Active NPI 1366468464 Individual Practitioner Male Practitioner

Dr. Daniel M Estok , MD

Orthopaedic Surgery • Boston, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Estok, MD is a certified Orthopaedic Surgery practicing in Boston, MA. With approximately 43 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1983, Dr. Estok delivers high-quality medical care to the local community at 75 FRANCIS STREET.

Dr. Estok maintains professional affiliations with Brigham And Womens Physicians Organization Inc, Select Rehabilitation, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

75 Francis Street
Brigham And Womens Hospital Dept Of Orthopedic Surgery

Boston, MA 02115

Telephone 6177326650

Associated Practice Facility / Clinic

🏢 Brigham And Women's Facility NPI 1881790020

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Boston, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +24.6 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

274 Specialists

Practicing in Boston, MA (746 Statewide)

Telehealth Adoption Rate

19.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Estok (43 Years) 43 Yrs

Boston Specialty Average (18.4 Years) 18.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	253	$409.67	$100.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$613.00	$134.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	42	$557.28	$138.77
99213 Established patient office or other outpatient visit, typically 15 minutes	34	33	$277.91	$68.79
27447 Replacement of knee joint, both sides of knee	26	24	$7311.63	$1410.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$382.00	$84.96
27134 Revision of thigh bone and hip joint prosthesis	17	17	$9244.85	$1945.86
27130 Replacement of thigh bone and hip joint with prosthesis	13	12	$5484.00	$1369.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$604.67	$140.49

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	334	256	$404.18	$103.45
99213 Established patient office or other outpatient visit, typically 15 minutes	55	52	$274.36	$70.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$613.00	$141.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$361.94	$88.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$544.31	$136.47
27447 Replacement of knee joint, both sides of knee	24	23	$6486.56	$1418.75
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$5673.40	$1391.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$509.17	$123.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$776.00	$181.92

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	268	210	$397.54	$105.49
99213 Established patient office or other outpatient visit, typically 15 minutes	92	83	$269.83	$71.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$339.59	$88.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$532.57	$139.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$565.00	$146.02
27130 Replacement of thigh bone and hip joint with prosthesis	24	24	$5769.48	$1378.64
27447 Replacement of knee joint, both sides of knee	21	20	$6375.00	$1418.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$473.33	$121.50
27134 Revision of thigh bone and hip joint prosthesis	15	15	$8007.83	$1889.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$728.55	$171.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	154	$215.16	$73.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	136	$350.75	$108.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$316.25	$91.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$535.43	$148.52
27447 Replacement of knee joint, both sides of knee	18	18	$6205.00	$1438.60
27134 Revision of thigh bone and hip joint prosthesis	13	12	$7938.77	$1967.00
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$5710.00	$1436.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	230	176	$205.37	$56.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$307.00	$82.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$316.75	$83.39
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$5655.23	$1532.06
27447 Replacement of knee joint, both sides of knee	12	11	$6120.00	$1529.62
27134 Revision of thigh bone and hip joint prosthesis	12	12	$7956.00	$2098.89
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	12	11	$113.50	$30.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	273	215	$202.15	$54.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$302.10	$81.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$311.25	$84.64
27134 Revision of thigh bone and hip joint prosthesis	21	21	$7538.94	$1981.88
27447 Replacement of knee joint, both sides of knee	15	15	$5814.00	$1416.91
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$5481.67	$1442.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	410	311	$197.01	$55.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$304.46	$82.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	47	$302.53	$83.37
27447 Replacement of knee joint, both sides of knee	22	22	$6120.00	$1504.97
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$5309.75	$1511.61
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	16	14	$108.63	$30.23
27134 Revision of thigh bone and hip joint prosthesis	14	13	$7487.86	$2036.69
27488 Removal of total knee joint prosthesis	11	11	$4701.36	$1181.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	418	323	$191.56	$53.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$286.98	$79.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$297.76	$82.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	32	$95.00	$26.77
27447 Replacement of knee joint, both sides of knee	27	25	$6120.00	$1435.64
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$187.27	$51.79
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	19	17	$109.00	$28.52
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$5170.53	$1463.25
27134 Revision of thigh bone and hip joint prosthesis	17	16	$7279.41	$2025.39
20680 Removal of deep implant from bone	13	11	$1637.15	$327.95

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 71296

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 - Adult Reconstructive Orthopaedic Surgery

NUCC Taxonomy Code: 207XS0114X

State License MA 71296

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3071260 (MA)

Hospital & Practice Group Affiliations

Brigham And Womens Physicians Organization Inc

75 Francis St, Boston, MA 021156110

Phone: 6177325500

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

Practice Associates & Co-Workers

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

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Physician Assistant

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Obstetrics & Gynecology

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MDMPH

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Internal Medicine

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Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2012

Registered at 75 FRANCIS STREET, BRIGHAM AND WOMENS HOSPITAL DEPT OF ORTHOPEDIC SURGERY, BOSTON, MA 02115 (Tel: 6177326650)

📍

Updated Business Mailing Address August 06, 2012

Registered at 111 CYPRESS ST, BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION, BROOKLINE, MA 02445 (Tel: 8573070896)

👤

Provider Name / Credentials Updated August 06, 2012

Recorded as DANIEL ESTOK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2012

Orthopaedic Surgery (License #71296 in MA)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366468464

Entity Type:

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

Enumeration Date: July 14, 2006

Last Update: August 06, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 Cypress St, Brigham And Womens Physicians Organization

Brookline, MA 02445

Phone: 8573070896

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.