Active NPI 1992779946 Individual Practitioner Male Practitioner

Dr. Thomas M. Darden , MD

Orthopaedic Surgery • Albany, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Darden, MD is a certified Orthopaedic Surgery practicing in Albany, GA. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Darden delivers high-quality medical care to the local community at 619 POINTE NORTH BLVD.

Dr. Darden is affiliated with Crisp Regional Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

619 Pointe North Blvd

Albany, GA 317211514

Telephone 2298834707

Fax 2294351038

Associated Practice Facility / Clinic

🏢 Albany Bone & Joint Clinic Pc Facility NPI 1295709178

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Albany, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +10.1 yrs vs City Avg

City Avg: 28.9 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

13 Specialists

Practicing in Albany, GA (797 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Darden (39 Years) 39 Yrs

Albany Specialty Average (28.9 Years) 28.9 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	458	230	$162.83	$84.35
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	418	102	$15.00	$6.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	190	142	$101.57	$52.06
73562 X-ray of knee, 3 views	171	114	$120.00	$36.38
20610 Aspiration and/or injection of fluid from large joint	136	87	$232.35	$64.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$240.00	$104.22
73030 X-ray of shoulder, minimum of 2 views	67	45	$132.00	$31.14
73560 X-ray of knee, 1-2 views	66	28	$107.00	$29.80
73502 X-ray of hip, 2-3 views	52	43	$125.00	$42.28
72100 X-ray of lower and sacral spine, 2-3 views	42	40	$130.00	$35.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$265.00	$117.58
73630 X-ray of foot, minimum of 3 views	36	25	$109.00	$30.57
73110 X-ray of wrist, minimum of 3 views	36	12	$105.00	$36.47
73130 X-ray of hand, minimum of 3 views	34	20	$102.00	$31.53
20550 Injection into tendon or ligament	26	16	$145.00	$48.21
72040 X-ray of upper spine, 2-3 views	17	17	$130.00	$35.31
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	16	11	$160.00	$86.91
27447 Replacement of knee joint, both sides of knee	13	12	$6050.00	$1220.95
73721 Mri scan of leg joint without contrast	13	13	$950.00	$125.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	549	101	$15.00	$6.53
99213 Established patient office or other outpatient visit, typically 15 minutes	459	247	$160.00	$83.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	218	154	$98.00	$52.39
73562 X-ray of knee, 3 views	198	131	$120.00	$36.61
20610 Aspiration and/or injection of fluid from large joint	151	92	$200.00	$58.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$240.00	$103.96
73502 X-ray of hip, 2-3 views	88	66	$125.00	$39.78
72100 X-ray of lower and sacral spine, 2-3 views	67	66	$130.00	$35.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	57	$265.00	$116.77
73030 X-ray of shoulder, minimum of 2 views	59	41	$132.00	$30.13
73630 X-ray of foot, minimum of 3 views	58	26	$109.00	$31.03
73560 X-ray of knee, 1-2 views	58	25	$107.00	$30.65
73610 X-ray of ankle, minimum of 3 views	38	16	$109.00	$33.37
73130 X-ray of hand, minimum of 3 views	26	18	$102.00	$33.39
73721 Mri scan of leg joint without contrast	24	21	$950.00	$126.37
73110 X-ray of wrist, minimum of 3 views	18	12	$105.00	$35.74
27447 Replacement of knee joint, both sides of knee	18	18	$6050.00	$1222.11
72148 MRI scan of lower spinal canal	16	16	$1175.00	$113.60
73590 X-ray of lower leg, 2 views	13	12	$113.00	$28.67
72040 X-ray of upper spine, 2-3 views	12	11	$130.00	$35.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	513	91	$15.00	$6.56
99213 Established patient office or other outpatient visit, typically 15 minutes	378	226	$157.27	$84.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	115	$95.70	$53.10
20610 Aspiration and/or injection of fluid from large joint	147	87	$199.76	$55.68
73562 X-ray of knee, 3 views	145	109	$120.00	$37.25
73502 X-ray of hip, 2-3 views	90	64	$125.00	$42.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$229.32	$104.61
73560 X-ray of knee, 1-2 views	59	27	$107.00	$31.63
72100 X-ray of lower and sacral spine, 2-3 views	47	45	$130.00	$37.01
73030 X-ray of shoulder, minimum of 2 views	37	26	$132.00	$29.46
73130 X-ray of hand, minimum of 3 views	23	15	$102.00	$33.83
72148 MRI scan of lower spinal canal	19	19	$1175.00	$115.93
73721 Mri scan of leg joint without contrast	17	17	$950.00	$133.51
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$149.00	$64.32
27447 Replacement of knee joint, both sides of knee	12	11	$6050.00	$1237.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	429	253	$119.17	$85.86
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	423	87	$15.00	$6.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	249	169	$75.92	$52.86
73562 X-ray of knee, 3 views	189	124	$120.00	$35.65
20610 Aspiration and/or injection of fluid from large joint	144	90	$199.75	$56.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	84	$172.99	$123.16
73502 X-ray of hip, 2-3 views	88	67	$125.00	$41.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$182.79	$105.08
72100 X-ray of lower and sacral spine, 2-3 views	75	67	$130.00	$35.25
73030 X-ray of shoulder, minimum of 2 views	52	35	$132.00	$31.47
73560 X-ray of knee, 1-2 views	47	22	$107.00	$27.13
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	33	14	$46.00	$19.99
73630 X-ray of foot, minimum of 3 views	29	22	$109.00	$31.42
73721 Mri scan of leg joint without contrast	28	27	$950.00	$141.82
