Active NPI 1245281351 Individual Practitioner Male Practitioner

Dr. Ronald Caesar Sabbagh , MD

Orthopaedic Surgery • Lewes, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Sabbagh, MD is a certified Orthopaedic Surgery practicing in Lewes, DE. With approximately 33 years of clinical experience since graduating from Georgetown University School Of Medicine in 1993, Dr. Sabbagh delivers high-quality medical care to the local community at 12100 BLACK SWAN DRIVE.

Dr. Sabbagh is affiliated with First State Orthopaedics Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of lower and sacral spine, 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

12100 Black Swan Drive
Suite 201

Lewes, DE 199584988

Telephone 3026443311

Fax 3026443300

Associated Practice Facility / Clinic

🏢 First State Orthopaedics Pa Facility NPI 1184681488

Medicare Profile & Education

Medical School

Georgetown 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 Lewes, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +9.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Lewes, DE (81 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sabbagh (33 Years) 33 Yrs

Lewes Specialty Average (23.6 Years) 23.6 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
J1010 Injection, methylprednisolone acetate, 1 mg	15,024	120	$0.56	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,036	712	$173.00	$123.00
99213 Established patient office or other outpatient visit, typically 15 minutes	555	463	$136.00	$87.41
72100 X-ray of lower and sacral spine, 2-3 views	517	441	$159.00	$38.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	305	305	$265.00	$160.88
20553 Injection of trigger points, 3 or more muscles	197	107	$270.00	$57.78
20610 Aspiration and/or injection of fluid from large joint	93	48	$228.00	$62.49
72040 X-ray of upper spine, 2-3 views	85	85	$158.00	$37.99
72170 X-ray of pelvis, 1-2 views	66	65	$142.00	$26.40
J1030 Injection, methylprednisolone acetate, 40 mg	63	48	$25.00	$6.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	53	12	$6.36	$0.91
22612 Fusion of spine in lower back	52	52	$8012.00	$1521.33
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	51	51	$7025.00	$547.62
22840 Placement of stabilizing device to back of 1 spine bone in neck	42	42	$9423.00	$719.59
63048 Partial removal of spine bone with release of spinal cord and/or nerves	41	39	$2750.00	$200.37
72080 X-ray of middle and lower spine, 2 views	37	36	$140.00	$33.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	34	$96.00	$54.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$184.00	$107.56
72070 X-ray of middle spine, 2 views	20	18	$174.00	$31.50
22614 Fusion of additional segment of spine	16	16	$2464.00	$372.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	930	664	$173.00	$127.66
99213 Established patient office or other outpatient visit, typically 15 minutes	657	529	$136.00	$90.36
72100 X-ray of lower and sacral spine, 2-3 views	492	429	$159.00	$40.44
J1030 Injection, methylprednisolone acetate, 40 mg	281	136	$25.00	$7.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	245	245	$265.00	$166.70
20553 Injection of trigger points, 3 or more muscles	182	90	$270.00	$61.67
20610 Aspiration and/or injection of fluid from large joint	95	50	$228.00	$65.04
72040 X-ray of upper spine, 2-3 views	68	68	$158.00	$40.22
72170 X-ray of pelvis, 1-2 views	65	65	$142.00	$28.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	52	$96.00	$56.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$184.00	$110.40
22612 Fusion of spine in lower back	40	40	$8012.00	$1561.62
63048 Partial removal of spine bone with release of spinal cord and/or nerves	40	37	$3162.50	$205.39
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	39	39	$7025.00	$575.77
72080 X-ray of middle and lower spine, 2 views	35	33	$140.00	$35.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	35	$210.00	$179.25
22840 Placement of stabilizing device to back of 1 spine bone in neck	32	31	$10306.41	$719.78
72070 X-ray of middle spine, 2 views	14	12	$174.00	$33.47
22614 Fusion of additional segment of spine	11	11	$2464.00	$389.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	801	562	$173.00	$131.05
99213 Established patient office or other outpatient visit, typically 15 minutes	678	533	$136.00	$93.12
72100 X-ray of lower and sacral spine, 2-3 views	527	460	$159.00	$41.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	263	263	$265.00	$170.85
20553 Injection of trigger points, 3 or more muscles	171	95	$271.58	$63.76
J1030 Injection, methylprednisolone acetate, 40 mg	136	92	$25.00	$6.79
72170 X-ray of pelvis, 1-2 views	129	128	$142.00	$29.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	119	80	$25.00	$1.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$184.00	$115.31
20610 Aspiration and/or injection of fluid from large joint	74	44	$228.00	$67.22
72040 X-ray of upper spine, 2-3 views	69	68	$158.00	$41.68
63048 Partial removal of spine bone with release of spinal cord and/or nerves	54	42	$2850.00	$215.10
22612 Fusion of spine in lower back	50	49	$8012.00	$1635.52
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	47	46	$7025.00	$582.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	45	$210.00	$185.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$96.00	$58.16
22840 Placement of stabilizing device to back of 1 spine bone in neck	35	33	$9423.00	$774.37
72070 X-ray of middle spine, 2 views	21	21	$174.00	$34.64
22614 Fusion of additional segment of spine	18	18	$2464.00	$399.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	961	633	$136.00	$93.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	637	490	$173.02	$133.45
72100 X-ray of lower and sacral spine, 2-3 views	581	469	$159.00	$41.47
J1030 Injection, methylprednisolone acetate, 40 mg	353	166	$25.00	$5.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	263	263	$184.00	$115.18
20553 Injection of trigger points, 3 or more muscles	243	122	$270.00	$64.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$265.00	$172.60
72170 X-ray of pelvis, 1-2 views	142	140	$142.00	$28.92
20610 Aspiration and/or injection of fluid from large joint	129	69	$228.00	$66.62
72040 X-ray of upper spine, 2-3 views	91	91	$158.00	$41.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	68	$96.00	$57.87
63048 Partial removal of spine bone with release of spinal cord and/or nerves	79	53	$2819.62	$217.63
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	66	66	$7025.00	$591.41
22612 Fusion of spine in lower back	59	58	$8012.00	$1647.05
72070 X-ray of middle spine, 2 views	41	38	$174.00	$33.93
