Active NPI 1528051323 Individual Practitioner Male Practitioner

Dr. Terrence M Philbin , DO

Orthopaedic Surgery • Worthington, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Terrence Philbin, DO is a certified Orthopaedic Surgery practicing in Worthington, OH. With approximately 32 years of clinical experience since graduating from Mid West Medical College in 1994, Dr. Philbin delivers high-quality medical care to the local community at 350 W WILSON BRIDGE RD STE 200.

Dr. Philbin is affiliated with Beacon Orthopaedics And Sports Medicine Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of foot, minimum of 3 views, established patient outpatient office visit, x-ray of ankle, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

350 W Wilson Bridge Rd Ste 200

Worthington, OH 430852591

Telephone 6148958747

Fax 6148958810

Associated Practice Facility / Clinic

🏢 Ohio Foot & Ankle, Inc Facility NPI 1659364503

Medicare Profile & Education

Medical School

Mid West Medical College

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Worthington, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs -1.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Worthington, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Philbin (32 Years) 32 Yrs

Worthington Specialty Average (33.0 Years) 33.0 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
73630 X-ray of foot, minimum of 3 views	169	120	$79.53	$36.18
99213 Established patient office or other outpatient visit, typically 15 minutes	142	89	$150.35	$86.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	79	$184.57	$122.29
73610 X-ray of ankle, minimum of 3 views	80	45	$74.55	$35.17
73600 X-ray of ankle, 2 views	76	62	$75.79	$35.36
73700 Ct scan of leg without contrast	49	41	$206.00	$77.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$276.00	$160.26
73721 Mri scan of leg joint without contrast	27	26	$900.00	$132.63
73718 Mri scan of leg without contrast	25	24	$900.00	$152.52
29405 Application of short leg cast	19	18	$253.00	$75.11
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	19	18	$63.00	$47.19
20902 Harvest of graft from large bone	14	14	$1600.00	$133.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$200.00	$107.78
28750 Fusion of great toe	11	11	$1847.00	$538.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	192	128	$77.23	$35.30
99213 Established patient office or other outpatient visit, typically 15 minutes	182	101	$150.00	$86.29
73600 X-ray of ankle, 2 views	92	77	$70.96	$33.72
73610 X-ray of ankle, minimum of 3 views	85	47	$71.84	$34.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$200.00	$107.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$177.00	$122.61
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	36	32	$63.00	$48.19
29405 Application of short leg cast	35	31	$253.00	$76.56
73700 Ct scan of leg without contrast	33	29	$206.00	$78.87
73721 Mri scan of leg joint without contrast	22	22	$900.00	$134.71
20902 Harvest of graft from large bone	21	21	$1600.00	$134.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$276.00	$160.41
73718 Mri scan of leg without contrast	14	14	$900.00	$156.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	285	144	$86.99	$33.35
99213 Established patient office or other outpatient visit, typically 15 minutes	209	116	$129.19	$87.75
73600 X-ray of ankle, 2 views	141	96	$65.82	$31.07
73610 X-ray of ankle, minimum of 3 views	99	53	$78.82	$34.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$173.23	$108.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	48	$155.63	$120.72
73700 Ct scan of leg without contrast	42	38	$281.10	$82.67
29405 Application of short leg cast	35	22	$259.20	$76.20
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	34	22	$51.53	$44.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$221.71	$162.46
73721 Mri scan of leg joint without contrast	24	24	$626.67	$134.64
20680 Removal of deep implant from bone	17	15	$1241.24	$251.54
73718 Mri scan of leg without contrast	16	16	$623.75	$161.46
20902 Harvest of graft from large bone	15	15	$993.33	$146.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	300	174	$86.05	$31.67
99213 Established patient office or other outpatient visit, typically 15 minutes	174	111	$125.00	$87.16
73610 X-ray of ankle, minimum of 3 views	135	67	$78.81	$32.81
73600 X-ray of ankle, 2 views	101	76	$63.84	$30.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$170.00	$109.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	59	$151.52	$124.51
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	54	40	$50.00	$41.71
29405 Application of short leg cast	53	39	$260.00	$75.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$200.00	$164.49
73721 Mri scan of leg joint without contrast	33	32	$667.33	$147.63
73700 Ct scan of leg without contrast	30	27	$268.90	$82.85
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	28	13	$75.00	$22.60
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	27	13	$86.00	$30.93
97140 Therapy procedure using manual technique, each 15 minutes	27	11	$69.00	$20.55
73718 Mri scan of leg without contrast	19	19	$698.95	$174.07
20902 Harvest of graft from large bone	17	16	$950.00	$140.09
27691 Transplant of deep tendon with muscle rerouting at lower leg or ankle	12	12	$2000.00	$679.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	308	154	$85.01	$30.01
99213 Established patient office or other outpatient visit, typically 15 minutes	189	100	$125.00	$72.28
73600 X-ray of ankle, 2 views	92	64	$63.30	$29.69
73610 X-ray of ankle, minimum of 3 views	66	37	$76.48	$31.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$170.00	$103.75
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	57	23	$75.00	$24.07
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	38	20	$86.00	$31.32
97140 Therapy procedure using manual technique, each 15 minutes	36	17	$69.00	$22.22
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	35	23	$50.00	$41.35
29405 Application of short leg cast	34	23	$260.00	$75.97
97530 Therapy procedure using functional activities	23	14	$97.00	$37.49
73700 Ct scan of leg without contrast	23	20	$215.78	$101.08
20902 Harvest of graft from large bone	22	21	$950.00	$143.36
73721 Mri scan of leg joint without contrast	14	14	$1066.00	$163.19
73718 Mri scan of leg without contrast	13	13	$1088.00	$191.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	384	211	$89.62	$29.89
99213 Established patient office or other outpatient visit, typically 15 minutes	260	147	$125.00	$71.09
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	167	64	$75.00	$23.54
73600 X-ray of ankle, 2 views	155	96	$65.19	$29.53
97530 Therapy procedure using functional activities	140	50	$97.00	$37.21
73610 X-ray of ankle, minimum of 3 views	139	68	$76.20	$28.98
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	125	53	$86.00	$27.53
97016 Application of blood vessel compression device	119	50	$31.00	$9.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$170.00	$104.01
97140 Therapy procedure using manual technique, each 15 minutes	88	37	$61.91	$21.32
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	59	41	$50.00	$41.05
29405 Application of short leg cast	57	41	$260.00	$76.41
73721 Mri scan of leg joint without contrast	30	29	$1066.00	$146.80
20902 Harvest of graft from large bone	17	17	$950.00	$141.60
73700 Ct scan of leg without contrast	17	16	$230.76	$104.40
73718 Mri scan of leg without contrast	16	16	$1088.00	$182.40
27691 Transplant of deep tendon with muscle rerouting at lower leg or ankle	16	16	$2000.00	$693.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$60.00	$40.33
97162 Evaluation for physical therapy, typically 30 minutes	14	14	$208.00	$81.83
28300 Incision to repair heel bone	12	12	$1920.00	$321.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	464	226	$82.49	$25.48
99213 Established patient office or other outpatient visit, typically 15 minutes	263	149	$125.00	$69.19
73600 X-ray of ankle, 2 views	148	90	$59.92	$25.64
73610 X-ray of ankle, minimum of 3 views	128	69	$76.25	$28.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$170.00	$103.14
29405 Application of short leg cast	64	38	$260.00	$78.49
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	61	35	$50.00	$40.82
73721 Mri scan of leg joint without contrast	36	36	$1066.00	$196.50
20902 Harvest of graft from large bone	18	18	$950.00	$141.92
73718 Mri scan of leg without contrast	17	17	$1088.00	$231.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$60.00	$42.03
20680 Removal of deep implant from bone	15	13	$1000.00	$263.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	443	209	$84.77	$24.84
99213 Established patient office or other outpatient visit, typically 15 minutes	288	158	$124.01	$66.36
73610 X-ray of ankle, minimum of 3 views	138	82	$76.52	$26.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$168.56	$98.91
73600 X-ray of ankle, 2 views	119	72	$62.49	$25.84
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	54	38	$50.00	$40.33
29405 Application of short leg cast	43	33	$260.00	$74.50
73721 Mri scan of leg joint without contrast	28	27	$1066.00	$162.36
73718 Mri scan of leg without contrast	24	24	$1088.00	$214.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$60.00	$39.37
20900 Small bone graft harvest	14	14	$800.00	$88.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$150.00	$97.59
28750 Fusion of great toe	11	11	$1500.00	$498.61

