Active NPI 1922470525 Individual Practitioner Male Practitioner

Dr. Peter Copithorne , MD

Orthopaedic Surgery • Ellsworth, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Copithorne, MD is a certified Orthopaedic Surgery practicing in Ellsworth, ME. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Copithorne delivers high-quality medical care to the local community at 50 UNION ST STE 2100.

Dr. Copithorne is affiliated with Maine Coast Regional Health Facilities and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, new 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

50 Union St Ste 2100

Ellsworth, ME 046051534

Telephone 2076645770

Fax 2076645777

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 Orthopaedic Surgery in Ellsworth, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -9.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Ellsworth, ME (176 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Copithorne (20 Years) 20 Yrs

Ellsworth Specialty Average (29.0 Years) 29.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	273	190	$161.10	$61.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	70	$229.02	$89.88
20610 Aspiration and/or injection of fluid from large joint	77	55	$155.31	$46.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$224.40	$75.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$341.39	$121.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$502.04	$161.45
27447 Replacement of knee joint, both sides of knee	20	19	$2772.00	$1170.92
20985 Computer-assisted surgery for muscle and bone procedure	14	13	$569.00	$131.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	188	$95.03	$62.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	92	$151.13	$91.89
20610 Aspiration and/or injection of fluid from large joint	79	55	$151.13	$50.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$141.36	$77.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$294.34	$123.05
27447 Replacement of knee joint, both sides of knee	28	28	$3366.00	$1186.10
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$2803.62	$1140.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$246.80	$134.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	280	185	$73.70	$63.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	58	$133.00	$93.57
20610 Aspiration and/or injection of fluid from large joint	53	38	$215.43	$50.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$139.07	$78.08
27447 Replacement of knee joint, both sides of knee	25	23	$3190.32	$1208.21
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$2766.00	$1205.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$279.00	$128.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	338	225	$71.37	$64.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	128	$129.65	$95.87
20610 Aspiration and/or injection of fluid from large joint	117	84	$197.44	$49.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$274.24	$130.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$134.11	$80.24
27447 Replacement of knee joint, both sides of knee	32	30	$4281.38	$1222.45
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$4148.60	$1223.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$360.77	$191.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	447	268	$68.66	$50.48
20610 Aspiration and/or injection of fluid from large joint	116	84	$152.88	$49.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$125.46	$74.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	55	$128.45	$77.84
27447 Replacement of knee joint, both sides of knee	30	27	$5889.33	$1327.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	517	300	$66.26	$49.89
20610 Aspiration and/or injection of fluid from large joint	125	80	$146.98	$47.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$123.97	$74.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	83	$121.11	$76.98
27447 Replacement of knee joint, both sides of knee	36	34	$5627.00	$1318.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$331.45	$197.48
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$5223.63	$1318.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$52.29	$24.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	342	238	$62.76	$49.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$114.14	$73.60
20610 Aspiration and/or injection of fluid from large joint	93	74	$119.35	$48.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	50	$113.71	$75.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$48.32	$24.50
27447 Replacement of knee joint, both sides of knee	32	30	$5336.31	$1299.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$316.25	$195.55
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$4861.13	$1300.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	421	259	$64.20	$48.96
20610 Aspiration and/or injection of fluid from large joint	200	140	$112.19	$47.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	117	$98.40	$75.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$97.72	$73.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	52	$58.43	$24.40
27447 Replacement of knee joint, both sides of knee	37	35	$4954.46	$1286.42
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$4623.25	$1289.20

Medical Specialties & State Licenses

CMS Verified: 2021-01-12

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License ME MD20429

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

1922470525 (ME)

Hospital & Practice Group Affiliations

Maine Coast Regional Health Facilities

50 Union St, Ellsworth, ME 046051534

Phone: 2076645770

Practice Associates & Co-Workers

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

4 Associated Practitioners

Jesse Cloutier , PA

Physician Assistant

NPI 1023466562

Physician Assistant

Dr. Paul Denoncourt , MD

Orthopaedic Surgery

NPI 1457393373

Doctor of Medicine (M.D.)

Dr. Thomas Crowe , MD

Orthopaedic Surgery

NPI 1487696423

Doctor of Medicine (M.D.)

Hilary Hudson , PA-C

Physician Assistant

NPI 1952538969

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 12, 2021

Registered at 50 UNION ST STE 2100, ELLSWORTH, ME 046051534 (Tel: 2076645770)

📍

Updated Business Mailing Address January 12, 2021

Registered at 50 UNION ST STE 2100, ELLSWORTH, ME 046051534 (Tel: 2076645770)

✅

NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2015

Registered at 50 UNION ST, ELLSWORTH, ME 046051534 (Tel: 2076645304)

📍

Updated Business Mailing Address October 22, 2015

Registered at 50 UNION ST, ELLSWORTH, ME 046051534 (Tel: 2076645304)

👤

Provider Name / Credentials Updated October 22, 2015

Recorded as PETER COPITHORNE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Orthopaedic Surgery (License #MD20429 in ME)

🟢

Initial NPI Registration & Enumeration October 22, 2015

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: 1922470525

Entity Type:

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

Enumeration Date: October 22, 2015

Last Update: January 12, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

50 Union St Ste 2100

Ellsworth, ME 046051534

Phone: 2076645770

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.