Active NPI 1982606638 Individual Practitioner Male Practitioner

Daniel Andrew Culbreth , PA

Physician Assistant • Wilmington, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Daniel Culbreth, PA is a certified Physician Assistant practicing in Wilmington, NC. With approximately 32 years of clinical experience since completing medical education in 1994, Daniel Culbreth delivers high-quality medical care to the local community at 2716 ASHTON DR.

Daniel Culbreth is affiliated with Emergeortho Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established 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

2716 Ashton Dr

Wilmington, NC 284122489

Telephone 9103323800

Fax 9107638804

Associated Practice Facility / Clinic

🏢 Select Physical Therapy Holdings Inc Facility NPI 1285891317

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wilmington, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +18.1 yrs vs City Avg

City Avg: 13.9 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

371 Specialists

Practicing in Wilmington, NC (9374 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Culbreth (32 Years) 32 Yrs

Wilmington Specialty Average (13.9 Years) 13.9 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,678	209	$2.57	$0.98
99213 Established patient office or other outpatient visit, typically 15 minutes	505	343	$220.72	$73.00
20610 Aspiration and/or injection of fluid from large joint	464	282	$285.44	$59.13
73564 X-ray of knee, 4 or more views	351	244	$151.62	$37.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	247	$312.17	$102.63
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	169	106	$1922.50	$669.63
73502 X-ray of hip, 2-3 views	156	144	$111.36	$36.88
73562 X-ray of knee, 3 views	118	86	$139.10	$32.35
27447 Replacement of knee joint, both sides of knee	99	96	$1322.78	$162.09
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	76	53	$1230.00	$494.66
27130 Replacement of thigh bone and hip joint with prosthesis	53	51	$1342.30	$163.10
73523 X-ray of both hips, minimum of 5 views	38	35	$148.67	$48.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$407.34	$134.85
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$96.72	$31.53
73721 Mri scan of leg joint without contrast	15	14	$720.27	$129.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$272.51	$89.34
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$124.27	$41.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,242	250	$2.67	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	576	404	$220.72	$73.85
20610 Aspiration and/or injection of fluid from large joint	548	340	$291.72	$60.77
73564 X-ray of knee, 4 or more views	356	234	$142.18	$37.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	260	$311.90	$104.57
73502 X-ray of hip, 2-3 views	238	208	$110.67	$37.10
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	211	113	$1230.00	$509.65
73562 X-ray of knee, 3 views	189	139	$121.38	$33.12
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	81	44	$1922.50	$700.49
27130 Replacement of thigh bone and hip joint with prosthesis	69	67	$1317.44	$167.62
27447 Replacement of knee joint, both sides of knee	59	58	$1327.28	$166.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$407.34	$136.37
73523 X-ray of both hips, minimum of 5 views	32	32	$148.67	$50.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$272.51	$89.32
72100 X-ray of lower and sacral spine, 2-3 views	21	20	$96.72	$32.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,517	260	$3.23	$1.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	595	444	$264.72	$105.09
20610 Aspiration and/or injection of fluid from large joint	579	367	$227.36	$62.01
99213 Established patient office or other outpatient visit, typically 15 minutes	531	398	$200.97	$74.62
73564 X-ray of knee, 4 or more views	337	234	$206.92	$37.75
73502 X-ray of hip, 2-3 views	323	270	$93.14	$37.47
73562 X-ray of knee, 3 views	288	201	$161.76	$33.34
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	222	109	$1230.00	$963.99
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	82	55	$1922.50	$739.65
27130 Replacement of thigh bone and hip joint with prosthesis	72	68	$1226.95	$169.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$399.47	$137.93
73523 X-ray of both hips, minimum of 5 views	50	48	$159.05	$50.27
27447 Replacement of knee joint, both sides of knee	49	48	$1202.02	$169.61
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$98.63	$32.63
72110 X-ray of lower and sacral spine, minimum of 4 views	16	16	$134.79	$42.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$263.92	$91.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,797	218	$4.00	$1.27
99213 Established patient office or other outpatient visit, typically 15 minutes	795	564	$199.14	$75.44
73562 X-ray of knee, 3 views	588	400	$170.87	$33.01
20610 Aspiration and/or injection of fluid from large joint	540	361	$217.48	$61.80
73502 X-ray of hip, 2-3 views	334	268	$92.08	$37.31
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	321	160	$1230.00	$1215.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	237	$259.53	$105.60
27130 Replacement of thigh bone and hip joint with prosthesis	112	110	$1217.20	$171.59
27447 Replacement of knee joint, both sides of knee	61	60	$1200.45	$170.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$398.55	$133.97
73523 X-ray of both hips, minimum of 5 views	33	33	$160.74	$50.18
73564 X-ray of knee, 4 or more views	32	24	$206.72	$38.74
72100 X-ray of lower and sacral spine, 2-3 views	26	25	$98.88	$32.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$439.18	$166.55
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	19	11	$1922.50	$762.94
80307 Testing for presence of drug, by chemistry analyzers	11	11	$103.76	$62.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,425	252	$4.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	971	644	$199.09	$62.06
20610 Aspiration and/or injection of fluid from large joint	610	377	$214.79	$59.43
73562 X-ray of knee, 3 views	567	389	$170.16	$31.93
73502 X-ray of hip, 2-3 views	318	273	$92.43	$36.36
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	296	148	$1230.00	$1171.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	107	$259.53	$90.71
27130 Replacement of thigh bone and hip joint with prosthesis	102	99	$1217.20	$182.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$260.80	$88.52
27447 Replacement of knee joint, both sides of knee	33	33	$1183.00	$178.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$398.55	$137.17
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	29	17	$1922.50	$757.71
72100 X-ray of lower and sacral spine, 2-3 views	28	28	$98.88	$31.07
73523 X-ray of both hips, minimum of 5 views	26	24	$160.74	$48.29
80307 Testing for presence of drug, by chemistry analyzers	20	19	$103.76	$62.02
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	19	18	$496.85	$198.32
72170 X-ray of pelvis, 1-2 views	18	15	$252.00	$23.18
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$218.55	$85.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$439.18	$171.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,496	261	$4.00	$1.59
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,800	20	$25.00	$16.95
99213 Established patient office or other outpatient visit, typically 15 minutes	1,041	720	$199.14	$60.52
73562 X-ray of knee, 3 views	598	411	$170.54	$29.91
20610 Aspiration and/or injection of fluid from large joint	583	368	$212.43	$56.22
73502 X-ray of hip, 2-3 views	321	284	$90.98	$33.57
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	166	105	$2858.24	$1168.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	146	$259.53	$89.08
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	92	53	$1230.00	$1110.36
27130 Replacement of thigh bone and hip joint with prosthesis	84	82	$1217.20	$179.32
27447 Replacement of knee joint, both sides of knee	71	71	$1183.00	$176.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$260.80	$88.49
73523 X-ray of both hips, minimum of 5 views	43	42	$160.74	$47.17
72100 X-ray of lower and sacral spine, 2-3 views	29	29	$98.88	$29.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$398.55	$134.75
80307 Testing for presence of drug, by chemistry analyzers	13	12	$103.76	$63.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,456	266	$4.00	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	1,015	702	$199.09	$58.84
20610 Aspiration and/or injection of fluid from large joint	564	375	$212.51	$56.14
73562 X-ray of knee, 3 views	502	363	$160.47	$28.35
73502 X-ray of hip, 2-3 views	279	246	$92.52	$32.65
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	271	147	$2965.00	$788.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	110	$259.53	$87.16
27130 Replacement of thigh bone and hip joint with prosthesis	106	102	$1217.20	$177.99
27447 Replacement of knee joint, both sides of knee	92	89	$1183.00	$175.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$260.80	$87.64
73523 X-ray of both hips, minimum of 5 views	62	55	$160.74	$45.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$398.55	$134.13
72100 X-ray of lower and sacral spine, 2-3 views	29	29	$98.88	$28.05
73501 X-ray of hip with pelvis, 1 view	21	21	$67.72	$23.37
72170 X-ray of pelvis, 1-2 views	19	17	$242.59	$24.44
27134 Revision of thigh bone and hip joint prosthesis	13	13	$1569.60	$251.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,428	253	$4.00	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	994	702	$199.20	$58.88
73562 X-ray of knee, 3 views	611	407	$171.71	$28.29
20610 Aspiration and/or injection of fluid from large joint	532	359	$215.81	$55.95
73502 X-ray of hip, 2-3 views	266	238	$91.72	$32.48
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	214	142	$2965.00	$857.59
27130 Replacement of thigh bone and hip joint with prosthesis	159	152	$1224.86	$175.62
27447 Replacement of knee joint, both sides of knee	148	145	$1183.00	$175.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	139	$259.53	$86.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$260.80	$87.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$398.55	$133.45
73523 X-ray of both hips, minimum of 5 views	45	42	$158.35	$44.54
73501 X-ray of hip with pelvis, 1 view	38	37	$69.93	$23.78
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	37	27	$2460.00	$568.58
72100 X-ray of lower and sacral spine, 2-3 views	31	31	$98.88	$28.07
73564 X-ray of knee, 4 or more views	26	15	$249.23	$31.75
27446 Repair of knee joint	22	22	$894.40	$145.07
73560 X-ray of knee, 1-2 views	17	15	$126.46	$23.51
20610 Aspiration and/or injection of fluid from large joint	16	16	$164.25	$38.09
72170 X-ray of pelvis, 1-2 views	15	14	$228.15	$23.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$298.25	$112.42

