Active NPI 1295901262 Individual Practitioner Male Practitioner

Dr. Kristopher Scott Wheeler , MD

Orthopaedic Surgery • Demorest, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kristopher Wheeler, MD is a certified Orthopaedic Surgery practicing in Demorest, GA. With approximately 18 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 2008, Dr. Wheeler delivers high-quality medical care to the local community at 247 ADAMS DRIVE.

Dr. Wheeler maintains professional affiliations with Northeast Georgia Physicians Group Inc, Georgialina Physical Therapy Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

247 Adams Drive

Demorest, GA 305353053

Telephone 7068394096

Fax 7068394097

Associated Practice Facility / Clinic

🏢 The Hospital Authority Of Habersham County Facility NPI 1689016883

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Demorest, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs Matches City Avg

City Avg: 18.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Demorest, GA (797 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wheeler (18 Years) 18 Yrs

Demorest Specialty Average (18.0 Years) 18.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	11,580	98	$1.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	155	$235.00	$118.15
20610 Aspiration and/or injection of fluid from large joint	191	116	$314.08	$66.19
99213 Established patient office or other outpatient visit, typically 15 minutes	138	106	$157.00	$82.71
73564 X-ray of knee, 4 or more views	104	103	$185.78	$40.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$362.00	$153.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$236.00	$103.98
73030 X-ray of shoulder, minimum of 2 views	69	59	$131.52	$31.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	63	$95.88	$52.20
72170 X-ray of pelvis, 1-2 views	59	53	$93.00	$24.64
J1040 Injection, methylprednisolone acetate, 80 mg	50	38	$22.00	$9.70
73560 X-ray of knee, 1-2 views	37	30	$98.00	$29.73
27447 Replacement of knee joint, both sides of knee	26	24	$5110.00	$1182.78
73130 X-ray of hand, minimum of 3 views	24	19	$105.00	$30.98
73100 X-ray of wrist, 2 views	22	12	$109.09	$30.18
73610 X-ray of ankle, minimum of 3 views	19	11	$108.00	$32.66
73110 X-ray of wrist, minimum of 3 views	18	15	$127.00	$35.42
20550 Injection into tendon or ligament	16	12	$222.75	$47.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$309.00	$123.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,968	26	$29.88	$9.22
20610 Aspiration and/or injection of fluid from large joint	239	144	$252.28	$63.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	162	$226.38	$119.81
J1040 Injection, methylprednisolone acetate, 80 mg	215	122	$21.05	$11.68
99213 Established patient office or other outpatient visit, typically 15 minutes	150	128	$157.64	$84.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$345.60	$154.38
73564 X-ray of knee, 4 or more views	105	95	$137.76	$41.39
73030 X-ray of shoulder, minimum of 2 views	72	53	$109.28	$31.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	60	$126.48	$52.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$222.28	$105.09
J1030 Injection, methylprednisolone acetate, 40 mg	49	21	$12.83	$7.15
73560 X-ray of knee, 1-2 views	42	33	$86.79	$31.05
72170 X-ray of pelvis, 1-2 views	35	32	$112.29	$25.49
73130 X-ray of hand, minimum of 3 views	24	18	$94.46	$33.45
73610 X-ray of ankle, minimum of 3 views	23	12	$92.26	$31.92
73630 X-ray of foot, minimum of 3 views	20	14	$90.20	$31.13
27447 Replacement of knee joint, both sides of knee	15	15	$4450.80	$1221.94
29827 Repair of shoulder rotator cuff using an endoscope	14	13	$3613.86	$1017.11
73502 X-ray of hip, 2-3 views	12	11	$114.53	$42.44
73110 X-ray of wrist, minimum of 3 views	12	11	$105.00	$37.05
20610 Aspiration and/or injection of fluid from large joint	12	12	$189.50	$21.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	992	17	$31.21	$10.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	154	$237.34	$120.11
J1040 Injection, methylprednisolone acetate, 80 mg	199	108	$20.00	$10.96
20610 Aspiration and/or injection of fluid from large joint	194	102	$203.64	$58.98
99213 Established patient office or other outpatient visit, typically 15 minutes	118	92	$184.93	$85.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$360.38	$157.98
73564 X-ray of knee, 4 or more views	103	79	$133.98	$42.22
73030 X-ray of shoulder, minimum of 2 views	72	47	$97.25	$31.54
73560 X-ray of knee, 1-2 views	58	39	$84.50	$31.35
20610 Aspiration and/or injection of fluid from large joint	50	45	$189.50	$22.62
72170 X-ray of pelvis, 1-2 views	45	38	$154.00	$25.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$235.94	$104.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$127.49	$52.98
73130 X-ray of hand, minimum of 3 views	26	19	$89.86	$32.34
27447 Replacement of knee joint, both sides of knee	22	20	$3150.00	$1229.70
73100 X-ray of wrist, 2 views	20	11	$52.25	$31.25
73630 X-ray of foot, minimum of 3 views	17	12	$92.00	$31.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$162.23	$67.86
73610 X-ray of ankle, minimum of 3 views	15	13	$74.00	$33.99
73110 X-ray of wrist, minimum of 3 views	14	11	$80.29	$37.76
20550 Injection into tendon or ligament	13	11	$157.50	$37.62
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$122.25	$36.79
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$2365.00	$1172.25

