Active NPI 1760600431 Individual Practitioner Male Practitioner

Dr. Daniel P Tomlinson , MD

Orthopaedic Surgery • Middletown, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Tomlinson, MD is a certified Orthopaedic Surgery practicing in Middletown, NY. With approximately 25 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2001, Dr. Tomlinson delivers high-quality medical care to the local community at 95 CRYSTAL RUN RD.

Dr. Tomlinson is affiliated with Crystal Run Healthcare Physicians Llp 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 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

95 Crystal Run Rd

Middletown, NY 109417001

Telephone 8457036999

Fax 8457036297

Associated Practice Facility / Clinic

🏢 Crystal Run Ambulatory Surgery Center Of Middletown, Llc Facility NPI 1922230853

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Middletown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +2.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Middletown, NY (1450 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tomlinson (25 Years) 25 Yrs

Middletown Specialty Average (22.1 Years) 22.1 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,162	219	$3.50	$0.97
20610 Aspiration and/or injection of fluid from large joint	361	210	$260.83	$77.00
99213 Established patient office or other outpatient visit, typically 15 minutes	234	170	$235.00	$97.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	155	$325.00	$137.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$425.00	$179.42
23472 Prosthetic repair of shoulder joint, total shoulder	65	61	$4709.54	$1561.57
73020 X-ray of shoulder, 1 view	61	58	$42.30	$7.76
36415 Insertion of needle into vein for collection of blood sample	50	47	$18.84	$8.65
80053 Blood test, comprehensive group of blood chemicals	29	27	$36.00	$10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	27	$31.00	$7.61
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	25	21	$200.00	$50.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$150.00	$60.61
20605 Aspiration and/or injection of medium joint or joint capsule	21	19	$197.14	$49.75
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$70.00	$15.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$290.00	$119.58
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$3550.00	$1251.17
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$2200.00	$182.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,776	189	$3.50	$1.07
20610 Aspiration and/or injection of fluid from large joint	330	185	$260.00	$77.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	187	$320.14	$136.24
99213 Established patient office or other outpatient visit, typically 15 minutes	204	141	$235.00	$97.15
23472 Prosthetic repair of shoulder joint, total shoulder	72	70	$4680.00	$1572.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	65	$150.00	$61.02
73020 X-ray of shoulder, 1 view	70	68	$36.94	$8.02
36415 Insertion of needle into vein for collection of blood sample	59	50	$18.00	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$425.00	$177.89
80053 Blood test, comprehensive group of blood chemicals	42	39	$36.00	$10.35
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	37	37	$250.00	$73.50
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	37	37	$80.00	$24.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	37	36	$31.00	$7.61
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	29	29	$2200.00	$187.52
20605 Aspiration and/or injection of medium joint or joint capsule	26	19	$180.00	$48.30
29827 Repair of shoulder rotator cuff using an endoscope	26	26	$3550.00	$1159.68
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	24	24	$200.00	$50.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$290.00	$122.73
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$67.50	$15.91
29828 Release of shoulder biceps tendon using an endoscope	16	16	$3135.00	$497.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,882	223	$3.50	$1.14
20610 Aspiration and/or injection of fluid from large joint	363	219	$255.76	$78.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	170	$320.00	$139.80
99213 Established patient office or other outpatient visit, typically 15 minutes	179	146	$231.87	$98.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$423.13	$185.69
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	79	71	$250.00	$74.19
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	79	71	$64.05	$24.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	58	$147.01	$63.15
36415 Insertion of needle into vein for collection of blood sample	56	47	$18.00	$2.97
23472 Prosthetic repair of shoulder joint, total shoulder	48	48	$4712.71	$1623.81
73020 X-ray of shoulder, 1 view	48	48	$19.88	$8.24
80053 Blood test, comprehensive group of blood chemicals	46	43	$36.00	$10.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	40	37	$31.00	$7.68
29827 Repair of shoulder rotator cuff using an endoscope	29	29	$3550.00	$1243.71
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	26	25	$2200.00	$199.38
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$60.00	$16.05
29828 Release of shoulder biceps tendon using an endoscope	21	21	$3135.00	$517.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$288.95	$124.96
20605 Aspiration and/or injection of medium joint or joint capsule	15	15	$180.00	$53.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,740	204	$3.50	$1.27
20610 Aspiration and/or injection of fluid from large joint	342	200	$256.02	$79.60
99213 Established patient office or other outpatient visit, typically 15 minutes	235	181	$219.72	$99.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	156	$317.22	$141.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$414.13	$187.57
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	63	12	$625.00	$137.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	48	$139.57	$60.16
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	55	54	$250.00	$75.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	53	52	$60.00	$25.00
36415 Insertion of needle into vein for collection of blood sample	48	45	$18.00	$2.96
23472 Prosthetic repair of shoulder joint, total shoulder	45	45	$4687.11	$1652.10
73020 X-ray of shoulder, 1 view	43	43	$23.02	$8.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$280.00	$125.79
80053 Blood test, comprehensive group of blood chemicals	34	34	$36.00	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	29	$31.00	$7.59
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	26	26	$2200.00	$202.86
