Active NPI 1104021427 Individual Practitioner Male Practitioner

Dr. Thomas Karoor John , MD

Orthopaedic Surgery • Hackensack, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas John, MD is a certified Orthopaedic Surgery practicing in Hackensack, NJ. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. John delivers high-quality medical care to the local community at 25 PROSPECT AVE..

Dr. John is affiliated with Summit Medical Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of knee, 3 views, aspiration and/or injection of fluid from large joint, 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

25 Prospect Ave.

Hackensack, NJ 07601

Telephone 2013580707

Associated Practice Facility / Clinic

🏢 Active Orthopaedics And Sports Medicine, Pa Facility NPI 1659326569

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hackensack, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -1.9 yrs vs City Avg

City Avg: 20.9 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

20 Specialists

Practicing in Hackensack, NJ (746 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. John (19 Years) 19 Yrs

Hackensack Specialty Average (20.9 Years) 20.9 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
73562 X-ray of knee, 3 views	1,536	762	$110.43	$45.76
20610 Aspiration and/or injection of fluid from large joint	893	523	$353.25	$83.98
99213 Established patient office or other outpatient visit, typically 15 minutes	845	608	$188.00	$98.83
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	774	315	$13.00	$6.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	599	460	$274.00	$139.47
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	518	293	$879.00	$506.21
73502 X-ray of hip, 2-3 views	342	249	$145.78	$52.70
72100 X-ray of lower and sacral spine, 2-3 views	231	228	$123.00	$44.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	189	189	$412.00	$180.53
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	158	108	$1312.00	$664.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	120	114	$366.00	$194.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$274.00	$121.92
72170 X-ray of pelvis, 1-2 views	96	90	$112.00	$31.44
27447 Replacement of knee joint, both sides of knee	87	84	$9548.70	$1314.17
27130 Replacement of thigh bone and hip joint with prosthesis	49	48	$11566.57	$1392.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	40	$336.00	$134.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	36	$110.00	$58.19
73560 X-ray of knee, 1-2 views	32	20	$106.56	$38.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$516.00	$232.10
20985 Computer-assisted surgery for muscle and bone procedure	13	13	$821.00	$153.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	1,501	726	$110.43	$47.70
20610 Aspiration and/or injection of fluid from large joint	934	539	$360.22	$86.65
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	859	317	$13.00	$6.52
99213 Established patient office or other outpatient visit, typically 15 minutes	736	560	$188.00	$100.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	716	532	$274.00	$141.71
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	520	277	$879.00	$510.21
73502 X-ray of hip, 2-3 views	231	166	$146.00	$54.52
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	218	140	$1356.41	$670.18
72100 X-ray of lower and sacral spine, 2-3 views	188	184	$123.00	$47.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	185	185	$412.00	$185.96
72170 X-ray of pelvis, 1-2 views	158	148	$112.00	$32.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	110	105	$366.00	$195.20
27447 Replacement of knee joint, both sides of knee	83	80	$9505.00	$1433.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$274.00	$125.95
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	65	12	$236.00	$114.78
27130 Replacement of thigh bone and hip joint with prosthesis	31	30	$11680.00	$1341.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$516.00	$245.09
73560 X-ray of knee, 1-2 views	19	13	$104.21	$40.65
73030 X-ray of shoulder, minimum of 2 views	18	15	$97.33	$40.98
20985 Computer-assisted surgery for muscle and bone procedure	18	18	$821.00	$158.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$110.00	$59.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	1,296	652	$110.69	$48.31
20610 Aspiration and/or injection of fluid from large joint	1,049	564	$351.48	$85.29
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,002	367	$13.00	$6.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	795	553	$274.00	$141.79
99213 Established patient office or other outpatient visit, typically 15 minutes	658	506	$188.02	$100.75
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	439	271	$1872.46	$1076.68
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	309	203	$1359.48	$736.56
73502 X-ray of hip, 2-3 views	255	154	$146.00	$55.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	253	253	$412.00	$183.85
73564 X-ray of knee, 4 or more views	164	125	$123.01	$55.67
72100 X-ray of lower and sacral spine, 2-3 views	161	159	$123.00	$46.98
72170 X-ray of pelvis, 1-2 views	135	125	$112.00	$32.75
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	122	20	$238.98	$145.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	96	$366.00	$200.37
27447 Replacement of knee joint, both sides of knee	89	87	$9590.44	$1432.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$274.00	$120.70
73560 X-ray of knee, 1-2 views	75	45	$96.80	$39.95
27130 Replacement of thigh bone and hip joint with prosthesis	33	32	$11750.79	$1388.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$516.00	$239.17
20985 Computer-assisted surgery for muscle and bone procedure	17	17	$821.00	$158.95
26990 Drainage of abscess or blood accumulation in pelvis or hip joint	15	14	$2500.00	$419.51
73030 X-ray of shoulder, minimum of 2 views	13	12	$99.08	$41.23
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$249.00	$108.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,247	394	$11.36	$6.60
20610 Aspiration and/or injection of fluid from large joint	967	476	$291.83	$84.33
99213 Established patient office or other outpatient visit, typically 15 minutes	708	517	$154.09	$96.22
