Active NPI 1093728677 Individual Practitioner Male Practitioner

Dr. David A.l. Johnson , MD

Orthopaedic Surgery • Biddeford, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Johnson, MD is a certified Orthopaedic Surgery practicing in Biddeford, ME. With approximately 27 years of clinical experience since graduating from University Of Vermont College Of Medicine in 1999, Dr. Johnson delivers high-quality medical care to the local community at 10 WELLSPRING RD.

Dr. Johnson is affiliated with Mainehealth and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of shoulder, minimum of 2 views, 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

10 Wellspring Rd

Biddeford, ME 040059401

Telephone 2072831126

Associated Practice Facility / Clinic

🏢 Orthopedic Surgery Assoc Pa Facility NPI 1790768703

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Biddeford, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +0.7 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Biddeford, ME (176 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (27 Years) 27 Yrs

Biddeford Specialty Average (26.3 Years) 26.3 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
73030 X-ray of shoulder, minimum of 2 views	152	107	$24.14	$9.49
99213 Established patient office or other outpatient visit, typically 15 minutes	99	76	$145.24	$65.19
20610 Aspiration and/or injection of fluid from large joint	61	45	$113.70	$47.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$177.22	$80.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	45	$207.59	$96.55
73110 X-ray of wrist, minimum of 3 views	46	27	$22.72	$8.71
73080 X-ray of elbow, minimum of 3 views	20	14	$21.85	$8.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$74.00	$35.66
20605 Aspiration and/or injection of medium joint or joint capsule	18	17	$79.39	$35.67
73502 X-ray of hip, 2-3 views	18	14	$25.72	$10.83
73130 X-ray of hand, minimum of 3 views	18	13	$20.72	$8.50
20600 Aspiration and/or injection of fluid from small joint	16	14	$77.31	$33.54
73140 X-ray of finger, minimum of 2 views	15	13	$15.93	$6.76
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$3268.54	$1456.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	106	$116.37	$64.22
73030 X-ray of shoulder, minimum of 2 views	106	87	$18.76	$9.03
20610 Aspiration and/or injection of fluid from large joint	77	62	$114.52	$46.86
73030 X-ray of shoulder, minimum of 2 views	77	62	$19.30	$9.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	63	$171.90	$94.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$162.17	$81.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$60.40	$34.37
73562 X-ray of knee, 3 views	17	16	$23.50	$11.20
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$2968.26	$1419.56
73110 X-ray of wrist, minimum of 3 views	15	12	$17.81	$8.39
20605 Aspiration and/or injection of medium joint or joint capsule	15	12	$76.13	$36.25
73562 X-ray of knee, 3 views	15	14	$20.07	$9.07
73110 X-ray of wrist, minimum of 3 views	14	11	$17.83	$8.39
73130 X-ray of hand, minimum of 3 views	13	11	$18.54	$8.39
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$2513.90	$1206.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	139	$112.23	$64.12
73030 X-ray of shoulder, minimum of 2 views	139	110	$18.54	$9.02
20610 Aspiration and/or injection of fluid from large joint	101	70	$104.88	$45.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	83	$166.66	$93.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	42	$59.83	$35.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$151.80	$80.24
23472 Prosthetic repair of shoulder joint, total shoulder	20	20	$2940.65	$1370.62
73110 X-ray of wrist, minimum of 3 views	19	14	$17.51	$8.53
20605 Aspiration and/or injection of medium joint or joint capsule	18	17	$91.33	$34.71
73562 X-ray of knee, 3 views	17	13	$18.54	$8.93
73070 X-ray of elbow, 2 views	16	14	$16.48	$8.18
73502 X-ray of hip, 2-3 views	11	11	$22.66	$10.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	185	133	$104.57	$66.68
73030 X-ray of shoulder, minimum of 2 views	100	81	$18.12	$9.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	80	$161.77	$96.53
20610 Aspiration and/or injection of fluid from large joint	96	67	$136.88	$44.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	54	$54.44	$35.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$147.36	$83.42
20605 Aspiration and/or injection of medium joint or joint capsule	21	17	$73.63	$32.89
23472 Prosthetic repair of shoulder joint, total shoulder	19	19	$2868.52	$1452.23
73130 X-ray of hand, minimum of 3 views	14	13	$17.11	$8.69
73562 X-ray of knee, 3 views	12	11	$18.09	$8.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	158	$103.48	$51.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	110	$153.77	$80.01
73030 X-ray of shoulder, minimum of 2 views	115	91	$18.07	$9.73
20610 Aspiration and/or injection of fluid from large joint	107	76	$121.79	$49.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$146.00	$76.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	35	$53.32	$25.92
73110 X-ray of wrist, minimum of 3 views	24	16	$17.33	$8.98
23472 Prosthetic repair of shoulder joint, total shoulder	18	18	$2974.22	$1473.51
20605 Aspiration and/or injection of medium joint or joint capsule	17	14	$73.00	$37.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	224	170	$74.21	$50.42
20610 Aspiration and/or injection of fluid from large joint	172	122	$110.23	$46.60
73030 X-ray of shoulder, minimum of 2 views	122	107	$26.43	$9.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	101	$111.06	$78.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	69	$37.02	$25.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$138.74	$75.41
23472 Prosthetic repair of shoulder joint, total shoulder	27	27	$3928.00	$1460.48
20605 Aspiration and/or injection of medium joint or joint capsule	24	20	$89.00	$34.46
20600 Aspiration and/or injection of fluid from small joint	19	17	$83.53	$37.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$133.00	$53.52
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$1813.00	$175.68
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$2786.00	$1060.65
73130 X-ray of hand, minimum of 3 views	15	12	$25.00	$8.88
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$1726.00	$261.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	261	188	$60.14	$50.52
20610 Aspiration and/or injection of fluid from large joint	177	122	$108.85	$47.06
73030 X-ray of shoulder, minimum of 2 views	152	114	$25.43	$9.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	100	$30.48	$25.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$89.64	$74.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	43	$91.11	$77.66
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$3830.43	$1442.70
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$1738.73	$168.54
29827 Repair of shoulder rotator cuff using an endoscope	21	21	$2678.33	$1049.58
73562 X-ray of knee, 3 views	20	18	$17.55	$10.90
20605 Aspiration and/or injection of medium joint or joint capsule	19	19	$74.32	$37.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$129.00	$53.46
73502 X-ray of hip, 2-3 views	13	12	$21.23	$10.69
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$1657.67	$363.46
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$58.55	$49.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	188	$59.54	$49.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	118	$31.00	$25.07
20610 Aspiration and/or injection of fluid from large joint	144	107	$105.03	$46.84
73030 X-ray of shoulder, minimum of 2 views	112	91	$25.63	$9.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$90.63	$73.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	45	$91.53	$78.25
20605 Aspiration and/or injection of medium joint or joint capsule	30	26	$81.40	$36.36
73060 X-ray of upper arm, minimum of 2 views	22	12	$20.00	$8.38
23472 Prosthetic repair of shoulder joint, total shoulder	19	18	$3741.00	$1434.85
73110 X-ray of wrist, minimum of 3 views	19	11	$24.00	$8.73
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$1727.00	$166.90
73562 X-ray of knee, 3 views	17	16	$20.35	$10.00
73502 X-ray of hip, 2-3 views	16	13	$20.81	$11.20
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$2653.00	$1040.61