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 101790

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License

101790 (NC)

Hospital & Practice Group Affiliations

Emergeortho Pa

799 Doctors Ct, Roxboro, NC 275734571

Phone: 3365994079

Emergeortho Pa

3787 Shipyard Blvd, Wilmington, NC 284036148

Phone: 9103323800

Emergeortho Pa

8115 Market St, Wilmington, NC 284118429

Phone: 9103323800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Rachel Almond , FNP-BC

Nurse Practitioner - Family

NPI 1003106956

Family Nurse Practitioner (Board Certified)

Robin Jendrazak , OPA-C

Physician Assistant - Surgical

NPI 1003271156

OPAC

Macie Ricketts , NP

Nurse Practitioner

NPI 1013855790

Nurse Practitioner

Dr. Brad Nolan , DPT

Physical Therapist

NPI 1013922608

Doctor of Physical Therapy

Meghan Froiseth , OTR, L

Occupational Therapist

NPI 1023529609

Occupational Therapist Registered, L

Dr. Alexander Varzari , MD

Physical Medicine & Rehabilitation

NPI 1023647112

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2012

Registered at 2716 ASHTON DR, WILMINGTON, NC 284122489 (Tel: 9103323800)

📍

Updated Business Mailing Address September 10, 2012

Registered at 3787 SHIPYARD BLVD, WILMINGTON, NC 284036148 (Tel: 9103323800)

👤

Provider Name / Credentials Updated September 10, 2012

Recorded as DANIEL CULBRETH, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2012

Physician Assistant (License #101790 in NC)

🟢

Initial NPI Registration & Enumeration August 12, 2005

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: 1982606638

Entity Type:

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

Enumeration Date: August 12, 2005

Last Update: September 10, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3787 Shipyard Blvd

Wilmington, NC 284036148

Phone: 9103323800

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.