Active NPI 1982900890 Individual Practitioner Male Practitioner

Dr. Jay Patel , MD

Orthopaedic Surgery • Orange, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jay Patel, MD is a certified Orthopaedic Surgery practicing in Orange, CA. With approximately 20 years of clinical experience since graduating from Stanford University School Of Medicine in 2006, Dr. Patel delivers high-quality medical care to the local community at 280 S MAIN ST.

Dr. Patel is affiliated with Orthopaedic Specialty Institute Medical Group Of Orange County and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, 3 views, x-ray of hip, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

280 S Main St

Orange, CA 928683852

Telephone 7146344567

Associated Practice Facility / Clinic

🏢 Main Street Specialty Surgery Center Facility NPI 1891782264

Medicare Profile & Education

Medical School

Stanford University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Orange, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -1.7 yrs vs City Avg

City Avg: 21.7 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

47 Specialists

Practicing in Orange, CA (2527 Statewide)

Telehealth Adoption Rate

10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (20 Years) 20 Yrs

Orange Specialty Average (21.7 Years) 21.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	1,053	788	$207.00	$98.10
73562 X-ray of knee, 3 views	782	454	$114.00	$46.32
73502 X-ray of hip, 2-3 views	678	411	$134.00	$53.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	625	469	$310.00	$137.60
73564 X-ray of knee, 4 or more views	472	333	$132.00	$53.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	283	32	$10.00	$0.98
27447 Replacement of knee joint, both sides of knee	199	190	$5050.25	$1342.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$310.00	$119.85
27130 Replacement of thigh bone and hip joint with prosthesis	141	135	$5000.00	$1336.06
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	81	81	$200.00	$66.22
73522 X-ray of both hips, 3-4 views	79	75	$158.00	$61.26
99424 Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month.	67	66	$250.00	$87.68
97140 Therapy procedure using manual technique, each 15 minutes	63	12	$56.00	$22.11
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	53	12	$100.00	$28.49
20610 Aspiration and/or injection of fluid from large joint	51	38	$241.10	$71.57
73721 Mri scan of leg joint without contrast	30	28	$1219.00	$162.78
20985 Computer-assisted surgery for muscle and bone procedure	20	20	$250.00	$146.82
73560 X-ray of knee, 1-2 views	17	14	$95.00	$37.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	923	696	$207.00	$98.41
73562 X-ray of knee, 3 views	725	419	$114.00	$47.10
73502 X-ray of hip, 2-3 views	580	377	$134.00	$54.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	522	408	$310.00	$138.48
73564 X-ray of knee, 4 or more views	403	266	$132.00	$54.04
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	228	18	$100.00	$29.97
97140 Therapy procedure using manual technique, each 15 minutes	205	18	$56.00	$22.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	184	26	$10.00	$1.07
27447 Replacement of knee joint, both sides of knee	173	163	$4545.00	$1363.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$310.00	$121.11
27130 Replacement of thigh bone and hip joint with prosthesis	127	125	$4535.43	$1370.68
73522 X-ray of both hips, 3-4 views	82	76	$158.00	$61.43
20610 Aspiration and/or injection of fluid from large joint	50	37	$250.56	$73.62
73560 X-ray of knee, 1-2 views	24	16	$95.00	$38.37
73721 Mri scan of leg joint without contrast	21	20	$1219.00	$161.02
97161 Evaluation of physical therapy, typically 20 minutes	14	14	$247.00	$110.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$476.00	$179.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	906	633	$207.00	$99.80
73562 X-ray of knee, 3 views	646	357	$114.00	$47.98
73502 X-ray of hip, 2-3 views	552	326	$134.00	$54.61
73564 X-ray of knee, 4 or more views	392	267	$132.00	$54.32
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	364	19	$100.00	$27.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	282	$310.00	$139.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	221	39	$10.00	$1.10
97140 Therapy procedure using manual technique, each 15 minutes	202	18	$56.00	$23.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	161	161	$310.00	$123.07
27447 Replacement of knee joint, both sides of knee	150	145	$4575.30	$1373.18
27130 Replacement of thigh bone and hip joint with prosthesis	112	109	$4540.18	$1393.97
73522 X-ray of both hips, 3-4 views	61	60	$158.00	$62.85
20610 Aspiration and/or injection of fluid from large joint	59	48	$275.25	$77.13
73721 Mri scan of leg joint without contrast	23	20	$1219.00	$165.47
97161 Evaluation of physical therapy, typically 20 minutes	16	16	$247.00	$111.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	820	563	$207.00	$101.67
73562 X-ray of knee, 3 views	621	341	$114.00	$46.88
73502 X-ray of hip, 2-3 views	502	311	$134.00	$54.29
73564 X-ray of knee, 4 or more views	430	285	$132.00	$53.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	308	63	$9.99	$1.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	226	$310.00	$144.11
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	212	13	$100.00	$28.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	208	208	$310.00	$124.62
97140 Therapy procedure using manual technique, each 15 minutes	136	12	$56.00	$22.69
27447 Replacement of knee joint, both sides of knee	131	122	$4579.69	$1404.56
