Active NPI 1821190174 Individual Practitioner Male Practitioner

Dr. Thaddeus Alan Carnine , MD

Orthopaedic Surgery • Edmond, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thaddeus Carnine, MD is a certified Orthopaedic Surgery practicing in Edmond, OK. With approximately 25 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2001, Dr. Carnine delivers high-quality medical care to the local community at 2017 W I 35 FRONTAGE RD STE 250.

Dr. Carnine is affiliated with Mercy Clinic Oklahoma Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2017 W I 35 Frontage Rd Ste 250

Edmond, OK 730138561

Telephone 4057573340

Fax 4057573520

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Edmond, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +4.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

17 Specialists

Practicing in Edmond, OK (328 Statewide)

Telehealth Adoption Rate

5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carnine (25 Years) 25 Yrs

Edmond Specialty Average (20.6 Years) 20.6 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
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,888	29	$29.00	$8.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,242	172	$5.00	$0.95
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,184	18	$33.00	$17.37
99213 Established patient office or other outpatient visit, typically 15 minutes	281	205	$129.00	$83.69
20610 Aspiration and/or injection of fluid from large joint	280	187	$202.58	$66.83
73562 X-ray of knee, 3 views	114	87	$82.72	$27.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	91	$184.00	$117.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$260.00	$153.35
73030 X-ray of shoulder, minimum of 2 views	94	73	$67.00	$22.35
27447 Replacement of knee joint, both sides of knee	23	23	$2724.00	$1176.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	21	$136.00	$48.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$170.00	$102.77
29881 Removal of knee cartilage using an endoscope	17	17	$1074.00	$486.35
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$2924.00	$1334.13
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$864.00	$157.67
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$2131.00	$986.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	3,696	47	$29.00	$9.30
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,016	20	$33.00	$16.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,598	198	$5.00	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	413	254	$129.00	$84.92
20610 Aspiration and/or injection of fluid from large joint	375	208	$199.29	$67.99
73562 X-ray of knee, 3 views	128	100	$82.00	$28.15
73030 X-ray of shoulder, minimum of 2 views	106	84	$67.00	$23.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$170.00	$105.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$260.00	$154.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	58	$184.00	$117.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	18	$136.00	$49.12
27447 Replacement of knee joint, both sides of knee	19	16	$2724.00	$1218.26
29881 Removal of knee cartilage using an endoscope	16	16	$1074.00	$514.60
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$864.00	$163.67
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$1322.00	$197.74
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2131.00	$1015.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,800	38	$29.00	$10.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,702	229	$5.00	$1.13
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,472	20	$33.00	$17.24
99213 Established patient office or other outpatient visit, typically 15 minutes	449	281	$129.00	$85.36
20610 Aspiration and/or injection of fluid from large joint	378	230	$194.37	$68.23
73562 X-ray of knee, 3 views	178	133	$82.65	$29.09
73030 X-ray of shoulder, minimum of 2 views	111	83	$67.00	$23.17
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	$104.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$260.00	$159.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	38	$184.00	$121.96
73560 X-ray of knee, 1-2 views	23	22	$69.00	$23.76
27447 Replacement of knee joint, both sides of knee	21	19	$2724.00	$1179.58
73502 X-ray of hip, 2-3 views	21	16	$62.00	$33.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$136.00	$49.98
29881 Removal of knee cartilage using an endoscope	12	12	$1074.00	$489.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,224	33	$29.00	$10.63
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,472	17	$33.00	$17.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,429	193	$5.00	$1.25
20610 Aspiration and/or injection of fluid from large joint	318	198	$199.21	$68.28
99213 Established patient office or other outpatient visit, typically 15 minutes	314	217	$121.42	$87.15
73562 X-ray of knee, 3 views	122	99	$82.67	$28.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$167.96	$107.53
73030 X-ray of shoulder, minimum of 2 views	84	53	$67.00	$22.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$256.66	$161.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	61	$174.07	$121.93
73110 X-ray of wrist, minimum of 3 views	32	14	$70.00	$27.71
73502 X-ray of hip, 2-3 views	29	19	$59.76	$32.31
73610 X-ray of ankle, minimum of 3 views	24	16	$78.00	$25.44
73560 X-ray of knee, 1-2 views	17	16	$69.00	$23.62
27447 Replacement of knee joint, both sides of knee	13	12	$2694.92	$1246.83
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$136.00	$50.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,776	24	$29.00	$10.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	996	167	$5.00	$1.46
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	832	11	$33.00	$18.28
99213 Established patient office or other outpatient visit, typically 15 minutes	357	221	$112.00	$71.95
20610 Aspiration and/or injection of fluid from large joint	235	173	$186.20	$65.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$164.72	$102.14
73030 X-ray of shoulder, minimum of 2 views	118	85	$67.00	$21.30
73562 X-ray of knee, 3 views	90	67	$82.00	$26.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	45	$164.65	$105.00
73110 X-ray of wrist, minimum of 3 views	26	16	$61.69	$27.05
73502 X-ray of hip, 2-3 views	17	13	$56.06	$30.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$136.00	$51.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,160	32	$29.00	$11.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	834	140	$5.00	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	267	187	$110.58	$70.53
20610 Aspiration and/or injection of fluid from large joint	201	145	$183.89	$62.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$248.32	$158.10
73562 X-ray of knee, 3 views	96	75	$82.00	$25.04
73030 X-ray of shoulder, minimum of 2 views	88	57	$67.00	$18.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$162.17	$102.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	29	$136.00	$50.85
73560 X-ray of knee, 1-2 views	22	20	$69.00	$21.51
27447 Replacement of knee joint, both sides of knee	20	19	$2553.00	$1343.42
29881 Removal of knee cartilage using an endoscope	18	18	$992.72	$507.80
23472 Prosthetic repair of shoulder joint, total shoulder	17	16	$2737.65	$1414.85
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$2018.56	$1040.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$162.13	$104.26
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$864.00	$175.68
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$1257.67	$191.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,392	24	$29.00	$11.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	636	115	$5.00	$1.73
99213 Established patient office or other outpatient visit, typically 15 minutes	229	143	$109.00	$68.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	179	179	$248.00	$155.27
20610 Aspiration and/or injection of fluid from large joint	169	119	$161.95	$54.78
73562 X-ray of knee, 3 views	91	69	$86.75	$23.41
73030 X-ray of shoulder, minimum of 2 views	42	30	$67.00	$17.43
73110 X-ray of wrist, minimum of 3 views	22	13	$52.00	$23.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$161.00	$99.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$161.00	$89.12
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$867.67	$173.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	673	12	$22.00	$12.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	558	91	$12.00	$1.77
99213 Established patient office or other outpatient visit, typically 15 minutes	155	104	$137.00	$66.92
20610 Aspiration and/or injection of fluid from large joint	133	91	$121.71	$58.84
73562 X-ray of knee, 3 views	113	76	$50.63	$28.24
73030 X-ray of shoulder, minimum of 2 views	109	83	$44.25	$23.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$203.00	$99.33
73502 X-ray of hip, 2-3 views	37	29	$64.49	$31.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$81.00	$38.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$265.00	$131.55
73070 X-ray of elbow, 2 views	21	12	$39.86	$20.17
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	17	$344.00	$164.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$312.00	$154.71
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$2037.00	$968.42
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$1277.00	$267.02
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$140.00	$64.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$202.00	$100.82
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$196.00	$97.51
27447 Replacement of knee joint, both sides of knee	12	11	$2624.00	$1306.50

