Active NPI 1538409131 Individual Practitioner Male Practitioner

Dr. Michael Thomas Edgerton , DO

Orthopaedic Surgery - Hand Surgery • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Edgerton, DO is a certified Orthopaedic Surgery - Hand Surgery practicing in Lima, OH. With approximately 13 years of clinical experience since graduating from Kentucky School Of Medicine in 2013, Dr. Edgerton delivers high-quality medical care to the local community at 801 MEDICAL DR STE A.

Dr. Edgerton is affiliated with Orthopaedic Institute Of Ohio, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, x-ray of shoulder, minimum of 2 views, 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

801 Medical Dr Ste A

Lima, OH 458044030

Telephone 4192226622

Fax 4192240015

Associated Practice Facility / Clinic

🏢 Orthopaedic Institute Of Ohio, Inc Facility NPI 1902886492

Medicare Profile & Education

Medical School

Kentucky School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Lima, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -13.3 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 22.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Lima, OH (98 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edgerton (13 Years) 13 Yrs

Lima Specialty Average (26.3 Years) 26.3 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	8,800	74	$1.75	$0.13
73030 X-ray of shoulder, minimum of 2 views	281	142	$76.66	$30.11
99213 Established patient office or other outpatient visit, typically 15 minutes	156	128	$199.58	$85.52
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	142	62	$18.00	$6.98
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	87	62	$210.59	$96.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	68	$291.00	$120.88
20550 Injection into tendon or ligament	63	33	$144.00	$42.28
20610 Aspiration and/or injection of fluid from large joint	44	31	$187.50	$64.76
23472 Prosthetic repair of shoulder joint, total shoulder	41	40	$4030.00	$1371.51
73140 X-ray of finger, minimum of 2 views	38	26	$86.11	$33.99
73080 X-ray of elbow, minimum of 3 views	36	16	$76.72	$29.03
73110 X-ray of wrist, minimum of 3 views	35	22	$74.51	$37.28
29848 Release of wrist ligament using an endoscope	34	29	$1400.00	$442.30
J1040 Injection, methylprednisolone acetate, 80 mg	31	27	$70.00	$9.71
73130 X-ray of hand, minimum of 3 views	30	26	$83.93	$32.83
20600 Aspiration and/or injection of fluid from small joint	28	20	$165.00	$48.19
73030 X-ray of shoulder, minimum of 2 views	24	23	$23.00	$8.58
73221 Mri scan of arm joint without contrast	18	18	$1000.00	$132.90
73200 Ct scan of arm without contrast	17	17	$500.00	$92.37
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	$105.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$443.00	$158.53
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2909.00	$1017.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$120.00	$53.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	172	116	$67.98	$28.78
99213 Established patient office or other outpatient visit, typically 15 minutes	146	120	$198.43	$85.54
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	135	65	$18.00	$6.61
J1040 Injection, methylprednisolone acetate, 80 mg	113	61	$70.00	$11.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	78	$291.00	$119.81
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	64	34	$237.02	$104.87
20550 Injection into tendon or ligament	60	37	$144.00	$45.76
20610 Aspiration and/or injection of fluid from large joint	39	35	$181.92	$63.30
73110 X-ray of wrist, minimum of 3 views	39	25	$62.89	$32.30
73140 X-ray of finger, minimum of 2 views	38	25	$76.92	$32.97
20600 Aspiration and/or injection of fluid from small joint	37	25	$167.68	$50.52
23472 Prosthetic repair of shoulder joint, total shoulder	36	35	$4030.00	$1400.60
29848 Release of wrist ligament using an endoscope	33	28	$1400.00	$431.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$290.00	$107.01
73200 Ct scan of arm without contrast	21	20	$500.00	$98.42
73130 X-ray of hand, minimum of 3 views	18	15	$68.89	$29.83
73221 Mri scan of arm joint without contrast	15	15	$1000.00	$133.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$120.00	$53.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	137	$199.00	$88.47
73030 X-ray of shoulder, minimum of 2 views	165	93	$68.92	$29.23
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	145	59	$18.00	$6.52
J1040 Injection, methylprednisolone acetate, 80 mg	97	52	$70.00	$10.69
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	47	31	$213.77	$103.35
20610 Aspiration and/or injection of fluid from large joint	47	31	$207.13	$69.88
20550 Injection into tendon or ligament	41	27	$144.00	$46.19
73110 X-ray of wrist, minimum of 3 views	38	22	$70.79	$35.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$291.00	$124.46
23472 Prosthetic repair of shoulder joint, total shoulder	36	35	$4030.00	$1434.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$290.00	$106.10
73130 X-ray of hand, minimum of 3 views	31	25	$81.35	$33.72
73140 X-ray of finger, minimum of 2 views	29	25	$80.76	$34.43
20600 Aspiration and/or injection of fluid from small joint	25	18	$163.68	$52.02
29848 Release of wrist ligament using an endoscope	25	20	$1400.00	$476.29
20605 Aspiration and/or injection of medium joint or joint capsule	23	17	$166.78	$57.19
73200 Ct scan of arm without contrast	20	19	$428.00	$99.26
73080 X-ray of elbow, minimum of 3 views	18	14	$67.67	$27.15
73221 Mri scan of arm joint without contrast	15	15	$900.00	$143.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$120.00	$54.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	210	158	$199.00	$89.03
73030 X-ray of shoulder, minimum of 2 views	118	79	$78.19	$31.64
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	113	63	$18.00	$6.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$290.00	$109.52
J1040 Injection, methylprednisolone acetate, 80 mg	68	49	$64.85	$10.64
73110 X-ray of wrist, minimum of 3 views	60	35	$73.00	$37.53
20610 Aspiration and/or injection of fluid from large joint	44	38	$187.50	$66.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	36	$120.00	$53.30
73140 X-ray of finger, minimum of 2 views	41	33	$87.15	$35.22
73130 X-ray of hand, minimum of 3 views	37	26	$84.19	$33.13
29848 Release of wrist ligament using an endoscope	34	22	$1400.00	$442.48
20600 Aspiration and/or injection of fluid from small joint	31	28	$153.29	$52.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	25	15	$197.00	$92.55
73080 X-ray of elbow, minimum of 3 views	25	16	$78.00	$28.95
26055 Incision of tendon covering	22	14	$1501.00	$219.19
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	21	14	$120.00	$19.49
20605 Aspiration and/or injection of medium joint or joint capsule	20	17	$157.55	$48.54
20550 Injection into tendon or ligament	19	18	$144.00	$53.80
73221 Mri scan of arm joint without contrast	17	17	$647.06	$142.85
29075 Application of elbow to finger cast	15	11	$187.00	$79.60
23472 Prosthetic repair of shoulder joint, total shoulder	15	15	$4030.00	$1459.89
73200 Ct scan of arm without contrast	11	11	$380.00	$104.30
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2909.00	$1002.07
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$491.00	$157.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	157	115	$194.99	$72.31
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	106	48	$18.00	$6.88
73030 X-ray of shoulder, minimum of 2 views	79	53	$77.18	$30.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$284.57	$101.40
73110 X-ray of wrist, minimum of 3 views	63	33	$75.00	$35.59
J1040 Injection, methylprednisolone acetate, 80 mg	47	35	$35.00	$10.92
73080 X-ray of elbow, minimum of 3 views	46	25	$74.50	$26.22
20600 Aspiration and/or injection of fluid from small joint	42	28	$147.52	$47.52
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	42	21	$120.00	$20.17
73140 X-ray of finger, minimum of 2 views	40	22	$84.38	$32.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$114.46	$42.95
20610 Aspiration and/or injection of fluid from large joint	37	28	$167.84	$59.92
29075 Application of elbow to finger cast	27	18	$187.00	$81.53
20605 Aspiration and/or injection of medium joint or joint capsule	26	19	$157.15	$52.95
73130 X-ray of hand, minimum of 3 views	23	16	$86.04	$32.95
29848 Release of wrist ligament using an endoscope	22	19	$1400.00	$497.22
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$201.61	$70.95
26055 Incision of tendon covering	17	12	$1501.00	$210.63
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3406.00	$1237.98
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$277.00	$101.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$157.00	$68.83
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	33	12	$18.00	$6.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$233.00	$101.20
73110 X-ray of wrist, minimum of 3 views	17	11	$75.00	$34.06
73030 X-ray of shoulder, minimum of 2 views	16	13	$58.50	$27.05
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$161.00	$72.90

