Active NPI 1679730832 Individual Practitioner Male Practitioner

Dr. Micah W Smith , MD

Orthopaedic Surgery • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Micah Smith, MD is a certified Orthopaedic Surgery practicing in Fort Wayne, IN. With approximately 19 years of clinical experience since graduating from Indiana University School Of Medicine in 2007, Dr. Smith delivers high-quality medical care to the local community at 5050 N CLINTON ST.

Dr. Smith maintains professional affiliations with Rci (Wrs) Llc, Orthopaedics Northeast Pc, Parkview Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5050 N Clinton St

Fort Wayne, IN 468255886

Telephone 2604848551

Fax 2604825060

Associated Practice Facility / Clinic

🏢 Orthopaedics Northeast Pc Facility NPI 1740268796

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fort Wayne, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +1.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

47 Specialists

Practicing in Fort Wayne, IN (530 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (19 Years) 19 Yrs

Fort Wayne Specialty Average (17.8 Years) 17.8 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	820	63	$21.57	$0.94
99213 Established patient office or other outpatient visit, typically 15 minutes	248	193	$249.00	$83.01
72110 X-ray of lower and sacral spine, minimum of 4 views	159	137	$165.00	$46.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	89	$368.00	$116.51
72100 X-ray of lower and sacral spine, 2-3 views	90	59	$118.00	$36.57
72050 X-ray of upper spine, 4 or 5 views	71	64	$152.00	$48.43
22614 Fusion of additional segment of spine	66	26	$1348.00	$339.93
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	64	39	$876.00	$222.83
20552 Injections of trigger points in 1 or 2 muscles	58	44	$190.00	$46.93
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$254.00	$66.90
72040 X-ray of upper spine, 2-3 views	39	22	$111.00	$36.25
20939 Harvest of bone marrow for spine surgery graft	33	32	$409.09	$82.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$147.00	$52.37
72082 X-ray of entire middle and lower spine, 2-3 views	28	24	$210.00	$64.01
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	23	$2629.00	$663.14
63048 Partial removal of spine bone with release of spinal cord and/or nerves	21	15	$728.00	$183.32
22845 Placement of stabilizing device to front, 2-3 spine bone segments	21	21	$2513.00	$620.40
22840 Placement of stabilizing device to back of 1 spine bone in neck	21	19	$2621.00	$659.70
22612 Fusion of spine in lower back	21	21	$5649.86	$1339.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$368.00	$103.14
72202 X-ray of joint between lower spine and hip bone, 3 or more views	18	11	$110.00	$36.03
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	17	17	$5611.76	$963.30
27279 Fusion of pelvic joint using imaging guidance	16	13	$2366.00	$696.02
61783 Computer-assisted spinal procedure	15	15	$743.00	$199.88
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	15	15	$6145.60	$1410.61
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$6919.14	$1294.59
20610 Aspiration and/or injection of fluid from large joint	13	13	$252.31	$66.20
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3772.00	$677.10
72070 X-ray of middle spine, 2 views	11	11	$113.00	$30.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	690	66	$17.00	$1.04
99213 Established patient office or other outpatient visit, typically 15 minutes	290	201	$249.00	$84.57
72110 X-ray of lower and sacral spine, minimum of 4 views	154	134	$165.00	$48.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	83	$368.00	$117.52
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	85	40	$876.00	$228.95
72082 X-ray of entire middle and lower spine, 2-3 views	69	60	$210.00	$65.78
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$254.00	$68.15
72050 X-ray of upper spine, 4 or 5 views	68	59	$152.00	$50.01
72100 X-ray of lower and sacral spine, 2-3 views	62	48	$118.00	$37.50
20552 Injections of trigger points in 1 or 2 muscles	56	49	$190.00	$49.29
22614 Fusion of additional segment of spine	53	20	$1348.00	$349.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$147.00	$53.20
72040 X-ray of upper spine, 2-3 views	34	24	$111.00	$37.17
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	24	15	$518.00	$205.12
20939 Harvest of bone marrow for spine surgery graft	23	22	$352.17	$78.25
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	20	$2629.00	$683.25
20610 Aspiration and/or injection of fluid from large joint	21	20	$224.52	$57.87
22633 Fusion of spine in lower back with partial removal of spine bone and disc	20	18	$6510.80	$1515.84
61783 Computer-assisted spinal procedure	19	19	$743.00	$205.61
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	17	17	$5300.00	$870.76
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	16	15	$692.00	$231.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$368.00	$105.37
27279 Fusion of pelvic joint using imaging guidance	16	11	$2366.00	$753.79
72070 X-ray of middle spine, 2 views	14	13	$113.00	$30.93
22612 Fusion of spine in lower back	14	14	$5649.86	$1233.10
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$2513.00	$611.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	308	37	$17.00	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	247	180	$244.00	$85.13
72110 X-ray of lower and sacral spine, minimum of 4 views	164	143	$162.00	$47.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	110	$361.00	$120.42
22614 Fusion of additional segment of spine	77	21	$1322.00	$353.59
72100 X-ray of lower and sacral spine, 2-3 views	72	45	$116.00	$37.67