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OK 22939

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

200166750A (OK)

Hospital & Practice Group Affiliations

Mercy Clinic Oklahoma Communities

2017 W I 35 Frontage Rd, Edmond, OK 730138504

Phone: 4057573365

Practice Associates & Co-Workers

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

13 Associated Practitioners

Isaac Gray

Physician Assistant

NPI 1164063699

Dr. William Hale , MD

Orthopaedic Surgery

NPI 1215917778

Doctor of Medicine (M.D.)

Brandon Funk , PA-C

Physician Assistant

NPI 1396785390

Physician Assistant (Certified)

Glenda Bell , ARNPC

Nurse Practitioner - Family

NPI 1407065782

Sara Perry , PA-C

Physician Assistant

NPI 1467693275

Physician Assistant (Certified)

Dr. William Stewart , MD

Orthopaedic Surgery

NPI 1477759785

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location March 29, 2018

Registered at 2017 W I 35 FRONTAGE RD STE 250, EDMOND, OK 730138561 (Tel: 4057573340)

📍

Updated Business Mailing Address March 29, 2018

Registered at 2017 W I 35 FRONTAGE RD STE 250, EDMOND, OK 730138561 (Tel: 4057573340)

✅

NPI Profile Active July 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2017

Registered at 3433 NW 56TH ST, SUITE 950, OKLAHOMA CITY, OK 731124455 (Tel: 4057139940)

📍

Updated Business Mailing Address July 21, 2017

Registered at 5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 731125556 (Tel: 4057139940)

👤

Provider Name / Credentials Updated July 21, 2017

Recorded as THADDEUS CARNINE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2017

Orthopaedic Surgery (License #22939 in OK)

✅

NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2016

Registered at 3433 NW 56TH ST, SUITE 950, OKLAHOMA CITY, OK 731124455 (Tel: 4057139940)

📍

Updated Business Mailing Address February 03, 2016

Registered at 5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 731125556 (Tel: 4057139940)

👤

Provider Name / Credentials Updated February 03, 2016

Recorded as THADDEUS CARNINE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Orthopaedic Surgery (License #22939 in OK)

🟢

Initial NPI Registration & Enumeration September 05, 2006

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. Thaddeus Carnine. 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: 1821190174

Entity Type:

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

Enumeration Date: September 05, 2006

Last Update: March 29, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2017 W I 35 Frontage Rd Ste 250

Edmond, OK 730138561

Phone: 4057573340

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.