Medical Specialties & State Licenses

CMS Verified: 2024-04-19

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License OH 34.013877

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License OH 34.013877

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Orthopaedic Institute Of Ohio, Inc

801 Medical Dr, Lima, OH 458044030

Phone: 4192226622

Practice Associates & Co-Workers

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

40 Associated Practitioners

Logan Rieman , CNP

Nurse Practitioner - Family

NPI 1003446170

Certified Nurse Practitioner

Bailey Nelson

Physician Assistant

NPI 1003685405

Dr. Mark Mcdonald , MD

Orthopaedic Surgery

NPI 1003896333

Doctor of Medicine (M.D.)

Dr. Kyle Shroll , PT, DPT

Physical Therapist

NPI 1013424597

Physical Therapist, Doctor of Physical Therapy

Dr. Sean Logan , MD

Neurological Surgery

NPI 1023124377

Doctor of Medicine (M.D.)

Tanner Stippich

Physician Assistant

NPI 1053924415

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location June 24, 2019

Registered at 801 MEDICAL DR STE A, LIMA, OH 458044030 (Tel: 4192226622)

📍

Updated Business Mailing Address June 24, 2019

Registered at 801 MEDICAL DR STE A, LIMA, OH 458044030 (Tel: 4192226622)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2019

Orthopaedic Surgery (License #34.013877 in OH)

✅

NPI Profile Active February 20, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2013

Registered at 2213 CHERRY ST, TOLEDO, OH 436082603 (Tel: 4192516596)

📍

Updated Business Mailing Address February 20, 2013

Registered at 2213 CHERRY ST, TOLEDO, OH 436082603 (Tel: 4192516596)

👤

Provider Name / Credentials Updated February 20, 2013

Recorded as MICHAEL EDGERTON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration February 20, 2013

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: 1538409131

Entity Type:

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

Enumeration Date: February 20, 2013

Last Update: April 19, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 Medical Dr Ste A

Lima, OH 458044030

Phone: 4192226622

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.