Active NPI 1841313921 Individual Practitioner Male Practitioner

Dr. Philip J Lahey , MD

Orthopaedic Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Philip Lahey, MD is a certified Orthopaedic Surgery practicing in Worcester, MA. With approximately 20 years of clinical experience since graduating from Tufts University School Of Medicine in 2006, Dr. Lahey delivers high-quality medical care to the local community at 59 QUINSIGAMOND AVE.

Dr. Lahey is affiliated with Worcester County Orthopedics and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, established patient outpatient office visit, hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

59 Quinsigamond Ave
Ste 200

Worcester, MA 016101867

Telephone 5087550240

Associated Practice Facility / Clinic

🏢 Worcester County Orthopedics Facility NPI 1396720348

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

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

58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lahey (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
20610 Aspiration and/or injection of fluid from large joint	338	141	$185.00	$60.33
99213 Established patient office or other outpatient visit, typically 15 minutes	315	190	$145.00	$91.86
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	134	34	$250.00	$72.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$210.00	$112.00
J1010 Injection, methylprednisolone acetate, 1 mg	111	80	$40.00	$0.13
73560 X-ray of knee, 1-2 views	102	78	$94.67	$35.36
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	79	62	$10.00	$0.03
73565 X-ray of both knees while standing	61	59	$90.00	$41.32
73562 X-ray of knee, 3 views	48	39	$90.00	$42.11
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	42	11	$300.00	$122.07
73030 X-ray of shoulder, minimum of 2 views	39	30	$85.00	$35.99
J1030 Injection, methylprednisolone acetate, 40 mg	25	24	$40.00	$6.33
73502 X-ray of hip, 2-3 views	19	15	$69.55	$43.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	472	175	$185.00	$59.15
99213 Established patient office or other outpatient visit, typically 15 minutes	338	212	$145.00	$92.35
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	251	53	$250.00	$73.24
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	179	134	$10.00	$0.03
73560 X-ray of knee, 1-2 views	169	114	$93.88	$35.68
J1030 Injection, methylprednisolone acetate, 40 mg	160	123	$40.00	$7.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$210.00	$113.99
73565 X-ray of both knees while standing	117	114	$90.00	$42.13
73030 X-ray of shoulder, minimum of 2 views	36	27	$82.64	$35.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	24	18	$40.00	$1.04
73502 X-ray of hip, 2-3 views	22	19	$80.00	$49.54
27447 Replacement of knee joint, both sides of knee	15	14	$5589.00	$1299.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	9,746	14	$2.78	$2.40
20610 Aspiration and/or injection of fluid from large joint	459	179	$185.00	$59.97
99213 Established patient office or other outpatient visit, typically 15 minutes	231	158	$145.00	$94.35
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	218	144	$9.96	$0.02
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	154	32	$250.00	$75.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	147	103	$40.00	$1.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$250.00	$173.08
73560 X-ray of knee, 1-2 views	121	90	$93.43	$36.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	81	$205.00	$133.15
73565 X-ray of both knees while standing	85	85	$89.65	$43.55
J1030 Injection, methylprednisolone acetate, 40 mg	73	57	$40.00	$5.84
73030 X-ray of shoulder, minimum of 2 views	40	35	$85.00	$37.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$210.00	$116.32
73502 X-ray of hip, 2-3 views	20	20	$80.00	$50.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	13,608	18	$2.78	$2.18
20610 Aspiration and/or injection of fluid from large joint	480	178	$186.54	$59.26
99213 Established patient office or other outpatient visit, typically 15 minutes	290	190	$145.00	$95.76
J1030 Injection, methylprednisolone acetate, 40 mg	234	153	$40.00	$5.67
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	233	152	$10.00	$0.03
73560 X-ray of knee, 1-2 views	134	98	$92.87	$35.85
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	116	24	$250.00	$75.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$210.00	$117.59
73565 X-ray of both knees while standing	99	95	$89.09	$43.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	66	$205.00	$135.79
73030 X-ray of shoulder, minimum of 2 views	50	40	$85.00	$36.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$250.00	$175.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	15	$105.00	$59.11
73502 X-ray of hip, 2-3 views	20	19	$73.38	$46.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	319	133	$185.58	$57.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	117	$205.00	$113.01
99213 Established patient office or other outpatient visit, typically 15 minutes	129	103	$145.00	$79.16
73560 X-ray of knee, 1-2 views	126	95	$93.50	$34.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$210.00	$112.89
73565 X-ray of both knees while standing	93	90	$88.39	$39.86
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	70	16	$250.00	$78.83
73502 X-ray of hip, 2-3 views	28	20	$80.00	$48.17
73030 X-ray of shoulder, minimum of 2 views	23	19	$82.61	$34.01
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	19	16	$10.00	$0.02
J1030 Injection, methylprednisolone acetate, 40 mg	19	16	$40.00	$5.88
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$130.00	$78.56
29880 Removal of both knee cartilages using an endoscope	11	11	$2314.00	$602.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	245	97	$185.00	$53.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	139	$205.00	$112.05
73560 X-ray of knee, 1-2 views	106	81	$92.31	$32.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$210.00	$112.59
73565 X-ray of both knees while standing	76	73	$87.63	$37.84
99213 Established patient office or other outpatient visit, typically 15 minutes	58	48	$145.00	$74.62
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	48	15	$250.00	$79.36
73030 X-ray of shoulder, minimum of 2 views	32	23	$79.84	$30.06
73502 X-ray of hip, 2-3 views	19	16	$69.55	$40.46
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$130.00	$80.48
29881 Removal of knee cartilage using an endoscope	14	14	$2375.00	$550.53
27447 Replacement of knee joint, both sides of knee	14	14	$5589.00	$1455.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	220	98	$185.00	$56.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	103	$205.00	$110.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$210.00	$112.01
73560 X-ray of knee, 1-2 views	87	63	$92.93	$31.78
99213 Established patient office or other outpatient visit, typically 15 minutes	70	56	$145.00	$76.28
73565 X-ray of both knees while standing	54	53	$90.00	$37.20
73030 X-ray of shoulder, minimum of 2 views	29	21	$83.10	$30.33
73502 X-ray of hip, 2-3 views	26	18	$69.82	$38.91
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$130.00	$78.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	7,560	15	$2.39	$2.14
20610 Aspiration and/or injection of fluid from large joint	236	110	$185.00	$54.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	113	$205.00	$106.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$210.00	$106.85
99213 Established patient office or other outpatient visit, typically 15 minutes	68	52	$145.00	$72.82
73560 X-ray of knee, 1-2 views	65	50	$93.54	$30.27
73565 X-ray of both knees while standing	51	47	$86.47	$34.18
73030 X-ray of shoulder, minimum of 2 views	31	23	$87.74	$30.31
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$130.00	$74.53

