Active NPI 1124173034 Individual Practitioner Male Practitioner

Dr. Brian Silvia , MD

Orthopaedic Surgery • Dubuque, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Silvia, MD is a certified Orthopaedic Surgery practicing in Dubuque, IA. With approximately 20 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 2006, Dr. Silvia delivers high-quality medical care to the local community at 1500 ASSOCIATES DR.

Dr. Silvia maintains professional affiliations with Unitypoint Health - Marshalltown, Iowa Physicians Clinic Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, aspiration and/or injection of fluid from large joint, 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

1500 Associates Dr

Dubuque, IA 520022201

Telephone 5635844460

Fax 5635844395

Associated Practice Facility / Clinic

🏢 Tri-State Surgery Center, L.l.c. Facility NPI 1275530271

Medicare Profile & Education

Medical School

University Of Connecticut 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 Dubuque, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -1.9 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Dubuque, IA (271 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Silvia (20 Years) 20 Yrs

Dubuque Specialty Average (21.9 Years) 21.9 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	6,600	52	$0.75	$0.13
20610 Aspiration and/or injection of fluid from large joint	122	86	$222.36	$63.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	97	$232.00	$117.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	96	18	$5.25	$0.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$215.00	$102.43
73564 X-ray of knee, 4 or more views	76	59	$112.00	$42.73
72170 X-ray of pelvis, 1-2 views	66	47	$85.27	$23.70
36415 Insertion of needle into vein for collection of blood sample	62	58	$11.00	$8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	60	56	$12.00	$7.61
83540 Iron level	59	57	$19.00	$6.34
82985 Glycated protein level	57	55	$42.00	$16.42
82040 Albumin (protein) level	57	55	$14.00	$4.85
80048 Blood test, basic group of blood chemicals (calcium, total)	57	55	$13.00	$8.29
82306 Vitamin d-3 level	55	54	$82.00	$29.01
83036 Hemoglobin A1C level	50	49	$15.00	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$163.00	$83.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	35	$100.00	$51.90
27447 Replacement of knee joint, both sides of knee	32	30	$3870.00	$1144.83
77073 Imaging for bone length assessment	31	30	$96.00	$40.87
73030 X-ray of shoulder, minimum of 2 views	24	17	$102.90	$30.65
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$3798.00	$1145.43
J1040 Injection, methylprednisolone acetate, 80 mg	19	17	$39.75	$9.21
73560 X-ray of knee, 1-2 views	17	12	$90.00	$30.90
73562 X-ray of knee, 3 views	12	12	$96.00	$37.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	89	$231.29	$118.01
83540 Iron level	84	80	$19.00	$6.29
36415 Insertion of needle into vein for collection of blood sample	83	79	$11.00	$8.31
82040 Albumin (protein) level	82	78	$14.00	$4.81
80048 Blood test, basic group of blood chemicals (calcium, total)	81	77	$13.00	$8.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	80	76	$12.00	$7.54
82985 Glycated protein level	73	70	$42.00	$16.26
82306 Vitamin d-3 level	67	64	$82.00	$29.01
83036 Hemoglobin A1C level	63	60	$15.00	$9.41
20610 Aspiration and/or injection of fluid from large joint	50	41	$197.16	$62.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$214.67	$102.11
J1040 Injection, methylprednisolone acetate, 80 mg	47	33	$39.75	$11.70
73564 X-ray of knee, 4 or more views	47	34	$112.00	$42.20
27447 Replacement of knee joint, both sides of knee	40	39	$3583.00	$1148.79
72170 X-ray of pelvis, 1-2 views	38	33	$93.00	$25.68
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$162.74	$83.73
73560 X-ray of knee, 1-2 views	29	22	$90.00	$31.07
27130 Replacement of thigh bone and hip joint with prosthesis	27	27	$3517.00	$1162.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$99.76	$51.69
73562 X-ray of knee, 3 views	23	19	$96.00	$37.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$303.29	$154.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	20	$5.25	$1.12
83540 Iron level	91	80	$19.00	$6.40
82985 Glycated protein level	88	77	$42.00	$16.57
82040 Albumin (protein) level	87	78	$14.00	$4.89
36415 Insertion of needle into vein for collection of blood sample	87	81	$11.00	$2.97
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	87	80	$12.00	$7.68
80048 Blood test, basic group of blood chemicals (calcium, total)	85	80	$13.00	$8.37
82306 Vitamin d-3 level	84	75	$82.00	$29.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	80	$225.29	$119.69
83036 Hemoglobin A1C level	69	63	$15.00	$9.61
20610 Aspiration and/or injection of fluid from large joint	63	38	$208.87	$65.70
27447 Replacement of knee joint, both sides of knee	57	53	$3563.16	$1178.79
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	45	37	$75.00	$50.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	31	$97.84	$52.72
J1040 Injection, methylprednisolone acetate, 80 mg	35	23	$39.75	$10.31
