Active NPI 1245211507 Individual Practitioner Male Practitioner

Dr. Michael S Mikulecky , MD

Orthopaedic Surgery • Red Bluff, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mikulecky, MD is a certified Orthopaedic Surgery practicing in Red Bluff, CA. With approximately 26 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 2000, Dr. Mikulecky delivers high-quality medical care to the local community at 2528 SISTER MARY COLUMBA DR.

Dr. Mikulecky is affiliated with Dignity Health Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, initial hospital care with moderate level of medical decision making, if using time, at least, new 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

2528 Sister Mary Columba Dr

Red Bluff, CA 960804327

Telephone 5305286100

Fax 5305286196

Associated Practice Facility / Clinic

🏢 William K. Borgsmiller M.d. P.c. Facility NPI 1245407402

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Red Bluff, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -9.3 yrs vs City Avg

City Avg: 35.3 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

11 Specialists

Practicing in Red Bluff, CA (2527 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mikulecky (26 Years) 26 Yrs

Red Bluff Specialty Average (35.3 Years) 35.3 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	269	27	$12.00	$0.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	88	$629.00	$178.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$339.00	$117.01
20610 Aspiration and/or injection of fluid from large joint	42	26	$243.00	$87.03
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$269.00	$96.32
73100 X-ray of wrist, 2 views	34	24	$97.94	$37.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$166.00	$60.12
73610 X-ray of ankle, minimum of 3 views	24	17	$105.00	$40.39
73030 X-ray of shoulder, minimum of 2 views	24	22	$88.88	$34.53
73502 X-ray of hip, 2-3 views	19	15	$121.11	$46.00
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$3853.00	$1266.48
27235 Insertion of hardware to broken thigh bone, accessed through the skin	13	13	$2848.00	$945.93
73560 X-ray of knee, 1-2 views	12	11	$76.00	$27.77
25605 Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation	12	12	$1720.00	$586.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	390	40	$12.00	$1.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$339.00	$115.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	77	$629.00	$176.95
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	69	44	$67.36	$24.76
20610 Aspiration and/or injection of fluid from large joint	57	30	$243.71	$86.54
73100 X-ray of wrist, 2 views	27	22	$93.00	$36.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$164.88	$59.17
73610 X-ray of ankle, minimum of 3 views	23	18	$100.00	$39.99
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$266.89	$93.94
73030 X-ray of shoulder, minimum of 2 views	16	14	$92.00	$37.41
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$3853.00	$1258.44
73502 X-ray of hip, 2-3 views	12	11	$133.00	$50.88
25605 Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation	12	12	$1720.00	$573.00
23600 Closed treatment of broken top of upper arm bone	12	12	$1035.00	$360.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	590	80	$11.95	$1.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$339.00	$114.93
20610 Aspiration and/or injection of fluid from large joint	96	61	$222.47	$79.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	94	65	$64.00	$24.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$629.00	$202.24
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$229.00	$94.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$139.00	$59.15
20550 Injection into tendon or ligament	12	11	$194.79	$60.22
73030 X-ray of shoulder, minimum of 2 views	12	11	$92.00	$37.38
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3853.00	$1262.34
25600 Closed treatment of broken forearm bones	11	11	$1045.00	$364.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$339.00	$134.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	734	124	$12.00	$1.28
20610 Aspiration and/or injection of fluid from large joint	137	102	$208.31	$72.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$339.00	$116.46
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	79	63	$64.00	$24.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	66	$339.00	$135.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	47	$629.00	$201.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$139.00	$59.17
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$229.00	$95.69
27245 Treatment of broken neck of thigh bone with bone implant	19	19	$3853.00	$1269.72
20550 Injection into tendon or ligament	18	17	$192.19	$57.20
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$314.00	$102.62
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$236.00	$76.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	253	50	$11.05	$1.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$325.57	$111.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$553.16	$207.32
20610 Aspiration and/or injection of fluid from large joint	45	38	$197.12	$65.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$337.52	$110.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$125.67	$47.51
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$314.00	$104.83
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$218.16	$74.32
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$3404.32	$1268.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	360	38	$6.99	$1.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	193	189	$541.43	$204.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$284.82	$108.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	47	$119.36	$46.87
20610 Aspiration and/or injection of fluid from large joint	51	27	$201.39	$62.88
99213 Established patient office or other outpatient visit, typically 15 minutes	50	46	$209.78	$76.89
27125 Partial replacement of thigh bone at hip joint with prosthesis	41	41	$3081.26	$1155.14
27245 Treatment of broken neck of thigh bone with bone implant	41	41	$3373.79	$1252.93
73502 X-ray of hip, 2-3 views	36	33	$120.37	$31.34
73110 X-ray of wrist, minimum of 3 views	30	23	$102.70	$36.66
73610 X-ray of ankle, minimum of 3 views	30	23	$92.96	$30.77
27235 Insertion of hardware to broken thigh bone, accessed through the skin	20	20	$2538.53	$927.18
73030 X-ray of shoulder, minimum of 2 views	17	15	$83.48	$28.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$427.92	$168.09
20680 Removal of deep implant from bone	13	12	$1680.02	$323.02
23600 Closed treatment of broken top of upper arm bone	11	11	$867.17	$326.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	524	62	$7.15	$1.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	175	175	$522.70	$200.02
99213 Established patient office or other outpatient visit, typically 15 minutes	106	90	$192.55	$73.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$281.80	$106.85
20610 Aspiration and/or injection of fluid from large joint	81	46	$184.80	$60.86
73502 X-ray of hip, 2-3 views	49	44	$111.10	$39.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	38	$115.02	$44.31
27245 Treatment of broken neck of thigh bone with bone implant	30	30	$3180.00	$1216.84
73110 X-ray of wrist, minimum of 3 views	30	21	$95.12	$35.08
27125 Partial replacement of thigh bone at hip joint with prosthesis	30	30	$2929.25	$1120.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$426.97	$163.71
73030 X-ray of shoulder, minimum of 2 views	21	15	$77.65	$27.07
73610 X-ray of ankle, minimum of 3 views	21	16	$84.47	$28.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$281.72	$103.70
27235 Insertion of hardware to broken thigh bone, accessed through the skin	16	16	$2349.97	$871.13
73560 X-ray of knee, 1-2 views	12	11	$82.60	$30.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	630	92	$7.16	$1.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	135	134	$521.25	$198.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$281.93	$107.21
99213 Established patient office or other outpatient visit, typically 15 minutes	110	92	$192.41	$73.10
20610 Aspiration and/or injection of fluid from large joint	104	70	$186.25	$63.75
73502 X-ray of hip, 2-3 views	52	48	$111.23	$38.71
73560 X-ray of knee, 1-2 views	48	37	$82.64	$31.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	40	$114.83	$43.85
73110 X-ray of wrist, minimum of 3 views	37	22	$95.04	$35.40
27245 Treatment of broken neck of thigh bone with bone implant	32	30	$3212.43	$1193.51
27125 Partial replacement of thigh bone at hip joint with prosthesis	25	25	$2103.48	$1116.49
20680 Removal of deep implant from bone	21	16	$1635.45	$279.80
20550 Injection into tendon or ligament	19	18	$150.33	$48.41
73030 X-ray of shoulder, minimum of 2 views	18	16	$77.47	$29.52
73610 X-ray of ankle, minimum of 3 views	17	15	$83.96	$29.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$427.54	$162.17
73060 X-ray of upper arm, minimum of 2 views	15	12	$77.54	$29.70
27235 Insertion of hardware to broken thigh bone, accessed through the skin	12	12	$2373.62	$895.89