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI 13920

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Worcester County Orthopedics

59 Quinsigamond Ave, Worcester, MA 016101867

Phone: 5087551559

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Christopher Vinton , MD

Orthopaedic Surgery

NPI 1104850528

Doctor of Medicine (M.D.)

Dr. W Kelly , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1326041385

Doctor of Dental Medicine

Dr. Philip Lahey , MD

Specialist

NPI 1376528323

Doctor of Medicine (M.D.)

Seth Brawer , PA-C

Physician Assistant - Surgical

NPI 1811313513

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2014

Registered at 59 QUINSIGAMOND AVE, STE 200, WORCESTER, MA 016101867 (Tel: 5087550240)

📍

Updated Business Mailing Address January 14, 2014

Registered at 59 QUINSIGAMOND AVE, STE 200, WORCESTER, MA 016101867 (Tel: 5087550240)

👤

Provider Name / Credentials Updated January 14, 2014

Recorded as PHILIP LAHEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2014

Orthopaedic Surgery (License #13920 in RI)

🟢

Initial NPI Registration & Enumeration April 06, 2007

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: 1841313921

Entity Type:

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

Enumeration Date: April 06, 2007

Last Update: January 14, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

59 Quinsigamond Ave, Ste 200

Worcester, MA 016101867

Phone: 5087550240

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.