Active NPI 1942285242 Individual Practitioner Male Practitioner

Dr. Michael E Cucka , MD

Orthopaedic Surgery • Bristol, CT

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cucka, MD is a certified Orthopaedic Surgery practicing in Bristol, CT. With approximately 33 years of clinical experience since graduating from University Of California, Irvine, California College Of Medicine in 1993, Dr. Cucka delivers high-quality medical care to the local community at 641 CLARK AVE.

Dr. Cucka is affiliated with Bristol Orthopaedics Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, 1-2 views, x-ray of both knees while standing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

641 Clark Ave

Bristol, CT 060104068

Telephone 8605826603

Fax 8605859245

Associated Practice Facility / Clinic

🏢 Bristol Orthopaedics Llc Facility NPI 1104800788

Medicare Profile & Education

Medical School

University Of California, Irvine, California College Of Medicine

Graduation Year

1993

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Bristol, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +0.5 yrs vs City Avg

City Avg: 32.5 Yrs

State Avg: 30.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Bristol, CT (374 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cucka (33 Years) 33 Yrs

Bristol Specialty Average (32.5 Years) 32.5 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	83	56	$132.00	$90.20
73560 X-ray of knee, 1-2 views	64	37	$93.00	$34.49
73565 X-ray of both knees while standing	53	36	$93.00	$40.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$229.68	$127.04
73502 X-ray of hip, 2-3 views	26	16	$105.00	$47.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$352.08	$165.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	68	$132.00	$91.08
73560 X-ray of knee, 1-2 views	70	42	$93.00	$30.38
73565 X-ray of both knees while standing	62	43	$93.00	$35.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$202.89	$129.63
73502 X-ray of hip, 2-3 views	32	18	$105.00	$41.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$81.00	$57.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$322.56	$167.56
73030 X-ray of shoulder, minimum of 2 views	13	11	$126.00	$32.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	128	74	$132.00	$96.56
73560 X-ray of knee, 1-2 views	66	42	$93.00	$32.32
73565 X-ray of both knees while standing	57	42	$93.00	$39.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	27	$195.00	$137.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$83.29	$61.01
73502 X-ray of hip, 2-3 views	21	15	$105.00	$45.25
20610 Aspiration and/or injection of fluid from large joint	17	13	$240.00	$70.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$301.00	$170.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$197.00	$120.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	69	$132.00	$98.44
73560 X-ray of knee, 1-2 views	68	48	$93.00	$32.13
73565 X-ray of both knees while standing	59	47	$93.00	$38.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	44	$197.20	$140.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$302.03	$180.87
73502 X-ray of hip, 2-3 views	29	20	$105.00	$44.64
73030 X-ray of shoulder, minimum of 2 views	21	18	$126.00	$33.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$81.00	$59.85
20610 Aspiration and/or injection of fluid from large joint	19	11	$240.00	$68.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$197.00	$121.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	74	$132.00	$79.05
73560 X-ray of knee, 1-2 views	70	43	$93.00	$31.85
73565 X-ray of both knees while standing	61	43	$93.00	$37.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	44	$196.96	$117.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$302.03	$173.02
J1040 Injection, methylprednisolone acetate, 80 mg	29	13	$18.72	$11.55
20610 Aspiration and/or injection of fluid from large joint	27	22	$240.00	$65.15
73502 X-ray of hip, 2-3 views	27	18	$105.00	$43.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$81.00	$49.73
73030 X-ray of shoulder, minimum of 2 views	17	11	$126.00	$32.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	382	17	$52.00	$26.76
99213 Established patient office or other outpatient visit, typically 15 minutes	125	69	$132.00	$79.45
73560 X-ray of knee, 1-2 views	60	34	$93.00	$30.03
73565 X-ray of both knees while standing	49	34	$91.10	$34.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	40	$197.30	$114.40
20610 Aspiration and/or injection of fluid from large joint	31	21	$247.74	$64.54
J1040 Injection, methylprednisolone acetate, 80 mg	30	13	$15.00	$12.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$304.30	$170.76
73502 X-ray of hip, 2-3 views	21	12	$105.00	$40.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$81.00	$48.81
97162 Evaluation for physical therapy, typically 30 minutes	14	14	$115.00	$87.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,335	37	$52.00	$25.91
97140 Therapy procedure using manual technique, each 15 minutes	199	19	$47.00	$21.66
99213 Established patient office or other outpatient visit, typically 15 minutes	151	75	$132.00	$72.92
97035 Application of ultrasound, each 15 minutes	146	19	$19.00	$10.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	53	$198.37	$107.21
73560 X-ray of knee, 1-2 views	56	35	$93.00	$27.88
73565 X-ray of both knees while standing	50	36	$93.00	$31.52
20610 Aspiration and/or injection of fluid from large joint	42	26	$240.00	$60.40
97162 Evaluation for physical therapy, typically 30 minutes	35	29	$115.00	$85.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$301.00	$167.90
J1040 Injection, methylprednisolone acetate, 80 mg	30	12	$15.00	$13.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$81.00	$45.21
73502 X-ray of hip, 2-3 views	26	17	$105.00	$37.14
J3490 Unclassified drugs	17	13	$1400.00	$992.09
73030 X-ray of shoulder, minimum of 2 views	13	11	$126.00	$26.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,079	35	$51.97	$26.30
99213 Established patient office or other outpatient visit, typically 15 minutes	197	109	$132.00	$74.32
97035 Application of ultrasound, each 15 minutes	119	13	$19.00	$10.40
73560 X-ray of knee, 1-2 views	82	52	$93.00	$28.32
73565 X-ray of both knees while standing	65	51	$93.00	$33.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	61	$196.63	$109.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	43	$83.29	$45.13
20610 Aspiration and/or injection of fluid from large joint	45	31	$240.00	$61.44
J1040 Injection, methylprednisolone acetate, 80 mg	39	17	$15.00	$11.15
73502 X-ray of hip, 2-3 views	37	22	$105.00	$38.63
97162 Evaluation for physical therapy, typically 30 minutes	33	31	$115.09	$83.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$301.00	$165.99
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	25	17	$1100.00	$831.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$198.50	$112.71
73030 X-ray of shoulder, minimum of 2 views	17	13	$126.00	$26.20
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$118.00	$33.33

Medical Specialties & State Licenses

CMS Verified: 2021-07-06

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CT 032941

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 Healthnet

ORO2017

Commercial Insurance / Payer ID Oxford

HAS706

Commercial Insurance / Payer ID Anthem Bc Bs

010032941CT01 (CT)

Commercial Insurance / Payer ID Connecticare

750048 (CT)

Hospital & Practice Group Affiliations

Bristol Orthopaedics Llc

641 Clark Ave, Bristol, CT 060104068

Phone: 8605820389

Bristol Orthopaedics Llc

641 Clark Ave B, Bristol, CT 060104068

Phone: 8605826603

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Scott Organ , MD

Orthopaedic Surgery

NPI 1356329155

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 June 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2010

Registered at 641 CLARK AVE, BRISTOL, CT 060104068 (Tel: 8605826603)

📍

Updated Business Mailing Address June 22, 2010

Registered at 641 CLARK AVE, BRISTOL, CT 060104068 (Tel: 8605826603)

👤

Provider Name / Credentials Updated June 22, 2010

Recorded as MICHAEL CUCKA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2010

Orthopaedic Surgery (License #032941 in CT)

🟢

Initial NPI Registration & Enumeration December 08, 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: 1942285242

Entity Type:

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

Enumeration Date: December 08, 2005

Last Update: July 06, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

641 Clark Ave

Bristol, CT 060104068

Phone: 8605826603

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.