Active NPI 1104807429 Individual Practitioner Male Practitioner

Dr. John Richard Dorris , MD

Orthopaedic Surgery • Athens, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Dorris, MD is a certified Orthopaedic Surgery practicing in Athens, GA. With approximately 34 years of clinical experience since graduating from Tulane University School Of Medicine in 1992, Dr. Dorris delivers high-quality medical care to the local community at 1765 OLD WEST BROAD ST.

Dr. Dorris is affiliated with Athens Orthopedic Clinic, 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 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

1765 Old West Broad St

Athens, GA 306062853

Telephone 7065491663

Fax 7065468792

Associated Practice Facility / Clinic

🏢 Athens Orthopedic Clinic, Pa Facility NPI 1063495299

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Athens, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +14.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

20 Specialists

Practicing in Athens, GA (797 Statewide)

Telehealth Adoption Rate

5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dorris (34 Years) 34 Yrs

Athens Specialty Average (19.4 Years) 19.4 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	2,628	48	$1.00	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	452	316	$215.47	$83.72
73562 X-ray of knee, 3 views	297	204	$196.55	$36.16
73502 X-ray of hip, 2-3 views	146	108	$181.99	$41.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$311.47	$102.81
73030 X-ray of shoulder, minimum of 2 views	89	74	$164.76	$30.81
20610 Aspiration and/or injection of fluid from large joint	86	69	$399.27	$69.36
73721 Mri scan of leg joint without contrast	73	67	$2306.58	$126.25
27447 Replacement of knee joint, both sides of knee	64	61	$8734.44	$1219.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	54	$322.44	$118.62
73221 Mri scan of arm joint without contrast	44	42	$2355.59	$126.51
73502 X-ray of hip, 2-3 views	39	36	$182.87	$9.95
27130 Replacement of thigh bone and hip joint with prosthesis	31	29	$9073.03	$1195.52
72148 MRI scan of lower spinal canal	30	30	$2373.70	$105.40
J1030 Injection, methylprednisolone acetate, 40 mg	22	18	$47.05	$6.33
29881 Removal of knee cartilage using an endoscope	15	15	$7438.80	$513.74
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$256.73	$46.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	451	326	$177.00	$84.23
73562 X-ray of knee, 3 views	265	208	$149.26	$36.47
73030 X-ray of shoulder, minimum of 2 views	127	88	$144.57	$31.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$262.00	$104.85
20610 Aspiration and/or injection of fluid from large joint	94	81	$260.74	$66.47
J1030 Injection, methylprednisolone acetate, 40 mg	92	70	$55.00	$7.70
73502 X-ray of hip, 2-3 views	79	74	$114.00	$41.85
73721 Mri scan of leg joint without contrast	59	56	$1866.10	$129.19
27447 Replacement of knee joint, both sides of knee	56	55	$7511.00	$1222.06
73221 Mri scan of arm joint without contrast	46	44	$1898.39	$129.27
72148 MRI scan of lower spinal canal	40	39	$2173.00	$108.05
73503 X-ray of hip with pelvis, minimum of 4 views	35	30	$142.00	$53.50
73502 X-ray of hip, 2-3 views	26	25	$114.00	$10.32
27130 Replacement of thigh bone and hip joint with prosthesis	24	23	$8000.00	$1223.16
29880 Removal of both knee cartilages using an endoscope	18	17	$4516.00	$534.04
29881 Removal of knee cartilage using an endoscope	17	17	$3818.00	$475.35
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$2667.00	$388.81
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$6761.00	$1376.15
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$3963.00	$164.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$262.00	$97.75
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$4564.00	$1017.18
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$224.00	$46.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	464	326	$177.00	$85.15
73562 X-ray of knee, 3 views	239	191	$153.64	$37.09
73030 X-ray of shoulder, minimum of 2 views	115	94	$144.39	$31.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$262.00	$104.82
20610 Aspiration and/or injection of fluid from large joint	83	68	$266.81	$67.28
J1030 Injection, methylprednisolone acetate, 40 mg	76	51	$55.00	$6.53
73502 X-ray of hip, 2-3 views	73	70	$114.00	$42.02
73721 Mri scan of leg joint without contrast	60	58	$1835.00	$132.52
73221 Mri scan of arm joint without contrast	55	55	$1891.78	$132.78
27447 Replacement of knee joint, both sides of knee	51	48	$7511.00	$1229.35
72148 MRI scan of lower spinal canal	42	42	$2173.00	$113.67
