Active NPI 1326099250 Individual Practitioner Male Practitioner

Gerard Joseph Haines , PA-C

Physician Assistant • Lewes, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gerard Haines, PA-C is a certified Physician Assistant practicing in Lewes, DE. With approximately 25 years of clinical experience since completing medical education in 2001, Gerard Haines delivers high-quality medical care to the local community at 12100 BLACK SWAN DRIVE.

Gerard Haines is affiliated with First State Orthopaedics Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg, injection, methylprednisolone acetate, 1 mg, established 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

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

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lewes, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +12.2 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

44 Specialists

Practicing in Lewes, DE (697 Statewide)

Telehealth Adoption Rate

11.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Haines (25 Years) 25 Yrs

Lewes Specialty Average (12.8 Years) 12.8 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
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	1,150	16	$19.20	$7.43
J1010 Injection, methylprednisolone acetate, 1 mg	682	16	$0.59	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	283	222	$136.00	$74.16
73030 X-ray of shoulder, minimum of 2 views	281	232	$173.38	$28.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	175	42	$6.22	$0.97
20610 Aspiration and/or injection of fluid from large joint	99	57	$271.76	$58.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	84	$96.00	$46.31
73560 X-ray of knee, 1-2 views	90	63	$135.00	$27.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$184.00	$91.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	68	$173.00	$104.78
23430 Anchoring of biceps tendon	63	63	$310.00	$49.11
23472 Prosthetic repair of shoulder joint, total shoulder	59	59	$603.00	$188.62
73070 X-ray of elbow, 2 views	59	39	$133.00	$23.83
73562 X-ray of knee, 3 views	49	38	$198.78	$34.06
73020 X-ray of shoulder, 1 view	47	46	$115.00	$17.61
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	35	35	$927.00	$22.10
27447 Replacement of knee joint, both sides of knee	34	31	$1881.00	$167.28
29823 Removal of extensive shoulder joint tissue using an endoscope	29	29	$1080.00	$26.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$265.00	$136.88
29827 Repair of shoulder rotator cuff using an endoscope	29	29	$1007.00	$139.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	27	26	$280.00	$82.66
72040 X-ray of upper spine, 2-3 views	25	25	$158.00	$32.29
73502 X-ray of hip, 2-3 views	25	21	$160.00	$34.38
73000 X-ray of collar bone	23	13	$147.00	$25.55
73552 X-ray of thigh bone, minimum 2 views	17	13	$125.00	$23.86
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$1180.00	$160.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	675	11	$19.20	$8.82
99213 Established patient office or other outpatient visit, typically 15 minutes	107	83	$136.00	$76.87
73030 X-ray of shoulder, minimum of 2 views	78	69	$174.00	$29.29
20610 Aspiration and/or injection of fluid from large joint	72	45	$272.36	$60.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	59	$96.00	$48.23
73560 X-ray of knee, 1-2 views	57	51	$132.63	$29.61
23430 Anchoring of biceps tendon	57	56	$310.00	$50.65
23472 Prosthetic repair of shoulder joint, total shoulder	55	54	$603.00	$194.72
27447 Replacement of knee joint, both sides of knee	51	50	$1881.00	$175.21
73562 X-ray of knee, 3 views	44	34	$177.98	$35.85
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	44	44	$927.00	$22.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$184.00	$95.47
29827 Repair of shoulder rotator cuff using an endoscope	40	40	$1007.00	$144.10
29823 Removal of extensive shoulder joint tissue using an endoscope	39	39	$1080.00	$23.43
J1030 Injection, methylprednisolone acetate, 40 mg	38	31	$25.00	$7.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$173.00	$108.77
73070 X-ray of elbow, 2 views	35	23	$129.20	$25.26
73502 X-ray of hip, 2-3 views	30	26	$165.33	$37.41
73020 X-ray of shoulder, 1 view	26	26	$115.00	$17.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$265.00	$141.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
23430 Anchoring of biceps tendon	61	60	$310.00	$52.29
23472 Prosthetic repair of shoulder joint, total shoulder	58	57	$697.78	$201.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	48	$96.00	$49.00
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	47	47	$927.00	$23.73
29823 Removal of extensive shoulder joint tissue using an endoscope	45	45	$1080.00	$30.44
27447 Replacement of knee joint, both sides of knee	43	42	$1881.00	$179.38
29827 Repair of shoulder rotator cuff using an endoscope	38	38	$1007.00	$149.64
20610 Aspiration and/or injection of fluid from large joint	37	30	$283.46	$63.10
73502 X-ray of hip, 2-3 views	29	27	$160.00	$41.63
