Active NPI 1235155847 Individual Practitioner Male Practitioner

Dr. Brian M Crites , MD

Orthopaedic Surgery • Clive, IA

Professional Overview & Biography Verified Profile Summary

Dr. Brian Crites, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Clive, IA. Practice services are available at 12499 UNIVERSITY AVE under active NPI credentials.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 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

12499 University Ave
Suite 210

Clive, IA 503258281

Telephone 5154402676

Fax 5154402677

Associated Practice Facility / Clinic

🏢 West Lakes Surgery Center Llc Facility NPI 1104933696

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Clive, IA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.7 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Clive, IA (271 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	89	60	$294.16	$66.73
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	77	52	$15.00	$6.70
99213 Established patient office or other outpatient visit, typically 15 minutes	58	41	$195.00	$85.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	29	$118.00	$51.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$353.00	$104.74
73030 X-ray of shoulder, minimum of 2 views	25	21	$110.00	$32.27
73562 X-ray of knee, 3 views	13	11	$115.00	$35.34
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$1751.00	$308.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	122	78	$314.08	$69.45
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	110	67	$15.00	$6.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	52	$118.00	$52.81
99213 Established patient office or other outpatient visit, typically 15 minutes	52	40	$195.00	$81.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$353.00	$104.65
20610 Aspiration and/or injection of fluid from large joint	35	23	$59.40	$47.07
73562 X-ray of knee, 3 views	34	28	$115.00	$37.59
73030 X-ray of shoulder, minimum of 2 views	30	23	$110.00	$29.16
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$67.36	$62.05
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$1744.40	$317.39
73221 Mri scan of arm joint without contrast	14	14	$641.21	$125.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$34.07	$31.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$84.85	$79.26
29881 Removal of knee cartilage using an endoscope	13	13	$1964.62	$507.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	88	$115.18	$40.46
20610 Aspiration and/or injection of fluid from large joint	139	71	$290.75	$63.45
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	114	60	$52.89	$6.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$335.39	$100.05
73030 X-ray of shoulder, minimum of 2 views	38	24	$110.00	$30.60
73562 X-ray of knee, 3 views	26	23	$115.00	$35.04
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$188.29	$67.30
73221 Mri scan of arm joint without contrast	19	16	$1282.84	$196.50
23412 Repair of chronic torn shoulder rotator cuff	17	15	$2224.00	$649.21
29824 Partial removal of collar bone at shoulder using an endoscope	15	14	$1751.00	$290.52
73721 Mri scan of leg joint without contrast	14	13	$930.14	$175.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	185	59	$30.32	$6.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	78	$111.36	$41.53
20610 Aspiration and/or injection of fluid from large joint	120	62	$270.37	$59.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$283.00	$100.65
73030 X-ray of shoulder, minimum of 2 views	37	32	$112.97	$28.35
73562 X-ray of knee, 3 views	33	29	$118.48	$35.18
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$184.89	$66.76
73221 Mri scan of arm joint without contrast	14	13	$1574.00	$172.13
73721 Mri scan of leg joint without contrast	13	12	$1635.00	$164.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	206	62	$15.00	$7.03
20610 Aspiration and/or injection of fluid from large joint	128	70	$278.91	$60.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	62	$108.00	$40.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$271.00	$100.32
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	43	11	$375.00	$144.39
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$182.00	$66.52
73562 X-ray of knee, 3 views	29	25	$115.00	$32.75
73030 X-ray of shoulder, minimum of 2 views	27	21	$118.15	$27.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	192	61	$15.00	$6.80
20610 Aspiration and/or injection of fluid from large joint	130	70	$263.63	$58.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	36	$108.00	$40.35
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$182.00	$67.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$271.00	$99.87
73030 X-ray of shoulder, minimum of 2 views	34	25	$110.00	$26.47
73562 X-ray of knee, 3 views	19	18	$115.00	$32.56
73221 Mri scan of arm joint without contrast	12	12	$1574.00	$151.21

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IA 38664

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1235155847 (IA)

Practice Associates & Co-Workers

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

15 Associated Practitioners

Erica Tucker , PA-C

Physician Assistant - Surgical

NPI 1134921323

Physician Assistant (Certified)

Betsy Bolton , PA-C

Physician Assistant - Surgical

NPI 1144574997

Physician Assistant (Certified)

Logan Driscoll

Physician Assistant

NPI 1184264921

Dr. Ross Doehrmann , DO

Orthopaedic Surgery

NPI 1255869103

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Lee , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1366407827

Doctor of Podiatric Medicine

Dr. Abdalnasser Zayed , MD

Orthopaedic Surgery

NPI 1376199034

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 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2013

Registered at 12499 UNIVERSITY AVE, SUITE 210, CLIVE, IA 503258281 (Tel: 5154402676)

📍

Updated Business Mailing Address January 23, 2013

Registered at 12499 UNIVERSITY AVE, SUITE 210, CLIVE, IA 503258281 (Tel: 5154402676)

👤

Provider Name / Credentials Updated January 23, 2013

Recorded as BRIAN CRITES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2013

Orthopaedic Surgery (License #38664 in IA)

🟢

Initial NPI Registration & Enumeration July 15, 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: 1235155847

Entity Type:

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

Enumeration Date: July 15, 2006

Last Update: January 23, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12499 University Ave, Suite 210

Clive, IA 503258281

Phone: 5154402676

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.