Active NPI 1962517656 Individual Practitioner Male Practitioner

Dr. Brian K. Daines , MD

Orthopaedic Surgery • Herrin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Daines, MD is a certified Orthopaedic Surgery practicing in Herrin, IL. With approximately 20 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 2006, Dr. Daines delivers high-quality medical care to the local community at 510 LINCOLN DRIVE.

Dr. Daines is affiliated with Sierra Vista Regional Health Center Medical Group Llc 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

510 Lincoln Drive

Herrin, IL 62948

Telephone 6189976800

Fax 6189971187

Associated Practice Facility / Clinic

🏢 Southern Orthopedic Associates, S.c. Facility NPI 1225021819

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Herrin, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -2.4 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

16 Specialists

Practicing in Herrin, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daines (20 Years) 20 Yrs

Herrin Specialty Average (22.4 Years) 22.4 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
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,264	29	$31.25	$8.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,678	192	$7.89	$0.97
99213 Established patient office or other outpatient visit, typically 15 minutes	725	485	$147.62	$92.16
20610 Aspiration and/or injection of fluid from large joint	360	205	$167.00	$77.48
73562 X-ray of knee, 3 views	151	103	$57.51	$32.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$215.04	$112.02
73564 X-ray of knee, 4 or more views	129	96	$62.26	$36.95
73502 X-ray of hip, 2-3 views	111	81	$65.59	$37.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	84	$216.32	$130.37
27447 Replacement of knee joint, both sides of knee	79	74	$3716.00	$1279.90
20985 Computer-assisted surgery for muscle and bone procedure	72	67	$283.18	$145.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$327.04	$171.63
27130 Replacement of thigh bone and hip joint with prosthesis	46	45	$3479.00	$1259.46
73503 X-ray of hip with pelvis, minimum of 4 views	41	36	$90.11	$46.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$404.24	$162.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,724	206	$4.23	$1.04
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,404	28	$30.47	$8.83
99213 Established patient office or other outpatient visit, typically 15 minutes	794	490	$147.62	$86.34
20610 Aspiration and/or injection of fluid from large joint	374	217	$167.00	$71.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	207	207	$215.04	$108.07
27447 Replacement of knee joint, both sides of knee	73	69	$3716.00	$1242.10
73502 X-ray of hip, 2-3 views	73	52	$71.48	$40.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	46	$216.32	$123.63
73562 X-ray of knee, 3 views	50	40	$60.30	$33.14
27130 Replacement of thigh bone and hip joint with prosthesis	41	39	$3479.00	$1243.50
73564 X-ray of knee, 4 or more views	36	35	$70.86	$42.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$273.54	$126.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$404.24	$161.59
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$2979.00	$1119.21
20985 Computer-assisted surgery for muscle and bone procedure	15	15	$283.18	$139.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$327.04	$161.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,182	154	$3.00	$1.15
99213 Established patient office or other outpatient visit, typically 15 minutes	793	445	$147.62	$87.94
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	692	22	$30.00	$10.16
20610 Aspiration and/or injection of fluid from large joint	361	209	$167.00	$74.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	202	202	$215.04	$109.17
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	124	85	$7.31	$4.17
73562 X-ray of knee, 3 views	87	72	$57.51	$31.11
27447 Replacement of knee joint, both sides of knee	61	57	$3716.00	$1258.83
27130 Replacement of thigh bone and hip joint with prosthesis	61	59	$3479.00	$1263.58
73564 X-ray of knee, 4 or more views	57	54	$63.74	$35.83
73503 X-ray of hip with pelvis, minimum of 4 views	47	43	$90.67	$44.92
73502 X-ray of hip, 2-3 views	44	41	$67.25	$37.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$216.32	$125.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$273.54	$131.57
