Active NPI 1518131549 Individual Practitioner Male Practitioner

Dr. Charles Edwin Crouse , MD

Orthopaedic Surgery • Morehead, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Crouse, MD is a certified Orthopaedic Surgery practicing in Morehead, KY. With approximately 23 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 2003, Dr. Crouse delivers high-quality medical care to the local community at 1350 FLEMINGSBURG RD.

Dr. Crouse maintains professional affiliations with Premier Therapy And Health Centers Inc, Bluegrass Orthopaedics Psc, H2 Rehabilitation Services Of Kentucky, Llc 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

1350 Flemingsburg Rd

Morehead, KY 403511810

Telephone 6064628016

Fax 6064628046

Associated Practice Facility / Clinic

🏢 W. Michael Spurlock, D.c., P.s.c. Facility NPI 1336280379

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Morehead, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -9.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Morehead, KY (389 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crouse (23 Years) 23 Yrs

Morehead Specialty Average (32.0 Years) 32.0 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	10,641	78	$0.40	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	201	117	$258.12	$83.70
20610 Aspiration and/or injection of fluid from large joint	201	91	$220.31	$64.45
73562 X-ray of knee, 3 views	54	36	$112.44	$35.63
77002 Fluoroscopic guidance for needle placement	50	31	$321.99	$98.67
73560 X-ray of knee, 1-2 views	46	31	$94.11	$30.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$363.90	$119.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	15	$5.00	$0.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$317.85	$99.82
73030 X-ray of shoulder, minimum of 2 views	30	22	$95.28	$30.33
J1040 Injection, methylprednisolone acetate, 80 mg	28	24	$35.00	$9.69
27447 Replacement of knee joint, both sides of knee	23	18	$3675.63	$1197.65
72170 X-ray of pelvis, 1-2 views	19	14	$77.10	$24.95
J1030 Injection, methylprednisolone acetate, 40 mg	18	16	$17.00	$6.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$476.37	$155.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	180	98	$223.00	$65.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	90	$364.77	$118.66
99213 Established patient office or other outpatient visit, typically 15 minutes	117	90	$257.22	$80.99
J1040 Injection, methylprednisolone acetate, 80 mg	104	50	$35.00	$11.77
J1030 Injection, methylprednisolone acetate, 40 mg	96	65	$17.00	$7.55
77002 Fluoroscopic guidance for needle placement	50	28	$321.99	$100.11
73560 X-ray of knee, 1-2 views	47	34	$94.11	$30.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$476.37	$152.70
73562 X-ray of knee, 3 views	40	31	$112.44	$36.31
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	22	18	$25.00	$1.43
73501 X-ray of hip with pelvis, 1 view	22	18	$89.88	$28.28
27447 Replacement of knee joint, both sides of knee	20	20	$3675.63	$1199.69
73130 X-ray of hand, minimum of 3 views	19	13	$100.56	$33.03
73030 X-ray of shoulder, minimum of 2 views	18	15	$95.28	$31.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$317.85	$103.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$514.41	$158.76
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$3679.17	$1201.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	148	72	$204.59	$68.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	124	17	$3.06	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	81	$196.72	$120.58
J1040 Injection, methylprednisolone acetate, 80 mg	78	36	$32.24	$11.01
99213 Established patient office or other outpatient visit, typically 15 minutes	65	56	$217.67	$84.99
J1030 Injection, methylprednisolone acetate, 40 mg	48	35	$16.04	$6.50
77002 Fluoroscopic guidance for needle placement	47	23	$225.74	$104.86
73560 X-ray of knee, 1-2 views	43	30	$65.02	$31.15
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	22	14	$25.00	$0.81
27447 Replacement of knee joint, both sides of knee	21	21	$2547.21	$1217.60
73562 X-ray of knee, 3 views	19	16	$62.39	$37.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$236.23	$157.86
73030 X-ray of shoulder, minimum of 2 views	14	12	$55.77	$30.01
73502 X-ray of hip, 2-3 views	11	11	$62.00	$43.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	216	110	$149.43	$65.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	124	$167.95	$122.56
J1030 Injection, methylprednisolone acetate, 40 mg	109	69	$15.00	$5.65
J1040 Injection, methylprednisolone acetate, 80 mg	94	53	$30.00	$10.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$235.00	$160.68
73562 X-ray of knee, 3 views	59	44	$53.00	$36.96
77002 Fluoroscopic guidance for needle placement	57	35	$148.00	$94.34
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	46	15	$200.00	$136.67
73502 X-ray of hip, 2-3 views	34	28	$62.00	$41.40
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$106.00	$85.24
