Active NPI 1114121969 Individual Practitioner Male Practitioner

Dr. Michael Richard Berry , MD

Orthopaedic Surgery • Moline, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Berry, MD is a certified Orthopaedic Surgery practicing in Moline, IL. With approximately 21 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2005, Dr. Berry delivers high-quality medical care to the local community at 520 VALLEY VIEW DR.

Dr. Berry is affiliated with Ora Orthopedics Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, gadoterate meglumine, 0.1 ml, established patient outpatient office visit, x-ray of pelvis, 1-2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 Valley View Dr

Moline, IL 612656194

Telephone 3097623621

Fax 3097623690

Associated Practice Facility / Clinic

🏢 Ora Orthopedics Pc Facility NPI 1962481861

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Moline, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -3.6 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

12 Specialists

Practicing in Moline, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berry (21 Years) 21 Yrs

Moline Specialty Average (24.6 Years) 24.6 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
A9575 Injection, gadoterate meglumine, 0.1 ml	3,290	21	$0.78	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	81	$379.00	$119.74
72170 X-ray of pelvis, 1-2 views	66	66	$104.00	$25.67
72110 X-ray of lower and sacral spine, minimum of 4 views	61	61	$177.00	$47.39
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$268.00	$85.97
72100 X-ray of lower and sacral spine, 2-3 views	47	34	$123.00	$36.53
72148 MRI scan of lower spinal canal	39	39	$1097.00	$114.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$544.00	$158.71
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	21	$1140.00	$252.36
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$4419.00	$739.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$168.00	$53.31
72158 Mri scan of lower spinal canal before and after contrast	15	15	$1679.00	$198.46
22633 Fusion of spine in lower back with partial removal of spine bone and disc	15	15	$8044.00	$1772.76
72050 X-ray of upper spine, 4 or 5 views	14	14	$164.00	$48.98
73030 X-ray of shoulder, minimum of 2 views	14	14	$121.00	$32.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$357.00	$106.11
72141 MRI scan of upper spinal canal	14	14	$1154.36	$112.48
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	14	14	$1068.00	$252.02
73564 X-ray of knee, 4 or more views	11	11	$150.00	$43.36
72120 X-ray lower and sacral spine including bending views 2 or 3 views	11	11	$143.00	$37.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	3,480	22	$0.78	$0.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	64	$378.39	$120.62
99213 Established patient office or other outpatient visit, typically 15 minutes	65	56	$264.40	$85.47
72170 X-ray of pelvis, 1-2 views	63	63	$103.05	$26.06
72110 X-ray of lower and sacral spine, minimum of 4 views	59	59	$175.17	$47.51
72100 X-ray of lower and sacral spine, 2-3 views	54	34	$122.78	$37.35
72148 MRI scan of lower spinal canal	43	43	$1111.70	$117.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$542.42	$159.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	28	20	$1137.68	$249.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$357.00	$107.61
72158 Mri scan of lower spinal canal before and after contrast	19	19	$1676.68	$205.90
22633 Fusion of spine in lower back with partial removal of spine bone and disc	17	17	$8021.47	$1775.84
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$4401.93	$746.33
72050 X-ray of upper spine, 4 or 5 views	13	13	$164.00	$49.59
72141 MRI scan of upper spinal canal	13	13	$1160.31	$122.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$163.38	$52.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	81	$229.00	$85.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	83	$336.00	$121.01
72110 X-ray of lower and sacral spine, minimum of 4 views	73	73	$159.00	$48.56
72170 X-ray of pelvis, 1-2 views	69	68	$94.00	$26.44
72100 X-ray of lower and sacral spine, 2-3 views	47	37	$117.00	$37.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$340.00	$108.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$518.00	$160.87
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	19	$1075.00	$244.27
72148 MRI scan of lower spinal canal	20	20	$1130.00	$121.00
22633 Fusion of spine in lower back with partial removal of spine bone and disc	19	19	$7661.00	$1711.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$138.00	$54.25
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	16	$4180.00	$722.06
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	16	14	$713.00	$183.61
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	15	15	$953.00	$246.54
72050 X-ray of upper spine, 4 or 5 views	13	12	$156.00	$50.21
72082 X-ray of entire middle and lower spine, 2-3 views	12	12	$175.00	$66.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	3,250	18	$0.27	$0.16
99213 Established patient office or other outpatient visit, typically 15 minutes	149	126	$229.00	$87.22
72110 X-ray of lower and sacral spine, minimum of 4 views	108	108	$159.00	$47.90
72170 X-ray of pelvis, 1-2 views	104	104	$94.00	$26.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	89	$336.00	$125.12
72100 X-ray of lower and sacral spine, 2-3 views	66	47	$115.76	$36.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$340.00	$108.04
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	29	$1075.00	$251.03
22633 Fusion of spine in lower back with partial removal of spine bone and disc	31	31	$7661.00	$1747.11
72148 MRI scan of lower spinal canal	30	30	$1146.17	$132.97
22840 Placement of stabilizing device to back of 1 spine bone in neck	26	26	$4180.00	$737.99
72040 X-ray of upper spine, 2-3 views	22	16	$116.00	$37.15
72050 X-ray of upper spine, 4 or 5 views	21	21	$156.00	$49.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$138.00	$54.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$518.00	$163.10
72158 Mri scan of lower spinal canal before and after contrast	18	18	$1657.00	$229.89
72120 X-ray lower and sacral spine including bending views 2 or 3 views	13	13	$113.00	$38.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	1,970	13	$0.27	$0.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	110	$336.00	$105.46
72170 X-ray of pelvis, 1-2 views	104	104	$94.00	$27.01
72110 X-ray of lower and sacral spine, minimum of 4 views	101	101	$159.00	$45.79
72100 X-ray of lower and sacral spine, 2-3 views	100	57	$116.18	$36.18
99213 Established patient office or other outpatient visit, typically 15 minutes	84	70	$229.00	$73.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$340.00	$103.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	35	28	$1075.00	$264.02
72148 MRI scan of lower spinal canal	35	35	$1130.00	$133.25
72040 X-ray of upper spine, 2-3 views	26	18	$116.00	$36.22
22633 Fusion of spine in lower back with partial removal of spine bone and disc	26	26	$7734.65	$1875.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$449.00	$138.90