Medical Specialties & State Licenses

CMS Verified: 2023-11-08

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 34.006247

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 - Foot and Ankle Surgery

NUCC Taxonomy Code: 207XX0004X

State License OH 34-00-6247

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2368852 (OH)

Hospital & Practice Group Affiliations

Beacon Orthopaedics And Sports Medicine Ltd

6480 Harrison Ave, Cincinnati, OH 452477821

Phone: 5133543700

Secondary Practice Locations

5060 Bradenton Ave Ste B

Dublin, OH 430173511

Phone: 6148958747

20 University Estates Blvd Ste 210

Athens, OH 457012838

Phone: 6148958747

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Isaac Wilmot , DPM

Podiatrist

NPI 1013666254

Doctor of Podiatric Medicine

Dr. Christopher Hyer , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1033185152

Doctor of Podiatric Medicine

Austin Arnett , PA

Physician Assistant

NPI 1083071609

Physician Assistant

Tonya Smith , PT

Physical Therapist

NPI 1104137330

Physical Therapist

Dr. Joshua Banks , DPT

Physical Therapist

NPI 1326392853

Doctor of Physical Therapy

Dr. Lynette Mehl , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1366443772

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location November 08, 2023

Registered at 350 W WILSON BRIDGE RD STE 200, WORTHINGTON, OH 430852591 (Tel: 6148958747)

📍

Updated Business Mailing Address November 08, 2023

Registered at 6480 HARRISON AVE STE 201, CINCINNATI, OH 452477961 (Tel: 5137131779)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2023

Orthopaedic Surgery (License #34.006247 in OH)

📍

Updated Practice Location March 22, 2019

Registered at 350 W WILSON BRIDGE RD STE 200, WORTHINGTON, OH 430852217 (Tel: 6148958747)

📍

Updated Business Mailing Address March 22, 2019

Registered at 350 W WILSON BRIDGE RD STE 200, WORTHINGTON, OH 430852217 (Tel: 6148958747)

✅

NPI Profile Active May 26, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location May 26, 2009

Registered at 300 POLARIS PKWY, SUITE 2000, WESTERVILLE, OH 430827989 (Tel: 6148958747)

📍

Updated Business Mailing Address May 26, 2009

Registered at 300 POLARIS PKWY, SUITE 2000, WESTERVILLE, OH 430827989 (Tel: 6148958747)

👤

Provider Name / Credentials Updated May 26, 2009

Recorded as TERRENCE PHILBIN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2009

Orthopaedic Surgery (License #34-00-6247 in OH)

🟢

Initial NPI Registration & Enumeration August 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Terrence Philbin. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1528051323

Entity Type:

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

Enumeration Date: August 26, 2005

Last Update: November 08, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6480 Harrison Ave Ste 201

Cincinnati, OH 452477961

Phone: 5137131779

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.