20610 Aspiration and/or injection of fluid from large joint	97	76	$267.88	$77.49
73522 X-ray of both hips, 3-4 views	87	81	$158.00	$62.58
27130 Replacement of thigh bone and hip joint with prosthesis	86	85	$4552.33	$1423.45
73721 Mri scan of leg joint without contrast	25	23	$1219.00	$179.93
97161 Evaluation of physical therapy, typically 20 minutes	12	11	$247.00	$104.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	678	498	$207.00	$83.27
73562 X-ray of knee, 3 views	539	297	$114.00	$45.35
73502 X-ray of hip, 2-3 views	446	290	$134.00	$51.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	266	$310.00	$120.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	339	38	$10.00	$1.47
73564 X-ray of knee, 4 or more views	274	186	$132.00	$50.37
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	148	11	$100.00	$30.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$310.00	$119.33
97140 Therapy procedure using manual technique, each 15 minutes	108	11	$56.00	$23.97
27447 Replacement of knee joint, both sides of knee	95	91	$4545.00	$1492.91
73522 X-ray of both hips, 3-4 views	73	68	$158.00	$60.20
27130 Replacement of thigh bone and hip joint with prosthesis	72	70	$4500.00	$1493.10
20610 Aspiration and/or injection of fluid from large joint	57	45	$272.70	$75.22
73721 Mri scan of leg joint without contrast	19	19	$1219.00	$190.92
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$288.00	$109.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	975	641	$207.00	$81.30
73562 X-ray of knee, 3 views	664	370	$114.00	$42.23
73502 X-ray of hip, 2-3 views	579	335	$134.00	$48.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	308	$310.00	$118.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	326	43	$10.00	$1.57
73564 X-ray of knee, 4 or more views	297	217	$132.00	$47.25
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	209	17	$100.00	$30.98
97140 Therapy procedure using manual technique, each 15 minutes	189	17	$56.00	$23.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$310.00	$117.86
27447 Replacement of knee joint, both sides of knee	128	124	$4523.70	$1451.96
73522 X-ray of both hips, 3-4 views	105	90	$158.00	$57.05
27130 Replacement of thigh bone and hip joint with prosthesis	96	96	$4640.63	$1489.22
20610 Aspiration and/or injection of fluid from large joint	95	64	$283.28	$72.10
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	45	12	$561.11	$317.33
73721 Mri scan of leg joint without contrast	27	27	$1219.00	$189.38
73560 X-ray of knee, 1-2 views	21	17	$95.00	$35.58
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$288.00	$107.20
97161 Evaluation of physical therapy, typically 20 minutes	14	12	$247.00	$93.75
97750 Test or measurement for functional capacity, each 15 minutes	13	12	$87.54	$38.96
72148 MRI scan of lower spinal canal	13	13	$1218.00	$171.45
73565 X-ray of both knees while standing	11	11	$104.00	$42.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	886	572	$207.00	$79.99
73562 X-ray of knee, 3 views	579	323	$114.00	$40.27
73502 X-ray of hip, 2-3 views	523	309	$134.00	$47.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	474	51	$10.00	$1.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	284	$310.00	$117.48
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	301	24	$100.00	$27.57
73564 X-ray of knee, 4 or more views	299	208	$132.00	$45.23
97140 Therapy procedure using manual technique, each 15 minutes	277	24	$56.00	$21.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$310.00	$118.13
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	121	12	$62.00	$33.25
27447 Replacement of knee joint, both sides of knee	118	111	$4822.32	$1496.46
20610 Aspiration and/or injection of fluid from large joint	96	61	$275.50	$71.20
27130 Replacement of thigh bone and hip joint with prosthesis	93	90	$4548.39	$1475.18
73522 X-ray of both hips, 3-4 views	63	58	$158.00	$55.71
73721 Mri scan of leg joint without contrast	19	19	$1219.00	$199.72
97161 Evaluation of physical therapy, typically 20 minutes	18	17	$247.00	$92.81
97750 Test or measurement for functional capacity, each 15 minutes	17	13	$78.94	$42.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	744	474	$207.00	$80.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	614	64	$9.99	$1.81
73562 X-ray of knee, 3 views	527	283	$114.00	$40.63
73502 X-ray of hip, 2-3 views	499	264	$134.00	$46.27
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	395	24	$59.00	$29.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	270	$310.00	$117.12
97140 Therapy procedure using manual technique, each 15 minutes	276	23	$56.00	$23.25
73564 X-ray of knee, 4 or more views	204	156	$132.00	$45.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$310.00	$118.62
20610 Aspiration and/or injection of fluid from large joint	123	74	$271.61	$71.84
27447 Replacement of knee joint, both sides of knee	88	83	$4699.94	$1507.28
27130 Replacement of thigh bone and hip joint with prosthesis	75	75	$4560.00	$1472.87
73522 X-ray of both hips, 3-4 views	66	54	$158.00	$54.87
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	48	13	$350.00	$145.87
73721 Mri scan of leg joint without contrast	22	19	$1219.00	$195.95
97161 Evaluation of physical therapy, typically 20 minutes	20	20	$247.00	$89.07
97750 Test or measurement for functional capacity, each 15 minutes	18	14	$62.00	$30.39
73560 X-ray of knee, 1-2 views	17	15	$95.00	$35.60
73565 X-ray of both knees while standing	13	13	$104.00	$41.58
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$288.00	$108.08

