Active NPI 1801811096 Individual Practitioner Male Practitioner

Dr. Brian Seth Cohen , MD

Orthopaedic Surgery • Chillicothe, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Cohen, MD is a certified Orthopaedic Surgery practicing in Chillicothe, OH. With approximately 32 years of clinical experience since graduating from Icahn School Of Medicine At Mount Sinai in 1994, Dr. Cohen delivers high-quality medical care to the local community at 869 N BRIDGE ST.

Dr. Cohen maintains professional affiliations with Ohiohealth Corporation, Premier Therapy And Health Centers Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

869 N Bridge St

Chillicothe, OH 456011704

Telephone 6147880375

Fax 6145331993

Medicare Profile & Education

Medical School

Icahn School Of Medicine At Mount Sinai

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Chillicothe, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +10.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Chillicothe, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cohen (32 Years) 32 Yrs

Chillicothe 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
J1010 Injection, methylprednisolone acetate, 1 mg	6,979	62	$1.00	$0.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	305	173	$76.00	$54.64
99213 Established patient office or other outpatient visit, typically 15 minutes	152	133	$126.00	$86.64
73562 X-ray of knee, 3 views	151	87	$52.00	$29.24
73030 X-ray of shoulder, minimum of 2 views	128	81	$43.86	$25.68
20610 Aspiration and/or injection of fluid from large joint	126	79	$285.90	$70.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$189.00	$107.68
J1100 Injection, dexamethasone sodium phosphate, 1 mg	74	12	$1.00	$0.11
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	59	50	$45.00	$22.14
73502 X-ray of hip, 2-3 views	57	48	$55.00	$34.23
27447 Replacement of knee joint, both sides of knee	39	38	$5252.92	$1340.20
23472 Prosthetic repair of shoulder joint, total shoulder	32	31	$4522.00	$1399.71
J1040 Injection, methylprednisolone acetate, 80 mg	22	18	$25.00	$9.69
29827 Repair of shoulder rotator cuff using an endoscope	21	20	$3247.00	$1059.67
23430 Anchoring of biceps tendon	20	19	$2211.00	$425.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	14	$45.00	$13.87
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$4647.47	$1317.68
29880 Removal of both knee cartilages using an endoscope	14	14	$2061.00	$537.46
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$56.00	$27.28
29824 Partial removal of collar bone at shoulder using an endoscope	12	11	$2009.00	$229.36
29881 Removal of knee cartilage using an endoscope	11	11	$1925.00	$538.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	114	$76.00	$53.82
20610 Aspiration and/or injection of fluid from large joint	112	60	$270.75	$66.78
J1040 Injection, methylprednisolone acetate, 80 mg	109	58	$25.00	$11.57
99213 Established patient office or other outpatient visit, typically 15 minutes	108	99	$126.00	$86.75
73562 X-ray of knee, 3 views	72	55	$57.11	$32.09
73030 X-ray of shoulder, minimum of 2 views	61	38	$41.00	$23.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	59	43	$44.32	$21.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$189.00	$107.16
73502 X-ray of hip, 2-3 views	45	31	$55.00	$33.80
27447 Replacement of knee joint, both sides of knee	33	32	$5361.45	$1337.43
27130 Replacement of thigh bone and hip joint with prosthesis	23	21	$4357.00	$1267.23
23472 Prosthetic repair of shoulder joint, total shoulder	22	22	$4522.00	$1425.13
20985 Computer-assisted surgery for muscle and bone procedure	14	14	$452.00	$143.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	97	58	$251.51	$65.64
J1040 Injection, methylprednisolone acetate, 80 mg	91	53	$25.00	$10.64
99213 Established patient office or other outpatient visit, typically 15 minutes	91	81	$126.00	$87.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$189.00	$110.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	50	$76.00	$54.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	62	42	$41.00	$22.15
73562 X-ray of knee, 3 views	35	30	$63.20	$36.34
73030 X-ray of shoulder, minimum of 2 views	34	28	$42.21	$24.79
27447 Replacement of knee joint, both sides of knee	28	28	$4988.57	$1336.48
73502 X-ray of hip, 2-3 views	20	13	$55.00	$34.23
23472 Prosthetic repair of shoulder joint, total shoulder	19	19	$4522.00	$1449.12
27130 Replacement of thigh bone and hip joint with prosthesis	18	16	$4357.00	$1286.58
29881 Removal of knee cartilage using an endoscope	13	13	$1925.00	$541.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	90	$102.87	$93.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$44.31	$32.81
23472 Prosthetic repair of shoulder joint, total shoulder	33	32	$4849.27	$1429.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$189.00	$108.27
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$69.14	$62.51
20610 Aspiration and/or injection of fluid from large joint	25	23	$95.04	$48.19
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$126.00	$90.16
20610 Aspiration and/or injection of fluid from large joint	23	17	$297.39	$73.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$83.80	$55.04
27447 Replacement of knee joint, both sides of knee	15	15	$5740.67	$1393.74
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$2978.00	$177.91
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$3507.00	$1084.88
29881 Removal of knee cartilage using an endoscope	12	12	$2460.50	$547.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	212	$59.92	$51.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	188	140	$33.64	$26.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	117	$92.11	$78.87