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	546	276	$1596.57	$1182.74
73562 X-ray of knee, 3 views	525	295	$120.36	$47.65
73560 X-ray of knee, 1-2 views	453	212	$45.53	$26.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	436	317	$266.01	$143.39
73564 X-ray of knee, 4 or more views	399	276	$119.46	$54.47
73502 X-ray of hip, 2-3 views	232	154	$134.80	$53.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	213	213	$406.65	$186.63
72100 X-ray of lower and sacral spine, 2-3 views	167	144	$95.31	$40.72
72170 X-ray of pelvis, 1-2 views	119	86	$56.44	$24.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$189.45	$123.05
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	73	14	$327.95	$125.66
27447 Replacement of knee joint, both sides of knee	54	54	$7439.43	$1409.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	48	$366.00	$203.23
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	37	24	$1440.54	$684.27
27130 Replacement of thigh bone and hip joint with prosthesis	22	22	$10758.16	$1450.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$516.00	$248.10
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	16	13	$277.41	$124.03
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$249.00	$109.60
26990 Drainage of abscess or blood accumulation in pelvis or hip joint	13	13	$2231.51	$390.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	9,609	134	$47.00	$31.56
73560 X-ray of knee, 1-2 views	1,457	471	$38.99	$22.37
99213 Established patient office or other outpatient visit, typically 15 minutes	1,006	615	$86.32	$83.71
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	987	344	$5.89	$5.78
20610 Aspiration and/or injection of fluid from large joint	932	434	$92.61	$81.19
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	286	175	$1212.42	$1149.46
72170 X-ray of pelvis, 1-2 views	225	134	$35.98	$20.16
73502 X-ray of hip, 2-3 views	206	68	$51.64	$33.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	203	203	$125.26	$121.46
72100 X-ray of lower and sacral spine, 2-3 views	190	117	$43.83	$26.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	58	$127.11	$122.74
27447 Replacement of knee joint, both sides of knee	35	33	$1767.73	$1522.54
73564 X-ray of knee, 4 or more views	28	14	$52.53	$24.21
27130 Replacement of thigh bone and hip joint with prosthesis	27	27	$1531.88	$1535.93
73030 X-ray of shoulder, minimum of 2 views	26	16	$37.09	$24.79
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	16	11	$2500.00	$722.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$183.60	$184.62
26990 Drainage of abscess or blood accumulation in pelvis or hip joint	12	12	$877.90	$420.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73560 X-ray of knee, 1-2 views	1,770	457	$38.04	$18.55
99213 Established patient office or other outpatient visit, typically 15 minutes	1,620	700	$85.21	$82.73
20610 Aspiration and/or injection of fluid from large joint	1,176	452	$91.86	$76.85
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	912	328	$5.92	$5.68
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	768	177	$509.07	$396.61
73502 X-ray of hip, 2-3 views	325	95	$50.10	$25.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	273	273	$124.23	$120.26
72170 X-ray of pelvis, 1-2 views	262	126	$38.49	$18.73
72100 X-ray of lower and sacral spine, 2-3 views	254	132	$42.52	$21.24
73564 X-ray of knee, 4 or more views	173	72	$50.99	$23.81
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	150	102	$982.46	$878.17
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	73	49	$2207.53	$1365.68
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	70	18	$155.23	$139.61
27447 Replacement of knee joint, both sides of knee	46	43	$2044.80	$1502.38
73030 X-ray of shoulder, minimum of 2 views	43	17	$35.03	$17.61
27130 Replacement of thigh bone and hip joint with prosthesis	26	26	$1702.23	$1517.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$243.47	$219.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$167.49	$121.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,818	748	$83.76	$80.35
73560 X-ray of knee, 1-2 views	1,557	410	$37.46	$17.39
20610 Aspiration and/or injection of fluid from large joint	1,216	444	$91.83	$75.51
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	1,092	261	$176.84	$142.28
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	875	328	$5.98	$5.65
73502 X-ray of hip, 2-3 views	435	119	$48.43	$24.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	299	299	$125.88	$118.17
73564 X-ray of knee, 4 or more views	271	111	$46.18	$22.69
72170 X-ray of pelvis, 1-2 views	256	128	$37.70	$18.01
72100 X-ray of lower and sacral spine, 2-3 views	237	123	$41.68	$19.46
27447 Replacement of knee joint, both sides of knee	58	57	$1681.04	$1576.52
27130 Replacement of thigh bone and hip joint with prosthesis	35	34	$1524.97	$1500.57
73030 X-ray of shoulder, minimum of 2 views	27	13	$34.18	$15.79
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	24	16	$1350.00	$791.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$221.99	$218.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,411	606	$83.22	$79.67
20610 Aspiration and/or injection of fluid from large joint	960	363	$89.24	$75.88
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	871	227	$177.25	$146.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	690	254	$5.88	$5.69
73560 X-ray of knee, 1-2 views	437	214	$35.51	$32.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	247	247	$124.37	$119.11
73564 X-ray of knee, 4 or more views	241	186	$48.00	$45.06
73502 X-ray of hip, 2-3 views	178	106	$52.34	$47.67
72100 X-ray of lower and sacral spine, 2-3 views	83	82	$40.20	$39.59
72170 X-ray of pelvis, 1-2 views	78	77	$31.58	$31.09
27447 Replacement of knee joint, both sides of knee	47	45	$1700.20	$1584.16
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	28	17	$1350.00	$874.01
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$1537.14	$1504.93
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	27	15	$177.19	$127.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$221.58	$218.03
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$1398.01	$1368.99

