Active NPI 1295944239 Individual Practitioner Male Practitioner

Dr. Bryan Jon Pack , MD

Orthopaedic Surgery • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Pack, MD is a certified Orthopaedic Surgery practicing in Grand Rapids, MI. With approximately 21 years of clinical experience since graduating from Wayne State University School Of Medicine in 2005, Dr. Pack delivers high-quality medical care to the local community at 350 LAFAYETTE AVE SE.

Dr. Pack maintains professional affiliations with Henry Ford Health System, Center For Physical Rehabilitation Inc, Iha Olma Specialty 1 Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, x-ray of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

350 Lafayette Ave Se
4th Floor

Grand Rapids, MI 495034656

Telephone 6164599404

Associated Practice Facility / Clinic

🏢 River Valley Orthopedics, P.c. Facility NPI 1346338704

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Grand Rapids, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +5.1 yrs vs City Avg

City Avg: 15.9 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

98 Specialists

Practicing in Grand Rapids, MI (1014 Statewide)

Telehealth Adoption Rate

5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pack (21 Years) 21 Yrs

Grand Rapids Specialty Average (15.9 Years) 15.9 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
J1010 Injection, methylprednisolone acetate, 1 mg	3,560	53	$1.00	$0.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	456	62	$15.00	$0.97
73564 X-ray of knee, 4 or more views	150	138	$119.77	$60.17
99213 Established patient office or other outpatient visit, typically 15 minutes	141	121	$175.55	$90.08
73502 X-ray of hip, 2-3 views	122	95	$90.13	$46.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$239.31	$112.30
20610 Aspiration and/or injection of fluid from large joint	85	62	$215.93	$77.36
73562 X-ray of knee, 3 views	52	38	$86.92	$43.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$254.45	$128.29
J1030 Injection, methylprednisolone acetate, 40 mg	25	18	$21.00	$6.34
27447 Replacement of knee joint, both sides of knee	24	24	$2716.00	$1349.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$264.00	$131.82
27130 Replacement of thigh bone and hip joint with prosthesis	21	19	$3048.00	$1298.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$364.18	$168.86
73552 X-ray of thigh bone, minimum 2 views	17	13	$64.00	$35.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	426	61	$15.00	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	142	122	$156.02	$90.69
73502 X-ray of hip, 2-3 views	134	95	$82.00	$46.71
73564 X-ray of knee, 4 or more views	130	123	$113.77	$60.29
J1030 Injection, methylprednisolone acetate, 40 mg	105	60	$21.00	$7.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$211.65	$112.85
20610 Aspiration and/or injection of fluid from large joint	89	64	$198.99	$73.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	53	$224.87	$125.51
77073 Imaging for bone length assessment	51	48	$81.00	$44.85
73562 X-ray of knee, 3 views	41	33	$82.63	$43.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$264.00	$133.16
27130 Replacement of thigh bone and hip joint with prosthesis	19	18	$3175.00	$1323.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$308.79	$169.07
27447 Replacement of knee joint, both sides of knee	15	15	$2716.00	$1267.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	280	43	$15.00	$1.15
73502 X-ray of hip, 2-3 views	146	98	$81.59	$47.12
99213 Established patient office or other outpatient visit, typically 15 minutes	131	111	$142.70	$90.08
73564 X-ray of knee, 4 or more views	97	86	$115.70	$60.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$201.00	$111.74
J1030 Injection, methylprednisolone acetate, 40 mg	68	43	$21.00	$6.57
20610 Aspiration and/or injection of fluid from large joint	64	45	$183.64	$70.12
77073 Imaging for bone length assessment	58	53	$81.00	$46.27
73562 X-ray of knee, 3 views	50	40	$85.50	$44.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	43	$203.49	$129.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$299.00	$171.30
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$3175.00	$1383.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$264.00	$137.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$86.76	$56.29
27447 Replacement of knee joint, both sides of knee	17	14	$2716.00	$1267.57
73523 X-ray of both hips, minimum of 5 views	16	14	$107.00	$58.21
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$195.00	$103.19
73560 X-ray of knee, 1-2 views	12	12	$70.42	$37.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	21	$14.74	$1.20
73502 X-ray of hip, 2-3 views	97	62	$80.23	$47.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$197.85	$116.85
73564 X-ray of knee, 4 or more views	67	58	$115.84	$63.46
77073 Imaging for bone length assessment	63	57	$80.11	$45.32
99213 Established patient office or other outpatient visit, typically 15 minutes	49	44	$135.04	$94.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	27	$83.51	$57.87
J1030 Injection, methylprednisolone acetate, 40 mg	30	21	$20.67	$5.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$294.00	$169.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$195.23	$130.44
20610 Aspiration and/or injection of fluid from large joint	23	22	$193.87	$73.48
73562 X-ray of knee, 3 views	17	15	$76.47	$41.51
27447 Replacement of knee joint, both sides of knee	16	15	$2683.19	$1403.41
27130 Replacement of thigh bone and hip joint with prosthesis	15	14	$3134.00	$1405.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	105	20	$11.07	$1.49
73564 X-ray of knee, 4 or more views	58	49	$130.36	$45.69
99213 Established patient office or other outpatient visit, typically 15 minutes	46	44	$110.09	$73.36
73502 X-ray of hip, 2-3 views	37	29	$78.73	$43.31
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$119.00	$75.34
20610 Aspiration and/or injection of fluid from large joint	21	20	$165.90	$71.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$187.60	$110.83
J1030 Injection, methylprednisolone acetate, 40 mg	19	16	$13.68	$6.11
77077 X-ray of joints, multiple	17	17	$184.00	$43.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$177.50	$109.92
27447 Replacement of knee joint, both sides of knee	12	12	$4213.42	$1381.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$76.64	$44.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	356	50	$8.28	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	174	139	$105.00	$70.96
73562 X-ray of knee, 3 views	149	101	$87.72	$34.48
73502 X-ray of hip, 2-3 views	128	82	$74.41	$40.43
73564 X-ray of knee, 4 or more views	101	65	$115.68	$39.02
77077 X-ray of joints, multiple	89	79	$99.06	$36.41
J1030 Injection, methylprednisolone acetate, 40 mg	89	49	$10.00	$6.29
20610 Aspiration and/or injection of fluid from large joint	76	55	$266.66	$69.05
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$99.72	$73.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$151.40	$103.71
27447 Replacement of knee joint, both sides of knee	20	19	$3796.50	$1366.13
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$6326.81	$1367.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$150.67	$100.55
73522 X-ray of both hips, 3-4 views	14	13	$87.57	$47.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$69.62	$43.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	332	46	$8.00	$1.80
73562 X-ray of knee, 3 views	155	104	$84.73	$33.38
73502 X-ray of hip, 2-3 views	152	75	$73.00	$38.85
99213 Established patient office or other outpatient visit, typically 15 minutes	147	119	$105.00	$69.96
77077 X-ray of joints, multiple	84	78	$78.53	$34.57
J1030 Injection, methylprednisolone acetate, 40 mg	83	46	$9.23	$6.54
20610 Aspiration and/or injection of fluid from large joint	66	51	$293.33	$69.11
73564 X-ray of knee, 4 or more views	58	43	$100.00	$35.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$150.00	$102.42
27130 Replacement of thigh bone and hip joint with prosthesis	30	29	$2619.00	$1348.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$150.00	$104.06
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$96.57	$71.96
27447 Replacement of knee joint, both sides of knee	14	13	$3172.00	$1347.33
73522 X-ray of both hips, 3-4 views	14	13	$83.89	$43.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$65.00	$41.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	461	58	$4.92	$1.78
73562 X-ray of knee, 3 views	162	112	$85.00	$33.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	129	$150.00	$103.14
J1030 Injection, methylprednisolone acetate, 40 mg	120	58	$7.00	$5.66
73502 X-ray of hip, 2-3 views	115	68	$95.84	$38.39
77077 X-ray of joints, multiple	103	93	$76.67	$35.09
20610 Aspiration and/or injection of fluid from large joint	96	62	$275.00	$65.49
73564 X-ray of knee, 4 or more views	63	45	$99.21	$35.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$150.00	$103.27
27447 Replacement of knee joint, both sides of knee	32	30	$3172.00	$1337.99
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$105.00	$69.83
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$2598.00	$1338.58