29827 Repair of shoulder rotator cuff using an endoscope	23	23	$3550.00	$1247.52
29828 Release of shoulder biceps tendon using an endoscope	18	18	$3135.00	$551.02
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$60.00	$16.72
20605 Aspiration and/or injection of medium joint or joint capsule	16	14	$191.25	$51.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,959	221	$3.66	$1.47
20610 Aspiration and/or injection of fluid from large joint	388	214	$264.79	$76.40
99213 Established patient office or other outpatient visit, typically 15 minutes	317	202	$183.67	$81.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	100	$258.42	$117.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$271.48	$118.28
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	59	11	$625.00	$133.40
36415 Insertion of needle into vein for collection of blood sample	43	38	$18.00	$2.99
73020 X-ray of shoulder, 1 view	38	37	$35.05	$8.34
23472 Prosthetic repair of shoulder joint, total shoulder	38	37	$4680.00	$1627.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	35	31	$31.00	$7.75
80053 Blood test, comprehensive group of blood chemicals	24	23	$36.00	$10.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$392.17	$175.19
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	23	22	$2152.17	$200.96
20605 Aspiration and/or injection of medium joint or joint capsule	22	17	$188.18	$44.35
29827 Repair of shoulder rotator cuff using an endoscope	22	22	$3550.00	$1229.13
29828 Release of shoulder biceps tendon using an endoscope	13	13	$2695.00	$516.91
86140 Measurement C-reactive protein for detection of infection or inflammation	13	12	$15.00	$5.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,728	270	$10.99	$1.58
20610 Aspiration and/or injection of fluid from large joint	517	282	$269.36	$71.75
99213 Established patient office or other outpatient visit, typically 15 minutes	420	271	$169.67	$78.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	140	$248.69	$113.76
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	112	25	$625.00	$343.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$250.00	$114.09
23472 Prosthetic repair of shoulder joint, total shoulder	44	43	$4626.82	$1576.63
73020 X-ray of shoulder, 1 view	41	41	$35.56	$8.64
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	33	33	$2203.33	$194.32
29827 Repair of shoulder rotator cuff using an endoscope	32	32	$3550.00	$1159.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$373.55	$175.27
36415 Insertion of needle into vein for collection of blood sample	27	26	$18.00	$2.94
29828 Release of shoulder biceps tendon using an endoscope	24	24	$2364.58	$479.81
20605 Aspiration and/or injection of medium joint or joint capsule	23	21	$180.00	$42.89
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	20	$31.00	$8.09
80053 Blood test, comprehensive group of blood chemicals	16	16	$36.00	$11.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,546	222	$11.00	$1.79
20610 Aspiration and/or injection of fluid from large joint	474	239	$273.38	$71.82
99213 Established patient office or other outpatient visit, typically 15 minutes	363	235	$156.54	$76.53
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	136	30	$623.82	$143.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	99	$227.57	$112.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$231.81	$114.51
23472 Prosthetic repair of shoulder joint, total shoulder	35	35	$4680.00	$1586.31
36415 Insertion of needle into vein for collection of blood sample	26	24	$18.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$350.00	$173.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$275.88	$143.50
20605 Aspiration and/or injection of medium joint or joint capsule	16	11	$180.00	$42.17
29827 Repair of shoulder rotator cuff using an endoscope	16	15	$3550.00	$1078.11
85652 Red blood cell sedimentation rate, to detect inflammation, automated	14	13	$8.00	$3.26
86140 Measurement C-reactive protein for detection of infection or inflammation	14	13	$15.00	$6.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	12	$31.00	$9.40
73020 X-ray of shoulder, 1 view	12	12	$36.00	$8.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,941	243	$11.00	$1.80
20610 Aspiration and/or injection of fluid from large joint	535	264	$271.40	$71.69
99213 Established patient office or other outpatient visit, typically 15 minutes	409	264	$154.68	$76.75
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	178	38	$575.45	$144.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$229.42	$112.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	64	$225.00	$111.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$350.00	$172.79
29827 Repair of shoulder rotator cuff using an endoscope	18	17	$3550.00	$1146.31
20605 Aspiration and/or injection of medium joint or joint capsule	18	17	$180.00	$40.25
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$4533.75	$1508.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	14	$275.00	$143.50
29823 Removal of extensive shoulder joint tissue using an endoscope	13	12	$2000.00	$196.09

Medical Specialties & State Licenses

CMS Verified: 2020-10-16

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NY 239150

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

02867792 (NY)

Hospital & Practice Group Affiliations

Crystal Run Healthcare Physicians Llp

300 Crystal Run Rd, Middletown, NY 109414069

Phone: 8456926999

Practice Associates & Co-Workers

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

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Nurse Practitioner

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Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 19, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2009

Registered at 95 CRYSTAL RUN RD, MIDDLETOWN, NY 109417001 (Tel: 8457036999)

📍

Updated Business Mailing Address November 19, 2009

Registered at 155 CRYSTAL RUN ROAD, MIDDLETOWN, NY 10941 (Tel: 8457036999)

👤

Provider Name / Credentials Updated November 19, 2009

Recorded as DANIEL TOMLINSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2009

Orthopaedic Surgery (License #239150 in NY)

🟢

Initial NPI Registration & Enumeration April 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1760600431

Entity Type:

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

Enumeration Date: April 20, 2007

Last Update: October 16, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

155 Crystal Run Road

Middletown, NY 10941

Phone: 8457036999

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.