22840 Placement of stabilizing device to back of 1 spine bone in neck	21	21	$4180.00	$781.55
72050 X-ray of upper spine, 4 or 5 views	18	18	$153.39	$45.85
72120 X-ray lower and sacral spine including bending views 2 or 3 views	17	17	$113.00	$37.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$518.00	$161.91
72158 Mri scan of lower spinal canal before and after contrast	11	11	$1721.55	$245.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	4,110	25	$0.27	$0.20
99213 Established patient office or other outpatient visit, typically 15 minutes	153	128	$229.00	$72.10
72100 X-ray of lower and sacral spine, 2-3 views	153	73	$116.23	$34.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	130	$336.00	$104.89
72170 X-ray of pelvis, 1-2 views	136	135	$93.79	$30.41
72110 X-ray of lower and sacral spine, minimum of 4 views	136	135	$158.65	$47.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$340.00	$103.01
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	61	44	$955.00	$252.68
22633 Fusion of spine in lower back with partial removal of spine bone and disc	43	43	$7338.42	$1853.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	36	$138.00	$43.55
72148 MRI scan of lower spinal canal	34	32	$1144.26	$137.36
72040 X-ray of upper spine, 2-3 views	32	24	$116.00	$34.84
63048 Partial removal of spine bone with release of spinal cord and/or nerves	31	17	$1959.00	$215.82
72050 X-ray of upper spine, 4 or 5 views	28	28	$156.00	$48.05
22840 Placement of stabilizing device to back of 1 spine bone in neck	26	26	$3981.00	$763.00
72082 X-ray of entire middle and lower spine, 2-3 views	26	26	$175.00	$61.44
72158 Mri scan of lower spinal canal before and after contrast	24	24	$1716.17	$228.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$449.00	$141.93
22842 Placement of stabilizing device to back, 3-6 spine bone segments	21	21	$4861.00	$745.07
72120 X-ray lower and sacral spine including bending views 2 or 3 views	20	20	$113.00	$39.19
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$5811.00	$948.11
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	16	15	$1958.00	$483.00
72141 MRI scan of upper spinal canal	14	14	$1145.00	$120.48
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$234.00	$74.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	2,170	15	$0.27	$0.21
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	503	221	$65.00	$25.47
97530 Therapy procedure using functional activities	269	147	$72.00	$37.20
72170 X-ray of pelvis, 1-2 views	160	158	$92.54	$31.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	141	$336.00	$107.21
72110 X-ray of lower and sacral spine, minimum of 4 views	142	141	$157.88	$48.06
97140 Therapy procedure using manual technique, each 15 minutes	134	93	$61.00	$22.17
99213 Established patient office or other outpatient visit, typically 15 minutes	132	107	$229.00	$72.56
72100 X-ray of lower and sacral spine, 2-3 views	121	67	$113.48	$33.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$340.00	$109.01
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	92	66	$68.00	$31.23
72148 MRI scan of lower spinal canal	39	39	$1130.00	$139.49
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	22	$955.00	$267.93
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	14	$1959.00	$227.00
72040 X-ray of upper spine, 2-3 views	22	19	$112.27	$31.07
72050 X-ray of upper spine, 4 or 5 views	22	22	$156.00	$41.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$138.00	$43.95
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$7382.86	$1958.94
97162 Evaluation for physical therapy, typically 30 minutes	19	18	$153.00	$85.40
73502 X-ray of hip, 2-3 views	19	11	$109.89	$38.67
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$3981.00	$808.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$424.00	$142.79
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	14	$5811.00	$1010.22
72120 X-ray lower and sacral spine including bending views 2 or 3 views	14	14	$113.00	$37.75
72082 X-ray of entire middle and lower spine, 2-3 views	13	13	$175.00	$61.39
72158 Mri scan of lower spinal canal before and after contrast	13	13	$1657.00	$255.92
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$234.00	$76.06
97161 Evaluation of physical therapy, typically 20 minutes	11	11	$133.00	$85.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	3,290	18	$0.30	$0.21
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	664	267	$65.00	$24.83
97530 Therapy procedure using functional activities	416	225	$72.00	$30.65
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	294	55	$1.99	$0.12
97140 Therapy procedure using manual technique, each 15 minutes	233	137	$61.00	$21.72
72110 X-ray of lower and sacral spine, minimum of 4 views	168	167	$147.00	$41.30
72100 X-ray of lower and sacral spine, 2-3 views	164	85	$108.00	$29.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	138	$336.78	$101.76
99213 Established patient office or other outpatient visit, typically 15 minutes	116	87	$229.00	$70.17
77002 Fluoroscopic guidance for needle placement	100	56	$146.80	$46.67
72170 X-ray of pelvis, 1-2 views	91	91	$90.62	$28.28
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	78	45	$68.00	$27.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$340.00	$103.90
72148 MRI scan of lower spinal canal	43	43	$1141.28	$132.24
97035 Application of ultrasound, each 15 minutes	42	32	$30.00	$10.12
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	25	$955.00	$260.25
97162 Evaluation for physical therapy, typically 30 minutes	30	30	$153.00	$78.35
72040 X-ray of upper spine, 2-3 views	30	19	$102.37	$27.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	26	$449.00	$137.07
97161 Evaluation of physical therapy, typically 20 minutes	26	26	$133.00	$76.33
73552 X-ray of thigh bone, minimum 2 views	25	12	$76.04	$25.46
J1040 Injection, methylprednisolone acetate, 80 mg	24	20	$20.00	$10.70
72050 X-ray of upper spine, 4 or 5 views	24	24	$146.21	$39.28
20610 Aspiration and/or injection of fluid from large joint	23	22	$295.35	$59.26
73564 X-ray of knee, 4 or more views	21	17	$102.24	$26.29
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$312.00	$100.59
22840 Placement of stabilizing device to back of 1 spine bone in neck	19	19	$3981.00	$753.46
72158 Mri scan of lower spinal canal before and after contrast	18	17	$1657.00	$239.44
73502 X-ray of hip, 2-3 views	18	14	$82.44	$27.30
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	12	$1959.00	$215.56
23350 Injection of dye for X-ray imaging of shoulder joint	18	18	$549.00	$123.47
72020 X-ray of spine, 1 view	16	12	$67.13	$17.82
72070 X-ray of middle spine, 2 views	16	13	$86.31	$24.24
22633 Fusion of spine in lower back with partial removal of spine bone and disc	15	15	$7296.00	$1673.74
22612 Fusion of spine in lower back	14	14	$6447.14	$1579.23
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$5922.77	$851.87
J1030 Injection, methylprednisolone acetate, 40 mg	12	11	$10.00	$5.53
73610 X-ray of ankle, minimum of 3 views	12	11	$83.42	$22.66