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$136.00	$78.47
73560 X-ray of knee, 1-2 views	28	25	$135.00	$30.33
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$1628.00	$178.68
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	21	11	$270.00	$128.86
73562 X-ray of knee, 3 views	19	16	$170.89	$36.31
J1030 Injection, methylprednisolone acetate, 40 mg	17	13	$25.00	$6.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$173.00	$110.81
73030 X-ray of shoulder, minimum of 2 views	14	11	$161.57	$30.61
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$1457.00	$167.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	71	69	$2013.51	$182.88
23430 Anchoring of biceps tendon	46	46	$310.00	$52.87
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	44	44	$927.00	$24.46
23472 Prosthetic repair of shoulder joint, total shoulder	41	41	$737.07	$204.77
29823 Removal of extensive shoulder joint tissue using an endoscope	40	40	$1188.10	$40.72
29827 Repair of shoulder rotator cuff using an endoscope	32	32	$1007.00	$146.97
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$1628.00	$181.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	60	59	$1912.35	$195.27
23430 Anchoring of biceps tendon	46	46	$310.00	$52.45
23472 Prosthetic repair of shoulder joint, total shoulder	46	46	$603.00	$204.57
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	44	44	$927.00	$25.01
29823 Removal of extensive shoulder joint tissue using an endoscope	40	40	$1080.00	$49.27
29827 Repair of shoulder rotator cuff using an endoscope	33	33	$1007.00	$150.05
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$1628.00	$194.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	83	79	$2017.01	$198.01
29823 Removal of extensive shoulder joint tissue using an endoscope	52	52	$1080.00	$47.07
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	52	52	$927.00	$25.40
23472 Prosthetic repair of shoulder joint, total shoulder	47	47	$603.00	$209.92
23430 Anchoring of biceps tendon	46	46	$310.00	$53.58
29827 Repair of shoulder rotator cuff using an endoscope	33	33	$1126.52	$151.76
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$1628.00	$195.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	78	75	$1964.09	$195.31
29823 Removal of extensive shoulder joint tissue using an endoscope	60	59	$1080.00	$48.51
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	57	57	$927.00	$25.09
23472 Prosthetic repair of shoulder joint, total shoulder	46	46	$603.00	$206.73
23430 Anchoring of biceps tendon	37	37	$310.00	$54.12
29827 Repair of shoulder rotator cuff using an endoscope	34	33	$1007.00	$149.40
27130 Replacement of thigh bone and hip joint with prosthesis	33	32	$1628.00	$193.05
20610 Aspiration and/or injection of fluid from large joint	22	20	$206.82	$56.80
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$108.57	$63.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$68.92	$38.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	72	72	$1956.53	$192.48
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	70	70	$927.00	$25.10
29823 Removal of extensive shoulder joint tissue using an endoscope	67	67	$1080.00	$54.49
99213 Established patient office or other outpatient visit, typically 15 minutes	60	58	$104.00	$63.07
20610 Aspiration and/or injection of fluid from large joint	50	29	$186.00	$57.01
27130 Replacement of thigh bone and hip joint with prosthesis	47	44	$1695.49	$192.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	36	$64.00	$37.95
23472 Prosthetic repair of shoulder joint, total shoulder	39	39	$835.77	$206.61
29827 Repair of shoulder rotator cuff using an endoscope	36	36	$1081.81	$149.26
23430 Anchoring of biceps tendon	32	32	$344.88	$55.98
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	29	14	$270.00	$154.63
J1030 Injection, methylprednisolone acetate, 40 mg	27	24	$25.00	$5.51

Medical Specialties & State Licenses

CMS Verified: 2020-01-23

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License DE C50000346

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1000017128 (DE)

Commercial Insurance / Payer ID Commercial Insurances

1184681488

Hospital & Practice Group Affiliations

First State Orthopaedics Pa

4745 Ogletown Stanton Rd, Newark, DE 197132074

Phone: 3027312888

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

Dr. Ronald Sabbagh , MD

Orthopaedic Surgery

NPI 1245281351

Doctor of Medicine (M.D.)

Prosper Tarley , PA-C

Physician Assistant

NPI 1265248314

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 GERARD HAINES, PA-C

🎓

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

Physician Assistant (License #C50000346 in DE)

🟢

Initial NPI Registration & Enumeration May 15, 2006

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: 1326099250

Entity Type:

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

Enumeration Date: May 15, 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.