Active NPI 1386653103 Individual Practitioner Male Practitioner

Dr. Daniel K Wilcox , MD

Orthopaedic Surgery • Petoskey, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Wilcox, MD is a certified Orthopaedic Surgery practicing in Petoskey, MI. With approximately 31 years of clinical experience since graduating from University Of Michigan Medical School in 1995, Dr. Wilcox delivers high-quality medical care to the local community at 4048 CEDAR BLUFF DR.

Dr. Wilcox is affiliated with Mackinac Straits Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid large joint using ultrasound guidance, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4048 Cedar Bluff Dr
Suite 1

Petoskey, MI 497708895

Telephone 2313475155

Fax 2313476128

Associated Practice Facility / Clinic

🏢 Northern Michigan Sports Medicine Center Facility NPI 1538123906

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Petoskey, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +11.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

12 Specialists

Practicing in Petoskey, MI (1014 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilcox (31 Years) 31 Yrs

Petoskey Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,684	253	$2.50	$1.58
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	329	245	$273.02	$100.45
99213 Established patient office or other outpatient visit, typically 15 minutes	269	222	$125.28	$71.16
73562 X-ray of knee, 3 views	235	160	$65.36	$29.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	154	133	$100.00	$43.29
73030 X-ray of shoulder, minimum of 2 views	139	98	$54.64	$21.93
73502 X-ray of hip, 2-3 views	95	68	$58.95	$26.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$200.00	$105.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	64	$200.00	$103.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	29	$150.00	$71.87
27447 Replacement of knee joint, both sides of knee	28	28	$4000.00	$1329.74
73565 X-ray of both knees while standing	20	14	$49.10	$21.21
72100 X-ray of lower and sacral spine, 2-3 views	20	18	$78.75	$29.67
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$1135.00	$177.66
72170 X-ray of pelvis, 1-2 views	13	12	$60.77	$22.90
73521 X-ray of both hips, 2 views	12	12	$83.25	$27.34
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2300.00	$1053.65
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$4000.00	$1361.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,624	358	$2.50	$1.77
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	510	341	$266.90	$95.99
99213 Established patient office or other outpatient visit, typically 15 minutes	462	338	$122.76	$69.77
73562 X-ray of knee, 3 views	389	251	$62.21	$25.75
73030 X-ray of shoulder, minimum of 2 views	253	153	$52.43	$19.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	198	168	$94.14	$41.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	187	187	$195.29	$103.30
73502 X-ray of hip, 2-3 views	159	114	$57.86	$24.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	93	$198.00	$101.97
73565 X-ray of both knees while standing	43	35	$52.28	$20.66
27447 Replacement of knee joint, both sides of knee	41	41	$4000.00	$1321.89
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$125.00	$71.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$300.00	$150.22
73521 X-ray of both hips, 2 views	37	27	$69.59	$24.12
73560 X-ray of knee, 1-2 views	31	22	$55.32	$21.92
72100 X-ray of lower and sacral spine, 2-3 views	27	24	$78.33	$27.80
73100 X-ray of wrist, 2 views	26	14	$57.73	$25.14
72170 X-ray of pelvis, 1-2 views	26	23	$53.65	$18.64
73610 X-ray of ankle, minimum of 3 views	26	14	$61.54	$20.69
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	21	$1135.00	$176.34
29827 Repair of shoulder rotator cuff using an endoscope	21	21	$2300.00	$1015.94
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$4000.00	$1280.89
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$1600.00	$220.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$147.73	$71.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,280	333	$2.50	$1.81
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	460	323	$202.59	$96.03
99213 Established patient office or other outpatient visit, typically 15 minutes	432	328	$100.00	$69.82
73562 X-ray of knee, 3 views	395	261	$63.19	$27.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	194	194	$150.00	$102.77
73030 X-ray of shoulder, minimum of 2 views	168	124	$59.38	$23.51
73502 X-ray of hip, 2-3 views	157	99	$57.04	$28.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	120	$60.00	$41.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	105	$150.00	$103.04
73560 X-ray of knee, 1-2 views	45	35	$55.93	$26.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$215.00	$157.89
27447 Replacement of knee joint, both sides of knee	33	32	$4000.00	$1337.98
73610 X-ray of ankle, minimum of 3 views	24	12	$59.79	$24.39
73521 X-ray of both hips, 2 views	20	18	$76.20	$28.25
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$95.00	$71.52
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$1100.00	$175.55
29824 Partial removal of collar bone at shoulder using an endoscope	17	17	$1600.00	$271.83
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$4000.00	$1338.58
72100 X-ray of lower and sacral spine, 2-3 views	17	13	$61.29	$23.92
20606 Aspiration and/or injection of fluid from medium joint using ultrasound guidance	16	12	$165.00	$67.54
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$1750.00	$1036.36
72170 X-ray of pelvis, 1-2 views	14	13	$61.79	$23.11
29822 Removal of shoulder joint tissue using an endoscope	13	13	$1500.00	$128.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$100.00	$70.41

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301065867

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

4326997 (MI)

Hospital & Practice Group Affiliations

Mackinac Straits Health System Inc

1140 N State St, Saint Ignace, MI 497811048

Phone: 9066438585

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Mark Mcmurray , MD

Orthopaedic Surgery

NPI 1013926948

Doctor of Medicine (M.D.)

Dr. Joseph Hance , MD

Orthopaedic Surgery

NPI 1063421956

Doctor of Medicine (M.D.)

Dr. Brian Wittenberg , MD

Orthopaedic Surgery

NPI 1205845070

Doctor of Medicine (M.D.)

Dr. Scott Nemec , DO

Orthopaedic Surgery

NPI 1215151568

Doctor of Osteopathic Medicine (D.O.)

Dr. Alfred Wroblewski , MD

Orthopaedic Surgery - Hand Surgery

NPI 1265449532

Doctor of Medicine (M.D.)

Dr. Joshua Anderson , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1316300486

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address September 26, 2019

Registered at 1140 N STATE ST, SAINT IGNACE, MI 497811048 (Tel: 9063282148)

✅

NPI Profile Active July 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2010

Registered at 4048 CEDAR BLUFF DR, SUITE 1, PETOSKEY, MI 497708895 (Tel: 2313475155)

📍

Updated Business Mailing Address July 06, 2010

Registered at PO BOX 430, PETOSKEY, MI 497700430 (Tel: 2313475155)

👤

Provider Name / Credentials Updated July 06, 2010

Recorded as DANIEL WILCOX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2010

Orthopaedic Surgery (License #4301065867 in MI)

🟢

Initial NPI Registration & Enumeration August 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386653103

Entity Type:

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

Enumeration Date: August 08, 2006

Last Update: September 26, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1140 N State St

Saint Ignace, MI 497811048

Phone: 9063282148

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.