Active NPI 1831331057 Individual Practitioner Male Practitioner

Dr. Michael C Stanton , MD

Orthopaedic Surgery • Rochester, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Stanton, MD is a certified Orthopaedic Surgery practicing in Rochester, NY. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Stanton delivers high-quality medical care to the local community at 2115 CHILI AVE.

Dr. Stanton maintains professional affiliations with Western New York Medical Practice Pc, The Unity Hospital Of Rochester, Rochester General Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2115 Chili Ave

Rochester, NY 146243425

Telephone 5852470070

Fax 5852470075

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Rochester, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -4.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

52 Specialists

Practicing in Rochester, NY (1450 Statewide)

Telehealth Adoption Rate

3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stanton (17 Years) 17 Yrs

Rochester Specialty Average (21.5 Years) 21.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	90	72	$222.00	$67.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$222.00	$84.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	33	$294.00	$95.44
20610 Aspiration and/or injection of fluid from large joint	25	19	$127.38	$52.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	52	$218.94	$62.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	39	$289.73	$90.22
20610 Aspiration and/or injection of fluid from large joint	34	21	$144.75	$54.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$220.22	$80.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	63	$136.86	$64.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$172.30	$80.74
20610 Aspiration and/or injection of fluid from large joint	39	31	$131.14	$52.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$203.06	$93.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	69	$127.26	$66.88
20610 Aspiration and/or injection of fluid from large joint	36	31	$123.31	$51.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$172.30	$81.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	82	$116.57	$50.64
20610 Aspiration and/or injection of fluid from large joint	56	38	$129.24	$52.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$172.30	$75.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$172.00	$78.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	128	78	$116.57	$50.11
20610 Aspiration and/or injection of fluid from large joint	68	40	$133.40	$53.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$172.30	$74.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$221.18	$133.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	59	$116.48	$54.23
20610 Aspiration and/or injection of fluid from large joint	66	34	$140.36	$57.02
J1030 Injection, methylprednisolone acetate, 40 mg	34	12	$6.94	$6.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$172.30	$82.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$172.00	$76.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	72	$116.53	$54.71
20610 Aspiration and/or injection of fluid from large joint	72	57	$126.68	$50.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$172.26	$87.61
73564 X-ray of knee, 4 or more views	29	23	$44.05	$19.35
73030 X-ray of shoulder, minimum of 2 views	21	15	$41.18	$20.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$172.00	$84.46
J1040 Injection, methylprednisolone acetate, 80 mg	12	11	$13.07	$10.32

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NY 273247

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

04208100 (NY)

Hospital & Practice Group Affiliations

Rochester General Hospital

1425 Portland Ave, Rochester, NY 146213011

Phone: 5859224000

The Unity Hospital Of Rochester

1555 Long Pond Rd, Rochester, NY 146264122

Phone: 5854292289

Western New York Medical Practice Pc

2420 Ridgeway Ave, Rochester, NY 146264114

Phone: 5852274000

Western New York Medical Practice Pc

1425 Portland Ave, Rochester, NY 146213001

Phone: 5859223122

Practice Associates & Co-Workers

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

2 Associated Practitioners

Lawrence Dirisio , RPA C

Physician Assistant

NPI 1336184332

RPAC

Dr. Mark Stenclik , MD

Orthopaedic Surgery

NPI 1689634834

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2017

Registered at 2115 CHILI AVE, ROCHESTER, NY 146243425 (Tel: 5852470070)

📍

Updated Business Mailing Address March 16, 2017

Registered at 2115 CHILI AVE, ROCHESTER, NY 146243425 (Tel: 5852470070)

👤

Provider Name / Credentials Updated March 16, 2017

Recorded as MICHAEL STANTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2017

Orthopaedic Surgery (License #273247 in NY)

✅

NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2016

Registered at 2115 CHILI AVE, ROCHESTER, NY 146243425 (Tel: 5852470070)

📍

Updated Business Mailing Address May 24, 2016

Registered at 2115 CHILI AVE, ROCHESTER, NY 146243425 (Tel: 5852470070)

👤

Provider Name / Credentials Updated May 24, 2016

Recorded as MICHAEL STANTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2016

Orthopaedic Surgery (License #273247 in NY)

🟢

Initial NPI Registration & Enumeration April 02, 2009

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: 1831331057

Entity Type:

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

Enumeration Date: April 02, 2009

Last Update: March 16, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2115 Chili Ave

Rochester, NY 146243425

Phone: 5852470070

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.