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License ME 017983

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

433319099 (ME)

Medicaid State Provider ID

1093728677 (ME)

Commercial Insurance / Payer ID Aetna

7318687 (ME)

Commercial Insurance / Payer ID Harvard Pilgrim Healthcare

AA134371 (ME)

Commercial Insurance / Payer ID Anthem

1093728677 (ME)

Hospital & Practice Group Affiliations

Mainehealth

25 A June St, Sanford, ME 040732642

Mainehealth

1 Medical Ctr Dr, Biddeford, ME 040059422

Phone: 2072824270

Mainehealth

46 Barra Rd, Biddeford, ME 040059459

Phone: 2072823349

Mainehealth

22 Bramhall St, Portland, ME 041023134

Phone: 2078859905

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. David Markellos , MD

Orthopaedic Surgery

NPI 1285678789

Doctor of Medicine (M.D.)

Nicole Grady , PA, ATC

Physician Assistant - Surgical

NPI 1356843940

Physician Assistant, Certified Athletic Trainer

Dr. Christian Basque , MD

Family Medicine - Sports Medicine

NPI 1366731648

Doctor of Medicine (M.D.)

Dr. Peter Dollard , MD

Orthopaedic Surgery

NPI 1417997222

Doctor of Medicine (M.D.)

Eric Smith , PA

Physician Assistant - Surgical

NPI 1447547864

Physician Assistant

Dr. Matthew Bush , MD

Orthopaedic Surgery

NPI 1467476226

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 November 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 27, 2012

Registered at 10 WELLSPRING RD, BIDDEFORD, ME 040059401 (Tel: 2072831126)

📍

Updated Business Mailing Address November 27, 2012

Registered at 1 MEDICAL CENTER DR, BIDDEFORD, ME 040059422 (Tel: 2072829080)

👤

Provider Name / Credentials Updated November 27, 2012

Recorded as DAVID JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2012

Orthopaedic Surgery (License #017983 in ME)

🟢

Initial NPI Registration & Enumeration August 14, 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: 1093728677

Entity Type:

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

Enumeration Date: August 14, 2006

Last Update: November 27, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Medical Center Dr

Biddeford, ME 040059422

Phone: 2072829080

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

⚠️ Medical Disclaimer

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