Active NPI 1235397043 Individual Practitioner Male Practitioner

Dr. Michael Brian Cross , MD

Orthopaedic Surgery • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cross, MD is a certified Orthopaedic Surgery practicing in Indianapolis, IN. With approximately 20 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 2006, Dr. Cross delivers high-quality medical care to the local community at 8450 NORTHWEST BLVD.

Dr. Cross is affiliated with Orthopaedics-Indianapolis Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8450 Northwest Blvd

Indianapolis, IN 462781381

Telephone 3178022000

Fax 3178022170

Associated Practice Facility / Clinic

🏢 Orthopaedics-Indianapolis, Inc Facility NPI 1336252451

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Indianapolis, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -2.6 yrs vs City Avg

City Avg: 22.6 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

97 Specialists

Practicing in Indianapolis, IN (530 Statewide)

Telehealth Adoption Rate

4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cross (20 Years) 20 Yrs

Indianapolis Specialty Average (22.6 Years) 22.6 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
J1010 Injection, methylprednisolone acetate, 1 mg	9,800	62	$0.50	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	155	144	$133.00	$84.17
73562 X-ray of knee, 3 views	144	93	$135.62	$29.46
20610 Aspiration and/or injection of fluid from large joint	140	72	$322.39	$67.77
73564 X-ray of knee, 4 or more views	122	84	$162.32	$36.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	97	$82.00	$52.35
73502 X-ray of hip, 2-3 views	100	73	$116.00	$34.76
27447 Replacement of knee joint, both sides of knee	52	50	$10353.00	$1113.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$200.00	$103.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$200.00	$116.68
77077 X-ray of joints, multiple	36	30	$193.00	$37.09
27130 Replacement of thigh bone and hip joint with prosthesis	33	33	$12806.00	$1161.74
J1040 Injection, methylprednisolone acetate, 80 mg	31	24	$40.00	$9.72
72170 X-ray of pelvis, 1-2 views	30	24	$155.89	$20.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$305.00	$155.10
73521 X-ray of both hips, 2 views	16	13	$111.00	$29.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	150	74	$40.00	$11.35
20610 Aspiration and/or injection of fluid from large joint	139	79	$315.54	$65.93
73564 X-ray of knee, 4 or more views	134	89	$161.00	$35.14
73502 X-ray of hip, 2-3 views	116	75	$116.00	$33.84
73562 X-ray of knee, 3 views	83	48	$136.00	$23.37
99213 Established patient office or other outpatient visit, typically 15 minutes	82	79	$133.00	$81.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	67	$82.00	$51.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$200.00	$103.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	52	$200.00	$118.94
27447 Replacement of knee joint, both sides of knee	47	46	$10353.00	$1166.12
27130 Replacement of thigh bone and hip joint with prosthesis	42	37	$12806.00	$1167.07
72170 X-ray of pelvis, 1-2 views	36	21	$158.00	$15.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$305.00	$154.70
77077 X-ray of joints, multiple	22	19	$193.00	$37.52
73521 X-ray of both hips, 2 views	19	19	$111.00	$36.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	94	67	$161.00	$37.34
99213 Established patient office or other outpatient visit, typically 15 minutes	71	67	$133.00	$84.65
20610 Aspiration and/or injection of fluid from large joint	62	51	$283.79	$62.72
J1040 Injection, methylprednisolone acetate, 80 mg	58	42	$40.00	$10.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$200.00	$104.10
73502 X-ray of hip, 2-3 views	53	47	$116.00	$40.18
77077 X-ray of joints, multiple	50	40	$193.00	$35.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$200.00	$117.66
73562 X-ray of knee, 3 views	28	18	$136.00	$31.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$305.00	$150.69
27447 Replacement of knee joint, both sides of knee	25	21	$10353.00	$1107.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$82.00	$52.26
72170 X-ray of pelvis, 1-2 views	20	16	$158.00	$21.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	186	18	$27.00	$17.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	119	$75.62	$63.19
20610 Aspiration and/or injection of fluid from large joint	104	67	$110.32	$86.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$224.60	$189.30
99213 Established patient office or other outpatient visit, typically 15 minutes	87	86	$121.04	$102.61
J1040 Injection, methylprednisolone acetate, 80 mg	71	46	$40.00	$9.98
27447 Replacement of knee joint, both sides of knee	64	64	$1746.59	$1520.35
27130 Replacement of thigh bone and hip joint with prosthesis	34	34	$1744.48	$1522.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$161.32	$128.29
99441 Telephone medical discussion with physician, 5-10 minutes	20	20	$74.82	$63.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	656	11	$40.00	$10.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	235	214	$64.99	$51.24
20610 Aspiration and/or injection of fluid from large joint	101	52	$110.70	$81.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$219.06	$181.29
27447 Replacement of knee joint, both sides of knee	100	95	$1829.45	$1582.74
J1040 Injection, methylprednisolone acetate, 80 mg	70	37	$40.00	$10.92
99213 Established patient office or other outpatient visit, typically 15 minutes	53	53	$105.62	$78.75
27130 Replacement of thigh bone and hip joint with prosthesis	46	45	$1832.31	$1588.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$144.86	$118.62
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$110.00	$51.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,187	29	$27.00	$18.58
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	976	12	$40.00	$11.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	334	290	$180.00	$51.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	237	237	$520.00	$185.12
20610 Aspiration and/or injection of fluid from large joint	192	84	$670.35	$64.23
27447 Replacement of knee joint, both sides of knee	162	154	$21730.00	$1600.99
99213 Established patient office or other outpatient visit, typically 15 minutes	120	114	$225.00	$84.68
J1040 Injection, methylprednisolone acetate, 80 mg	94	50	$40.00	$12.13
27130 Replacement of thigh bone and hip joint with prosthesis	77	75	$20470.00	$1603.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$370.00	$124.63
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	30	29	$181.38	$28.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,184	14	$40.00	$11.69
Q9993 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	769	21	$27.00	$18.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	310	310	$520.00	$187.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	277	245	$180.00	$50.45
27447 Replacement of knee joint, both sides of knee	206	196	$21730.00	$1598.33
20610 Aspiration and/or injection of fluid from large joint	195	76	$655.00	$64.28
99213 Established patient office or other outpatient visit, typically 15 minutes	138	124	$225.00	$83.42
J1040 Injection, methylprednisolone acetate, 80 mg	81	47	$40.00	$12.91
27130 Replacement of thigh bone and hip joint with prosthesis	77	74	$20470.00	$1604.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$370.00	$124.23
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	30	28	$181.38	$28.74
20985 Computer-assisted surgery for muscle and bone procedure	11	11	$780.00	$174.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,584	19	$40.00	$12.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	240	240	$520.00	$183.29
20610 Aspiration and/or injection of fluid from large joint	205	73	$655.00	$60.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	203	179	$180.00	$49.61
27447 Replacement of knee joint, both sides of knee	190	172	$21730.00	$1602.24
99213 Established patient office or other outpatient visit, typically 15 minutes	143	135	$225.00	$81.75
J1040 Injection, methylprednisolone acetate, 80 mg	95	57	$40.00	$10.84
27130 Replacement of thigh bone and hip joint with prosthesis	70	68	$20470.00	$1605.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$370.00	$123.24
20985 Computer-assisted surgery for muscle and bone procedure	36	35	$780.00	$174.96
27134 Revision of thigh bone and hip joint prosthesis	12	12	$26390.00	$1984.51