22614 Fusion of additional segment of spine	34	29	$2464.00	$403.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	31	$210.00	$186.12
22840 Placement of stabilizing device to back of 1 spine bone in neck	32	32	$9423.00	$782.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	28	27	$25.00	$1.20
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$18350.00	$1918.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,293	753	$136.00	$77.33
72100 X-ray of lower and sacral spine, 2-3 views	512	428	$159.00	$39.49
J1030 Injection, methylprednisolone acetate, 40 mg	508	258	$25.00	$6.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	371	316	$173.00	$111.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	295	295	$184.00	$111.11
20610 Aspiration and/or injection of fluid from large joint	259	174	$271.14	$70.70
20553 Injection of trigger points, 3 or more muscles	242	116	$270.00	$66.71
72170 X-ray of pelvis, 1-2 views	116	115	$142.00	$29.53
72040 X-ray of upper spine, 2-3 views	68	68	$158.00	$38.43
22612 Fusion of spine in lower back	47	47	$8012.00	$1691.18
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	46	46	$7025.00	$587.02
63048 Partial removal of spine bone with release of spinal cord and/or nerves	41	29	$2750.00	$225.47
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	39	22	$270.00	$142.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$96.00	$46.86
22840 Placement of stabilizing device to back of 1 spine bone in neck	30	29	$9423.00	$811.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$210.00	$151.38
73562 X-ray of knee, 3 views	25	17	$191.00	$40.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$265.00	$163.80
72070 X-ray of middle spine, 2 views	22	22	$174.00	$31.48
22614 Fusion of additional segment of spine	18	17	$2464.00	$418.12
73030 X-ray of shoulder, minimum of 2 views	15	12	$174.00	$34.35
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$62.00	$61.64
72080 X-ray of middle and lower spine, 2 views	13	12	$140.00	$35.56
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	13	$7500.00	$517.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,012	613	$136.00	$76.40
72100 X-ray of lower and sacral spine, 2-3 views	641	479	$159.00	$37.71
J1030 Injection, methylprednisolone acetate, 40 mg	420	194	$25.00	$6.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	334	$173.00	$111.96
20553 Injection of trigger points, 3 or more muscles	291	144	$270.00	$66.35
72170 X-ray of pelvis, 1-2 views	260	255	$142.00	$34.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	204	204	$184.00	$111.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	104	$96.00	$46.53
20610 Aspiration and/or injection of fluid from large joint	123	64	$233.56	$63.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$265.00	$168.31
22612 Fusion of spine in lower back	72	70	$8012.00	$1694.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	69	$210.00	$150.02
63048 Partial removal of spine bone with release of spinal cord and/or nerves	70	52	$2750.00	$228.54
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	64	62	$7025.00	$596.18
22840 Placement of stabilizing device to back of 1 spine bone in neck	56	56	$9423.00	$822.11
72040 X-ray of upper spine, 2-3 views	50	50	$158.00	$37.20
22614 Fusion of additional segment of spine	18	17	$2464.00	$423.00
72080 X-ray of middle and lower spine, 2 views	17	16	$129.65	$34.81
22633 Fusion of spine in lower back with partial removal of spine bone and disc	17	17	$18350.00	$1992.52
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	15	15	$7500.00	$539.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$322.00	$213.10
63267 Removal of growth of lower spine bone outside spine membrane	11	11	$8184.00	$737.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	999	637	$114.57	$74.05
72100 X-ray of lower and sacral spine, 2-3 views	656	518	$95.96	$35.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	477	400	$162.38	$109.49
J1030 Injection, methylprednisolone acetate, 40 mg	471	215	$24.95	$6.64
20553 Injection of trigger points, 3 or more muscles	270	143	$205.56	$65.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	253	253	$163.64	$110.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	119	$72.65	$44.53
20610 Aspiration and/or injection of fluid from large joint	142	85	$177.62	$62.06
72170 X-ray of pelvis, 1-2 views	125	125	$133.60	$32.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$247.44	$167.78
72040 X-ray of upper spine, 2-3 views	78	78	$93.26	$33.97
63048 Partial removal of spine bone with release of spinal cord and/or nerves	73	50	$1321.23	$220.10
20552 Injections of trigger points in 1 or 2 muscles	66	50	$108.45	$56.68
22612 Fusion of spine in lower back	62	62	$5486.06	$1663.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	54	$209.41	$147.63
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	54	54	$4099.06	$607.57
22840 Placement of stabilizing device to back of 1 spine bone in neck	35	35	$5176.23	$809.71
22614 Fusion of additional segment of spine	27	27	$1650.67	$416.59
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$3084.29	$513.18
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$18350.00	$1961.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	884	653	$104.00	$74.11
72100 X-ray of lower and sacral spine, 2-3 views	629	501	$61.00	$35.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	482	436	$156.00	$108.70
J1030 Injection, methylprednisolone acetate, 40 mg	440	203	$25.00	$5.73
20610 Aspiration and/or injection of fluid from large joint	402	191	$155.77	$61.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	263	263	$156.00	$109.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	254	174	$64.00	$44.45
63048 Partial removal of spine bone with release of spinal cord and/or nerves	91	68	$500.00	$225.04
72040 X-ray of upper spine, 2-3 views	89	85	$57.00	$33.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$240.00	$166.98
22612 Fusion of spine in lower back	86	85	$3118.00	$1645.71
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	71	70	$2141.00	$607.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	60	$209.00	$144.61
22840 Placement of stabilizing device to back of 1 spine bone in neck	47	47	$1600.00	$809.00
22614 Fusion of additional segment of spine	34	33	$1000.00	$416.96
20553 Injection of trigger points, 3 or more muscles	32	19	$120.00	$65.38
72170 X-ray of pelvis, 1-2 views	14	14	$37.00	$32.54
20552 Injections of trigger points in 1 or 2 muscles	14	13	$106.00	$54.65
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	12	12	$1880.00	$512.36

