Active NPI 1598973992 Individual Practitioner Male Practitioner

Dr. Michael T Daines , MD

Orthopaedic Surgery • Caldwell, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Daines, MD is a certified Orthopaedic Surgery practicing in Caldwell, ID. With approximately 23 years of clinical experience since graduating from University Of Missouri, Columbia School Of Medicine in 2003, Dr. Daines delivers high-quality medical care to the local community at 1906 FAIRVIEW AVE STE 400.

Dr. Daines is affiliated with Orthopedic And Fracture Clinic Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 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

1906 Fairview Ave Ste 400

Caldwell, ID 836055424

Telephone 2084594511

Fax 2084596602

Associated Practice Facility / Clinic

🏢 Orthopedic & Fracture Clinic Pa Facility NPI 1184739351

Medicare Profile & Education

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Caldwell, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -3.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Caldwell, ID (168 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daines (23 Years) 23 Yrs

Caldwell Specialty Average (26.7 Years) 26.7 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
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,248	18	$22.00	$8.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	664	119	$2.00	$0.99
99213 Established patient office or other outpatient visit, typically 15 minutes	345	223	$170.00	$78.02
20610 Aspiration and/or injection of fluid from large joint	150	126	$249.41	$60.01
73030 X-ray of shoulder, minimum of 2 views	126	95	$134.06	$29.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$215.00	$95.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	65	$240.00	$110.39
73562 X-ray of knee, 3 views	70	54	$145.04	$34.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$310.00	$144.37
73502 X-ray of hip, 2-3 views	28	24	$139.00	$38.75
23472 Prosthetic repair of shoulder joint, total shoulder	20	20	$7221.00	$1196.52
27447 Replacement of knee joint, both sides of knee	16	14	$6393.00	$1064.11
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$3389.00	$353.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,088	19	$22.00	$9.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	820	137	$2.00	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	326	225	$156.04	$82.91
20610 Aspiration and/or injection of fluid from large joint	182	139	$241.82	$61.98
73030 X-ray of shoulder, minimum of 2 views	145	112	$136.67	$31.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	114	$222.35	$117.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$215.00	$101.66
73562 X-ray of knee, 3 views	67	54	$149.40	$37.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$306.33	$153.06
73502 X-ray of hip, 2-3 views	40	34	$142.47	$42.06
23472 Prosthetic repair of shoulder joint, total shoulder	32	32	$7221.00	$1300.35
20985 Computer-assisted surgery for muscle and bone procedure	30	29	$451.00	$129.24
27447 Replacement of knee joint, both sides of knee	17	16	$6393.00	$1152.49
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$6399.00	$1153.43
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$862.00	$154.08
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$3389.00	$400.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,088	176	$2.01	$1.14
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	709	19	$22.00	$10.13
20610 Aspiration and/or injection of fluid from large joint	255	174	$220.02	$57.27
99213 Established patient office or other outpatient visit, typically 15 minutes	240	178	$134.23	$83.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	161	$209.00	$118.70
73030 X-ray of shoulder, minimum of 2 views	148	124	$134.80	$31.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$303.00	$154.25
73562 X-ray of knee, 3 views	69	61	$143.00	$37.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$229.08	$103.23
73502 X-ray of hip, 2-3 views	49	43	$139.00	$42.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	44	$110.00	$52.08
23472 Prosthetic repair of shoulder joint, total shoulder	25	24	$6193.94	$1311.44
20985 Computer-assisted surgery for muscle and bone procedure	18	17	$451.00	$130.88
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$3129.95	$375.49
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$1785.04	$156.56
27130 Replacement of thigh bone and hip joint with prosthesis	15	13	$6203.38	$1164.05
27447 Replacement of knee joint, both sides of knee	14	14	$6444.07	$1156.97
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$143.00	$67.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	777	131	$2.00	$1.28
99213 Established patient office or other outpatient visit, typically 15 minutes	259	177	$122.61	$85.76
20610 Aspiration and/or injection of fluid from large joint	191	141	$220.99	$63.38
73030 X-ray of shoulder, minimum of 2 views	100	89	$136.99	$31.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$215.00	$104.46
J1030 Injection, methylprednisolone acetate, 40 mg	84	21	$2.00	$2.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	59	$209.00	$122.12
73562 X-ray of knee, 3 views	55	44	$148.20	$36.87
73502 X-ray of hip, 2-3 views	41	34	$139.00	$42.58
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	24	11	$358.00	$133.90
23472 Prosthetic repair of shoulder joint, total shoulder	22	21	$5387.00	$1344.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$303.00	$152.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$110.00	$52.44
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	13	$2840.00	$161.22
29824 Partial removal of collar bone at shoulder using an endoscope	14	13	$2797.00	$378.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,020	145	$2.00	$1.46
99213 Established patient office or other outpatient visit, typically 15 minutes	327	194	$121.00	$70.56
20610 Aspiration and/or injection of fluid from large joint	282	149	$226.33	$62.53
73030 X-ray of shoulder, minimum of 2 views	112	89	$135.38	$29.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$215.00	$101.35
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	65	16	$358.00	$135.24
73562 X-ray of knee, 3 views	53	46	$145.70	$36.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	45	$209.00	$103.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	32	$110.00	$42.49
73502 X-ray of hip, 2-3 views	33	28	$139.00	$40.97
23472 Prosthetic repair of shoulder joint, total shoulder	24	24	$5387.00	$1378.62
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$2840.00	$167.19
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$2797.00	$446.65
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$6073.00	$1285.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$366.00	$195.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$303.00	$156.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,249	203	$2.00	$1.58
20610 Aspiration and/or injection of fluid from large joint	321	206	$227.47	$59.42
99213 Established patient office or other outpatient visit, typically 15 minutes	308	195	$121.00	$69.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	132	$209.00	$101.26
73030 X-ray of shoulder, minimum of 2 views	147	106	$133.00	$27.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$303.00	$154.37
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	62	17	$358.00	$275.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$215.00	$100.90
73562 X-ray of knee, 3 views	60	43	$143.00	$34.10
73502 X-ray of hip, 2-3 views	47	38	$139.00	$39.42
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	23	23	$2840.00	$161.20
29824 Partial removal of collar bone at shoulder using an endoscope	23	23	$2797.00	$362.93
73110 X-ray of wrist, minimum of 3 views	17	11	$128.00	$33.44
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$5387.00	$1363.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$366.00	$192.44
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$4644.00	$993.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	973	146	$2.00	$1.79
99213 Established patient office or other outpatient visit, typically 15 minutes	427	224	$121.00	$68.26
20610 Aspiration and/or injection of fluid from large joint	259	155	$227.87	$59.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$215.00	$100.11
73030 X-ray of shoulder, minimum of 2 views	135	97	$133.00	$26.93
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	66	18	$358.00	$142.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	43	$110.00	$40.80
73562 X-ray of knee, 3 views	42	36	$143.00	$32.67
73502 X-ray of hip, 2-3 views	38	34	$139.00	$37.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$209.00	$101.07
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	24	23	$2840.00	$164.87
23472 Prosthetic repair of shoulder joint, total shoulder	22	22	$5387.00	$1360.83
29824 Partial removal of collar bone at shoulder using an endoscope	22	21	$2797.00	$364.76
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$6073.00	$1268.11
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$4644.00	$988.45
27447 Replacement of knee joint, both sides of knee	12	11	$6536.00	$1264.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$366.00	$192.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,024	153	$1.84	$1.76
99213 Established patient office or other outpatient visit, typically 15 minutes	419	210	$114.67	$67.56
20610 Aspiration and/or injection of fluid from large joint	259	146	$217.10	$60.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$201.79	$100.10
73030 X-ray of shoulder, minimum of 2 views	136	92	$125.32	$25.95
73562 X-ray of knee, 3 views	54	43	$135.30	$32.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	44	$102.75	$40.07
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	50	15	$336.88	$146.59
73502 X-ray of hip, 2-3 views	45	30	$130.91	$37.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$201.54	$100.28
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$2251.60	$158.70
23472 Prosthetic repair of shoulder joint, total shoulder	15	15	$4995.00	$1354.43
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$2670.07	$319.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$287.18	$129.40

