Active NPI 1891778726 Individual Practitioner Male Practitioner

Dr. Jeffrey N Metzmaker , MD

Orthopaedic Surgery • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Metzmaker, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Worcester, MA. Practice services are available at 119 BELMONT ST under active NPI credentials.

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

119 Belmont St
Department Of Orthopedic Surgery

Worcester, MA 016052903

Telephone 5083349750

Fax 5083349762

Associated Practice Facility / Clinic

🏢 Coordinated Primary Care, Inc. Facility NPI 1649241019

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Worcester, MA

Active Practitioner

Practitioner Clinical Experience

Active

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

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$223.64	$70.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$333.20	$103.90

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	122	100	$316.00	$83.05
99213 Established patient office or other outpatient visit, typically 15 minutes	66	63	$214.00	$53.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$489.00	$134.51
27447 Replacement of knee joint, both sides of knee	21	21	$7526.02	$1435.25

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	196	159	$313.65	$82.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$487.50	$133.62
99213 Established patient office or other outpatient visit, typically 15 minutes	58	52	$212.97	$52.99
27447 Replacement of knee joint, both sides of knee	34	33	$7351.00	$1458.99
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$6949.00	$1459.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$348.56	$79.84

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	159	142	$297.15	$80.14
99213 Established patient office or other outpatient visit, typically 15 minutes	68	65	$199.00	$51.93
27447 Replacement of knee joint, both sides of knee	36	36	$7351.00	$1443.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$479.00	$134.61
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$6949.00	$1444.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$420.00	$115.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	171	$199.49	$52.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	90	$296.00	$80.53
27447 Replacement of knee joint, both sides of knee	51	49	$7351.00	$1405.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$475.50	$132.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$337.19	$78.46
27130 Replacement of thigh bone and hip joint with prosthesis	23	23	$6949.00	$1406.31

Medical Specialties & State Licenses

CMS Verified: 2021-05-05

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 44395

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

110038486A (MA)

Practice Associates & Co-Workers

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

19 Associated Practitioners

Dr. Wayne Chan , MD

Orthopaedic Surgery

NPI 1013275114

Doctor of Medicine (M.D.)

Dr. Ankur Narain , MD

Orthopaedic Surgery

NPI 1023408242

Doctor of Medicine (M.D.)

Dr. Matthew Deren , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1043503279

Doctor of Medicine (M.D.)

Dr. Ozlenen Ince Hocaoglu , MD

Physical Medicine & Rehabilitation

NPI 1164160552

Doctor of Medicine (M.D.)

Dr. David Ayers , MD

Orthopaedic Surgery

NPI 1235129594

Doctor of Medicine (M.D.)

Dr. Marshall Katzen , MD

Orthopaedic Surgery

NPI 1326140682

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2016

Registered at 119 BELMONT ST, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 016052903 (Tel: 5083349750)

📍

Updated Business Mailing Address March 07, 2016

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated March 07, 2016

Recorded as JEFFREY METZMAKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2016

Orthopaedic Surgery (License #44395 in MA)

🟢

Initial NPI Registration & Enumeration November 23, 2005

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: 1891778726

Entity Type:

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

Enumeration Date: November 23, 2005

Last Update: May 05, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

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.