Active NPI 1003970278 Individual Practitioner Male Practitioner

Robert B Ripchinski , PA-C

Physician Assistant • Des Moines, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Robert Ripchinski, PA-C is a certified Physician Assistant practicing in Des Moines, IA. With approximately 20 years of clinical experience since completing medical education in 2006, Robert Ripchinski delivers high-quality medical care to the local community at 450 LAUREL ST.

Robert Ripchinski is affiliated with Iowa Orthopaedic Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of thigh bone, minimum 2 views, established patient outpatient office visit, treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

450 Laurel St
Suite A

Des Moines, IA 503143045

Telephone 5152478400

Fax 5152488888

Associated Practice Facility / Clinic

🏢 Iowa Orthopaedic Center, P.c. Facility NPI 1669579785

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Des Moines, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +10.6 yrs vs City Avg

City Avg: 9.4 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

182 Specialists

Practicing in Des Moines, IA (1543 Statewide)

Telehealth Adoption Rate

4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ripchinski (20 Years) 20 Yrs

Des Moines Specialty Average (9.4 Years) 9.4 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
73552 X-ray of thigh bone, minimum 2 views	93	55	$125.42	$6.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	64	$107.86	$44.10
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	46	44	$906.97	$145.48
27187 Preventive fixation of thigh bone	42	42	$750.00	$62.61
27506 Open treatment of broken thigh bone	36	36	$1010.00	$163.70
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$173.60	$71.19
73030 X-ray of shoulder, minimum of 2 views	27	14	$122.79	$7.16
72170 X-ray of pelvis, 1-2 views	27	20	$98.52	$7.75
73560 X-ray of knee, 1-2 views	23	16	$101.20	$6.36
27245 Treatment of broken neck of thigh bone with bone implant	22	22	$930.00	$149.46
23615 Treatment of broken top of upper arm bone	19	17	$668.16	$105.89
27507 Treatment of broken middle of thigh bone with placement of stabilizing device	17	17	$899.71	$72.86
27511 Open treatment of broken thigh bone	16	16	$849.38	$121.30
73610 X-ray of ankle, minimum of 3 views	16	12	$103.75	$6.61
72190 X-ray of pelvis, minimum of 3 views	14	11	$114.71	$9.61
27829 Open treatment of ligament tear at ankle joint	11	11	$525.00	$51.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73552 X-ray of thigh bone, minimum 2 views	93	58	$120.10	$7.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	67	$104.58	$44.08
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	50	48	$905.00	$147.42
73610 X-ray of ankle, minimum of 3 views	30	18	$99.50	$8.23
73030 X-ray of shoulder, minimum of 2 views	29	15	$120.59	$7.30
27245 Treatment of broken neck of thigh bone with bone implant	29	29	$930.00	$153.03
72170 X-ray of pelvis, 1-2 views	24	19	$94.79	$8.11
27506 Open treatment of broken thigh bone	24	23	$1010.00	$167.08
73560 X-ray of knee, 1-2 views	23	12	$94.78	$6.54
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$167.62	$72.03
27187 Preventive fixation of thigh bone	21	21	$750.00	$62.35
73060 X-ray of upper arm, minimum of 2 views	20	14	$100.00	$6.54
27829 Open treatment of ligament tear at ankle joint	18	18	$525.00	$52.12
27511 Open treatment of broken thigh bone	17	16	$755.00	$120.68
23615 Treatment of broken top of upper arm bone	17	17	$709.41	$114.16
27507 Treatment of broken middle of thigh bone with placement of stabilizing device	15	14	$805.00	$64.46
24515 Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws)	14	14	$665.00	$75.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$260.83	$104.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73552 X-ray of thigh bone, minimum 2 views	95	59	$115.00	$7.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	59	$100.00	$45.17
27245 Treatment of broken neck of thigh bone with bone implant	58	58	$930.00	$155.05
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	46	46	$905.00	$150.71
72170 X-ray of pelvis, 1-2 views	42	27	$90.00	$7.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	28	$135.00	$57.20
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$160.00	$73.12
73610 X-ray of ankle, minimum of 3 views	21	13	$95.00	$8.09
72190 X-ray of pelvis, minimum of 3 views	19	11	$105.00	$10.14
27511 Open treatment of broken thigh bone	14	14	$755.00	$116.60
23615 Treatment of broken top of upper arm bone	11	11	$670.00	$111.76
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$185.00	$80.34
27829 Open treatment of ligament tear at ankle joint	11	11	$525.00	$49.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	61	61	$902.79	$152.48
73552 X-ray of thigh bone, minimum 2 views	60	45	$114.67	$7.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	51	$86.40	$45.36
27245 Treatment of broken neck of thigh bone with bone implant	56	55	$926.79	$155.34
72170 X-ray of pelvis, 1-2 views	36	31	$89.72	$7.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$248.89	$109.92
73610 X-ray of ankle, minimum of 3 views	25	15	$94.60	$7.11
73560 X-ray of knee, 1-2 views	24	17	$90.00	$6.82
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$138.41	$74.01
27511 Open treatment of broken thigh bone	13	13	$755.00	$127.51
27829 Open treatment of ligament tear at ankle joint	12	12	$525.00	$45.61
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$184.17	$81.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$135.00	$58.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73552 X-ray of thigh bone, minimum 2 views	69	47	$105.00	$7.61
27245 Treatment of broken neck of thigh bone with bone implant	65	65	$885.00	$158.32
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	64	64	$860.00	$154.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	44	$80.00	$36.32
73560 X-ray of knee, 1-2 views	28	16	$85.00	$7.02
72170 X-ray of pelvis, 1-2 views	26	18	$85.00	$7.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$235.00	$113.06
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$175.00	$82.93
73610 X-ray of ankle, minimum of 3 views	20	14	$90.00	$7.31
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$125.00	$60.46
27829 Open treatment of ligament tear at ankle joint	15	15	$500.00	$45.13
27511 Open treatment of broken thigh bone	12	12	$774.58	$134.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73552 X-ray of thigh bone, minimum 2 views	90	57	$105.00	$8.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	60	$75.51	$36.00
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	57	57	$860.00	$152.80
27245 Treatment of broken neck of thigh bone with bone implant	52	51	$885.00	$157.21
73610 X-ray of ankle, minimum of 3 views	51	31	$90.00	$8.08
99213 Established patient office or other outpatient visit, typically 15 minutes	46	45	$125.00	$58.83
72170 X-ray of pelvis, 1-2 views	44	30	$85.00	$7.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$235.00	$111.37
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$175.00	$81.98
73560 X-ray of knee, 1-2 views	21	13	$85.00	$8.73
27829 Open treatment of ligament tear at ankle joint	17	17	$500.00	$47.65
72190 X-ray of pelvis, minimum of 3 views	17	14	$100.00	$9.04
27511 Open treatment of broken thigh bone	15	15	$715.00	$123.26
27507 Treatment of broken middle of thigh bone with placement of stabilizing device	13	13	$765.00	$119.43
27822 Open treatment of broken ankle	13	13	$615.00	$109.77
20610 Aspiration and/or injection of fluid from large joint	12	12	$175.00	$45.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73552 X-ray of thigh bone, minimum 2 views	90	66	$105.00	$8.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	70	$75.00	$34.72
27245 Treatment of broken neck of thigh bone with bone implant	64	63	$885.00	$152.29
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	57	56	$860.00	$150.59
99221 Initial hospital inpatient care per day, typically 30 minutes	52	52	$175.00	$79.82
72170 X-ray of pelvis, 1-2 views	44	30	$85.00	$7.17
73610 X-ray of ankle, minimum of 3 views	42	24	$90.00	$7.58
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$125.00	$57.99
73560 X-ray of knee, 1-2 views	21	16	$85.00	$9.38
73590 X-ray of lower leg, 2 views	17	12	$85.00	$6.88
27829 Open treatment of ligament tear at ankle joint	15	15	$500.00	$42.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73552 X-ray of thigh bone, minimum 2 views	100	69	$103.70	$7.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	61	$75.00	$34.26
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	65	65	$862.83	$150.24
27245 Treatment of broken neck of thigh bone with bone implant	59	59	$880.93	$154.61
73610 X-ray of ankle, minimum of 3 views	40	23	$88.42	$7.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	38	$123.74	$58.12
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$124.49	$57.72
72170 X-ray of pelvis, 1-2 views	26	23	$83.15	$7.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$235.00	$109.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$344.22	$162.81
73590 X-ray of lower leg, 2 views	21	12	$82.71	$6.85
73560 X-ray of knee, 1-2 views	20	17	$83.35	$6.84
27511 Open treatment of broken thigh bone	17	17	$730.35	$121.66
27829 Open treatment of ligament tear at ankle joint	15	15	$527.00	$46.50
27507 Treatment of broken middle of thigh bone with placement of stabilizing device	15	15	$774.00	$77.35
27822 Open treatment of broken ankle	12	11	$611.33	$103.10
27506 Open treatment of broken thigh bone	12	12	$953.25	$167.96