73503 X-ray of hip with pelvis, minimum of 4 views	36	27	$142.00	$54.01
29880 Removal of both knee cartilages using an endoscope	18	18	$4516.00	$536.09
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$8000.00	$1228.81
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$3963.00	$159.54
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$2667.00	$420.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	864	17	$28.13	$17.92
99213 Established patient office or other outpatient visit, typically 15 minutes	466	328	$177.00	$86.60
73562 X-ray of knee, 3 views	177	141	$149.91	$36.80
73030 X-ray of shoulder, minimum of 2 views	109	88	$141.19	$31.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$261.51	$107.01
20610 Aspiration and/or injection of fluid from large joint	80	67	$247.94	$65.33
27447 Replacement of knee joint, both sides of knee	63	60	$7511.00	$1237.47
73721 Mri scan of leg joint without contrast	60	56	$1865.58	$143.01
73221 Mri scan of arm joint without contrast	58	56	$1858.00	$143.92
J1030 Injection, methylprednisolone acetate, 40 mg	56	49	$55.00	$5.57
73502 X-ray of hip, 2-3 views	53	49	$114.00	$42.62
73503 X-ray of hip with pelvis, minimum of 4 views	37	26	$142.00	$53.66
73564 X-ray of knee, 4 or more views	36	36	$189.00	$42.08
72148 MRI scan of lower spinal canal	32	32	$2173.00	$120.47
73560 X-ray of knee, 1-2 views	31	29	$121.81	$31.34
29880 Removal of both knee cartilages using an endoscope	19	19	$4516.00	$523.34
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$8000.00	$1250.88
29881 Removal of knee cartilage using an endoscope	13	13	$3818.00	$523.76
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$3963.00	$170.24
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$6761.00	$1408.46
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$2667.00	$406.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,536	37	$28.13	$18.35
99213 Established patient office or other outpatient visit, typically 15 minutes	401	285	$177.00	$71.34
20610 Aspiration and/or injection of fluid from large joint	111	84	$257.61	$65.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$262.00	$103.01
73562 X-ray of knee, 3 views	98	86	$159.80	$35.42
73030 X-ray of shoulder, minimum of 2 views	87	79	$141.21	$30.17
73564 X-ray of knee, 4 or more views	76	76	$181.18	$40.04
73721 Mri scan of leg joint without contrast	73	70	$1835.00	$147.43
27447 Replacement of knee joint, both sides of knee	69	66	$7511.00	$1348.99
73560 X-ray of knee, 1-2 views	67	58	$123.28	$29.79
73502 X-ray of hip, 2-3 views	58	53	$114.00	$41.37
73221 Mri scan of arm joint without contrast	51	50	$1858.00	$143.30
J1030 Injection, methylprednisolone acetate, 40 mg	51	42	$55.00	$6.07
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	40	27	$830.00	$825.84
73503 X-ray of hip with pelvis, minimum of 4 views	32	25	$142.00	$50.24
72148 MRI scan of lower spinal canal	26	26	$2173.00	$131.17
27130 Replacement of thigh bone and hip joint with prosthesis	25	25	$8000.00	$1349.34
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	23	23	$3963.00	$175.27
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$4564.00	$1059.32
29880 Removal of both knee cartilages using an endoscope	19	19	$4516.00	$551.84
29824 Partial removal of collar bone at shoulder using an endoscope	17	17	$2667.00	$284.39
29881 Removal of knee cartilage using an endoscope	16	16	$3818.00	$532.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	960	12	$25.00	$16.95
99213 Established patient office or other outpatient visit, typically 15 minutes	431	335	$177.00	$70.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	199	199	$262.00	$102.94
73560 X-ray of knee, 1-2 views	170	133	$134.66	$28.99
20610 Aspiration and/or injection of fluid from large joint	116	104	$257.63	$64.10
J1030 Injection, methylprednisolone acetate, 40 mg	104	81	$55.00	$6.30
73030 X-ray of shoulder, minimum of 2 views	93	81	$145.16	$27.55
73562 X-ray of knee, 3 views	88	82	$161.08	$33.61
73221 Mri scan of arm joint without contrast	74	71	$1883.11	$147.64
73502 X-ray of hip, 2-3 views	74	68	$114.00	$38.44
73721 Mri scan of leg joint without contrast	73	69	$1860.14	$147.38
27447 Replacement of knee joint, both sides of knee	72	68	$7511.00	$1322.09
73564 X-ray of knee, 4 or more views	55	55	$188.51	$38.33
73020 X-ray of shoulder, 1 view	42	40	$114.64	$21.27
72148 MRI scan of lower spinal canal	36	36	$2173.00	$119.20
73501 X-ray of hip with pelvis, 1 view	32	31	$82.00	$27.89
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$8095.24	$1349.90
29881 Removal of knee cartilage using an endoscope	18	18	$3818.00	$531.77