72148 MRI scan of lower spinal canal	27	27	$1175.00	$131.30
73552 X-ray of thigh bone, minimum 2 views	20	13	$125.00	$31.21
73610 X-ray of ankle, minimum of 3 views	20	14	$109.00	$33.57
72040 X-ray of upper spine, 2-3 views	17	17	$130.00	$36.24
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$138.85	$69.07
73130 X-ray of hand, minimum of 3 views	12	12	$102.00	$31.71
97530 Therapy procedure using functional activities	12	11	$39.00	$35.71
27447 Replacement of knee joint, both sides of knee	12	12	$6158.33	$1248.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	295	64	$14.95	$6.94
99213 Established patient office or other outpatient visit, typically 15 minutes	267	176	$116.00	$71.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	151	$172.00	$103.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	166	124	$75.00	$43.50
20610 Aspiration and/or injection of fluid from large joint	117	70	$194.36	$55.92
73562 X-ray of knee, 3 views	100	86	$120.00	$36.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$180.00	$102.90
73502 X-ray of hip, 2-3 views	71	53	$125.00	$39.29
72100 X-ray of lower and sacral spine, 2-3 views	71	63	$130.00	$34.66
73560 X-ray of knee, 1-2 views	70	40	$107.00	$30.64
73630 X-ray of foot, minimum of 3 views	50	33	$109.00	$30.04
73030 X-ray of shoulder, minimum of 2 views	36	30	$132.00	$30.88
73610 X-ray of ankle, minimum of 3 views	27	14	$109.00	$32.48
73721 Mri scan of leg joint without contrast	22	21	$950.00	$146.03
72170 X-ray of pelvis, 1-2 views	19	16	$120.00	$26.65
72040 X-ray of upper spine, 2-3 views	18	17	$130.00	$35.53
72148 MRI scan of lower spinal canal	18	18	$1175.00	$126.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	317	72	$15.00	$6.59
99213 Established patient office or other outpatient visit, typically 15 minutes	267	163	$116.00	$71.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	205	140	$75.00	$43.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	134	$172.00	$104.01
20610 Aspiration and/or injection of fluid from large joint	146	81	$185.00	$56.20
73562 X-ray of knee, 3 views	101	80	$120.00	$33.99
73502 X-ray of hip, 2-3 views	100	65	$125.00	$37.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$180.00	$102.26
73560 X-ray of knee, 1-2 views	55	31	$107.00	$29.74
72100 X-ray of lower and sacral spine, 2-3 views	47	42	$130.00	$33.75
73030 X-ray of shoulder, minimum of 2 views	44	30	$132.00	$27.63
73630 X-ray of foot, minimum of 3 views	42	24	$109.00	$28.51
72040 X-ray of upper spine, 2-3 views	26	26	$130.00	$34.23
73610 X-ray of ankle, minimum of 3 views	24	13	$109.00	$30.21
73721 Mri scan of leg joint without contrast	24	23	$950.00	$142.14
73070 X-ray of elbow, 2 views	22	15	$100.00	$25.24
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	14	$26.00	$13.66
72148 MRI scan of lower spinal canal	12	12	$1175.00	$127.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	445	86	$15.00	$7.02
99213 Established patient office or other outpatient visit, typically 15 minutes	270	160	$116.00	$66.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	261	158	$75.00	$40.13
20610 Aspiration and/or injection of fluid from large joint	149	82	$185.00	$53.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	110	$172.00	$99.27
73562 X-ray of knee, 3 views	104	86	$120.00	$31.99
73502 X-ray of hip, 2-3 views	85	54	$125.00	$36.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$180.00	$98.81
73560 X-ray of knee, 1-2 views	61	31	$107.00	$27.54
73630 X-ray of foot, minimum of 3 views	51	20	$109.00	$26.36
72100 X-ray of lower and sacral spine, 2-3 views	47	46	$126.60	$31.52
73030 X-ray of shoulder, minimum of 2 views	40	30	$132.00	$26.41
73552 X-ray of thigh bone, minimum 2 views	38	15	$125.00	$26.24
73721 Mri scan of leg joint without contrast	32	30	$950.00	$146.07
73100 X-ray of wrist, 2 views	32	13	$90.00	$28.16
73610 X-ray of ankle, minimum of 3 views	31	20	$109.00	$27.57
73130 X-ray of hand, minimum of 3 views	30	20	$102.00	$28.52
72040 X-ray of upper spine, 2-3 views	21	21	$126.67	$29.95
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$140.00	$69.32
72148 MRI scan of lower spinal canal	14	14	$1175.00	$117.42
27447 Replacement of knee joint, both sides of knee	11	11	$6050.00	$1304.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	462	88	$15.00	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	252	149	$116.00	$65.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	225	152	$75.00	$38.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	123	$172.00	$96.26
20610 Aspiration and/or injection of fluid from large joint	138	79	$184.86	$51.35
73562 X-ray of knee, 3 views	113	88	$120.00	$31.01
73502 X-ray of hip, 2-3 views	80	48	$125.00	$34.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$180.00	$95.50
73610 X-ray of ankle, minimum of 3 views	62	24	$109.00	$27.00
73560 X-ray of knee, 1-2 views	52	28	$107.00	$25.94
72100 X-ray of lower and sacral spine, 2-3 views	52	50	$125.00	$31.12
73030 X-ray of shoulder, minimum of 2 views	49	30	$132.00	$25.41
73721 Mri scan of leg joint without contrast	37	37	$950.00	$145.48
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$140.00	$68.63
73630 X-ray of foot, minimum of 3 views	34	24	$109.00	$25.17
73552 X-ray of thigh bone, minimum 2 views	26	12	$125.00	$25.99
72148 MRI scan of lower spinal canal	20	20	$1175.00	$126.52
72170 X-ray of pelvis, 1-2 views	19	12	$97.00	$27.34
72040 X-ray of upper spine, 2-3 views	17	17	$125.00	$29.47
73221 Mri scan of arm joint without contrast	15	13	$1150.00	$133.75