73030 X-ray of shoulder, minimum of 2 views	20	18	$45.00	$31.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$231.33	$173.55
27447 Replacement of knee joint, both sides of knee	11	11	$1983.00	$1245.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	66	52	$115.42	$66.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	55	$155.00	$103.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	51	$139.00	$77.39
20610 Aspiration and/or injection of fluid from large joint	55	43	$105.36	$51.85
J1040 Injection, methylprednisolone acetate, 80 mg	46	27	$30.00	$11.34
J1030 Injection, methylprednisolone acetate, 40 mg	30	27	$15.00	$5.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$208.00	$140.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$235.00	$152.32
77002 Fluoroscopic guidance for needle placement	18	13	$138.22	$27.47
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$93.00	$50.38
27447 Replacement of knee joint, both sides of knee	12	12	$1944.50	$1330.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	109	74	$110.11	$50.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	47	$139.11	$75.03
77002 Fluoroscopic guidance for needle placement	37	26	$135.27	$26.52
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$90.78	$49.60
27447 Replacement of knee joint, both sides of knee	20	18	$1872.40	$1316.20
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$521.22	$172.02
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$1539.25	$1192.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$212.23	$125.21
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$1603.15	$1159.12
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$1326.27	$1021.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	93	62	$96.32	$48.57
73110 X-ray of wrist, minimum of 3 views	46	27	$67.33	$8.15
73502 X-ray of hip, 2-3 views	45	37	$49.49	$11.16
73560 X-ray of knee, 1-2 views	43	31	$63.84	$7.89
73502 X-ray of hip, 2-3 views	41	29	$69.39	$10.39
73110 X-ray of wrist, minimum of 3 views	40	21	$44.00	$8.25
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$89.17	$47.69
73030 X-ray of shoulder, minimum of 2 views	38	35	$75.61	$8.89
73562 X-ray of knee, 3 views	37	36	$49.16	$8.71
20610 Aspiration and/or injection of fluid from large joint	35	28	$87.86	$43.30
73562 X-ray of knee, 3 views	35	34	$44.00	$8.94
73610 X-ray of ankle, minimum of 3 views	33	23	$71.06	$8.24
77002 Fluoroscopic guidance for needle placement	32	22	$132.13	$26.33
73560 X-ray of knee, 1-2 views	28	21	$44.25	$7.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$133.54	$73.10
73020 X-ray of shoulder, 1 view	26	14	$59.42	$7.55
73610 X-ray of ankle, minimum of 3 views	24	15	$40.00	$8.28
73030 X-ray of shoulder, minimum of 2 views	22	22	$43.55	$8.93
72170 X-ray of pelvis, 1-2 views	21	17	$126.67	$8.24
73630 X-ray of foot, minimum of 3 views	21	13	$40.00	$7.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$249.40	$188.87
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$1504.00	$1112.96
73630 X-ray of foot, minimum of 3 views	19	13	$65.89	$7.94
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$129.11	$94.31
27447 Replacement of knee joint, both sides of knee	18	16	$1820.00	$1260.13
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	17	$1558.88	$1108.58
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$95.71	$50.05
72170 X-ray of pelvis, 1-2 views	16	13	$43.00	$8.27
64721 Release and/or relocation of hand nerve	14	12	$546.86	$375.61
73130 X-ray of hand, minimum of 3 views	13	11	$77.85	$8.24
25609 Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device	11	11	$1352.64	$965.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	125	116	$44.00	$8.86
73502 X-ray of hip, 2-3 views	122	76	$47.61	$10.74
20610 Aspiration and/or injection of fluid from large joint	112	69	$101.59	$49.57
73610 X-ray of ankle, minimum of 3 views	105	62	$40.71	$8.22
73110 X-ray of wrist, minimum of 3 views	82	40	$44.91	$8.21
73030 X-ray of shoulder, minimum of 2 views	73	67	$40.00	$8.86
73560 X-ray of knee, 1-2 views	69	43	$41.09	$7.84
99213 Established patient office or other outpatient visit, typically 15 minutes	58	55	$91.66	$47.25
72170 X-ray of pelvis, 1-2 views	53	31	$36.00	$8.21
73020 X-ray of shoulder, 1 view	43	20	$30.00	$7.52
73130 X-ray of hand, minimum of 3 views	43	26	$40.00	$8.20
73630 X-ray of foot, minimum of 3 views	37	24	$40.00	$7.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$137.71	$72.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$195.00	$120.15
73140 X-ray of finger, minimum of 2 views	20	13	$40.00	$6.53
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$128.00	$93.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$245.00	$187.65
73080 X-ray of elbow, minimum of 3 views	17	17	$44.41	$8.20
27447 Replacement of knee joint, both sides of knee	16	15	$1796.00	$1251.49
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$1477.00	$1133.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$126.00	$96.69
64721 Release and/or relocation of hand nerve	11	11	$542.00	$385.99

