Active NPI 1073565784 Individual Practitioner Male Practitioner

Dr. Michael C Moran , MD

Orthopaedic Surgery • Champaign, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Moran, MD is a certified Orthopaedic Surgery practicing in Champaign, IL. With approximately 41 years of clinical experience since graduating from Rush Medical College Of Rush University in 1985, Dr. Moran delivers high-quality medical care to the local community at 1802 S. MATTIS AVENUE.

Dr. Moran is affiliated with Carle Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1802 S. Mattis Avenue
Orthopedics

Champaign, IL 61821

Telephone 2173837676

Fax 2173834910

Associated Practice Facility / Clinic

🏢 Carle Arbours, Inc. Facility NPI 1083605810

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Champaign, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +19.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

13 Specialists

Practicing in Champaign, IL (1064 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moran (41 Years) 41 Yrs

Champaign Specialty Average (21.1 Years) 21.1 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$594.89	$126.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	31	$299.00	$94.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	32	$544.00	$139.66
27447 Replacement of knee joint, both sides of knee	11	11	$14537.95	$1270.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$395.00	$80.08

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	41	37	$246.95	$96.66
27447 Replacement of knee joint, both sides of knee	13	13	$14740.00	$1295.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$416.67	$141.84

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	161	117	$257.05	$96.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	50	$432.14	$143.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$365.32	$81.19
27447 Replacement of knee joint, both sides of knee	23	22	$15161.52	$1301.35
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$21191.67	$1305.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$525.88	$135.07
20610 Aspiration and/or injection of fluid from large joint	12	11	$425.00	$51.36

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	161	120	$241.02	$99.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	39	$430.64	$147.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$350.00	$84.32
27447 Replacement of knee joint, both sides of knee	18	18	$15163.61	$1317.15
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$20989.41	$1330.59
20610 Aspiration and/or injection of fluid from large joint	17	14	$420.59	$53.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$450.91	$137.01

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	128	101	$234.65	$79.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	48	$394.70	$109.73
27447 Replacement of knee joint, both sides of knee	29	28	$14016.64	$1417.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$340.00	$75.50
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$18149.44	$1347.13
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$445.00	$103.96

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	187	156	$219.20	$78.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$357.50	$111.26
27447 Replacement of knee joint, both sides of knee	36	34	$12973.13	$1394.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$330.00	$75.68
27130 Replacement of thigh bone and hip joint with prosthesis	26	26	$17557.69	$1395.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$452.19	$129.73
20610 Aspiration and/or injection of fluid from large joint	16	12	$438.44	$57.55

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	238	165	$211.76	$77.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	62	$373.23	$109.86
27447 Replacement of knee joint, both sides of knee	45	42	$12888.33	$1372.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	40	$210.00	$51.93
20610 Aspiration and/or injection of fluid from large joint	32	22	$359.53	$51.19
27130 Replacement of thigh bone and hip joint with prosthesis	27	27	$17983.33	$1373.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$315.19	$76.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$470.00	$128.37

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	331	223	$197.33	$77.36
20610 Aspiration and/or injection of fluid from large joint	73	53	$349.04	$52.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$305.00	$76.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	47	$342.00	$109.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	46	43	$200.00	$51.75
27447 Replacement of knee joint, both sides of knee	28	26	$12647.14	$1369.66
27130 Replacement of thigh bone and hip joint with prosthesis	20	19	$17222.50	$1365.54

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036084080

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

036084080 (IL)

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012500

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

516 W Madison St, Danville, IL 618325657

Carle Health Care Incorporated

2300 S 1st St, Champaign, IL 618207661

Phone: 2173839400

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Kenneth Dols , MD

Orthopaedic Surgery

NPI 1134147200

Doctor of Medicine (M.D.)

Dr. Robert Born , DPM

Podiatrist

NPI 1134170590

Doctor of Podiatric Medicine

Steven Burger , PA

Physician Assistant

NPI 1457485757

Physician Assistant

James Berkes , PA

Physician Assistant

NPI 1528146883

Physician Assistant

Dr. Scott Kline , MD

Orthopaedic Surgery

NPI 1578589834

Doctor of Medicine (M.D.)

Katherine Stout , NP

Nurse Practitioner

NPI 1669616611

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 07, 2014

Registered at 1802 S. MATTIS AVENUE, ORTHOPEDICS, CHAMPAIGN, IL 61821 (Tel: 2173837676)

📍

Updated Business Mailing Address May 07, 2014

Registered at 611 W PARK ST, BWPC, URBANA, IL 618012529 (Tel: 2173836792)

👤

Provider Name / Credentials Updated May 07, 2014

Recorded as MICHAEL MORAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2014

Orthopaedic Surgery (License #036084080 in IL)

🟢

Initial NPI Registration & Enumeration May 17, 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: 1073565784

Entity Type:

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

Enumeration Date: May 17, 2006

Last Update: May 07, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W Park St, Bwpc

Urbana, IL 618012529

Phone: 2173836792

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.