Active NPI 1487823639 Individual Practitioner Male Practitioner

Dr. Mark Makumbi Kayanja , MD, PhD

Orthopaedic Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kayanja, MD, PhD is a certified Orthopaedic Surgery practicing in Cincinnati, OH. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Kayanja delivers high-quality medical care to the local community at 3188 BELLEVUE AVE.

Dr. Kayanja maintains professional affiliations with University Of Cincinnati Physicians Company Llc, Kentucky Rehabilitation Services, Inc., Oxford Physical Therapy And Rehabilitation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, placement of stabilizing device to back, 3-6 spine bone segments. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3188 Bellevue Ave

Cincinnati, OH 452192369

Telephone 5134758690

Fax 5134757593

Associated Practice Facility / Clinic

🏢 University Of Cincinnati Physicians Company, Llc Facility NPI 1801840434

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +11.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

102 Specialists

Practicing in Cincinnati, OH (984 Statewide)

Telehealth Adoption Rate

2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kayanja (36 Years) 36 Yrs

Cincinnati Specialty Average (24.5 Years) 24.5 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	131	78	$155.09	$62.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$193.00	$78.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$317.79	$125.86
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	12	$2249.00	$732.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	103	$139.00	$86.29
72110 X-ray of lower and sacral spine, minimum of 4 views	71	56	$169.00	$49.17
22614 Fusion of additional segment of spine	55	13	$1217.09	$369.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$320.00	$159.51
72082 X-ray of entire middle and lower spine, 2-3 views	37	27	$191.00	$67.26
72100 X-ray of lower and sacral spine, 2-3 views	37	26	$124.00	$38.38
72070 X-ray of middle spine, 2 views	24	18	$103.00	$31.62
72050 X-ray of upper spine, 4 or 5 views	21	19	$160.00	$51.05
77073 Imaging for bone length assessment	16	13	$140.00	$43.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$326.00	$128.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	255	114	$139.00	$86.81
72110 X-ray of lower and sacral spine, minimum of 4 views	82	65	$169.00	$50.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$320.00	$161.24
72082 X-ray of entire middle and lower spine, 2-3 views	48	34	$191.00	$67.77
72100 X-ray of lower and sacral spine, 2-3 views	40	30	$124.00	$38.99
22614 Fusion of additional segment of spine	31	11	$1228.00	$361.43
63048 Partial removal of spine bone with release of spinal cord and/or nerves	30	15	$666.00	$195.34
72050 X-ray of upper spine, 4 or 5 views	27	22	$160.00	$52.03
72040 X-ray of upper spine, 2-3 views	17	13	$119.00	$38.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$206.00	$124.38
72070 X-ray of middle spine, 2 views	14	11	$103.00	$32.01
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$3698.00	$816.46
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$2449.00	$705.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	97	$139.00	$88.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$320.00	$165.67
72110 X-ray of lower and sacral spine, minimum of 4 views	32	30	$169.00	$48.84
72100 X-ray of lower and sacral spine, 2-3 views	17	15	$124.00	$39.26
72082 X-ray of entire middle and lower spine, 2-3 views	17	15	$191.00	$69.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$206.00	$118.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	81	$139.00	$72.55
72110 X-ray of lower and sacral spine, minimum of 4 views	37	33	$169.00	$47.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$320.00	$162.24
72100 X-ray of lower and sacral spine, 2-3 views	26	19	$124.00	$36.95
72082 X-ray of entire middle and lower spine, 2-3 views	26	22	$191.00	$65.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$206.00	$107.18
72070 X-ray of middle spine, 2 views	14	11	$103.00	$30.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	70	$86.82	$72.37
22614 Fusion of additional segment of spine	70	17	$648.29	$388.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$197.74	$160.68
72100 X-ray of lower and sacral spine, 2-3 views	45	29	$60.43	$35.17
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	42	19	$438.19	$257.89
72110 X-ray of lower and sacral spine, minimum of 4 views	40	38	$81.50	$49.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$125.81	$106.16
72082 X-ray of entire middle and lower spine, 2-3 views	24	22	$102.55	$62.33
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	12	$372.52	$203.87
20939 Harvest of bone marrow for spine surgery graft	22	18	$101.24	$66.59
72080 X-ray of middle and lower spine, 2 views	15	11	$44.85	$32.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	13	$2044.44	$628.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$59.58	$43.75
72070 X-ray of middle spine, 2 views	14	11	$44.62	$32.79
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	12	$1294.51	$762.38
22612 Fusion of spine in lower back	12	12	$2709.73	$1459.94
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$2878.36	$1206.03
61783 Computer-assisted spinal procedure	11	11	$468.65	$231.30
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	11	11	$584.92	$437.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	72	$100.81	$70.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	65	$64.28	$41.69
72114 X-ray lower and sacral spine, minimum of 6 views	58	51	$180.00	$56.74
72100 X-ray of lower and sacral spine, 2-3 views	49	32	$89.79	$30.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$154.00	$104.18
72050 X-ray of upper spine, 4 or 5 views	23	20	$139.19	$41.59
72070 X-ray of middle spine, 2 views	21	14	$108.00	$31.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$189.00	$129.88
72082 X-ray of entire middle and lower spine, 2-3 views	19	15	$115.99	$55.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$167.62	$158.74
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$1871.01	$781.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$109.98	$103.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	88	$108.94	$68.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$177.18	$101.38
72114 X-ray lower and sacral spine, minimum of 6 views	47	44	$180.00	$54.38
72100 X-ray of lower and sacral spine, 2-3 views	42	28	$92.43	$32.27
72110 X-ray of lower and sacral spine, minimum of 4 views	36	32	$108.36	$44.93
72050 X-ray of upper spine, 4 or 5 views	35	28	$115.54	$39.40
72040 X-ray of upper spine, 2-3 views	25	17	$79.04	$28.71
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	12	$745.75	$263.88
72070 X-ray of middle spine, 2 views	23	16	$83.83	$27.57
72082 X-ray of entire middle and lower spine, 2-3 views	20	15	$141.60	$50.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$230.84	$127.67

