Active NPI 1144201088 Individual Practitioner Male Practitioner

Dr. Thomas A Olexa , MD

Orthopaedic Surgery • Sandusky, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Olexa, MD is a certified Orthopaedic Surgery practicing in Sandusky, OH. With approximately 31 years of clinical experience since graduating from Toledo Medical College in 1995, Dr. Olexa delivers high-quality medical care to the local community at 1401 BONE CREEK DR.

Dr. Olexa is affiliated with North Coast Professional Company, Llc 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

1401 Bone Creek Dr

Sandusky, OH 44870

Telephone 4196254900

Fax 4196219768

Associated Practice Facility / Clinic

🏢 Sandusky Orthopedic Surgeons Inc Facility NPI 1134172992

Medicare Profile & Education

Medical School

Toledo Medical College

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Sandusky, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +13.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Sandusky, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Olexa (31 Years) 31 Yrs

Sandusky Specialty Average (17.8 Years) 17.8 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	468	81	$9.45	$0.96
99213 Established patient office or other outpatient visit, typically 15 minutes	145	99	$139.79	$85.02
20610 Aspiration and/or injection of fluid from large joint	89	66	$106.75	$62.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	47	$201.64	$120.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$171.63	$102.26
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$137.35	$80.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	714	123	$9.00	$1.05
20610 Aspiration and/or injection of fluid from large joint	146	106	$118.00	$65.76
99213 Established patient office or other outpatient visit, typically 15 minutes	133	107	$140.00	$86.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	60	$200.00	$120.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$170.00	$108.80
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$124.22	$79.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$260.00	$148.43
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$3200.00	$1426.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	750	127	$9.00	$1.12
99213 Established patient office or other outpatient visit, typically 15 minutes	157	125	$140.00	$88.65
20610 Aspiration and/or injection of fluid from large joint	152	118	$118.00	$68.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	75	$200.00	$123.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$170.00	$110.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$260.00	$164.68
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$151.00	$99.52
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$3200.00	$1390.40
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$390.00	$174.98
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2320.00	$1074.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,142	167	$9.00	$1.27
20610 Aspiration and/or injection of fluid from large joint	229	157	$118.00	$68.59
99213 Established patient office or other outpatient visit, typically 15 minutes	195	158	$140.00	$89.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	93	$200.00	$125.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$170.00	$110.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$260.00	$160.66
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$3200.00	$1467.22
20550 Injection into tendon or ligament	13	11	$116.00	$51.29
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$2320.00	$1081.13
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$390.00	$177.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$302.00	$198.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$204.00	$125.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,028	145	$9.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	280	199	$108.25	$73.72
20610 Aspiration and/or injection of fluid from large joint	218	143	$118.00	$66.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$158.00	$104.18
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$108.34	$74.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$64.69	$44.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$204.00	$138.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$157.00	$106.73
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	13	$2630.00	$1219.90
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$2710.00	$1254.43
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$390.00	$179.96
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$2320.00	$1091.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	973	144	$9.00	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	251	199	$105.00	$71.69
20610 Aspiration and/or injection of fluid from large joint	192	131	$118.00	$64.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	85	$157.00	$104.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$158.00	$105.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$302.00	$200.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$241.00	$154.34
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$2710.00	$1237.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$204.00	$135.87
23600 Closed treatment of broken top of upper arm bone	16	16	$700.00	$319.94
29881 Removal of knee cartilage using an endoscope	14	14	$1180.00	$500.70
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$390.00	$178.14
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$2320.00	$1056.67
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$2630.00	$1202.04
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$3200.00	$1463.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,048	164	$9.00	$1.76
20610 Aspiration and/or injection of fluid from large joint	246	163	$118.00	$60.34
99213 Established patient office or other outpatient visit, typically 15 minutes	242	190	$105.00	$69.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	98	$157.00	$102.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$158.00	$103.15
73030 X-ray of shoulder, minimum of 2 views	93	71	$19.00	$9.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$302.00	$198.71
73560 X-ray of knee, 1-2 views	25	22	$17.00	$8.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$241.00	$159.18
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$390.00	$175.97
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$2320.00	$1040.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	821	132	$9.00	$1.81
20610 Aspiration and/or injection of fluid from large joint	228	141	$118.00	$54.21
99213 Established patient office or other outpatient visit, typically 15 minutes	194	141	$105.00	$69.87
73030 X-ray of shoulder, minimum of 2 views	177	112	$19.00	$9.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	75	$157.00	$103.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$158.00	$103.67
73100 X-ray of wrist, 2 views	39	19	$17.00	$8.28
73560 X-ray of knee, 1-2 views	35	25	$17.00	$8.30
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	27	11	$266.00	$85.69
73502 X-ray of hip, 2-3 views	25	17	$22.00	$11.05
73070 X-ray of elbow, 2 views	22	13	$16.00	$7.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$241.00	$158.09
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$3000.71	$1437.15
27245 Treatment of broken neck of thigh bone with bone implant	13	12	$2652.08	$1184.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$302.00	$197.76

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35076370

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 - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License OH 35-076370-O

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2218433 (OH)

Hospital & Practice Group Affiliations

North Coast Professional Company, Llc

1401 Bone Creek Dr, Sandusky, OH 448707267

Phone: 4196254900

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Nicholas Reimer , DPT

Physical Therapist

NPI 1033238860

Doctor of Physical Therapy

Jaime Bentley , PT

Physical Therapist

NPI 1144532631

Physical Therapist

Dr. Justin Kelley , DO

Orthopaedic Surgery

NPI 1205256187

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Carlisle , MD

Orthopaedic Surgery

NPI 1225410905

Doctor of Medicine (M.D.)

Dr. Thomas Felter , MD

Anesthesiology - Pain Medicine

NPI 1346534328

Doctor of Medicine (M.D.)

Stephen Sneider , PT

Physical Therapist

NPI 1396728408

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active December 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2010

Registered at 1401 BONE CREEK DR, SANDUSKY, OH 44870 (Tel: 4196254900)

📍

Updated Business Mailing Address December 22, 2010

Registered at 1401 BONE CREEK DR, SANDUSKY, OH 44870 (Tel: 4196254900)

👤

Provider Name / Credentials Updated December 22, 2010

Recorded as THOMAS OLEXA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2010

Orthopaedic Surgery (License #35076370 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2010

Orthopaedic Surgery (License #35-076370-O in OH)

🟢

Initial NPI Registration & Enumeration November 08, 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: 1144201088

Entity Type:

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

Enumeration Date: November 08, 2005

Last Update: December 22, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1401 Bone Creek Dr

Sandusky, OH 44870

Phone: 4196254900

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.