Active NPI 1992777049 Individual Practitioner Male Practitioner

Dr. Gautam Kakade , MD

Orthopaedic Surgery • Clarion, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gautam Kakade, MD is a certified Orthopaedic Surgery practicing in Clarion, IA. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Kakade delivers high-quality medical care to the local community at 1316 S MAIN ST.

Dr. Kakade maintains professional affiliations with Iowa Specialty Hospital- Clarion, Clarke County Public Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1316 S Main St

Clarion, IA 505252019

Telephone 5155322811

Associated Practice Facility / Clinic

🏢 Iowa Specialty Hospital- Clarion Facility NPI 1821045451

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Clarion, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +11.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Clarion, IA (271 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kakade (37 Years) 37 Yrs

Clarion Specialty Average (25.5 Years) 25.5 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
27447 Replacement of knee joint, both sides of knee	22	20	$6716.00	$1177.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	38	37	$6936.92	$1198.24
27130 Replacement of thigh bone and hip joint with prosthesis	22	19	$4071.00	$1183.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	531	65	$7.05	$1.11
99213 Established patient office or other outpatient visit, typically 15 minutes	93	84	$134.38	$86.15
20610 Aspiration and/or injection of fluid from large joint	69	59	$411.25	$61.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$207.00	$122.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$199.00	$106.35
27447 Replacement of knee joint, both sides of knee	27	26	$6338.24	$1214.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$297.00	$159.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	946	103	$7.27	$1.27
99213 Established patient office or other outpatient visit, typically 15 minutes	213	149	$131.42	$87.35
20610 Aspiration and/or injection of fluid from large joint	126	100	$400.26	$61.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	65	$202.05	$123.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$195.10	$106.96
27447 Replacement of knee joint, both sides of knee	29	29	$6372.48	$1210.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$293.46	$160.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$84.86	$53.48
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$7557.18	$1211.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	603	71	$6.69	$1.44
99213 Established patient office or other outpatient visit, typically 15 minutes	258	181	$129.00	$71.10
20610 Aspiration and/or injection of fluid from large joint	81	70	$378.00	$58.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$191.00	$101.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$199.00	$104.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$84.00	$42.95
27447 Replacement of knee joint, both sides of knee	20	19	$6307.39	$1325.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	596	66	$6.05	$1.57
99213 Established patient office or other outpatient visit, typically 15 minutes	267	185	$129.00	$70.15
20610 Aspiration and/or injection of fluid from large joint	77	63	$378.00	$55.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$189.21	$101.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$82.85	$42.29
27447 Replacement of knee joint, both sides of knee	33	33	$6276.64	$1291.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$197.57	$100.09
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$6624.50	$1272.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	680	75	$6.40	$1.81
99213 Established patient office or other outpatient visit, typically 15 minutes	321	233	$128.98	$67.71
20610 Aspiration and/or injection of fluid from large joint	92	76	$372.40	$55.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$187.00	$100.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	72	$80.99	$40.79
27447 Replacement of knee joint, both sides of knee	51	46	$6098.73	$1236.14
27130 Replacement of thigh bone and hip joint with prosthesis	31	31	$6696.77	$1255.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$187.05	$100.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	768	86	$6.06	$1.73
99213 Established patient office or other outpatient visit, typically 15 minutes	338	248	$128.69	$66.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	261	196	$80.98	$39.98
20610 Aspiration and/or injection of fluid from large joint	152	128	$375.13	$55.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$185.64	$99.66
11721 Removal of fingernails or toenails, 6 or more nails	95	76	$94.50	$41.74
99202 New patient office or other outpatient visit, typically 20 minutes	64	64	$131.47	$69.25
27447 Replacement of knee joint, both sides of knee	40	37	$6004.68	$1145.55
27130 Replacement of thigh bone and hip joint with prosthesis	14	12	$6384.86	$1099.70
11055 Removal of single thickened skin growth	12	11	$86.00	$43.90

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IA MD-36193

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IA MD-36193

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0283465 (IA)

Medicaid State Provider ID

0293522 (IA)

Medicaid State Provider ID

0635011 (IA)

Medicaid State Provider ID

0600460 (IA)

Medicaid State Provider ID

0424507 (IA)

Medicaid State Provider ID

0475806 (IA)

Medicaid State Provider ID

0655001 (IA)

Commercial Insurance / Payer ID Wmc Medicare Skilled

16Z302 (IA)

Commercial Insurance / Payer ID Wmc-Bcbs

60046 (IA)

Commercial Insurance / Payer ID Wmc-Bcbs Er

29352 (IA)

Hospital & Practice Group Affiliations

Iowa Specialty Hospital- Clarion

1316 S Main St, Clarion, IA 505252019

Phone: 5155322811

Clarke County Public Hospital

800 S Fillmore St, Osceola, IA 502131694

Iowa Specialty Hospital- Clarion

215 13th Ave Sw, Clarion, IA 505252078

Phone: 5155322838

Clarke County Public Hospital

800 S Fillmore St, Osceola, IA 502131694

Phone: 6413422184

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Jessica Rooker , DNP

Nurse Practitioner - Gerontology

NPI 1003307406

Doctor of Nursing Practice

Dr. Phillip Greenfield , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023060225

Doctor of Podiatric Medicine

Dr. Charles Mooney , MD

Preventive Medicine - Occupational Medicine

NPI 1104817105

Doctor of Medicine (M.D.)

Benjamin Becker , PA

Physician Assistant - Medical

NPI 1124413307

Physician Assistant

Mckenzie Van Heerden , RD

Dietitian, Registered

NPI 1144787722

Registered Dietitian

Dr. Mark Andrew , MD

Surgery

NPI 1174567895

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 January 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2015

Registered at 1316 S MAIN ST, CLARION, IA 505252019 (Tel: 5155322811)

📍

Updated Business Mailing Address January 05, 2015

Registered at 1316 S MAIN ST, CLARION, IA 505252019 (Tel: 5155322811)

👤

Provider Name / Credentials Updated January 05, 2015

Recorded as GAUTAM KAKADE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2015

Internal Medicine (License #MD-36193 in IA)

🟢

Initial NPI Registration & Enumeration February 03, 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: 1992777049

Entity Type:

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

Enumeration Date: February 03, 2006

Last Update: January 05, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1316 S Main St

Clarion, IA 505252019

Phone: 5155322811

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.