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	200	124	$244.73	$123.68
J1040 Injection, methylprednisolone acetate, 80 mg	134	80	$20.00	$10.62
20610 Aspiration and/or injection of fluid from large joint	116	76	$220.54	$64.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$360.38	$160.69
99213 Established patient office or other outpatient visit, typically 15 minutes	85	64	$184.93	$86.94
73564 X-ray of knee, 4 or more views	62	51	$104.84	$42.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	40	$97.07	$53.04
73030 X-ray of shoulder, minimum of 2 views	40	32	$97.25	$31.47
20610 Aspiration and/or injection of fluid from large joint	33	29	$189.50	$22.30
72170 X-ray of pelvis, 1-2 views	32	29	$154.00	$25.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$235.94	$106.96
73560 X-ray of knee, 1-2 views	27	23	$84.50	$30.53
73502 X-ray of hip, 2-3 views	16	14	$83.12	$40.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$162.23	$69.23
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$122.25	$36.55
27447 Replacement of knee joint, both sides of knee	12	11	$3150.00	$1248.42
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$2300.00	$1157.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,655	106	$5.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	389	236	$116.00	$71.64
20610 Aspiration and/or injection of fluid from large joint	120	90	$204.25	$63.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$175.00	$103.13
73564 X-ray of knee, 4 or more views	108	85	$149.00	$39.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	82	$175.00	$104.68
73030 X-ray of shoulder, minimum of 2 views	68	53	$132.00	$30.63
73560 X-ray of knee, 1-2 views	43	31	$112.00	$30.89
73502 X-ray of hip, 2-3 views	38	36	$130.00	$41.75
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	31	30	$324.19	$94.03
73110 X-ray of wrist, minimum of 3 views	29	15	$116.00	$34.53
73610 X-ray of ankle, minimum of 3 views	26	17	$128.00	$31.31
73630 X-ray of foot, minimum of 3 views	26	19	$118.00	$30.30
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	25	19	$2000.00	$1168.12
73130 X-ray of hand, minimum of 3 views	21	14	$124.00	$32.13
73552 X-ray of thigh bone, minimum 2 views	20	11	$124.00	$31.92
27447 Replacement of knee joint, both sides of knee	18	18	$6968.00	$1356.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$258.00	$136.03
73221 Mri scan of arm joint without contrast	16	15	$1712.00	$213.31
73721 Mri scan of leg joint without contrast	14	14	$1654.00	$212.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$265.00	$159.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	4,065	154	$5.00	$0.11
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,776	28	$25.00	$11.32
99213 Established patient office or other outpatient visit, typically 15 minutes	639	374	$116.34	$70.83
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	183	135	$315.57	$94.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	161	161	$176.24	$103.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	127	$175.75	$103.66
73564 X-ray of knee, 4 or more views	141	118	$149.53	$38.09
73030 X-ray of shoulder, minimum of 2 views	94	78	$132.00	$28.17
73502 X-ray of hip, 2-3 views	81	72	$130.00	$39.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	46	$258.00	$135.15
20610 Aspiration and/or injection of fluid from large joint	46	37	$206.52	$64.46
73560 X-ray of knee, 1-2 views	41	32	$112.00	$30.02
73610 X-ray of ankle, minimum of 3 views	39	29	$128.00	$29.67
80305 Testing for presence of drug, read by direct observation	37	37	$50.00	$12.02
73130 X-ray of hand, minimum of 3 views	36	28	$124.00	$30.17
73110 X-ray of wrist, minimum of 3 views	34	21	$116.00	$33.94
73630 X-ray of foot, minimum of 3 views	33	23	$118.00	$29.11
73552 X-ray of thigh bone, minimum 2 views	27	18	$124.00	$30.27
73721 Mri scan of leg joint without contrast	26	26	$1654.00	$217.33
73080 X-ray of elbow, minimum of 3 views	25	18	$127.00	$27.82