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036127202

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License MO 2006020074

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License IL 036127202

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License IA 39450

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IA 39450

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

578210011 (IA)

Commercial Insurance / Payer ID Medicare Ptan

209395016 (IL)

Hospital & Practice Group Affiliations

Ora Orthopedics Pc

520 Valley View Dr, Moline, IL 612656194

Phone: 3097623621

Ora Orthopedics Pc

6101 Northwest Blvd, Davenport, IA 528061861

Phone: 5633220971

Ora Orthopedics Pc

900 14th St, De Witt, IA 527421004

Phone: 5636599131

Ora Orthopedics Pc

2900 S 25th St, Clinton, IA 527327250

Phone: 5633220971

Ora Orthopedics Pc

5250 Competition Dr, Bettendorf, IA 527228837

Phone: 5633220971

Practice Associates & Co-Workers

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

37 Associated Practitioners

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Orthopaedic Surgery

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Jennifer Miller

Physician Assistant

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John Van Straten

Anesthesiology - Pain Medicine

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Dr. Steven Boardman , MD

Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Dr. Kevin Hodge , MD

Orthopaedic Surgery

NPI 1184153066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2011

Registered at 520 VALLEY VIEW DR, MOLINE, IL 612656194 (Tel: 3097623621)

📍

Updated Business Mailing Address August 15, 2011

Registered at 520 VALLEY VIEW DR, MOLINE, IL 612656194 (Tel: 3097623621)

👤

Provider Name / Credentials Updated August 15, 2011

Recorded as MICHAEL BERRY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2011

Orthopaedic Surgery (License #036127202 in IL)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1114121969

Entity Type:

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

Enumeration Date: June 14, 2007

Last Update: August 15, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

520 Valley View Dr

Moline, IL 612656194

Phone: 3097623621

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.