Medical Specialties & State Licenses

CMS Verified: 2020-01-23

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License DE C10006405

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

Medicaid State Provider ID

001159101 (DE)

Commercial Insurance / Payer ID Health Net - Tricare/champus

51-0370286

Commercial Insurance / Payer ID Cigna

51-0370286

Commercial Insurance / Payer ID United Healthcare

51-0370286

Commercial Insurance / Payer ID Union Labor Life Insurance Company

51-0370286

Commercial Insurance / Payer ID Great-West Healthcare

51-0370286

Commercial Insurance / Payer ID Railroad Medicare

200042825

Commercial Insurance / Payer ID Onenet Ppo, Mamsi, Optimum Choice

297519

Commercial Insurance / Payer ID Aetna Us Healthcare

2697347

Commercial Insurance / Payer ID Corvel/corcare

51-0370286

Hospital & Practice Group Affiliations

First State Orthopaedics Pa

4745 Ogletown Stanton Rd, Newark, DE 197132074

Phone: 3027312888

First State Orthopaedics Pa

12100 Black Swan Dr, Lewes, DE 199584988

Phone: 3026443311

Secondary Practice Locations

17005 Old Orchard Rd

Lewes, DE 199584828

Phone: 3026443311

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Shannon Fitzpatrick , MD

Orthopaedic Surgery - Hand Surgery

NPI 1093126807

Doctor of Medicine (M.D.)

Dr. Dale Sutherland , MD

Anesthesiology

NPI 1093807158

Doctor of Medicine (M.D.)

Dr. Joseph Cardinale , MD

Anesthesiology - Pain Medicine

NPI 1093980625

Doctor of Medicine (M.D.)

Dr. Roman Orsini , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1184721664

Doctor of Podiatric Medicine

Prosper Tarley , PA-C

Physician Assistant

NPI 1265248314

Physician Assistant (Certified)

Gerard Haines , PA-C

Physician Assistant

NPI 1326099250

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 23, 2020

Registered at 12100 BLACK SWAN DRIVE, SUITE 201, LEWES, DE 199584988 (Tel: 3026443311)

📍

Updated Business Mailing Address February 16, 2018

Registered at 211 EXECUTIVE DR STE 11, NEWARK, DE 197023358 (Tel: 3024516913)

✅

NPI Profile Active April 01, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2014

Registered at 17005 OLD ORCHARD RD, LEWES, DE 199584828 (Tel: 3026443311)

📍

Updated Business Mailing Address April 01, 2014

Registered at 17005 OLD ORCHARD RD, LEWES, DE 199584828 (Tel: 3026443311)

👤

Provider Name / Credentials Updated April 01, 2014

Recorded as RONALD SABBAGH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2014

Orthopaedic Surgery (License #C10006405 in DE)

🟢

Initial NPI Registration & Enumeration May 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245281351

Entity Type:

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

Enumeration Date: May 13, 2006

Last Update: January 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

211 Executive Dr Ste 11

Newark, DE 197023358

Phone: 3024516913

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.