Active NPI 1316114242 Individual Practitioner Male Practitioner

Dr. Sumon Nandi , MD

Orthopaedic Surgery • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sumon Nandi, MD is a certified Orthopaedic Surgery practicing in Lima, OH. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Nandi delivers high-quality medical care to the local community at 801 MEDICAL DR.

Dr. Nandi maintains professional affiliations with University Of Maryland Orthopaedic Trauma Associates, P.A., West Virginia University Medical Corporation, University Of Maryland Orthopaedic Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, replacement of knee joint, both sides of knee. 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
Suite A

Lima, OH 458044031

Telephone 4192226622

Fax 4192240015

Associated Practice Facility / Clinic

🏢 West Central Ohio Group Ltd. Facility NPI 1952385221

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Lima, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -5.3 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

17 Specialists

Practicing in Lima, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nandi (22 Years) 22 Yrs

Lima Specialty Average (27.3 Years) 27.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	177	120	$163.00	$94.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	88	$254.00	$133.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$417.00	$174.20
27447 Replacement of knee joint, both sides of knee	21	20	$6016.00	$1401.87
27130 Replacement of thigh bone and hip joint with prosthesis	20	18	$5585.00	$1393.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	152	104	$163.00	$95.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	57	$254.00	$133.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$417.00	$176.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$296.00	$119.61
27447 Replacement of knee joint, both sides of knee	19	19	$6016.00	$1431.45
27130 Replacement of thigh bone and hip joint with prosthesis	14	13	$5585.00	$1373.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	109	$163.00	$97.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	56	$254.00	$138.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$417.00	$181.10
27447 Replacement of knee joint, both sides of knee	24	24	$6016.00	$1435.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$296.00	$121.94
20610 Aspiration and/or injection of fluid from large joint	15	15	$318.47	$72.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	70	$163.00	$97.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	39	$254.00	$141.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$417.00	$183.97
27447 Replacement of knee joint, both sides of knee	16	16	$6016.00	$1405.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$296.00	$123.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	72	$163.00	$81.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	76	$254.00	$115.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$296.00	$116.06
99441 Telephone medical discussion with physician, 5-10 minutes	16	16	$54.38	$46.62
27130 Replacement of thigh bone and hip joint with prosthesis	14	13	$5585.00	$1544.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$117.00	$50.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	96	$127.00	$50.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$200.00	$77.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$235.00	$75.36
20610 Aspiration and/or injection of fluid from large joint	20	18	$373.20	$50.76
27447 Replacement of knee joint, both sides of knee	15	13	$6765.00	$1358.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$254.00	$117.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$296.00	$117.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	85	$127.00	$50.23
99213 Established patient office or other outpatient visit, typically 15 minutes	120	90	$127.00	$68.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$200.00	$103.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$235.00	$100.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$200.00	$76.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$235.00	$75.19
20610 Aspiration and/or injection of fluid from large joint	17	14	$347.59	$50.00
27130 Replacement of thigh bone and hip joint with prosthesis	15	13	$6268.00	$1345.44
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	11	11	$7845.00	$1745.55
27447 Replacement of knee joint, both sides of knee	11	11	$6765.00	$1344.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	302	128	$127.00	$49.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	47	$200.00	$76.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$235.00	$75.00
27447 Replacement of knee joint, both sides of knee	28	24	$6765.00	$1338.74
20610 Aspiration and/or injection of fluid from large joint	22	21	$339.27	$48.89
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$6268.00	$1290.72

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 87775

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

1316114242 (MA)

Hospital & Practice Group Affiliations

University Of Maryland Orthopaedic Trauma Associates, P.a.

22 S Green St, Baltimore, MD 212011544

Phone: 4104486259

University Of Maryland Orthopaedic Associates Pa

22 S Green St, Baltimore, MD 212011544

Phone: 4103286704

West Virginia University Medical Corporation

2500 Hospital Dr, Martinsburg, WV 254013402

Phone: 3042641000

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

6 Historical Events

✅

NPI Profile Active March 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2015

Registered at 801 MEDICAL DR, SUITE A, LIMA, OH 458044031 (Tel: 4192226622)

📍

Updated Business Mailing Address March 24, 2015

Registered at 801 MEDICAL DR, SUITE A, LIMA, OH 458044031 (Tel: 4192226622)

👤

Provider Name / Credentials Updated March 24, 2015

Recorded as SUMON NANDI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2015

Orthopaedic Surgery (License #87775 in OH)

🟢

Initial NPI Registration & Enumeration May 09, 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: 1316114242

Entity Type:

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

Enumeration Date: May 09, 2008

Last Update: March 24, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 Medical Dr, Suite A

Lima, OH 458044031

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.