Active NPI 1881645042 Individual Practitioner Male Practitioner

Dr. Kent Richard Biddinger , MD

Orthopaedic Surgery • Midland, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kent Biddinger, MD is a certified Orthopaedic Surgery practicing in Midland, MI. With approximately 38 years of clinical experience since graduating from Wayne State University School Of Medicine in 1988, Dr. Biddinger delivers high-quality medical care to the local community at 420 W WACKERLY ST.

Dr. Biddinger maintains professional affiliations with Mymichigan Medical Center Midland, Mymichigan Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of foot, minimum of 3 views, established patient outpatient office visit, x-ray of ankle, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

420 W Wackerly St

Midland, MI 486404701

Telephone 9898398850

Fax 9898398884

Associated Practice Facility / Clinic

🏢 Kent R. Biddinger, M.d. Facility NPI 1588833123

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Midland, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +6.8 yrs vs City Avg

City Avg: 31.2 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Midland, MI (1014 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Biddinger (38 Years) 38 Yrs

Midland Specialty Average (31.2 Years) 31.2 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
73630 X-ray of foot, minimum of 3 views	163	78	$118.10	$33.05
99213 Established patient office or other outpatient visit, typically 15 minutes	138	90	$138.00	$85.22
73610 X-ray of ankle, minimum of 3 views	68	40	$131.32	$33.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	42	$198.00	$121.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$207.00	$105.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$256.00	$155.99
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	21	21	$50.00	$49.20
29405 Application of short leg cast	19	18	$192.00	$76.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$304.00	$124.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	206	111	$138.00	$86.09
73630 X-ray of foot, minimum of 3 views	161	79	$114.78	$32.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$207.00	$106.69
73610 X-ray of ankle, minimum of 3 views	75	36	$136.67	$36.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	22	$198.00	$116.61
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	25	22	$50.00	$48.22
29405 Application of short leg cast	24	20	$192.00	$77.34
73502 X-ray of hip, 2-3 views	21	11	$76.14	$39.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	119	$138.00	$86.69
73630 X-ray of foot, minimum of 3 views	137	78	$113.64	$33.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$207.00	$107.98
73610 X-ray of ankle, minimum of 3 views	77	43	$129.69	$33.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	20	$198.00	$123.51
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	23	18	$50.00	$44.66
73502 X-ray of hip, 2-3 views	22	12	$76.55	$39.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	19	$202.00	$99.48
29405 Application of short leg cast	18	15	$192.00	$75.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$256.00	$161.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	111	$114.37	$87.47
73630 X-ray of foot, minimum of 3 views	142	72	$101.53	$33.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$174.03	$108.95
73610 X-ray of ankle, minimum of 3 views	61	28	$109.56	$35.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	27	$75.00	$54.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	26	$160.18	$123.13
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	26	21	$47.12	$43.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$239.67	$163.43
29405 Application of short leg cast	21	18	$191.24	$76.86
73600 X-ray of ankle, 2 views	18	17	$86.22	$34.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	74	$110.00	$73.29
73630 X-ray of foot, minimum of 3 views	110	64	$90.00	$32.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$195.00	$104.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	45	$75.00	$44.25
73610 X-ray of ankle, minimum of 3 views	51	25	$95.00	$33.10
73600 X-ray of ankle, 2 views	22	19	$80.00	$34.33
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$100.00	$100.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$245.00	$162.37
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	19	15	$45.00	$42.59
29405 Application of short leg cast	15	11	$190.00	$77.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$150.00	$106.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	211	122	$110.00	$70.65
73630 X-ray of foot, minimum of 3 views	194	95	$90.00	$30.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	65	$75.00	$42.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$195.00	$103.94
73610 X-ray of ankle, minimum of 3 views	72	35	$95.00	$30.99
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$125.00	$73.35
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	43	33	$45.00	$38.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	34	$100.00	$69.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	18	$65.00	$36.15
73600 X-ray of ankle, 2 views	26	26	$80.00	$31.36
73502 X-ray of hip, 2-3 views	26	14	$100.00	$40.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$151.73	$101.66
29405 Application of short leg cast	25	22	$190.00	$78.01
29425 Application of walking cast covering below knee to toe	18	12	$210.00	$62.42
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$100.00	$98.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$245.00	$159.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	261	148	$110.33	$67.14
73630 X-ray of foot, minimum of 3 views	198	108	$90.45	$26.26
73610 X-ray of ankle, minimum of 3 views	97	47	$95.00	$28.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$195.00	$100.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$245.00	$152.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	55	$250.00	$193.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	44	$150.00	$96.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$75.00	$40.69
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	35	26	$45.00	$40.80
73600 X-ray of ankle, 2 views	32	24	$80.00	$26.24
20610 Aspiration and/or injection of fluid from large joint	28	12	$130.00	$50.83
29405 Application of short leg cast	28	25	$190.00	$76.23
73030 X-ray of shoulder, minimum of 2 views	27	11	$95.00	$26.78
11721 Removal of fingernails or toenails, 6 or more nails	25	11	$95.00	$42.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	13	$100.00	$69.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	16	13	$25.00	$1.78
73620 X-ray of foot, 2 views	16	11	$80.00	$23.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	245	129	$110.00	$66.53
73630 X-ray of foot, minimum of 3 views	152	68	$90.59	$26.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$195.00	$98.97
73610 X-ray of ankle, minimum of 3 views	57	29	$95.00	$27.92
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	45	31	$45.00	$40.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$245.00	$149.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$150.00	$96.15
20610 Aspiration and/or injection of fluid from large joint	39	11	$130.00	$46.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$250.00	$191.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$75.00	$40.21
29405 Application of short leg cast	26	21	$190.00	$75.76
73600 X-ray of ankle, 2 views	20	15	$84.00	$27.01
73650 X-ray of heel, minimum of 2 views	18	13	$80.00	$24.30
29425 Application of walking cast covering below knee to toe	18	12	$210.00	$72.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	13	11	$25.00	$1.81
36513 Mechanical separation of platelet cells from blood	11	11	$150.00	$46.52
73630 X-ray of foot, minimum of 3 views	11	11	$90.00	$8.01

Medical Specialties & State Licenses

CMS Verified: 2024-12-10

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301063445

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.

Neuromusculoskeletal Medicine, Sports Medicine

NUCC Taxonomy Code: 204C00000X

State License MI 207X00000X

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3061270 (MI)

Hospital & Practice Group Affiliations

Mymichigan Medical Center Midland

4401 Campus Ridge Dr, Midland, MI 486406127

Phone: 9898379192

Mymichigan Medical Group

420 W Wackerly St, Midland, MI 486404701

Phone: 9898398850

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2010

Registered at 420 W WACKERLY ST, MIDLAND, MI 486404701 (Tel: 9898398850)

📍

Updated Business Mailing Address February 04, 2010

Registered at 420 W WACKERLY ST, MIDLAND, MI 486404701

👤

Provider Name / Credentials Updated February 04, 2010

Recorded as KENT BIDDINGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2010

Neuromusculoskeletal Medicine, Sports Medicine (License #207X00000X in MI)

🟢

Initial NPI Registration & Enumeration May 12, 2006

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: 1881645042

Entity Type:

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

Enumeration Date: May 12, 2006

Last Update: December 10, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

420 W Wackerly St

Midland, MI 486404701

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.