Active NPI 1568416196 Individual Practitioner Male Practitioner

Dr. Thomas Stewart Gorsche , MD

Orthopaedic Surgery • Waterloo, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Gorsche, MD is a certified Orthopaedic Surgery practicing in Waterloo, IA. With approximately 45 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 1981, Dr. Gorsche delivers high-quality medical care to the local community at 1631 LOGAN AVE.

Dr. Gorsche is affiliated with Van Buren County Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1631 Logan Ave

Waterloo, IA 50703

Telephone 3193402000

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Waterloo, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +17.9 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Waterloo, IA (271 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gorsche (45 Years) 45 Yrs

Waterloo Specialty Average (27.1 Years) 27.1 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	3,082	33	$0.34	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	62	49	$170.00	$83.77
20610 Aspiration and/or injection of fluid from large joint	56	45	$338.84	$60.45
73502 X-ray of hip, 2-3 views	32	21	$130.00	$43.03
73562 X-ray of knee, 3 views	28	20	$115.00	$36.96
J1040 Injection, methylprednisolone acetate, 80 mg	27	24	$26.00	$9.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$285.00	$102.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$255.00	$118.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	167	98	$25.88	$11.53
99213 Established patient office or other outpatient visit, typically 15 minutes	133	103	$165.04	$83.82
20610 Aspiration and/or injection of fluid from large joint	132	81	$328.16	$59.86
73562 X-ray of knee, 3 views	49	33	$115.00	$37.29
73502 X-ray of hip, 2-3 views	46	34	$130.00	$43.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$280.77	$102.12
20550 Injection into tendon or ligament	13	13	$264.62	$53.32
20605 Aspiration and/or injection of medium joint or joint capsule	13	11	$287.15	$56.57
27130 Replacement of thigh bone and hip joint with prosthesis	12	11	$6395.83	$1080.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$255.00	$118.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,225	107	$5.03	$1.15
99213 Established patient office or other outpatient visit, typically 15 minutes	207	149	$158.00	$84.45
20610 Aspiration and/or injection of fluid from large joint	186	117	$311.54	$60.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$270.00	$102.61
73502 X-ray of hip, 2-3 views	65	39	$124.40	$41.77
J1040 Injection, methylprednisolone acetate, 80 mg	57	47	$26.00	$11.07
73562 X-ray of knee, 3 views	54	37	$115.00	$38.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$324.00	$126.10
73030 X-ray of shoulder, minimum of 2 views	17	14	$100.00	$28.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$240.00	$120.23
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$5743.27	$994.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	176	19	$5.00	$1.20
J1040 Injection, methylprednisolone acetate, 80 mg	157	114	$25.85	$10.53
20610 Aspiration and/or injection of fluid from large joint	155	110	$309.90	$59.99
99213 Established patient office or other outpatient visit, typically 15 minutes	154	115	$158.00	$85.37
73562 X-ray of knee, 3 views	80	47	$113.13	$36.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$270.00	$103.59
73502 X-ray of hip, 2-3 views	55	35	$120.07	$39.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	45	$240.00	$122.87
27447 Replacement of knee joint, both sides of knee	31	30	$4147.55	$839.68
73030 X-ray of shoulder, minimum of 2 views	28	21	$100.00	$30.76
73610 X-ray of ankle, minimum of 3 views	27	11	$94.81	$32.17
J1030 Injection, methylprednisolone acetate, 40 mg	20	20	$13.65	$5.65
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$182.00	$68.60
27130 Replacement of thigh bone and hip joint with prosthesis	15	14	$5476.07	$1063.35
20605 Aspiration and/or injection of medium joint or joint capsule	14	14	$245.00	$47.08
20550 Injection into tendon or ligament	14	13	$256.00	$52.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$324.00	$128.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	174	107	$25.57	$11.37
20610 Aspiration and/or injection of fluid from large joint	162	106	$293.11	$57.96
99213 Established patient office or other outpatient visit, typically 15 minutes	144	102	$158.00	$68.41
73562 X-ray of knee, 3 views	63	45	$111.81	$35.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$270.00	$100.36