72050 X-ray of upper spine, 4 or 5 views	53	50	$149.00	$49.57
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$249.00	$67.56
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	47	32	$859.00	$233.52
97750 Test or measurement for functional capacity, each 15 minutes	38	18	$111.00	$27.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	36	$144.00	$53.21
72082 X-ray of entire middle and lower spine, 2-3 views	37	25	$206.00	$66.31
20610 Aspiration and/or injection of fluid from large joint	31	27	$220.45	$61.98
72040 X-ray of upper spine, 2-3 views	28	18	$109.00	$36.01
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	13	$714.00	$190.55
22612 Fusion of spine in lower back	23	22	$5696.78	$1460.73
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	21	$2577.00	$690.22
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	20	20	$5260.95	$858.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$361.00	$98.03
20552 Injections of trigger points in 1 or 2 muscles	13	12	$186.00	$48.81
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$2570.00	$689.79
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3698.00	$588.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	264	37	$14.29	$1.24
99213 Established patient office or other outpatient visit, typically 15 minutes	234	175	$219.82	$86.78
72110 X-ray of lower and sacral spine, minimum of 4 views	143	126	$147.53	$47.18
22614 Fusion of additional segment of spine	108	29	$1202.00	$360.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	79	$328.00	$120.20
72100 X-ray of lower and sacral spine, 2-3 views	65	52	$105.92	$36.21
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	57	33	$781.00	$229.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	51	$131.00	$51.80
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$226.00	$68.59
72050 X-ray of upper spine, 4 or 5 views	51	47	$135.04	$47.42
72082 X-ray of entire middle and lower spine, 2-3 views	39	26	$187.00	$65.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$324.20	$107.08
63048 Partial removal of spine bone with release of spinal cord and/or nerves	35	17	$649.00	$194.38
97750 Test or measurement for functional capacity, each 15 minutes	32	16	$101.00	$28.65
22612 Fusion of spine in lower back	29	28	$5239.38	$1423.25
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	25	19	$1013.00	$292.86
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	25	25	$4724.00	$759.36
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	23	$2343.00	$702.41
20610 Aspiration and/or injection of fluid from large joint	21	20	$216.71	$63.50
20937 Harvest of bone fragment for spine bone graft	17	17	$516.00	$155.03
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	15	$3362.00	$656.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	15	$223.00	$68.99
72070 X-ray of middle spine, 2 views	15	14	$113.00	$29.29
20552 Injections of trigger points in 1 or 2 muscles	15	15	$169.00	$51.55
72040 X-ray of upper spine, 2-3 views	14	11	$99.00	$37.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	321	38	$14.98	$1.44
99213 Established patient office or other outpatient visit, typically 15 minutes	309	221	$215.78	$70.75
72110 X-ray of lower and sacral spine, minimum of 4 views	143	126	$144.00	$45.09
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	101	55	$766.00	$238.40
22614 Fusion of additional segment of spine	92	34	$1178.00	$359.02
72100 X-ray of lower and sacral spine, 2-3 views	79	59	$103.00	$35.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	70	$322.00	$101.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	63	$128.00	$43.06
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$222.00	$71.93
72050 X-ray of upper spine, 4 or 5 views	54	54	$132.00	$47.49
22842 Placement of stabilizing device to back, 3-6 spine bone segments	37	36	$2297.00	$678.33
72082 X-ray of entire middle and lower spine, 2-3 views	36	26	$183.00	$61.63
22612 Fusion of spine in lower back	35	34	$5141.63	$1440.08
20937 Harvest of bone fragment for spine bone graft	33	33	$506.00	$152.48
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	33	33	$4666.09	$720.36
20610 Aspiration and/or injection of fluid from large joint	32	29	$223.19	$62.82
72040 X-ray of upper spine, 2-3 views	30	24	$97.00	$34.87
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	27	19	$993.00	$306.84
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	15	$636.00	$181.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$290.25	$102.70
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$5469.28	$1512.00
20552 Injections of trigger points in 1 or 2 muscles	17	14	$166.00	$50.17
22845 Placement of stabilizing device to front, 2-3 spine bone segments	16	16	$2196.00	$677.99
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	16	13	$1198.00	$368.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	14	$219.00	$70.54
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$3296.00	$662.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	383	265	$211.79	$69.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	322	41	$15.00	$1.56
72110 X-ray of lower and sacral spine, minimum of 4 views	188	166	$140.00	$46.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	130	116	$125.00	$42.23
99202 New patient office or other outpatient visit, typically 20 minutes	114	114	$217.00	$71.94
72100 X-ray of lower and sacral spine, 2-3 views	104	81	$100.00	$34.07
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	97	53	$747.00	$235.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	86	$314.00	$102.19
22614 Fusion of additional segment of spine	89	24	$1145.78	$355.70
72050 X-ray of upper spine, 4 or 5 views	60	53	$129.00	$46.06
