Active NPI 1295892859 Individual Practitioner Male Practitioner

Dr. Ethan Healy , MD

Orthopaedic Surgery • Natick, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Healy, MD is a certified Orthopaedic Surgery practicing in Natick, MA. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Healy delivers high-quality medical care to the local community at 313 SPEEN ST.

Dr. Healy is affiliated with Orthopedics New England Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, established 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

313 Speen St

Natick, MA 01760

Telephone 5086550471

Associated Practice Facility / Clinic

🏢 Shields Radiology Associates Facility NPI 1518913805

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Natick, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -0.9 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Natick, MA (746 Statewide)

Telehealth Adoption Rate

42.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Healy (22 Years) 22 Yrs

Natick Specialty Average (22.9 Years) 22.9 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	6,612	94	$1.29	$0.13
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	866	19	$46.82	$16.93
99213 Established patient office or other outpatient visit, typically 15 minutes	552	284	$275.18	$98.44
20610 Aspiration and/or injection of fluid from large joint	270	139	$376.76	$76.60
73562 X-ray of knee, 3 views	150	109	$171.00	$53.58
73502 X-ray of hip, 2-3 views	127	89	$225.00	$54.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$375.00	$121.53
73030 X-ray of shoulder, minimum of 2 views	82	49	$240.73	$40.78
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	59	18	$600.00	$119.12
73610 X-ray of ankle, minimum of 3 views	55	20	$196.36	$41.10
J1030 Injection, methylprednisolone acetate, 40 mg	54	40	$25.00	$6.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$625.00	$135.28
73522 X-ray of both hips, 3-4 views	12	11	$192.50	$56.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	510	249	$275.00	$99.21
20610 Aspiration and/or injection of fluid from large joint	257	132	$357.88	$72.50
J1030 Injection, methylprednisolone acetate, 40 mg	232	120	$25.00	$7.64
73562 X-ray of knee, 3 views	207	98	$115.94	$36.90
73502 X-ray of hip, 2-3 views	161	97	$139.13	$40.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$375.89	$122.33
73030 X-ray of shoulder, minimum of 2 views	82	42	$177.68	$30.53
73610 X-ray of ankle, minimum of 3 views	47	11	$107.45	$32.27
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	39	13	$615.38	$126.12
73522 X-ray of both hips, 3-4 views	26	16	$131.15	$39.17
72170 X-ray of pelvis, 1-2 views	25	13	$128.00	$25.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$625.00	$134.82
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$8000.00	$1286.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	514	12	$49.42	$17.02
99213 Established patient office or other outpatient visit, typically 15 minutes	462	246	$270.02	$101.30
J1030 Injection, methylprednisolone acetate, 40 mg	235	110	$25.11	$6.42
20610 Aspiration and/or injection of fluid from large joint	222	119	$376.24	$78.74
73562 X-ray of knee, 3 views	172	112	$157.85	$51.70
73502 X-ray of hip, 2-3 views	123	82	$172.72	$55.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$375.00	$125.01
73030 X-ray of shoulder, minimum of 2 views	40	28	$240.88	$41.50
73610 X-ray of ankle, minimum of 3 views	39	12	$135.00	$44.17
72170 X-ray of pelvis, 1-2 views	20	13	$165.00	$32.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$625.00	$141.87
73522 X-ray of both hips, 3-4 views	12	12	$210.00	$64.20
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$8000.00	$1337.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	407	220	$250.31	$102.12
20610 Aspiration and/or injection of fluid from large joint	264	129	$368.09	$77.60
J1030 Injection, methylprednisolone acetate, 40 mg	222	116	$25.00	$5.68
73562 X-ray of knee, 3 views	153	98	$154.90	$50.20
73502 X-ray of hip, 2-3 views	127	84	$170.87	$53.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$375.00	$126.36
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	62	13	$600.00	$136.71
73030 X-ray of shoulder, minimum of 2 views	52	35	$225.96	$37.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$625.00	$145.01
99442 Telephone medical discussion with physician, 11-20 minutes	15	11	$375.00	$103.29
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$8000.00	$1322.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	323	183	$250.00	$83.75
20610 Aspiration and/or injection of fluid from large joint	185	93	$368.92	$74.84
J1030 Injection, methylprednisolone acetate, 40 mg	160	80	$25.00	$6.02
73502 X-ray of hip, 2-3 views	90	68	$173.06	$52.49
73562 X-ray of knee, 3 views	63	49	$150.00	$45.47
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	52	15	$600.00	$133.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$375.00	$121.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$625.00	$149.03
73030 X-ray of shoulder, minimum of 2 views	30	19	$235.00	$38.79
72170 X-ray of pelvis, 1-2 views	25	13	$165.00	$33.16
73552 X-ray of thigh bone, minimum 2 views	23	11	$130.00	$40.38
99442 Telephone medical discussion with physician, 11-20 minutes	21	18	$375.00	$84.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	576	11	$46.88	$18.58
99213 Established patient office or other outpatient visit, typically 15 minutes	455	247	$250.00	$81.76
20610 Aspiration and/or injection of fluid from large joint	256	133	$354.20	$68.19
J1030 Injection, methylprednisolone acetate, 40 mg	224	119	$25.00	$6.24
73502 X-ray of hip, 2-3 views	94	73	$172.34	$47.49
73562 X-ray of knee, 3 views	93	72	$150.54	$42.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$375.00	$118.75
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	65	19	$453.47	$307.53
73030 X-ray of shoulder, minimum of 2 views	33	25	$242.12	$35.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$625.00	$146.30
73552 X-ray of thigh bone, minimum 2 views	21	12	$101.43	$38.32
72170 X-ray of pelvis, 1-2 views	20	13	$165.00	$37.98
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$8000.00	$1366.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	487	268	$245.28	$77.64
J1030 Injection, methylprednisolone acetate, 40 mg	230	135	$25.00	$6.65
20610 Aspiration and/or injection of fluid from large joint	225	142	$361.11	$68.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$375.71	$115.42
73502 X-ray of hip, 2-3 views	93	71	$180.11	$44.67
73562 X-ray of knee, 3 views	86	65	$149.24	$39.79
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	42	14	$177.67	$141.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$585.71	$140.83
73030 X-ray of shoulder, minimum of 2 views	33	23	$215.00	$33.47
72170 X-ray of pelvis, 1-2 views	17	11	$155.29	$35.33
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$8000.00	$1317.43
73522 X-ray of both hips, 3-4 views	12	12	$201.25	$54.02
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$12666.67	$1457.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	396	224	$226.14	$77.57
J1030 Injection, methylprednisolone acetate, 40 mg	260	155	$25.00	$5.76
20610 Aspiration and/or injection of fluid from large joint	241	168	$246.47	$66.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$375.00	$114.23
73502 X-ray of hip, 2-3 views	96	68	$200.00	$46.12
73562 X-ray of knee, 3 views	87	72	$149.48	$40.73
73030 X-ray of shoulder, minimum of 2 views	39	30	$110.26	$34.56
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	31	19	$177.67	$148.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$350.00	$141.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$425.00	$209.39
73610 X-ray of ankle, minimum of 3 views	16	12	$105.00	$34.97
73565 X-ray of both knees while standing	11	11	$131.82	$39.89