73523 X-ray of both hips, minimum of 5 views	14	12	$83.85	$45.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$327.04	$163.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,093	17	$93.08	$17.23
99213 Established patient office or other outpatient visit, typically 15 minutes	906	495	$147.62	$89.22
20610 Aspiration and/or injection of fluid from large joint	392	204	$167.00	$61.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	269	269	$215.04	$109.94
J1030 Injection, methylprednisolone acetate, 40 mg	199	117	$9.85	$5.59
73564 X-ray of knee, 4 or more views	192	150	$62.00	$33.51
73502 X-ray of hip, 2-3 views	177	142	$65.12	$34.27
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	169	110	$7.14	$4.14
73562 X-ray of knee, 3 views	131	98	$57.08	$30.05
27447 Replacement of knee joint, both sides of knee	61	58	$3716.00	$1276.77
27130 Replacement of thigh bone and hip joint with prosthesis	46	43	$3479.00	$1278.37
73501 X-ray of hip with pelvis, 1 view	34	34	$63.00	$22.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$273.54	$130.44
73030 X-ray of shoulder, minimum of 2 views	20	17	$42.00	$24.19
73110 X-ray of wrist, minimum of 3 views	18	11	$57.61	$31.30
J1040 Injection, methylprednisolone acetate, 80 mg	15	14	$19.29	$10.60
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$2416.23	$1004.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	495	349	$147.62	$73.54
20610 Aspiration and/or injection of fluid from large joint	397	185	$167.00	$55.98
73502 X-ray of hip, 2-3 views	364	174	$48.45	$25.87
73564 X-ray of knee, 4 or more views	350	187	$46.76	$25.16
J1030 Injection, methylprednisolone acetate, 40 mg	345	166	$9.90	$6.06
73562 X-ray of knee, 3 views	241	115	$43.16	$22.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	218	218	$215.04	$106.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	130	$216.32	$107.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	81	$89.50	$44.61
27447 Replacement of knee joint, both sides of knee	69	67	$3716.00	$1365.20
27130 Replacement of thigh bone and hip joint with prosthesis	55	50	$3479.00	$1357.25
73110 X-ray of wrist, minimum of 3 views	53	15	$41.79	$22.46
73030 X-ray of shoulder, minimum of 2 views	52	22	$31.27	$18.13
73610 X-ray of ankle, minimum of 3 views	52	14	$34.46	$18.73
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	40	30	$7.31	$4.22
64450 Injection of anesthetic agent, other peripheral nerve or branch	30	30	$201.00	$21.45
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$151.62	$74.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$273.54	$137.07
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$202.30	$96.54
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	15	11	$1550.00	$767.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	929	505	$136.19	$72.10
73502 X-ray of hip, 2-3 views	493	181	$42.49	$24.05
73562 X-ray of knee, 3 views	453	159	$38.64	$21.07
73564 X-ray of knee, 4 or more views	451	248	$51.44	$27.99
20610 Aspiration and/or injection of fluid from large joint	301	185	$167.55	$62.78
J1030 Injection, methylprednisolone acetate, 40 mg	299	170	$9.08	$6.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	255	255	$207.97	$105.06
27447 Replacement of knee joint, both sides of knee	80	74	$3716.00	$1336.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	60	$210.20	$106.56
73030 X-ray of shoulder, minimum of 2 views	66	24	$31.94	$17.81
73110 X-ray of wrist, minimum of 3 views	66	17	$36.91	$19.43
64450 Injection of anesthetic agent, other peripheral nerve or branch	57	56	$199.79	$21.95
73610 X-ray of ankle, minimum of 3 views	45	12	$34.13	$19.17
27130 Replacement of thigh bone and hip joint with prosthesis	45	42	$3479.00	$1325.41
73522 X-ray of both hips, 3-4 views	38	21	$29.39	$25.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	31	$246.39	$134.93
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	33	20	$1550.00	$1057.40
73130 X-ray of hand, minimum of 3 views	26	12	$35.54	$18.74
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	26	20	$7.31	$4.39
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$197.77	$94.73
27245 Treatment of broken neck of thigh bone with bone implant	18	16	$2979.00	$1224.48
27447 Replacement of knee joint, both sides of knee	15	15	$3716.00	$1348.46