72082 X-ray of entire middle and lower spine, 2-3 views	57	40	$179.00	$60.10
72100 X-ray of lower and sacral spine, 2-3 views	50	43	$100.00	$10.90
22842 Placement of stabilizing device to back, 3-6 spine bone segments	35	35	$2209.00	$668.00
22633 Fusion of spine in lower back with partial removal of spine bone and disc	34	33	$5932.71	$1631.55
72040 X-ray of upper spine, 2-3 views	32	22	$95.00	$34.32
20610 Aspiration and/or injection of fluid from large joint	30	28	$180.83	$57.48
20937 Harvest of bone fragment for spine bone graft	21	21	$494.00	$155.14
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	11	$604.50	$177.66
72040 X-ray of upper spine, 2-3 views	20	17	$95.00	$11.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$307.00	$102.29
72070 X-ray of middle spine, 2 views	17	17	$97.00	$30.55
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	16	12	$1169.00	$363.66
22612 Fusion of spine in lower back	16	15	$4796.38	$1108.08
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	15	14	$1458.00	$455.23
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$5167.14	$1564.67
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	13	12	$1595.00	$483.64
22214 Incision of spine to correct deformity at lower spinal column	13	13	$4345.00	$851.59
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3149.00	$667.47
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$2234.00	$665.78
20552 Injections of trigger points in 1 or 2 muscles	11	11	$162.00	$47.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	339	241	$208.71	$68.04
72110 X-ray of lower and sacral spine, minimum of 4 views	194	172	$137.00	$45.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	180	21	$14.76	$1.77
99202 New patient office or other outpatient visit, typically 20 minutes	122	122	$212.36	$70.18
72100 X-ray of lower and sacral spine, 2-3 views	94	67	$98.00	$32.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	85	$123.00	$41.01
22614 Fusion of additional segment of spine	91	34	$1098.18	$324.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	72	$308.00	$101.33
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	72	43	$711.67	$208.32
72082 X-ray of entire middle and lower spine, 2-3 views	53	35	$175.00	$56.88
72100 X-ray of lower and sacral spine, 2-3 views	52	34	$98.00	$10.84
72040 X-ray of upper spine, 2-3 views	46	30	$93.00	$30.86
22842 Placement of stabilizing device to back, 3-6 spine bone segments	34	33	$2100.09	$588.23
63048 Partial removal of spine bone with release of spinal cord and/or nerves	31	17	$583.48	$165.09
22612 Fusion of spine in lower back	30	30	$4740.50	$1225.40
72050 X-ray of upper spine, 4 or 5 views	29	24	$126.00	$42.05
72040 X-ray of upper spine, 2-3 views	24	18	$93.00	$10.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$210.00	$66.50
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	20	$4829.88	$1279.08
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$2995.38	$551.33
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	18	$2012.50	$566.00
20610 Aspiration and/or injection of fluid from large joint	16	15	$226.38	$62.98
72070 X-ray of middle spine, 2 views	16	15	$95.00	$31.53
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	16	11	$1074.44	$283.26
72052 X-ray of upper spine, 6 or more views	15	15	$236.00	$48.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$308.00	$100.51
22840 Placement of stabilizing device to back of 1 spine bone in neck	13	13	$2105.81	$600.20
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	13	13	$4429.00	$767.08
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$6023.56	$1441.15
22214 Incision of spine to correct deformity at lower spinal column	11	11	$4163.18	$836.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	307	208	$209.00	$68.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	248	26	$16.45	$1.75
72110 X-ray of lower and sacral spine, minimum of 4 views	138	116	$137.00	$45.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	90	$123.00	$40.30
99202 New patient office or other outpatient visit, typically 20 minutes	84	84	$213.00	$70.02
72100 X-ray of lower and sacral spine, 2-3 views	75	52	$98.00	$31.49
22614 Fusion of additional segment of spine	67	28	$1463.34	$296.42
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	66	40	$715.36	$221.27
72082 X-ray of entire middle and lower spine, 2-3 views	65	45	$175.00	$55.71
72052 X-ray of upper spine, 6 or more views	47	45	$236.00	$50.81
63048 Partial removal of spine bone with release of spinal cord and/or nerves	41	21	$2045.12	$136.99
72100 X-ray of lower and sacral spine, 2-3 views	38	31	$98.00	$10.87
72040 X-ray of upper spine, 2-3 views	37	26	$93.00	$30.54
22842 Placement of stabilizing device to back, 3-6 spine bone segments	28	28	$3804.64	$576.79
20610 Aspiration and/or injection of fluid from large joint	24	24	$207.83	$57.53
22612 Fusion of spine in lower back	22	22	$5736.77	$1182.89
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$4013.27	$515.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$308.00	$101.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$210.00	$68.86
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	16	16	$4290.63	$831.19
22845 Placement of stabilizing device to front, 2-3 spine bone segments	15	15	$3485.20	$522.73
72050 X-ray of upper spine, 4 or 5 views	15	12	$126.00	$42.02
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$7380.85	$1476.33
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$4992.92	$1282.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$114.00	$37.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$308.00	$94.82
72040 X-ray of upper spine, 2-3 views	11	11	$93.00	$10.87

