Active NPI 1043376890 Individual Practitioner Male Practitioner

Dr. Benjamin Charles Epstein , DO, MA

Orthopaedic Surgery • Okeechobee, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Epstein, DO, MA is a certified Orthopaedic Surgery practicing in Okeechobee, FL. With approximately 42 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1984, Dr. Epstein delivers high-quality medical care to the local community at 1924 US HIGHWAY 441 N.

Dr. Epstein is affiliated with Fort Pierce Orthopaedics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1924 Us Highway 441 N

Okeechobee, FL 349721922

Telephone 8633570540

Fax 8633570546

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Okeechobee, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +2.0 yrs vs City Avg

City Avg: 40.0 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Okeechobee, FL (1597 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Epstein (42 Years) 42 Yrs

Okeechobee Specialty Average (40.0 Years) 40.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	323	169	$245.57	$124.90
20610 Aspiration and/or injection of fluid from large joint	227	70	$258.66	$72.37
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	204	46	$261.40	$72.55
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	113	30	$18.35	$6.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	46	$325.39	$176.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$364.00	$164.37
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$167.75	$88.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$436.81	$169.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$300.60	$129.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$450.26	$216.76
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	16	16	$818.00	$244.23
27447 Replacement of knee joint, both sides of knee	11	11	$5151.45	$1297.35

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	355	158	$225.00	$124.20
20610 Aspiration and/or injection of fluid from large joint	210	67	$265.00	$69.15
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	174	42	$447.00	$125.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$358.00	$164.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	36	$303.00	$175.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$300.00	$129.68
J1040 Injection, methylprednisolone acetate, 80 mg	20	19	$25.00	$11.74
76000 Imaging guidance for procedure, 60 minutes or less	19	18	$40.79	$15.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$435.00	$172.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$443.00	$217.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$153.00	$88.34

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	257	120	$225.00	$127.89
20610 Aspiration and/or injection of fluid from large joint	172	53	$265.00	$69.69
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	157	37	$447.00	$130.67
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	66	21	$17.00	$6.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$358.00	$169.54
99213 Established patient office or other outpatient visit, typically 15 minutes	28	21	$153.00	$91.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$435.00	$200.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$303.00	$181.83

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	231	135	$225.00	$130.26
20610 Aspiration and/or injection of fluid from large joint	187	62	$265.00	$66.28
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	153	36	$447.00	$134.62
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	98	31	$17.00	$6.88
99213 Established patient office or other outpatient visit, typically 15 minutes	93	56	$153.00	$90.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$358.00	$167.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$435.00	$203.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$303.00	$183.66
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	$443.00	$225.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	127	$153.00	$75.16
20610 Aspiration and/or injection of fluid from large joint	204	72	$265.00	$63.36
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	153	40	$447.00	$143.37
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	141	39	$17.00	$6.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	60	$225.00	$109.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	45	$435.00	$208.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$358.00	$160.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$232.00	$105.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$153.00	$74.55
76000 Imaging guidance for procedure, 60 minutes or less	13	13	$29.00	$16.11
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$157.00	$74.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	312	160	$153.00	$74.22
20610 Aspiration and/or injection of fluid from large joint	246	89	$265.00	$62.03
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	194	43	$447.00	$141.11
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	139	43	$17.00	$6.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	57	$225.00	$108.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$358.00	$165.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$232.00	$108.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	44	$435.00	$205.92
J1020 Injection, methylprednisolone acetate, 20 mg	45	15	$5.00	$3.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$289.00	$123.27
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$157.00	$76.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	283	157	$153.00	$72.00
20610 Aspiration and/or injection of fluid from large joint	228	83	$265.00	$60.97
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	185	48	$447.00	$145.19
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	137	39	$17.00	$7.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	90	$225.00	$106.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$232.00	$107.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$435.00	$204.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$358.00	$164.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	15	$153.00	$73.34
76000 Imaging guidance for procedure, 60 minutes or less	15	15	$29.00	$9.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	316	143	$153.00	$71.91
20610 Aspiration and/or injection of fluid from large joint	237	67	$265.00	$60.94
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	214	54	$447.00	$152.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	86	$225.00	$106.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	53	15	$17.00	$6.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	49	$435.00	$203.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$232.00	$107.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$358.00	$164.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	20	$153.00	$72.25
76000 Imaging guidance for procedure, 60 minutes or less	26	26	$89.31	$8.97
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$157.00	$73.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$300.00	$137.63

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL OS10817

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.

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NUCC Taxonomy Code: 207XS0114X

State License FL OS10817

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License FL OS10817

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

52280000 (NJ)

Medicaid State Provider ID

001728600 (FL)

Hospital & Practice Group Affiliations

Fort Pierce Orthopaedics Llc

1796 Us Hwy 441 N, Okeechobee, FL 349721918

Phone: 8637632151

Fort Pierce Orthopaedics Llc

1812 Us Hwy 441 N, Okeechobee, FL 349721908

Phone: 8633570540

Fort Pierce Orthopaedics Llc

1700 S 23rd St, Fort Pierce, FL 349504803

Phone: 7724614000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Carlos Alejo , MD

Surgery

NPI 1144479817

Doctor of Medicine (M.D.)

Dr. Thomas Mcelligott , MD

Orthopaedic Surgery

NPI 1699738799

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 October 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2012

Registered at 1924 US HIGHWAY 441 N, OKEECHOBEE, FL 349721922 (Tel: 8633570540)

📍

Updated Business Mailing Address October 10, 2012

Registered at 1924 US HIGHWAY 441 N, OKEECHOBEE, FL 349721922 (Tel: 8633570540)

👤

Provider Name / Credentials Updated October 10, 2012

Recorded as BENJAMIN EPSTEIN, D.O., M.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2012

Orthopaedic Surgery (License #OS10817 in FL)

🟢

Initial NPI Registration & Enumeration December 28, 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: 1043376890

Entity Type:

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

Enumeration Date: December 28, 2006

Last Update: October 10, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1924 Us Highway 441 N

Okeechobee, FL 349721922

Phone: 8633570540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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