-ray of knee, 1-2 views	44	29	$87.05	$27.57
73630 X-ray of foot, minimum of 3 views	30	16	$87.73	$23.54
20550 Injection into tendon or ligament	28	23	$125.04	$40.64
73130 X-ray of hand, minimum of 3 views	28	22	$89.00	$28.88
29405 Application of short leg cast	20	13	$177.00	$72.65
27447 Replacement of knee joint, both sides of knee	18	18	$6077.00	$1277.67
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	17	13	$30.00	$19.28
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$220.00	$96.28
20605 Aspiration and/or injection of medium joint or joint capsule	15	14	$123.00	$39.74
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	14	12	$61.14	$40.78
64721 Release and/or relocation of hand nerve	13	12	$1194.00	$399.30
23430 Anchoring of biceps tendon	12	12	$2281.00	$523.98
23120 Partial removal of collar bone	12	12	$1521.00	$273.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	53	32	$183.02	$61.41
J1030 Injection, methylprednisolone acetate, 40 mg	39	13	$15.00	$6.10
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	38	11	$10.00	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	33	23	$89.73	$62.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$197.93	$97.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$142.69	$95.91
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	15	11	$1397.00	$502.40

Medical Specialties & State Licenses

CMS Verified: 2025-04-14

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AZ 75667

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 MO 119582

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License SC 51607

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

516070 (SC)

Hospital & Practice Group Affiliations

Yuma Regional Medical Center

2400 S Ave A, Yuma, AZ 853647127

Yuma Regional Medical Center

2400 S Ave A, Yuma, AZ 853647127

Phone: 9283442000

Yuma Regional Medical Center

11351 S Frontage Rd, Yuma, AZ 853677862

Phone: 9283364000

Secondary Practice Locations

710 Chesterfield Hwy

Cheraw, SC 295207001

Phone: 8435730010

11351 S Frontage Rd

Yuma, AZ 853677862

Phone: 9283364000

Practice Associates & Co-Workers

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

10 Associated Practitioners

Desarae Kramer

Nurse Practitioner - Family

NPI 1013771971

Dr. Emeka Ofobike , MD

Orthopaedic Surgery

NPI 1033394184

Doctor of Medicine (M.D.)

Dr. Olusegun Onibonoje , DO

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1053804096

Doctor of Osteopathic Medicine (D.O.)

Dr. William Tontz , MD

Orthopaedic Surgery

NPI 1154398733

Doctor of Medicine (M.D.)

Milijan Zivanov , FNP

Nurse Practitioner - Family

NPI 1225702897

Family Nurse Practitioner

Dr. Kristina Diaz , MD

Family Medicine

NPI 1407053556

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location April 14, 2025

Registered at 2460 S PARKVIEW LOOP STE 3, YUMA, AZ 853645357 (Tel: 9283367846)

📍

Updated Business Mailing Address April 14, 2025

Registered at 2400 S AVENUE A, YUMA, AZ 853647127 (Tel: 9283442000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Orthopaedic Surgery (License #119582 in MO)

✅

NPI Profile Active October 20, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address October 20, 2017

Registered at PO BOX 3239, FLORENCE, SC 295023239 (Tel: 8437777092)

📍

Updated Practice Location October 20, 2017

Registered at 710 CHESTERFIELD HWY, CHERAW, SC 295207001 (Tel: (843) 573-0010)

👤

Provider Name / Credentials Updated October 20, 2017

Recorded as THOMAS DISTEFANO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2017

Orthopaedic Surgery (License #51607 in SC)

📍

Updated Practice Location August 31, 2017

Registered at 710 CHESTERFIELD HWY, CHERAW, SC 295207001 (Tel: (843) 573-0010)

📍

Updated Business Mailing Address August 31, 2017

Registered at 710 CHESTERFIELD HWY, CHERAW, SC 295207001 (Tel: (843) 573-0010)

✅

NPI Profile Active November 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2012

Registered at 2016 S MAIN ST, MARYVILLE, MO 644682655 (Tel: 6605622525)

📍

Updated Business Mailing Address November 13, 2012

Registered at 114 E SOUTH HILLS DR, MARYVILLE, MO 644682659 (Tel: 6605622525)

👤

Provider Name / Credentials Updated November 13, 2012

Recorded as THOMAS DISTEFANO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2012

Orthopaedic Surgery (License #119582 in MO)

🟢

Initial NPI Registration & Enumeration May 31, 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: 1598768830

Entity Type:

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

Enumeration Date: May 31, 2005

Last Update: April 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2400 S Avenue A

Yuma, AZ 853647127

Phone: 9283442000

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.