Medical Specialties & State Licenses

CMS Verified: 2023-08-10

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35.096780

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.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License TX R7782

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Hospital & Practice Group Affiliations

Kentucky Rehabilitation Services, Inc.

580 Buttermilk Pike, Crescent Springs, KY 410171635

Phone: 8593416654

University Of Cincinnati Physicians Company Llc

222 Piedmont Ave, Cincinnati, OH 452194231

Phone: 5134757855

Oxford Physical Therapy And Rehabilitation

7567 Central Parke Blvd, Mason, OH 450406852

Oxford Physical Therapy And Rehabilitation

7567 Central Parke Blvd, Mason, OH 450406852

Secondary Practice Locations

6020 W Parker Rd Ste 200

Plano, TX 750938172

Phone: 9726085000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Joseph Pandiscia , PA-C

Physician Assistant

NPI 1003126483

Physician Assistant (Certified)

Bernard Tippen , PA-C

Physician Assistant

NPI 1013623123

Physician Assistant (Certified)

Monica Sedmak , PA

Physician Assistant - Surgical

NPI 1023066594

Physician Assistant

Dr. Jonathan Ellis , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1033671359

Doctor of Medicine (M.D.)

Dr. Nathan Shane , DPM

Podiatrist

NPI 1043606247

Doctor of Podiatric Medicine

Dr. Steven Agabegi , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1063623353

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location August 10, 2023

Registered at 3188 BELLEVUE AVE, CINCINNATI, OH 452192369 (Tel: 5134758690)

📍

Updated Business Mailing Address August 10, 2023

Registered at PO BOX 636256, CINCINNATI, OH 452636256 (Tel: 5135856200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2023

Orthopaedic Surgery (License #35.096780 in OH)

📍

Updated Practice Location July 10, 2019

Registered at 6020 W PARKER RD STE 200, PLANO, TX 750938172 (Tel: 9726085000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Orthopaedic Surgery (License #R7782 in TX)

📍

Updated Business Mailing Address June 19, 2019

Registered at 6020 W PARKER RD STE 200, PLANO, TX 750938172 (Tel: 9726085000)

✅

NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2017

Registered at 2350 MIAMI VALLEY DR, SUITE 320A, DAYTON, OH 454594778 (Tel: 9373121661)

📍

Updated Business Mailing Address May 10, 2017

Registered at 2350 MIAMI VALLEY DR, SUITE 320A, DAYTON, OH 454594778 (Tel: 9373121661)

👤

Provider Name / Credentials Updated May 10, 2017

Recorded as MARK KAYANJA, MD, PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Orthopaedic Surgery (License #47202 in AZ)

✅

NPI Profile Active October 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2014

Registered at 30 E APPLE ST, SUITE 2200, DAYTON, OH 454092939 (Tel: 9372082091)

📍

Updated Business Mailing Address October 24, 2014

Registered at 725 UNIVERSITY BLVD, DAYTON, OH 454350001 (Tel: 9372457100)

👤

Provider Name / Credentials Updated October 24, 2014

Recorded as MARK KAYANJA, MD, PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2014

Orthopaedic Surgery (License #47202 in AZ)

🟢

Initial NPI Registration & Enumeration February 21, 2008

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: 1487823639

Entity Type:

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

Enumeration Date: February 21, 2008

Last Update: August 10, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636256

Cincinnati, OH 452636256

Phone: 5135856200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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