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301086174

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 IL 036-125552

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1295944239 (MI)

Hospital & Practice Group Affiliations

Henry Ford Health System

6773 W Maple Rd, West Bloomfield, MI 483223013

Phone: 2486616100

Center For Physical Rehabilitation Inc

5060 Cascade Rd, Grand Rapids, MI 495463808

Henry Ford Health System

6777 W Maple Rd, West Bloomfield, MI 483223013

Phone: 2486616470

Center For Physical Rehabilitation Inc

5060 Cascade Rd, Grand Rapids, MI 495463808

Iha Olma Specialty 1 Llc

19000 St Joes Pkwy, Livonia, MI 481521477

Phone: 8666784644

Henry Ford Health System

2799 W Grand Blvd, Detroit, MI 482022608

Center For Physical Rehabilitation And Therapy Lp

5060 Cascade Rd Se, Grand Rapids, MI 495463808

Center For Physical Rehabilitation And Therapy Lp

5060 Cascade Rd Se, Grand Rapids, MI 495463808

Henry Ford Health System

1 Ford Pl, Detroit, MI 482023450

Phone: 3138746677

Henry Ford Health System

40777 Ann Arbor Rd E, Plymouth, MI 481704448

Phone: 7349281600

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. David Rispler , MD

Orthopaedic Surgery

NPI 1518901560

Doctor of Medicine (M.D.)

Dr. Dale Mead , MD

Orthopaedic Surgery

NPI 1518966530

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 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2014

Registered at 350 LAFAYETTE AVE SE, 4TH FLOOR, GRAND RAPIDS, MI 495034656 (Tel: 6164599404)

📍

Updated Business Mailing Address March 21, 2014

Registered at 3565 MOMENTUM PL, CHICAGO, IL 606895335 (Tel: 6164599404)

👤

Provider Name / Credentials Updated March 21, 2014

Recorded as BRYAN PACK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2014

Orthopaedic Surgery (License #4301086174 in MI)

🟢

Initial NPI Registration & Enumeration May 22, 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: 1295944239

Entity Type:

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

Enumeration Date: May 22, 2007

Last Update: March 21, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3565 Momentum Pl

Chicago, IL 606895335

Phone: 6164599404

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.