Medical Specialties & State Licenses

CMS Verified: 2021-04-21

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NJ 25MA09256600

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Ira Esformes , MD

Orthopaedic Surgery

NPI 1104914084

Doctor of Medicine (M.D.)

Dr. Dayna Phillips , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1144600271

Doctor of Medicine (M.D.)

Dr. Angela Costa , DPM

Podiatrist

NPI 1174037097

Doctor of Podiatric Medicine

Dr. Justin Mendoza , DO

Physical Medicine & Rehabilitation

NPI 1316101389

Doctor of Osteopathic Medicine (D.O.)

Dr. Ralph Napoli , DPM

Podiatrist

NPI 1487614467

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2021

Orthopaedic Surgery (License #25MA09256600 in NJ)

✅

NPI Profile Active March 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2013

Registered at 25 PROSPECT AVE., HACKENSACK, NJ 07601 (Tel: 2013580707)

📍

Updated Business Mailing Address March 27, 2013

Registered at 25 PROSPECT AVE,, HACKENSACK, NJ 07601 (Tel: 2013580707)

👤

Provider Name / Credentials Updated March 27, 2013

Recorded as THOMAS JOHN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2013

Orthopaedic Surgery (License #25MA09256600 in NJ)

🟢

Initial NPI Registration & Enumeration June 18, 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: 1104021427

Entity Type:

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

Enumeration Date: June 18, 2007

Last Update: April 21, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

25 Prospect Ave,

Hackensack, NJ 07601

Phone: 2013580707

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.