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	16	$3963.00	$176.57
29880 Removal of both knee cartilages using an endoscope	17	17	$4516.00	$552.30
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$4564.00	$1042.91
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$2667.00	$250.04
23472 Prosthetic repair of shoulder joint, total shoulder	13	12	$6761.00	$1447.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	547	411	$186.61	$69.20
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	235	23	$88.91	$25.93
73562 X-ray of knee, 3 views	173	144	$129.95	$32.68
20610 Aspiration and/or injection of fluid from large joint	162	118	$205.99	$56.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$272.97	$102.85
J1030 Injection, methylprednisolone acetate, 40 mg	145	108	$33.56	$6.60
73030 X-ray of shoulder, minimum of 2 views	128	106	$114.39	$27.11
73564 X-ray of knee, 4 or more views	128	109	$138.06	$36.40
73502 X-ray of hip, 2-3 views	121	105	$114.92	$37.68
97140 Therapy procedure using manual technique, each 15 minutes	98	16	$80.10	$19.16
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	65	31	$422.55	$143.97
73721 Mri scan of leg joint without contrast	52	51	$1541.18	$174.28
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	49	29	$264.46	$79.91
27447 Replacement of knee joint, both sides of knee	48	47	$6181.90	$1319.64
73221 Mri scan of arm joint without contrast	42	41	$1464.38	$179.85
72148 MRI scan of lower spinal canal	22	22	$1930.35	$143.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$278.88	$102.90
73110 X-ray of wrist, minimum of 3 views	17	12	$102.92	$31.95
29824 Partial removal of collar bone at shoulder using an endoscope	16	15	$2405.45	$207.31
73560 X-ray of knee, 1-2 views	15	14	$123.81	$27.36
29880 Removal of both knee cartilages using an endoscope	15	15	$3945.91	$551.53
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$4052.71	$1038.46
29881 Removal of knee cartilage using an endoscope	13	13	$2454.22	$508.74
97161 Evaluation of physical therapy, typically 20 minutes	13	13	$241.92	$78.67
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	12	$3015.69	$176.24
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$6357.70	$1345.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	830	466	$210.72	$67.34
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	440	46	$94.80	$27.06
20610 Aspiration and/or injection of fluid from large joint	245	156	$180.92	$51.78
J1030 Injection, methylprednisolone acetate, 40 mg	240	167	$16.54	$5.67
97140 Therapy procedure using manual technique, each 15 minutes	224	35	$87.41	$21.54
73562 X-ray of knee, 3 views	213	126	$100.02	$32.04
73564 X-ray of knee, 4 or more views	207	167	$113.83	$35.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	201	201	$313.14	$100.02
73030 X-ray of shoulder, minimum of 2 views	195	129	$81.61	$26.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	178	50	$264.17	$71.78
73502 X-ray of hip, 2-3 views	174	121	$115.84	$36.67
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	115	34	$473.32	$150.71
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	89	22	$40.10	$9.68
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	74	17	$258.58	$85.31
73721 Mri scan of leg joint without contrast	61	55	$865.91	$210.55
73610 X-ray of ankle, minimum of 3 views	45	24	$88.15	$28.37
97161 Evaluation of physical therapy, typically 20 minutes	43	43	$237.26	$74.06
27447 Replacement of knee joint, both sides of knee	43	43	$4150.21	$1301.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$124.60	$40.25
73221 Mri scan of arm joint without contrast	31	30	$842.67	$213.46
73130 X-ray of hand, minimum of 3 views	29	22	$86.11	$27.78
73630 X-ray of foot, minimum of 3 views	29	21	$81.33	$25.55
73110 X-ray of wrist, minimum of 3 views	24	17	$98.76	$31.76
72148 MRI scan of lower spinal canal	22	22	$799.96	$196.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$310.56	$99.83
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$4211.09	$1262.72
29880 Removal of both knee cartilages using an endoscope	18	18	$1668.87	$533.58
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	17	$1500.00	$157.40
73080 X-ray of elbow, minimum of 3 views	17	15	$87.21	$28.06
29881 Removal of knee cartilage using an endoscope	17	17	$1629.81	$490.23
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$3151.72	$921.91
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$1980.99	$253.81
23440 Transplantation of biceps tendon	11	11	$2243.61	$359.07
20550 Injection into tendon or ligament	11	11	$154.23	$47.32