Medical Specialties & State Licenses

CMS Verified: 2020-07-21

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA A90779

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.

Hospital & Practice Group Affiliations

Dignity Health Medical Foundation

2528 Sister Mary Columba Dr, Red Bluff, CA 960804327

Phone: 5305286100

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Bradley Smith , MD

Orthopaedic Surgery

NPI 1235164138

Doctor of Medicine (M.D.)

Dr. Thomas Daniel , MD

Orthopaedic Surgery

NPI 1245342476

Doctor of Medicine (M.D.)

James Gonzalez

Surgery

NPI 1477585776

Dr. Dahlia Alspaugh , MD

Surgery

NPI 1497833974

Doctor of Medicine (M.D.)

Dr. Herbert Lee , MD

Internal Medicine - Cardiovascular Disease

NPI 1528018132

Doctor of Medicine (M.D.)

Dr. Norman Verhoog , MD

Orthopaedic Surgery

NPI 1558388066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 21, 2020

Registered at 2528 SISTER MARY COLUMBA DR, RED BLUFF, CA 960804327 (Tel: 5305286100)

📍

Updated Business Mailing Address July 21, 2020

Registered at 3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 956707956

✅

NPI Profile Active November 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 27, 2013

Registered at 2662 EDITH AVE, REDDING, CA 960013043 (Tel: 5302421266)

📍

Updated Business Mailing Address November 27, 2013

Registered at 2662 EDITH AVE, REDDING, CA 960013043 (Tel: 5302421266)

👤

Provider Name / Credentials Updated November 27, 2013

Recorded as MICHAEL MIKULECKY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2013

Orthopaedic Surgery (License #A90779 in CA)

🟢

Initial NPI Registration & Enumeration November 14, 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: 1245211507

Entity Type:

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

Enumeration Date: November 14, 2005

Last Update: July 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3400 Data Dr, Attn Credentialing/payer Enrollment

Rancho Cordova, CA 956707956

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.