Active NPI 1902028137 Individual Practitioner Male Practitioner

Dr. Michael P Stauff , MD

Orthopaedic Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Stauff, MD is a certified Orthopaedic Surgery practicing in Worcester, MA. With approximately 23 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 2003, Dr. Stauff delivers high-quality medical care to the local community at 119 BELMONT ST.

Dr. Stauff is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

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

119 Belmont St
Department Of Orthopedics

Worcester, MA 016052903

Telephone 5083349764

Fax 5083346052

Associated Practice Facility / Clinic

🏢 Coordinated Primary Care, Inc. Facility NPI 1649241019

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

2003

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

23 Yrs -1.3 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

79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stauff (23 Years) 23 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	216	$444.70	$97.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$547.00	$134.34
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$300.00	$66.42
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	28	19	$1261.00	$253.58
22614 Fusion of additional segment of spine	28	12	$1987.00	$386.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$624.00	$145.71
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	17	14	$941.00	$226.32
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$4070.00	$751.76
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	15	15	$1257.00	$254.62
22633 Fusion of spine in lower back with partial removal of spine bone and disc	15	15	$9341.33	$1831.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$684.00	$183.16

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	176	131	$418.61	$98.65
99213 Established patient office or other outpatient visit, typically 15 minutes	159	131	$269.36	$67.31
22614 Fusion of additional segment of spine	46	24	$1987.00	$391.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$547.00	$135.70
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	39	26	$1261.00	$258.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	34	$519.19	$146.08
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	11	$1650.00	$210.80
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	24	$4070.00	$764.68
22633 Fusion of spine in lower back with partial removal of spine bone and disc	19	19	$9277.89	$1849.46
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	16	16	$1257.00	$258.83
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	16	14	$941.00	$229.33
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$3537.00	$759.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$359.00	$84.24
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$5118.00	$809.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$684.00	$184.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	466	273	$244.00	$70.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$359.00	$89.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$359.00	$107.20
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	17	$1854.41	$264.85
22614 Fusion of additional segment of spine	15	15	$4901.27	$402.72
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$5118.00	$848.89
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$4070.00	$785.97
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$331.00	$103.69
63048 Partial removal of spine bone with release of spinal cord and/or nerves	12	12	$3300.00	$216.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$667.00	$204.76
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$9450.91	$1922.48
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	11	11	$1257.00	$265.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	492	280	$241.01	$72.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$357.76	$95.50
22614 Fusion of additional segment of spine	69	23	$2044.59	$403.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	57	$354.47	$110.58
63048 Partial removal of spine bone with release of spinal cord and/or nerves	39	20	$1734.62	$215.90
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	27	$1298.09	$269.71
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$5118.00	$613.29
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$9470.48	$1958.29
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	20	$4070.00	$764.02
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$3537.00	$792.39
22612 Fusion of spine in lower back	13	13	$6980.00	$1572.94
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$328.54	$104.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	323	219	$214.00	$59.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$349.00	$90.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	61	$316.00	$89.11
22614 Fusion of additional segment of spine	44	16	$1987.00	$422.33
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	12	$1650.00	$220.07
99442 Telephone medical discussion with physician, 11-20 minutes	29	28	$192.72	$57.74
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$5118.00	$801.76
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$4070.00	$824.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	417	254	$212.35	$57.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$348.03	$89.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	99	$314.60	$85.59
22614 Fusion of additional segment of spine	57	18	$1987.00	$425.65
63048 Partial removal of spine bone with release of spinal cord and/or nerves	55	24	$1650.00	$229.98
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	29	29	$5118.00	$967.48
20931 Donor bone graft for spine surgery	16	16	$584.00	$121.54
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$3537.00	$827.43
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$4070.00	$831.93
20939 Harvest of bone marrow for spine surgery graft	12	12	$320.00	$71.46
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$9040.00	$1920.20
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$294.36	$106.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	346	214	$199.00	$55.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$342.00	$87.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	86	$296.00	$82.22
22614 Fusion of additional segment of spine	56	25	$1987.00	$420.91
63048 Partial removal of spine bone with release of spinal cord and/or nerves	52	29	$1650.00	$227.59
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	32	32	$5197.97	$796.63
22842 Placement of stabilizing device to back, 3-6 spine bone segments	25	23	$4070.00	$821.55
20931 Donor bone graft for spine surgery	21	21	$584.00	$120.45
22612 Fusion of spine in lower back	17	17	$6980.00	$1620.82
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$282.00	$105.24
20939 Harvest of bone marrow for spine surgery graft	13	13	$320.00	$71.35
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$9416.67	$1851.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	357	216	$199.00	$53.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$339.69	$84.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	98	$296.00	$82.67
63048 Partial removal of spine bone with release of spinal cord and/or nerves	66	32	$1650.00	$218.91
22614 Fusion of additional segment of spine	44	15	$1987.00	$405.75
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	33	32	$5118.00	$845.34
20931 Donor bone graft for spine surgery	20	20	$584.00	$111.38
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$281.60	$103.36
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$3537.00	$787.92
38220 Aspiration of bone marrow sample for diagnosis	14	14	$949.00	$32.02
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	13	$4070.00	$791.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$479.00	$137.96
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$9040.00	$1836.30

Medical Specialties & State Licenses

CMS Verified: 2020-10-28

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 256845

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

110099052A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Renee Heberlie , PA

Physician Assistant

NPI 1245506450

Physician Assistant

Benjamin Simms , NP

Nurse Practitioner - Acute Care

NPI 1437558913

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2016

Registered at 119 BELMONT ST, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 016052903 (Tel: 5083349764)

📍

Updated Business Mailing Address October 18, 2016

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤

Provider Name / Credentials Updated October 18, 2016

Recorded as MICHAEL STAUFF, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2016

Orthopaedic Surgery (License #256845 in MA)

🟢

Initial NPI Registration & Enumeration May 03, 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: 1902028137

Entity Type:

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

Enumeration Date: May 03, 2007

Last Update: October 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

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.