77002 Fluoroscopic guidance for needle placement	43	17	$145.56	$49.81
73502 X-ray of hip, 2-3 views	37	25	$118.65	$38.54
27447 Replacement of knee joint, both sides of knee	21	20	$3633.38	$763.68
J1030 Injection, methylprednisolone acetate, 40 mg	17	13	$13.00	$6.00
20605 Aspiration and/or injection of medium joint or joint capsule	17	11	$238.00	$46.51
73030 X-ray of shoulder, minimum of 2 views	17	16	$99.82	$27.26
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$182.00	$71.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	195	121	$24.58	$12.13
20610 Aspiration and/or injection of fluid from large joint	161	101	$277.86	$55.49
99213 Established patient office or other outpatient visit, typically 15 minutes	135	104	$154.74	$69.14
73502 X-ray of hip, 2-3 views	63	41	$97.67	$32.56
73562 X-ray of knee, 3 views	56	37	$106.54	$33.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$262.26	$100.52
27447 Replacement of knee joint, both sides of knee	24	24	$4062.13	$860.31
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$178.87	$70.87
20605 Aspiration and/or injection of medium joint or joint capsule	23	17	$227.87	$48.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$319.50	$129.16
73030 X-ray of shoulder, minimum of 2 views	15	12	$94.67	$24.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$103.08	$41.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	194	127	$24.77	$12.79
20610 Aspiration and/or injection of fluid from large joint	182	120	$277.76	$55.84
99213 Established patient office or other outpatient visit, typically 15 minutes	173	119	$150.00	$67.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$257.00	$100.40
73562 X-ray of knee, 3 views	67	50	$109.46	$31.90
73502 X-ray of hip, 2-3 views	55	38	$108.60	$33.44
20605 Aspiration and/or injection of medium joint or joint capsule	30	24	$226.73	$47.31
J1030 Injection, methylprednisolone acetate, 40 mg	28	24	$16.25	$6.61
77002 Fluoroscopic guidance for needle placement	22	11	$147.95	$40.90
27447 Replacement of knee joint, both sides of knee	16	15	$4326.94	$926.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$101.00	$40.83
20550 Injection into tendon or ligament	13	11	$233.00	$45.77
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$173.00	$70.06
73030 X-ray of shoulder, minimum of 2 views	13	13	$99.00	$26.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	213	125	$24.04	$11.08
20610 Aspiration and/or injection of fluid from large joint	178	104	$280.12	$56.40
99213 Established patient office or other outpatient visit, typically 15 minutes	165	121	$150.00	$68.00
73562 X-ray of knee, 3 views	73	53	$105.22	$31.59
73502 X-ray of hip, 2-3 views	63	38	$96.10	$30.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$257.00	$99.97
73110 X-ray of wrist, minimum of 3 views	25	11	$98.16	$28.46
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$173.00	$69.37
73030 X-ray of shoulder, minimum of 2 views	23	21	$96.17	$25.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$101.00	$40.31
20605 Aspiration and/or injection of medium joint or joint capsule	20	18	$234.20	$49.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$309.00	$129.01

Medical Specialties & State Licenses

CMS Verified: 2025-04-30

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IA 22932

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

Van Buren County Hospital

304 Franklin St, Keosauqua, IA 525651164

Phone: 3192933171

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kelsey Sawvel

Nurse Practitioner - Family

NPI 1588501944

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address April 30, 2025

Registered at 1631 LOGAN AVE, WATERLOO, IA 507031237 (Tel: 3193402000)

📍

Updated Practice Location December 16, 2019

Registered at 1631 LOGAN AVE, WATERLOO, IA 50703 (Tel: 3198335381)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 164 W DALE ST, WATERLOO, IA 507031925 (Tel: 3198335381)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2758, WATERLOO, IA 507042758 (Tel: 3198335381)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS GORSCHE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #22932 in IA)

🟢

Initial NPI Registration & Enumeration May 19, 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: 1568416196

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: April 30, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1631 Logan Ave

Waterloo, IA 507031237

Phone: 3193402000

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.