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 238685

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

110083022A (MA)

Commercial Insurance / Payer ID Bcbs

J44968 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim Helath Care

AA148657 (MA)

Hospital & Practice Group Affiliations

Orthopedics New England Inc

313 Speen St, Natick, MA 017601538

Phone: 5086550471

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Michael Sganga , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1215370093

Doctor of Podiatric Medicine

Brianna Leung , PA-C

Physician Assistant - Surgical

NPI 1336865351

Physician Assistant (Certified)

Dr. Daniel Osuch , MD

Orthopaedic Surgery

NPI 1356498489

Doctor of Medicine (M.D.)

Nury Marie Arevalo Flynn , PA

Physician Assistant

NPI 1386671881

Physician Assistant

Karl Haywood , PA

Physician Assistant - Surgical

NPI 1407992605

Physician Assistant

Dr. Agam Shah , MD

Orthopaedic Surgery

NPI 1437204328

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 16, 2018

Registered at 313 SPEEN ST, NATICK, MA 01760 (Tel: 5086550471)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2018

Orthopaedic Surgery (License #238685 in MA)

✅

NPI Profile Active August 04, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2011

Registered at 313 SPEEN ST, NATICK, MA 017601538 (Tel: 5086550471)

📍

Updated Business Mailing Address August 04, 2011

Registered at 313 SPEEN ST, NATICK, MA 017601538 (Tel: 5086550471)

👤

Provider Name / Credentials Updated August 04, 2011

Recorded as ETHAN HEALY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2011

Orthopaedic Surgery (License #222407 in MA)

🟢

Initial NPI Registration & Enumeration January 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Ethan Healy. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295892859

Entity Type:

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

Enumeration Date: January 03, 2007

Last Update: May 16, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

313 Speen St

Natick, MA 017601538

Phone: 5086550471

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.