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 002093

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bluecross

50064554 (PA)

Commercial Insurance / Payer ID Medicare Ptan

271770007 (IA)

Commercial Insurance / Payer ID Railroad Medicare

P00386936 (PA)

Hospital & Practice Group Affiliations

Iowa Orthopaedic Center Pc

450 Laurel St, Des Moines, IA 503143045

Phone: 5152478400

Practice Associates & Co-Workers

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

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Surgery - Surgery of the Hand

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Doctor of Medicine (M.D.)

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Occupational Therapist

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Doctor of Occupational Therapy

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Orthopaedic Surgery

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Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2016

Registered at 450 LAUREL ST, SUITE A, DES MOINES, IA 503143045 (Tel: 5152478400)

📍

Updated Business Mailing Address March 24, 2016

Registered at 450 LAUREL ST, SUITE A, DES MOINES, IA 503143045 (Tel: 5152478400)

👤

Provider Name / Credentials Updated March 24, 2016

Recorded as ROBERT RIPCHINSKI, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Physician Assistant (License #002093 in IA)

🟢

Initial NPI Registration & Enumeration December 21, 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: 1003970278

Entity Type:

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

Enumeration Date: December 21, 2006

Last Update: March 24, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

450 Laurel St, Suite A

Des Moines, IA 503143045

Phone: 5152478400

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.