20610 Aspiration and/or injection of fluid from large joint	86	60	$95.16	$48.00
23472 Prosthetic repair of shoulder joint, total shoulder	64	64	$4954.00	$1455.46
27130 Replacement of thigh bone and hip joint with prosthesis	49	47	$8169.00	$1346.71
27447 Replacement of knee joint, both sides of knee	49	47	$6341.84	$1388.78
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	34	34	$2978.00	$180.01
29881 Removal of knee cartilage using an endoscope	28	28	$2639.00	$548.74
29827 Repair of shoulder rotator cuff using an endoscope	26	26	$3559.00	$1090.81
29824 Partial removal of collar bone at shoulder using an endoscope	23	23	$2200.00	$261.32
23430 Anchoring of biceps tendon	22	22	$2449.00	$411.10
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	22	22	$5113.00	$1742.37
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$4184.00	$1234.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	18	$71.00	$39.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$127.00	$73.03
29807 Repair of shoulder socket cartilage using an endoscope	13	13	$3370.00	$723.40
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$194.00	$60.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$128.00	$44.23
29880 Removal of both knee cartilages using an endoscope	11	11	$3044.00	$570.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	386	255	$64.50	$25.29
99213 Established patient office or other outpatient visit, typically 15 minutes	299	275	$97.32	$50.29
20610 Aspiration and/or injection of fluid from large joint	132	89	$96.00	$47.28
27447 Replacement of knee joint, both sides of knee	74	74	$6260.81	$1410.21
23472 Prosthetic repair of shoulder joint, total shoulder	67	66	$4954.00	$1396.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	58	$128.00	$77.91
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	51	50	$2978.00	$168.60
27130 Replacement of thigh bone and hip joint with prosthesis	45	44	$8169.00	$1335.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	25	$128.00	$42.39
29827 Repair of shoulder rotator cuff using an endoscope	38	38	$3559.00	$1005.58
29881 Removal of knee cartilage using an endoscope	34	34	$2639.00	$518.84
29824 Partial removal of collar bone at shoulder using an endoscope	34	33	$2200.00	$266.61
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$194.00	$59.55
23430 Anchoring of biceps tendon	25	25	$2449.00	$430.17
27245 Treatment of broken neck of thigh bone with bone implant	18	18	$4184.00	$1200.35
29880 Removal of both knee cartilages using an endoscope	15	15	$3044.00	$558.84
29807 Repair of shoulder socket cartilage using an endoscope	15	15	$3370.00	$693.51
20610 Aspiration and/or injection of fluid from large joint	13	11	$203.08	$57.66
23474 Revision of total shoulder repair	12	12	$4424.00	$1716.47
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	11	11	$5577.82	$1848.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	321	305	$100.02	$50.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	305	184	$65.89	$24.96
27447 Replacement of knee joint, both sides of knee	104	102	$5975.96	$1346.42
20610 Aspiration and/or injection of fluid from large joint	99	71	$104.89	$47.58
23472 Prosthetic repair of shoulder joint, total shoulder	75	75	$4954.00	$1419.04
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	49	49	$2978.00	$173.25
29827 Repair of shoulder rotator cuff using an endoscope	40	40	$3559.00	$1009.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	23	$126.36	$39.85
27130 Replacement of thigh bone and hip joint with prosthesis	38	37	$8169.00	$1334.46
29824 Partial removal of collar bone at shoulder using an endoscope	36	36	$2200.00	$229.75
23430 Anchoring of biceps tendon	24	24	$2449.00	$369.13
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$189.96	$63.15
29881 Removal of knee cartilage using an endoscope	17	17	$2639.00	$474.62
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	15	14	$5113.00	$1601.37
20610 Aspiration and/or injection of fluid from large joint	15	11	$193.60	$59.78
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$4184.00	$1171.57
29807 Repair of shoulder socket cartilage using an endoscope	13	13	$3370.00	$700.54
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$172.00	$99.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	323	$103.08	$49.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	248	169	$67.10	$24.80
20610 Aspiration and/or injection of fluid from large joint	125	89	$100.67	$47.84
27447 Replacement of knee joint, both sides of knee	86	85	$5676.45	$1330.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	43	$86.27	$39.98
23472 Prosthetic repair of shoulder joint, total shoulder	66	66	$4848.68	$1413.64
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	56	56	$2883.07	$175.44
27130 Replacement of thigh bone and hip joint with prosthesis	49	45	$8169.00	$1328.45
29827 Repair of shoulder rotator cuff using an endoscope	49	49	$3490.71	$1011.28
29881 Removal of knee cartilage using an endoscope	41	41	$2516.51	$526.87
23430 Anchoring of biceps tendon	39	39	$2449.00	$396.17
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$152.33	$64.47
29824 Partial removal of collar bone at shoulder using an endoscope	36	36	$2143.67	$248.87
20610 Aspiration and/or injection of fluid from large joint	20	13	$141.90	$54.52
27245 Treatment of broken neck of thigh bone with bone implant	18	18	$4184.00	$1179.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$236.00	$133.62
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	16	16	$5113.00	$1554.63
29807 Repair of shoulder socket cartilage using an endoscope	14	14	$3262.07	$685.55
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$172.00	$99.15
29880 Removal of both knee cartilages using an endoscope	11	11	$3044.00	$486.11