Medical Specialties & State Licenses

CMS Verified: 2024-08-12

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License ID M-10703

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

NUCC Taxonomy Code: 207X00000X

State License IA R-7107

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License CO 48110

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

67920276 (CO)

Commercial Insurance / Payer ID Rr Medicare

P00803999 (CO)

Hospital & Practice Group Affiliations

Orthopedic And Fracture Clinic Pa

3875 E Overland Rd, Meridian, ID 836429005

Phone: 2084594511

Orthopedic And Fracture Clinic Pa

1210 Nw 16th St, Fruitland, ID 836192202

Phone: 2084594511

Orthopedic And Fracture Clinic Pa

1906 Fairview Ave, Caldwell, ID 836055424

Phone: 2084594511

Practice Associates & Co-Workers

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

10 Associated Practitioners

Hodaka Abe , PA

Physician Assistant

NPI 1013299866

Physician Assistant

Thomas Tryon , PA

Physician Assistant

NPI 1205885092

Physician Assistant

Todd Otstot , PA-C

Physician Assistant - Medical

NPI 1275523276

Physician Assistant (Certified)

Dr. Robert Hansen , MD

Orthopaedic Surgery

NPI 1285623702

Doctor of Medicine (M.D.)

Dr. George Nicola , MD

Orthopaedic Surgery

NPI 1427047117

Doctor of Medicine (M.D.)

Craig Jamison , PA-C

Orthopaedic Surgery

NPI 1447248141

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 12, 2024

Registered at 1906 FAIRVIEW AVE STE 400, CALDWELL, ID 836055424 (Tel: 2084594511)

📍

Updated Business Mailing Address August 12, 2024

Registered at 1906 FAIRVIEW AVE STE 400, CALDWELL, ID 836055424 (Tel: 2084594511)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2024

Orthopaedic Surgery (License #R-7107 in IA)

✅

NPI Profile Active March 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2014

Registered at 206 E ELM ST, CALDWELL, ID 836054815 (Tel: 2084594511)

📍

Updated Business Mailing Address March 18, 2014

Registered at 206 E ELM ST, CALDWELL, ID 836054815 (Tel: 2084594511)

👤

Provider Name / Credentials Updated March 18, 2014

Recorded as MICHAEL DAINES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2014

Orthopaedic Surgery (License #M-10703 in ID)

🟢

Initial NPI Registration & Enumeration May 18, 2007

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: 1598973992

Entity Type:

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

Enumeration Date: May 18, 2007

Last Update: August 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1906 Fairview Ave Ste 400

Caldwell, ID 836055424

Phone: 2084594511

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.