Medical Specialties & State Licenses

CMS Verified: 2021-04-12

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License GA 035846

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

000509825C (GA)

Commercial Insurance / Payer ID Bcbsga

280545 (GA)

Commercial Insurance / Payer ID Railroad Medicare

200035713 (GA)

Commercial Insurance / Payer ID Workers' Compensation

372315400

Hospital & Practice Group Affiliations

Crisp Regional Hospital Inc

902 N 7th St, Cordele, GA 310153234

Phone: 2292763100

Secondary Practice Locations

902 N 7th St

Cordele, GA 310153234

Phone: 2292762185

910 N 5th St

Cordele, GA 310153254

Phone: 2292762286

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Theodore Williams , MD

Orthopaedic Surgery

NPI 1063486884

Doctor of Medicine (M.D.)

Donnie Lewis , OT

Occupational Therapist

NPI 1144412511

Occupational Therapist

Jennifer Ban , FNP

Nurse Practitioner - Family

NPI 1164149654

Family Nurse Practitioner

Dr. Melissa Lawrence , DO

Orthopaedic Surgery

NPI 1316169220

Doctor of Osteopathic Medicine (D.O.)

Lindsey Tuttle , OT

Occupational Therapist

NPI 1609207471

Occupational Therapist

Dr. Paul Michas , MD

Orthopaedic Surgery

NPI 1750355574

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 November 12, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 12, 2009

Registered at 619 POINTE NORTH BLVD, ALBANY, GA 317211514 (Tel: 2298834707)

📍

Updated Business Mailing Address November 12, 2009

Registered at PO BOX 407, ALBANY, GA 317020407 (Tel: 2298834707)

👤

Provider Name / Credentials Updated November 12, 2009

Recorded as THOMAS DARDEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2009

Orthopaedic Surgery (License #035846 in GA)

🟢

Initial NPI Registration & Enumeration February 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: 1992779946

Entity Type:

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

Enumeration Date: February 15, 2006

Last Update: April 12, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 407

Albany, GA 317020407

Phone: 2298834707

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.