Medical Specialties & State Licenses

CMS Verified: 2023-10-20

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35.078240

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

2191248 (OH)

Hospital & Practice Group Affiliations

Ohiohealth Corporation

4850 E Main St, Columbus, OH 432133194

Phone: 6145660950

Premier Therapy And Health Centers Inc

7700 Ohio River Rd, Wheelersburg, OH 456941653

Phone: 7405744616

Secondary Practice Locations

4850 E Main St Ste 110

Columbus, OH 432132197

Phone: 6147887135

4437 State Route 159, Suite G15

Chillicothe, OH 456017065

Phone: 7407794598

Practice Associates & Co-Workers

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

2 Associated Practitioners

Hope Palalay , PA

Physician Assistant

NPI 1063119873

Physician Assistant

Colton Morris , PA-C

Physician Assistant - Medical

NPI 1538679568

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 20, 2023

Registered at 869 N BRIDGE ST, CHILLICOTHE, OH 456011704 (Tel: 6147880375)

📍

Updated Practice Location June 24, 2021

Registered at 4850 E MAIN ST STE 110, COLUMBUS, OH 432132197 (Tel: 6147887135)

📍

Updated Business Mailing Address June 24, 2021

Registered at PO BOX 7527, DUBLIN, OH 430170727

✅

NPI Profile Active May 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 21, 2012

Registered at 4437 STATE ROUTE 159, SUITE G15, CHILLICOTHE, OH 45601 (Tel: 7407794598)

📍

Updated Business Mailing Address May 21, 2012

Registered at 272 HOSPITAL RD, SUITE 3, CHILLICOTHE, OH 456019031 (Tel: 7407798234)

👤

Provider Name / Credentials Updated May 21, 2012

Recorded as BRIAN COHEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2012

Orthopaedic Surgery (License #35.078240 in OH)

🟢

Initial NPI Registration & Enumeration July 12, 2006

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: 1801811096

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: October 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7527

Dublin, OH 430170727

Phone: 6147880375

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.