73564 X-ray of knee, 4 or more views	30	23	$111.90	$43.22
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$158.60	$85.13
27130 Replacement of thigh bone and hip joint with prosthesis	22	22	$3501.36	$1178.38
72170 X-ray of pelvis, 1-2 views	22	17	$84.20	$24.46
73562 X-ray of knee, 3 views	16	11	$89.06	$36.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$299.00	$156.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	110	97	$10.88	$3.00
J1040 Injection, methylprednisolone acetate, 80 mg	108	36	$39.75	$10.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	102	91	$12.00	$7.77
80048 Blood test, basic group of blood chemicals (calcium, total)	102	93	$13.00	$8.46
82306 Vitamin d-3 level	101	93	$82.00	$29.60
82040 Albumin (protein) level	100	92	$14.00	$4.95
82985 Glycated protein level	100	92	$42.00	$16.76
83540 Iron level	99	92	$19.00	$6.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	92	$218.18	$121.76
20610 Aspiration and/or injection of fluid from large joint	92	49	$211.80	$68.25
83036 Hemoglobin A1C level	85	83	$15.00	$9.71
27447 Replacement of knee joint, both sides of knee	55	54	$3484.71	$1196.23
72170 X-ray of pelvis, 1-2 views	40	19	$88.85	$25.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	28	$94.27	$53.02
73564 X-ray of knee, 4 or more views	32	29	$108.44	$42.79
27130 Replacement of thigh bone and hip joint with prosthesis	27	26	$3423.44	$1197.47
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$155.00	$86.40
73560 X-ray of knee, 1-2 views	22	16	$85.91	$31.83
86140 Measurement C-reactive protein for detection of infection or inflammation	16	12	$15.00	$5.18
85652 Red blood cell sedimentation rate, to detect inflammation, automated	16	12	$8.00	$2.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$205.80	$105.84
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$200.73	$94.65
83550 Iron binding capacity	14	14	$14.00	$8.74
77073 Imaging for bone length assessment	12	12	$92.83	$42.11
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	11	11	$69.55	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	107	87	$10.00	$2.96
J1040 Injection, methylprednisolone acetate, 80 mg	105	59	$39.75	$11.22
20610 Aspiration and/or injection of fluid from large joint	102	73	$196.09	$63.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	93	86	$21.46	$7.66
83540 Iron level	92	85	$19.00	$6.44
82040 Albumin (protein) level	92	85	$14.00	$4.93
83550 Iron binding capacity	92	85	$20.24	$8.70
80048 Blood test, basic group of blood chemicals (calcium, total)	90	84	$22.78	$8.42
82306 Vitamin d-3 level	87	80	$82.00	$29.46
82985 Glycated protein level	87	81	$42.00	$16.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	74	$205.88	$100.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	53	$85.50	$42.52
83036 Hemoglobin A1C level	67	63	$25.75	$9.67
73564 X-ray of knee, 4 or more views	54	43	$106.00	$39.39
27447 Replacement of knee joint, both sides of knee	50	47	$3427.00	$1275.16
72170 X-ray of pelvis, 1-2 views	44	34	$81.65	$25.08
73560 X-ray of knee, 1-2 views	44	18	$79.45	$29.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$208.41	$99.30
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$195.84	$96.85
77073 Imaging for bone length assessment	27	26	$91.00	$39.49
73562 X-ray of knee, 3 views	20	15	$90.00	$36.09
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$3363.00	$1235.91
84132 Blood potassium level	16	15	$14.00	$4.75
82565 Blood creatinine level	16	15	$15.00	$5.11
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$141.31	$70.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	109	92	$10.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	98	89	$22.00	$8.46
83550 Iron binding capacity	92	86	$21.00	$9.52
83540 Iron level	92	86	$19.00	$7.05
82040 Albumin (protein) level	91	85	$14.00	$5.39
80048 Blood test, basic group of blood chemicals (calcium, total)	91	85	$24.00	$9.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	73	$84.00	$41.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	78	$203.00	$100.22
83036 Hemoglobin A1C level	78	77	$27.00	$10.57
72170 X-ray of pelvis, 1-2 views	70	45	$82.52	$28.93
73564 X-ray of knee, 4 or more views	48	36	$106.00	$38.06
77073 Imaging for bone length assessment	45	42	$89.29	$32.84
20610 Aspiration and/or injection of fluid from large joint	42	26	$185.43	$56.96
27447 Replacement of knee joint, both sides of knee	41	40	$3427.00	$1255.90
73560 X-ray of knee, 1-2 views	39	23	$67.25	$27.30
J1040 Injection, methylprednisolone acetate, 80 mg	30	16	$37.17	$11.89
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$3363.00	$1256.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$205.00	$100.73
73562 X-ray of knee, 3 views	25	18	$86.77	$31.92
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$193.00	$95.06
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$139.00	$69.49
85652 Red blood cell sedimentation rate, to detect inflammation, automated	17	14	$8.00	$2.94
86140 Measurement C-reactive protein for detection of infection or inflammation	17	14	$15.00	$5.63