Medical Specialties & State Licenses

CMS Verified: 2025-07-01

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License GA 40899

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 Caqh

10578123 (GA)

Hospital & Practice Group Affiliations

Athens Orthopedic Clinic, Pa

1765 Old W Broad St, Athens, GA 306062853

Phone: 7065491663

Secondary Practice Locations

901 Franklin Springs St

Royston, GA 306623911

Phone: 7065491663

3440 Highway 81

Loganville, GA 300529112

Phone: 7705545009

1774 Old West Broad St

Athens, GA 306062865

Phone: 7065491663

125 King Ave

Athens, GA 306066734

Phone: 7065491663

209 Mercer Pl

Commerce, GA 305291564

Phone: 7065491663

1031 Lake Country Dr

Greensboro, GA 306425157

Phone: 7065491663

705 Breedlove Dr Ste 200

Monroe, GA 306552080

Phone: 7705545009

855 King Ave

Athens, GA 306062837

Phone: 7065491663

Practice Associates & Co-Workers

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

40 Associated Practitioners

Joseph Hale , PA-C

Physician Assistant

NPI 1003899253

Physician Assistant (Certified)

Jeremy Cryder , OTR, L, CHT

Occupational Therapist

NPI 1023451051

Occupational Therapist Registered, L, Certified Hand Therapist

Wendy Grage , CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1033308739

Stephen Burton , PA-C

Physician Assistant

NPI 1033457304

Physician Assistant (Certified)

Alan Keating , PA-C

Physician Assistant

NPI 1063487015

Physician Assistant (Certified)

Nancy Turpin , PT, CERT MDT, TDPT

Physical Therapist

NPI 1063621936

Physical Therapist, CERTMDT, TDPT

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location June 20, 2019

Registered at 1765 OLD WEST BROAD ST, ATHENS, GA 306062853 (Tel: 7065491663)

📍

Updated Business Mailing Address June 20, 2019

Registered at 1765 OLD WEST BROAD ST BLDG 2-200, ATHENS, GA 306062887 (Tel: 7065491663)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2019

Orthopaedic Surgery (License #40899 in GA)

📍

Updated Practice Location June 29, 2018

Registered at 1765 OLD WEST BROAD ST, ATHENS, GA 30606 (Tel: 7065491663)

📍

Updated Business Mailing Address June 29, 2018

Registered at 1765 OLD WEST BROAD ST STE 200, ATHENS, GA 306062853 (Tel: 7065491663)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Orthopaedic Surgery (License #040899 in GA)

✅

NPI Profile Active November 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location November 06, 2008

Registered at 1010 PRINCE AVE, STE 115SOUTH, ATHENS, GA 306065805 (Tel: 7065839000)

📍

Updated Business Mailing Address November 06, 2008

Registered at 1010 PRINCE AVE, STE 115SOUTH, ATHENS, GA 306065805 (Tel: 7065839000)

👤

Provider Name / Credentials Updated November 06, 2008

Recorded as JOHN DORRIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2008

Orthopaedic Surgery (License #040899 in GA)

🟢

Initial NPI Registration & Enumeration November 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104807429

Entity Type:

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

Enumeration Date: November 14, 2005

Last Update: July 01, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1765 Old West Broad St Bldg 2-200

Athens, GA 306062887

Phone: 7065491663

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.