73221 Mri scan of arm joint without contrast	24	24	$1712.00	$217.28
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	$159.34
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$138.00	$34.12
27447 Replacement of knee joint, both sides of knee	18	17	$6968.00	$1359.02
72040 X-ray of upper spine, 2-3 views	15	15	$126.00	$34.13
23430 Anchoring of biceps tendon	12	12	$2754.00	$418.11
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$3586.00	$174.76
73562 X-ray of knee, 3 views	12	12	$128.00	$34.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	4,014	152	$5.00	$0.12
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,256	33	$25.00	$11.73
99213 Established patient office or other outpatient visit, typically 15 minutes	611	343	$116.00	$68.98
20610 Aspiration and/or injection of fluid from large joint	166	121	$202.02	$60.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	138	$175.00	$101.45
73564 X-ray of knee, 4 or more views	164	148	$149.00	$36.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$175.00	$101.60
73030 X-ray of shoulder, minimum of 2 views	105	80	$132.00	$26.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	73	62	$332.88	$96.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	58	$258.00	$133.68
73502 X-ray of hip, 2-3 views	55	54	$130.00	$37.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$265.00	$153.63
73560 X-ray of knee, 1-2 views	48	34	$112.00	$28.28
80305 Testing for presence of drug, read by direct observation	46	46	$50.00	$13.19
73610 X-ray of ankle, minimum of 3 views	43	23	$128.00	$28.54
73630 X-ray of foot, minimum of 3 views	40	31	$118.00	$25.81
73552 X-ray of thigh bone, minimum 2 views	32	19	$124.00	$27.05
73130 X-ray of hand, minimum of 3 views	26	18	$124.00	$28.14
73562 X-ray of knee, 3 views	24	23	$128.00	$32.94
73110 X-ray of wrist, minimum of 3 views	23	18	$116.00	$29.18
73721 Mri scan of leg joint without contrast	22	21	$1654.00	$219.60
73080 X-ray of elbow, minimum of 3 views	22	17	$127.00	$28.19
27245 Treatment of broken neck of thigh bone with bone implant	19	19	$5111.00	$1173.90
73100 X-ray of wrist, 2 views	16	11	$102.00	$28.99
73221 Mri scan of arm joint without contrast	16	16	$1712.00	$219.71
27447 Replacement of knee joint, both sides of knee	13	13	$6968.00	$1343.41
72040 X-ray of upper spine, 2-3 views	13	13	$126.00	$30.91
20551 Injection into tendon at attachment to bone or muscle	12	11	$164.00	$50.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$316.00	$198.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,922	111	$5.00	$0.11
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	720	11	$25.00	$12.36
99213 Established patient office or other outpatient visit, typically 15 minutes	495	274	$116.00	$68.66
20610 Aspiration and/or injection of fluid from large joint	141	99	$196.74	$58.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	109	$175.00	$100.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$175.00	$99.86
73564 X-ray of knee, 4 or more views	122	100	$149.00	$36.18
73030 X-ray of shoulder, minimum of 2 views	82	59	$132.00	$24.50
73560 X-ray of knee, 1-2 views	57	34	$112.00	$28.27
73100 X-ray of wrist, 2 views	34	16	$102.00	$24.86
73610 X-ray of ankle, minimum of 3 views	32	15	$128.00	$27.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$265.00	$153.72
73630 X-ray of foot, minimum of 3 views	30	24	$118.00	$25.49
73502 X-ray of hip, 2-3 views	29	24	$130.00	$36.76
73501 X-ray of hip with pelvis, 1 view	28	26	$104.00	$25.42
73552 X-ray of thigh bone, minimum 2 views	26	17	$124.00	$28.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$258.00	$132.84
73110 X-ray of wrist, minimum of 3 views	24	19	$116.00	$31.46
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	17	$300.00	$88.87
73130 X-ray of hand, minimum of 3 views	18	13	$124.00	$28.31
27447 Replacement of knee joint, both sides of knee	17	15	$6968.00	$1283.38
72170 X-ray of pelvis, 1-2 views	16	14	$119.00	$29.24
73221 Mri scan of arm joint without contrast	11	11	$1712.00	$208.46