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	108	81	$84.00	$40.23
36415 Insertion of needle into vein for collection of blood sample	86	76	$10.00	$2.88
83540 Iron level	79	76	$19.00	$7.66
83550 Iron binding capacity	79	76	$21.00	$10.34
82040 Albumin (protein) level	79	75	$14.00	$5.86
80048 Blood test, basic group of blood chemicals (calcium, total)	78	75	$24.00	$10.01
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	78	74	$22.00	$9.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	61	$203.00	$100.06
72170 X-ray of pelvis, 1-2 views	60	47	$78.36	$28.81
20610 Aspiration and/or injection of fluid from large joint	60	41	$188.80	$59.26
83036 Hemoglobin A1C level	56	55	$27.00	$11.54
73565 X-ray of both knees while standing	53	52	$121.82	$31.95
77073 Imaging for bone length assessment	53	52	$89.26	$31.69
J1040 Injection, methylprednisolone acetate, 80 mg	52	30	$23.81	$12.99
73560 X-ray of knee, 1-2 views	52	39	$72.31	$27.87
27447 Replacement of knee joint, both sides of knee	51	49	$3427.00	$1250.35
73562 X-ray of knee, 3 views	46	33	$88.24	$32.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$205.00	$99.15
73564 X-ray of knee, 4 or more views	22	16	$106.00	$36.41
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$3363.00	$1257.86
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$193.00	$95.28
73030 X-ray of shoulder, minimum of 2 views	12	11	$107.92	$31.52

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	115	101	$83.50	$40.35
36415 Insertion of needle into vein for collection of blood sample	95	86	$10.00	$2.92
73565 X-ray of both knees while standing	90	85	$124.00	$32.24
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	88	80	$22.00	$10.38
82040 Albumin (protein) level	86	80	$14.00	$4.40
83550 Iron binding capacity	84	79	$21.00	$10.05
73560 X-ray of knee, 1-2 views	81	56	$71.21	$27.74
80048 Blood test, basic group of blood chemicals (calcium, total)	80	76	$24.00	$7.33
83540 Iron level	80	75	$19.00	$8.63
73562 X-ray of knee, 3 views	73	53	$89.75	$31.96
83036 Hemoglobin A1C level	70	67	$27.00	$12.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$204.08	$99.09
72170 X-ray of pelvis, 1-2 views	63	56	$67.84	$28.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	61	$202.21	$100.24
20610 Aspiration and/or injection of fluid from large joint	57	40	$184.72	$58.17
J1040 Injection, methylprednisolone acetate, 80 mg	47	30	$20.59	$10.81
77073 Imaging for bone length assessment	43	37	$88.00	$32.66
27447 Replacement of knee joint, both sides of knee	37	33	$3427.00	$1238.66
73030 X-ray of shoulder, minimum of 2 views	28	16	$95.89	$27.39
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$3363.00	$1254.32
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$192.65	$95.08
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$138.69	$67.88

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IA MD-42906

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.

Hospital & Practice Group Affiliations

Unitypoint Health - Marshalltown

51 Unitypoint Way, Marshalltown, IA 501584750

Phone: 6418446259

Iowa Physicians Clinic Medical Foundation

1753 W Ridgeway Ave, Waterloo, IA 507014544

Phone: 3198335888

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221644

Iowa Physicians Clinic Medical Foundation

1825 Logan Ave, Waterloo, IA 507031916

Phone: 3192353886

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221637

Phone: 5637425950

Unitypoint Health - Marshalltown

55 Unitypoint Way, Marshalltown, IA 501584749

Phone: 6417545145

Practice Associates & Co-Workers

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

39 Associated Practitioners

Dr. Jennifer Marks , DO

Physical Medicine & Rehabilitation

NPI 1033163647

Doctor of Osteopathic Medicine (D.O.)

Shannon Davison-Wiese , ARNP

Nurse Practitioner - Family

NPI 1043568934

Advanced Registered Nurse Practitioner

Jason Schulz , PA

Physician Assistant

NPI 1053642447

Physician Assistant

Dr. Jared Cooke , DO

Orthopaedic Surgery

NPI 1104272574

Doctor of Osteopathic Medicine (D.O.)

Emily Kuhl , MS, OTR

Occupational Therapist

NPI 1104451673

Master of Science, Occupational Therapist Registered

Julie Ivanov , PA-C

Physician Assistant

NPI 1104898105

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2015

Registered at 1500 ASSOCIATES DR, DUBUQUE, IA 520022201 (Tel: 5635844460)

📍

Updated Business Mailing Address September 23, 2015

Registered at 1500 ASSOCIATES DR, DUBUQUE, IA 520022201 (Tel: 5635844100)

👤

Provider Name / Credentials Updated September 23, 2015

Recorded as BRIAN SILVIA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2015

Orthopaedic Surgery (License #MD-42906 in IA)

🟢

Initial NPI Registration & Enumeration January 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124173034

Entity Type:

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

Enumeration Date: January 24, 2007

Last Update: September 23, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1500 Associates Dr

Dubuque, IA 520022201

Phone: 5635844100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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