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA A101467

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

Commercial Insurance / Payer ID Ptan

GJ689Z (CA)

Hospital & Practice Group Affiliations

Orthopaedic Specialty Institute Medical Group Of Orange County

363 S Main St, Orange, CA 928683816

Phone: 7146344567

Orthopaedic Specialty Institute Medical Group Of Orange County

16300 Sand Canyon Ave, Irvine, CA 926183705

Phone: 7146344567

Practice Associates & Co-Workers

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

40 Associated Practitioners

Tom Chow , PA-C

Physician Assistant

NPI 1003803115

Physician Assistant (Certified)

Shelby Mcilvaine , PA-C

Physician Assistant

NPI 1053947184

Physician Assistant (Certified)

Dr. Pablo Prietto , MD

Orthopaedic Surgery

NPI 1073500351

Doctor of Medicine (M.D.)

Dr. Joseph Koressel , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1083118616

Doctor of Medicine (M.D.)

Dr. Mark Halikis , MD

Orthopaedic Surgery - Hand Surgery

NPI 1114914397

Doctor of Medicine (M.D.)

Dr. Jeffrey Deckey , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1124015235

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 11, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2016

Registered at 280 S MAIN ST, ORANGE, CA 928683852 (Tel: 7146344567)

📍

Updated Business Mailing Address November 11, 2016

Registered at 280 S MAIN ST, ORANGE, CA 928683852 (Tel: 7146344567)

👤

Provider Name / Credentials Updated November 11, 2016

Recorded as JAY PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2016

Orthopaedic Surgery (License #A101467 in CA)

🟢

Initial NPI Registration & Enumeration February 10, 2011

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: 1982900890

Entity Type:

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

Enumeration Date: February 10, 2011

Last Update: November 11, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 S Main St

Orange, CA 928683852

Phone: 7146344567

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.