Active NPI 1831170778 Individual Practitioner Male Practitioner

Dr. James R Berry , MD

Orthopaedic Surgery • Sandusky, OH

Professional Overview & Biography Verified Profile Summary

Dr. James Berry, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Sandusky, OH. Practice services are available at 1401 BONE CREEK DR under active NPI credentials.

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 448707267

Telephone 4196254900

Fax 4196219768

Associated Practice Facility / Clinic

🏢 Sandusky Orthopedic Surgeons Inc Facility NPI 1134172992

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Sandusky, OH

Active Practitioner

Practitioner Clinical Experience

Active

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

53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	432	75	$9.00	$1.29
99213 Established patient office or other outpatient visit, typically 15 minutes	197	141	$140.00	$89.45
20610 Aspiration and/or injection of fluid from large joint	113	80	$118.00	$69.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	74	$200.00	$127.68
27447 Replacement of knee joint, both sides of knee	42	40	$2990.00	$1333.09
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$2990.00	$1303.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$170.00	$110.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$260.00	$166.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	433	74	$9.00	$1.47
99213 Established patient office or other outpatient visit, typically 15 minutes	350	218	$105.50	$73.55
20610 Aspiration and/or injection of fluid from large joint	139	90	$118.00	$68.48
27447 Replacement of knee joint, both sides of knee	52	50	$2990.00	$1417.26
27130 Replacement of thigh bone and hip joint with prosthesis	37	36	$2990.00	$1392.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$157.00	$106.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$64.42	$44.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$158.00	$106.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	900	12	$28.00	$16.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	820	127	$9.00	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	379	268	$105.00	$72.11
20610 Aspiration and/or injection of fluid from large joint	244	147	$118.00	$65.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	134	$157.00	$105.31
27447 Replacement of knee joint, both sides of knee	66	65	$2990.00	$1368.00
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	54	22	$300.00	$141.51
27130 Replacement of thigh bone and hip joint with prosthesis	48	47	$2990.00	$1364.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$158.00	$105.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$302.00	$200.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,101	165	$9.00	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	479	328	$105.00	$70.00
20610 Aspiration and/or injection of fluid from large joint	349	185	$118.00	$62.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	207	$157.00	$103.64
73560 X-ray of knee, 1-2 views	210	136	$17.00	$8.40
73502 X-ray of hip, 2-3 views	128	88	$22.00	$11.09
J3490 Unclassified drugs	81	27	$798.30	$351.55
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	56	12	$266.00	$84.02
27447 Replacement of knee joint, both sides of knee	53	49	$2990.00	$1356.55
27130 Replacement of thigh bone and hip joint with prosthesis	47	46	$2990.00	$1336.62
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	40	14	$300.00	$145.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$158.00	$103.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$241.00	$159.12
73030 X-ray of shoulder, minimum of 2 views	28	16	$19.00	$9.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$302.00	$198.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$63.00	$41.82
20610 Aspiration and/or injection of fluid from large joint	11	11	$118.00	$48.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,047	157	$9.00	$1.80
20610 Aspiration and/or injection of fluid from large joint	439	183	$118.00	$51.34
99213 Established patient office or other outpatient visit, typically 15 minutes	387	265	$105.00	$69.79
73560 X-ray of knee, 1-2 views	252	146	$17.00	$8.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	172	$157.00	$102.75
73502 X-ray of hip, 2-3 views	145	99	$22.00	$11.05
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	87	18	$300.00	$152.00
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	85	28	$266.00	$85.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$158.00	$103.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$241.00	$158.11
20610 Aspiration and/or injection of fluid from large joint	41	27	$118.00	$42.96
73030 X-ray of shoulder, minimum of 2 views	37	30	$19.00	$9.32
73100 X-ray of wrist, 2 views	36	18	$17.00	$8.53
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$2842.68	$1339.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$302.00	$197.78
73610 X-ray of ankle, minimum of 3 views	24	12	$17.00	$8.29
77002 Fluoroscopic guidance for needle placement	20	19	$56.00	$27.61
27447 Replacement of knee joint, both sides of knee	19	18	$3005.79	$1373.97
73501 X-ray of hip with pelvis, 1 view	17	16	$19.00	$9.37
73630 X-ray of foot, minimum of 3 views	17	13	$17.00	$8.32
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$22.00	$11.05
72170 X-ray of pelvis, 1-2 views	15	12	$17.00	$8.68
73522 X-ray of both hips, 3-4 views	14	13	$30.00	$14.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$155.00	$101.82

Medical Specialties & State Licenses

CMS Verified: 2023-03-17

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 3542238

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

NUCC Taxonomy Code: 207X00000X

State License NY 321423

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0489109 (OH)

Secondary Practice Locations

206 Cornelia St

Plattsburgh, NY 129012878

Phone: 5185615516

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

Dr. Thomas Olexa , MD

Orthopaedic Surgery

NPI 1144201088

Doctor of Medicine (M.D.)

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.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2023

Orthopaedic Surgery (License #321423 in NY)

✅

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 448707267 (Tel: 4196254900)

📍

Updated Business Mailing Address December 22, 2010

Registered at 1401 BONE CREEK DR, SANDUSKY, OH 448707267 (Tel: 4196254900)

👤

Provider Name / Credentials Updated December 22, 2010

Recorded as JAMES BERRY, MD

🎓

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

Orthopaedic Surgery (License #3542238 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: 1831170778

Entity Type:

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

Enumeration Date: November 08, 2005

Last Update: March 17, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1401 Bone Creek Dr

Sandusky, OH 448707267

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.