Active NPI 1700204492 Individual Practitioner Male Practitioner

Dr. John Andrew Younghein , MD

Orthopaedic Surgery • Stoneham, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Younghein, MD is a certified Orthopaedic Surgery practicing in Stoneham, MA. With approximately 12 years of clinical experience since graduating from Tulane University School Of Medicine in 2014, Dr. Younghein delivers high-quality medical care to the local community at 92 MONTVALE AVE STE 1400.

Dr. Younghein is affiliated with Orthopedic Surgery, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

92 Montvale Ave Ste 1400

Stoneham, MA 021803629

Telephone 7812797040

Fax 7812798430

Associated Practice Facility / Clinic

🏢 Orthopedic Surgery, Inc Facility NPI 1689728669

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Stoneham, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -17.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Stoneham, MA (746 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Younghein (12 Years) 12 Yrs

Stoneham Specialty Average (29.5 Years) 29.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

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	132	97	$346.00	$137.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	114	93	$524.58	$192.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$518.00	$177.72
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	37	20	$764.00	$257.11
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$262.78	$97.12
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	17	$2033.00	$730.58
J1040 Injection, methylprednisolone acetate, 80 mg	16	15	$31.00	$11.71
36415 Insertion of needle into vein for collection of blood sample	15	14	$15.73	$8.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$662.63	$235.99
22612 Fusion of spine in lower back	11	11	$4365.00	$1689.10

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	205	150	$373.36	$142.02
99213 Established patient office or other outpatient visit, typically 15 minutes	159	113	$297.27	$100.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	90	75	$512.69	$199.19
72110 X-ray of lower and sacral spine, minimum of 4 views	73	72	$212.00	$60.98
72100 X-ray of lower and sacral spine, 2-3 views	67	44	$146.00	$47.82
72040 X-ray of upper spine, 2-3 views	58	35	$142.00	$47.36
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	37	22	$1375.46	$276.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$402.39	$125.87
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	32	25	$1121.25	$227.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$533.23	$176.76
72050 X-ray of upper spine, 4 or 5 views	24	24	$200.00	$64.24
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	22	22	$8306.14	$1809.70
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	21	16	$2230.95	$423.50
72070 X-ray of middle spine, 2 views	15	14	$144.00	$39.29
22845 Placement of stabilizing device to front, 2-3 spine bone segments	15	15	$4106.87	$779.08

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	308	222	$382.17	$145.75
72110 X-ray of lower and sacral spine, minimum of 4 views	195	192	$210.91	$59.62
99213 Established patient office or other outpatient visit, typically 15 minutes	146	110	$300.00	$102.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	131	109	$550.00	$201.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$404.00	$126.36
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	80	64	$630.56	$215.86
72050 X-ray of upper spine, 4 or 5 views	75	68	$200.00	$62.10
72100 X-ray of lower and sacral spine, 2-3 views	74	62	$146.00	$47.26
J1030 Injection, methylprednisolone acetate, 40 mg	49	43	$30.00	$5.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$577.00	$187.56
72040 X-ray of upper spine, 2-3 views	28	20	$142.00	$46.84
J1040 Injection, methylprednisolone acetate, 80 mg	22	21	$40.00	$10.53
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	21	21	$492.00	$111.22
72070 X-ray of middle spine, 2 views	19	19	$144.00	$38.55
73502 X-ray of hip, 2-3 views	17	12	$153.00	$55.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	71	25	$2750.00	$66.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	57	$323.89	$120.43
72110 X-ray of lower and sacral spine, minimum of 4 views	43	43	$212.00	$56.88
99213 Established patient office or other outpatient visit, typically 15 minutes	37	30	$216.97	$80.54
63048 Partial removal of spine bone with release of spinal cord and/or nerves	31	13	$1300.00	$35.99
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	30	20	$4000.00	$51.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$333.22	$114.12
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	20	$6000.00	$130.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$329.00	$142.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$577.00	$183.96
72050 X-ray of upper spine, 4 or 5 views	13	13	$200.00	$59.40
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$6524.00	$315.66
22612 Fusion of spine in lower back	11	11	$5664.00	$258.10
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$5299.00	$102.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	40	15	$2750.00	$92.89
99213 Established patient office or other outpatient visit, typically 15 minutes	28	18	$172.00	$76.91
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	16	$4000.00	$44.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$329.00	$141.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$256.00	$112.54
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$6524.00	$286.22

Medical Specialties & State Licenses

CMS Verified: 2025-05-21

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 284064

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

NUCC Taxonomy Code: 207X00000X

State License RI MD16741

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License MA 284064

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Hospital & Practice Group Affiliations

Orthopedic Surgery, Inc

92 Montvale Ave, Stoneham, MA 021803629

Phone: 7812797040

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Robert Waugh , MD

Orthopaedic Surgery

NPI 1003950569

Doctor of Medicine (M.D.)

Kimberly Tighe , PA

Physician Assistant

NPI 1093080830

Physician Assistant

Dr. Abraham Shurland , MD

Orthopaedic Surgery - Sports Medicine

NPI 1144214032

Doctor of Medicine (M.D.)

Dr. Evan Zahner , MD

Orthopaedic Surgery

NPI 1154378479

Doctor of Medicine (M.D.)

Maria Chorzewski , PT

Physical Therapist

NPI 1215245899

Physical Therapist

Dr. Denis Byrne , MD

Specialist

NPI 1215921309

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location May 21, 2025

Registered at 92 MONTVALE AVE STE 1400, STONEHAM, MA 021803629 (Tel: 7812797040)

📍

Updated Business Mailing Address May 21, 2025

Registered at 92 MONTVALE AVE STE 1400, STONEHAM, MA 021803629 (Tel: 7812797040)

📍

Updated Practice Location July 15, 2019

Registered at 1 KETTLE POINT AVE, EAST PROVIDENCE, RI 029145375 (Tel: 4013301476)

📍

Updated Business Mailing Address July 15, 2019

Registered at PO BOX 1119, PROVIDENCE, RI 029011119

👤

Provider Name / Credentials Updated July 15, 2019

Recorded as JOHN YOUNGHEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2019

Orthopaedic Surgery (License #MD16741 in RI)

✅

NPI Profile Active January 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2016

Registered at 800 WASHINGTON ST, BOSTON, MA 021111552 (Tel: 6176365000)

📍

Updated Business Mailing Address January 25, 2016

Registered at 800 WASHINGTON ST, BOSTON, MA 021111552 (Tel: 6176365000)

👤

Provider Name / Credentials Updated January 25, 2016

Recorded as JOHN YOUNGHEIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2016

Orthopaedic Surgery (License #259909 in MA)

🟢

Initial NPI Registration & Enumeration March 31, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700204492

Entity Type:

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

Enumeration Date: March 31, 2014

Last Update: May 21, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

92 Montvale Ave Ste 1400

Stoneham, MA 021803629

Phone: 7812797040

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.