64450 Injection of anesthetic agent, other peripheral nerve or branch	11	11	$201.00	$37.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,139	553	$109.00	$68.79
73502 X-ray of hip, 2-3 views	378	194	$62.00	$39.07
J1030 Injection, methylprednisolone acetate, 40 mg	289	145	$6.00	$5.88
73564 X-ray of knee, 4 or more views	284	224	$66.93	$37.46
20610 Aspiration and/or injection of fluid from large joint	269	166	$183.14	$62.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	180	180	$162.00	$102.40
73562 X-ray of knee, 3 views	174	101	$56.00	$33.52
27130 Replacement of thigh bone and hip joint with prosthesis	60	57	$3479.00	$1286.37
27447 Replacement of knee joint, both sides of knee	56	54	$3716.00	$1288.14
73030 X-ray of shoulder, minimum of 2 views	44	28	$47.00	$27.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$212.00	$130.27
73610 X-ray of ankle, minimum of 3 views	29	11	$50.00	$29.87
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	29	22	$1550.00	$799.45
73110 X-ray of wrist, minimum of 3 views	29	17	$56.00	$33.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$156.00	$102.06
73521 X-ray of both hips, 2 views	18	18	$80.00	$35.29
72170 X-ray of pelvis, 1-2 views	17	13	$40.00	$29.44
J1040 Injection, methylprednisolone acetate, 80 mg	16	11	$10.00	$9.85
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$2979.00	$1176.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	908	447	$109.00	$65.93
20610 Aspiration and/or injection of fluid from large joint	266	169	$174.91	$56.21
73502 X-ray of hip, 2-3 views	264	129	$62.56	$37.65
J1030 Injection, methylprednisolone acetate, 40 mg	252	152	$6.00	$5.67
73564 X-ray of knee, 4 or more views	234	185	$66.00	$36.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$162.00	$97.94
73562 X-ray of knee, 3 views	158	81	$56.00	$32.14
73030 X-ray of shoulder, minimum of 2 views	61	39	$47.77	$26.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	59	$156.00	$99.63
73110 X-ray of wrist, minimum of 3 views	54	20	$56.00	$32.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	51	$212.00	$124.73
27130 Replacement of thigh bone and hip joint with prosthesis	35	33	$3479.00	$1245.75
73610 X-ray of ankle, minimum of 3 views	27	11	$50.00	$28.57
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	26	19	$1550.00	$859.19
27447 Replacement of knee joint, both sides of knee	25	25	$3716.00	$1245.56
27447 Replacement of knee joint, both sides of knee	24	24	$3716.00	$1204.43
72170 X-ray of pelvis, 1-2 views	21	14	$40.00	$29.03
73130 X-ray of hand, minimum of 3 views	17	11	$49.00	$27.95
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$2979.00	$1113.27

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036.131162

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License WA ML20008529

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036131162 (IL)

Hospital & Practice Group Affiliations

Sierra Vista Regional Health Center Medical Group Llc

5750 E Hwy 90, Sierra Vista, AZ 856359113

Phone: 5202633500

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Physician Assistant

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Physician Assistant (Certified)

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Dr. James Davis , MD

Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Jared Jones

Physical Therapist

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Dr. John Wood , MD

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Doctor of Medicine (M.D.)

Hollis Clark , PA-C

Physician Assistant

NPI 1154659894

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2014

Registered at 510 LINCOLN DRIVE, HERRIN, IL 62948 (Tel: 6189976800)

📍

Updated Business Mailing Address February 27, 2014

Registered at 510 LINCOLN DRIVE, HERRIN, IL 62948 (Tel: 6189976800)

👤

Provider Name / Credentials Updated February 27, 2014

Recorded as BRIAN DAINES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2014

Orthopaedic Surgery (License #036.131162 in IL)

🟢

Initial NPI Registration & Enumeration August 20, 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: 1962517656

Entity Type:

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

Enumeration Date: August 20, 2006

Last Update: February 27, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

510 Lincoln Drive

Herrin, IL 62948

Phone: 6189976800

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.