Medical Specialties & State Licenses

CMS Verified: 2022-07-21

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License KY 42077

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.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License KY 42077

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100052230 (KY)

Commercial Insurance / Payer ID State Medical License

42077 (KY)

Hospital & Practice Group Affiliations

Bluegrass Orthopaedics Psc

1350 Flemingsburg Rd, Morehead, KY 403511810

Phone: 8592635140

H2 Rehabilitation Services Of Kentucky, Llc

193 Glades Rd, Berea, KY 404032261

Phone: 8599561055

Premier Therapy And Health Centers Inc

710 N Carol Malone Boulevard, Grayson, KY 411431126

Phone: 6064740157

Secondary Practice Locations

3401 Yorkshire Medical Park

Lexington, KY 405092513

Phone: 8592635140

850 Hail Knob Rd Ste B

Somerset, KY 425033418

Phone: 8592635140

932 Elizaville Ave Ste 100

Flemingsburg, KY 410419209

Phone: 6064628016

2045 Lantern Ridge Drive

Richmond, KY 40475

Phone: 8592635140

195 Commercial Dr

London, KY 407448234

Phone: 8592635140

1760 Harrodsburg Rd

Lexington, KY 405043602

Phone: 8592635140

1868 Plaudit Pl

Lexington, KY 405092429

Phone: 8592635140

145 Newcomb Ave

Mount Vernon, KY 404562728

Phone: 8592635140

111 Cynthia Dr Ste 139

Nicholasville, KY 403568062

Phone: 8592635140

3480 Yorkshire Medical Park

Lexington, KY 405091886

Phone: 8592635140

Practice Associates & Co-Workers

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

1 Associated Practitioners

Lacinda Rishel , PA-C

Physician Assistant

NPI 1619286739

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address August 02, 2022

Registered at 3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 405091886 (Tel: 8592635140)

📍

Updated Practice Location July 02, 2020

Registered at 1350 FLEMINGSBURG RD, MOREHEAD, KY 403511810 (Tel: 6064628016)

📍

Updated Business Mailing Address July 02, 2020

Registered at 1350 FLEMINGSBURG RD, MOREHEAD, KY 403511810 (Tel: 6064628016)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2020

Orthopaedic Surgery (License #42077 in KY)

✅

NPI Profile Active January 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2015

Registered at 425 CLINIC DR, MOREHEAD, KY 403511077 (Tel: 6067841049)

📍

Updated Business Mailing Address January 07, 2015

Registered at 425 CLINIC DR, MOREHEAD, KY 403511077 (Tel: 6067841049)

👤

Provider Name / Credentials Updated January 07, 2015

Recorded as CHARLES CROUSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2015

Orthopaedic Surgery (License #R1155 in KY)

🟢

Initial NPI Registration & Enumeration April 22, 2008

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: 1518131549

Entity Type:

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

Enumeration Date: April 22, 2008

Last Update: August 02, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3480 Yorkshire Medical Park

Lexington, KY 405091886

Phone: 8592635140

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.