Medical Specialties & State Licenses

CMS Verified: 2023-06-14

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License GA 70008

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.

Hospital & Practice Group Affiliations

Northeast Georgia Physicians Group Inc

743 Spring Nest, Gainesville, GA 305013715

Phone: 7702196000

Georgialina Physical Therapy Associates Llc

1321 Interstate Pkwy, Augusta, GA 309095626

Phone: 7069450810

Secondary Practice Locations

3200 Downwood Cir Nw Ste 500

Atlanta, GA 303271659

Phone: 4043524500

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. William Mclean , DO

Orthopaedic Surgery

NPI 1427024173

Doctor of Osteopathic Medicine (D.O.)

Amanda Pipkin , PA

Physician Assistant - Surgical

NPI 1841464732

Physician Assistant

Dr. Gary Mccarthy , MD

Orthopaedic Surgery

NPI 1881604056

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address June 14, 2023

Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)

📍

Updated Business Mailing Address March 10, 2021

Registered at PO BOX 657, DEMOREST, GA 305350657 (Tel: 7068394096)

📍

Updated Practice Location March 04, 2021

Registered at 247 ADAMS DRIVE, DEMOREST, GA 305353053 (Tel: 7068394096)

📍

Updated Business Mailing Address March 04, 2021

Registered at PO BOX 37, DEMOREST, GA 305350037 (Tel: 7068394096)

✅

NPI Profile Active December 01, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2014

Registered at 3200 DOWNWOOD CIR NW STE 500, ATLANTA, GA 303271659 (Tel: 4043524500)

📍

Updated Business Mailing Address December 01, 2014

Registered at 1240 JESSE JEWELL PKWY SE, STE 300, GAINESVILLE, GA 305013862 (Tel: 7705347200)

👤

Provider Name / Credentials Updated December 01, 2014

Recorded as KRISTOPHER WHEELER, M.D.

🎓

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

Orthopaedic Surgery (License #70008 in GA)

🟢

Initial NPI Registration & Enumeration April 30, 2008

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: 1295901262

Entity Type:

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

Enumeration Date: April 30, 2008

Last Update: June 14, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 742616

Atlanta, GA 303742616

Phone: 7702198420

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.