Medical Specialties & State Licenses

CMS Verified: 2024-05-08

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IN 01087427A

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 NY 2477521

Hospital & Practice Group Affiliations

Orthopaedics-Indianapolis Inc

8450 Northwest Blvd, Indianapolis, IN 462781381

Phone: 3178022000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Heather Williams , MD

Orthopaedic Surgery - Hand Surgery

NPI 1003852880

Doctor of Medicine (M.D.)

Karen Dorsett , NP

Nurse Practitioner

NPI 1003866625

Nurse Practitioner

Dr. Scott Lintner , MD

Orthopaedic Surgery

NPI 1003868654

Doctor of Medicine (M.D.)

Dr. Mindy Gargasz , PT, DPT, OCS

Physical Therapist

NPI 1003947417

Physical Therapist, Doctor of Physical Therapy, Orthopedic Clinical Specialist

John Hillenburg , PA

Physician Assistant

NPI 1013229699

Physician Assistant

Kathy Williams , CRNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1013949742

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location May 05, 2022

Registered at 8450 NORTHWEST BLVD, INDIANAPOLIS, IN 462781381 (Tel: 3178022000)

📍

Updated Business Mailing Address May 05, 2022

Registered at 8450 NORTHWEST BLVD, INDIANAPOLIS, IN 462781381 (Tel: 3178022000)

✅

NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2017

Registered at 523 E 72ND ST., NEW YORK, NY 10021 (Tel: 2127742114)

📍

Updated Business Mailing Address February 03, 2017

Registered at 535 E 70TH ST., NEW YORK, NY 10021 (Tel: 2127742114)

👤

Provider Name / Credentials Updated February 03, 2017

Recorded as MICHAEL CROSS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Orthopaedic Surgery (License #2477521 in NY)

✅

NPI Profile Active November 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2015

Registered at 523 E 72ND ST., NEW YORK, NY 10021 (Tel: 2127742114)

📍

Updated Business Mailing Address November 13, 2015

Registered at 535 E 70TH ST., NEW YORK, NY 10021 (Tel: 2127742114)

👤

Provider Name / Credentials Updated November 13, 2015

Recorded as MICHAEL CROSS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2015

Orthopaedic Surgery (License #2477521 in NY)

🟢

Initial NPI Registration & Enumeration May 28, 2008

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: 1235397043

Entity Type:

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

Enumeration Date: May 28, 2008

Last Update: May 08, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8450 Northwest Blvd

Indianapolis, IN 462781381

Phone: 3178022000

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.