Active NPI 1033230776 Individual Practitioner Male Practitioner

Dr. Thomas J Kesman , MD

Orthopaedic Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Kesman, MD is a certified Orthopaedic Surgery practicing in Worcester, MA. With approximately 20 years of clinical experience since graduating from Geisel School Of Medicine At Dartmouth in 2006, Dr. Kesman delivers high-quality medical care to the local community at 123 SUMMER ST.

Dr. Kesman is affiliated with Reliant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of middle spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Summer St
Ste 320

Worcester, MA 016081216

Telephone 5083683140

Fax 5083683143

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Holdings Facility NPI 1093793200

Medicare Profile & Education

Medical School

Geisel School Of Medicine At Dartmouth

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -4.3 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

46 Specialists

Practicing in Worcester, MA (746 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kesman (20 Years) 20 Yrs

Worcester Specialty Average (24.3 Years) 24.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	157	135	$211.00	$90.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	130	$313.00	$128.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$305.00	$112.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$455.00	$166.10
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$3399.00	$972.44

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	175	154	$313.00	$127.39
99213 Established patient office or other outpatient visit, typically 15 minutes	170	148	$211.00	$92.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$305.00	$113.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$455.00	$168.10
63048 Partial removal of spine bone with release of spinal cord and/or nerves	32	22	$533.00	$208.41
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	26	$3399.00	$904.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	145	$211.00	$93.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	107	$313.00	$132.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$303.00	$115.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$453.10	$169.97
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	31	31	$3399.00	$686.49
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	30	30	$4163.60	$1222.80
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	21	$533.00	$213.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	125	$211.00	$95.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	99	$313.00	$132.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$444.68	$174.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$289.00	$117.59
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	23	23	$3943.78	$1175.49
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$3399.00	$708.53
63048 Partial removal of spine bone with release of spinal cord and/or nerves	15	11	$533.00	$217.87

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	147	119	$313.00	$111.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$437.00	$172.77
99213 Established patient office or other outpatient visit, typically 15 minutes	102	85	$211.00	$77.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$289.53	$109.34
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	14	$533.00	$225.00
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$3399.00	$688.02
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$149.00	$75.00
36415 Insertion of needle into vein for collection of blood sample	15	14	$18.00	$3.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$57.00	$24.65
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$92.00	$48.06
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	12	12	$4213.17	$1039.89
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$2856.00	$814.19
20939 Harvest of bone marrow for spine surgery graft	12	12	$183.00	$74.58

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	185	152	$313.00	$110.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	146	146	$437.26	$166.91
99213 Established patient office or other outpatient visit, typically 15 minutes	83	68	$211.00	$76.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$289.00	$110.26
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	16	$533.00	$227.46
36415 Insertion of needle into vein for collection of blood sample	19	15	$18.00	$2.94
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$3399.00	$722.99
20939 Harvest of bone marrow for spine surgery graft	13	13	$183.00	$70.68
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$2856.00	$822.82

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	181	149	$298.85	$110.05
99213 Established patient office or other outpatient visit, typically 15 minutes	121	99	$201.00	$74.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$415.35	$170.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$275.00	$110.83
36415 Insertion of needle into vein for collection of blood sample	17	15	$18.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$112.00	$46.29
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$3476.18	$762.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	135	$186.36	$75.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	111	$276.93	$110.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$411.35	$167.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$270.00	$111.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$112.00	$44.13
36415 Insertion of needle into vein for collection of blood sample	14	13	$18.00	$2.94

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 250291

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 NC 2010-01800

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110093337/A (MA)

Medicaid State Provider ID

133603100 (MN)

Hospital & Practice Group Affiliations

Reliant Medical Group Inc

123 Summer St, Worcester, MA 016081216

Phone: 5083635000

Practice Associates & Co-Workers

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

19 Associated Practitioners

Dr. Matthew Bernier , DC

Chiropractor

NPI 1033868062

Doctor of Chiropractic

Dr. Antranig Kalaydjian , MD

Anesthesiology - Pain Medicine

NPI 1043658735

Doctor of Medicine (M.D.)

Dr. Brian Burroughs , MD

Orthopaedic Surgery

NPI 1124288477

Doctor of Medicine (M.D.)

Dr. Gary Peters , MD

Specialist

NPI 1154306108

Doctor of Medicine (M.D.)

Jonathan Ponte , NP

Nurse Practitioner - Adult Health

NPI 1174811343

Nurse Practitioner

Michele Taft , OTR L

Occupational Therapist

NPI 1194817940

Occupational Therapist Registered & Licensed

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Orthopaedic Surgery (License #2010-01800 in NC)

✅

NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 14, 2017

Registered at 630 PLANTATION ST, WORCESTER, MA 016052038 (Tel: (508) 368-3140)

📍

Updated Practice Location August 14, 2017

Registered at 123 SUMMER ST, STE 320, WORCESTER, MA 016081216 (Tel: 5083683140)

👤

Provider Name / Credentials Updated August 14, 2017

Recorded as THOMAS KESMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Orthopaedic Surgery (License #2010-01800 in NC)

✅

NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2013

Registered at 123 SUMMER ST, STE 320, WORCESTER, MA 016081216 (Tel: 5083683140)

📍

Updated Business Mailing Address August 27, 2013

Registered at 630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 016052038 (Tel: 5083683140)

👤

Provider Name / Credentials Updated August 27, 2013

Recorded as THOMAS KESMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Orthopaedic Surgery (License #250291 in MA)

🟢

Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1033230776

Entity Type:

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

Enumeration Date: April 02, 2007

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

630 Plantation St

Worcester, MA 016052038

Phone: 5083683140

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.