Medical Specialties & State Licenses

CMS Verified: 2025-10-31

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IN 01066792A

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 IN 11013697

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201151990 (IN)

Hospital & Practice Group Affiliations

Orthopaedics Northeast Pc

5052 N Clinton St, Fort Wayne, IN 468255822

Rci (Wrs) Llc

1300 Lincolnway, Valparaiso, IN 463835824

Phone: 2194624193

Orthopaedics Northeast Pc

885 W Connexion Way, Columbia City, IN 467251045

Phone: 2602489280

Parkview Health System Inc

512 N Professional Way, Kendallville, IN 467552927

Phone: 2603478556

Orthopaedics Northeast Pc

5050 N Clinton St, Fort Wayne, IN 468255886

Phone: 2604848551

Us Therapy Inc

3607 N Everbrook Ln, Muncie, IN 473045220

Orthopaedics Northeast Pc

8202 Glencarin Blvd, Fort Wayne, IN 468045783

Phone: 2604848551

Orthopaedics Northeast Pc

11136 Parkview Circle Dr, Fort Wayne, IN 468451730

Phone: 2604848551

Secondary Practice Locations

11136 Parkview Circle Dr

Fort Wayne, IN 468451730

Phone: 2604848551

8202 Glencarin Blvd Ste 300

Fort Wayne, IN 468045783

Phone: 2604848551

885 Connection Way, Ste 200

Columbia City, IN 46725

Phone: 5742698301

Practice Associates & Co-Workers

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

40 Associated Practitioners

Anthony Dzigbordi

Nurse Anesthetist, Certified Registered

NPI 1003517954

Abigail Gann , PA

Physician Assistant

NPI 1003639956

Physician Assistant

Lisa Tompa , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013919018

Certified Registered Nurse Anesthetist

Craig Dyer , ATC

Specialist/Technologist - Athletic Trainer

NPI 1013977354

Certified Athletic Trainer

Dr. Sarah Lasalle , DO

Anesthesiology

NPI 1023399128

Doctor of Osteopathic Medicine (D.O.)

Felicia Wehrle

Nurse Practitioner

NPI 1023764990

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Business Mailing Address October 31, 2025

Registered at 5052 N CLINTON ST, FORT WAYNE, IN 468255822 (Tel: 2604848551)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2025

Orthopaedic Surgery (License #11013697 in IN)

📍

Updated Practice Location October 19, 2018

Registered at 5050 N CLINTON ST, FORT WAYNE, IN 468255886 (Tel: 2604848551)

📍

Updated Business Mailing Address October 19, 2018

Registered at 3702 NEW VISION DR, BLDG B, FORT WAYNE, IN 468451703 (Tel: 2603733330)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2018

Orthopaedic Surgery (License #01066792A in IN)

📍

Updated Practice Location June 07, 2018

Registered at 5050 N CLINTON ST, FORT WAYNE, IN 46825 (Tel: 2604848551)

📍

Updated Business Mailing Address June 07, 2018

Registered at 5052 N CLINTON ST, FORT WAYNE, IN 468255822 (Tel: 2604848551)

✅

NPI Profile Active May 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2013

Registered at 5050 N CLINTON ST, FORT WAYNE, IN 468255886 (Tel: 2604848551)

📍

Updated Business Mailing Address May 24, 2013

Registered at 5050 N CLINTON ST, FORT WAYNE, IN 468255886 (Tel: 2604848551)

👤

Provider Name / Credentials Updated May 24, 2013

Recorded as MICAH SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2013

Orthopaedic Surgery (License #11013697 in IN)

🟢

Initial NPI Registration & Enumeration May 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1679730832

Entity Type:

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

Enumeration Date: May 16, 2008

Last Update: October 31, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5052 N Clinton St

Fort Wayne, IN 468255822

Phone: 2604848551

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.