Active NPI 1669450581 Individual Practitioner Male Practitioner

Dr. Michael J Davoli , MD

Orthopaedic Surgery • Yukon, OK

Professional Overview & Biography Verified Profile Summary

Dr. Michael Davoli, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Yukon, OK. Practice services are available at 1651 PROFESSIONAL CIRCLE 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

1651 Professional Circle

Yukon, OK 73099

Telephone 4053506770

Fax 4053506768

Associated Practice Facility / Clinic

🏢 Integris Ambulatory Care C Orporation Facility NPI 1326076027

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Yukon, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.5 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Yukon, OK (328 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.8% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	293	85	$12.00	$1.51
99213 Established patient office or other outpatient visit, typically 15 minutes	149	99	$137.00	$71.17
20610 Aspiration and/or injection of fluid from large joint	116	78	$130.94	$63.24
73562 X-ray of knee, 3 views	53	43	$60.98	$34.69
73502 X-ray of hip, 2-3 views	29	25	$74.00	$39.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$203.00	$102.90
73030 X-ray of shoulder, minimum of 2 views	21	18	$50.76	$29.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$68.00	$42.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	744	193	$12.00	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	320	214	$137.00	$70.65
20610 Aspiration and/or injection of fluid from large joint	261	164	$137.43	$63.64
73562 X-ray of knee, 3 views	130	95	$58.83	$32.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$203.00	$103.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	63	$68.00	$42.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	62	$202.00	$104.25
73030 X-ray of shoulder, minimum of 2 views	62	50	$49.90	$26.70
73502 X-ray of hip, 2-3 views	58	45	$74.00	$37.75
73110 X-ray of wrist, minimum of 3 views	47	27	$62.33	$32.00
73610 X-ray of ankle, minimum of 3 views	32	19	$55.13	$29.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	16	$120.00	$71.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$312.00	$154.63
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	22	14	$260.80	$133.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$225.00	$134.53
20605 Aspiration and/or injection of medium joint or joint capsule	20	16	$110.72	$52.72
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$63.00	$32.34
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$170.00	$99.68
73560 X-ray of knee, 1-2 views	16	11	$52.50	$28.35
27447 Replacement of knee joint, both sides of knee	13	12	$2624.00	$1343.45
72170 X-ray of pelvis, 1-2 views	12	12	$48.00	$29.02
73630 X-ray of foot, minimum of 3 views	12	11	$52.00	$27.49
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$140.00	$72.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	770	204	$12.00	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	358	231	$137.00	$68.46
20610 Aspiration and/or injection of fluid from large joint	305	184	$124.86	$60.34
73562 X-ray of knee, 3 views	161	121	$59.83	$30.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$203.00	$100.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	73	$75.64	$41.13
73502 X-ray of hip, 2-3 views	64	47	$74.00	$36.19
73030 X-ray of shoulder, minimum of 2 views	63	46	$51.17	$25.53
73110 X-ray of wrist, minimum of 3 views	45	27	$61.60	$30.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$253.72	$132.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$202.00	$100.31
73610 X-ray of ankle, minimum of 3 views	31	17	$55.10	$27.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	13	$127.60	$70.61
27447 Replacement of knee joint, both sides of knee	25	25	$2676.48	$1329.25
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$63.00	$30.90
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	22	16	$260.80	$132.85
72040 X-ray of upper spine, 2-3 views	20	20	$60.00	$28.36
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$140.00	$70.74
20605 Aspiration and/or injection of medium joint or joint capsule	18	14	$100.08	$45.62
73630 X-ray of foot, minimum of 3 views	17	14	$52.00	$25.69
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$2418.43	$1190.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$312.00	$156.84
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$1185.00	$335.33
73560 X-ray of knee, 1-2 views	12	11	$53.67	$27.02
25600 Closed treatment of broken forearm bones	12	12	$606.00	$309.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	864	209	$12.00	$1.77
99213 Established patient office or other outpatient visit, typically 15 minutes	386	248	$137.00	$64.92
20610 Aspiration and/or injection of fluid from large joint	326	180	$124.49	$57.57
73562 X-ray of knee, 3 views	124	98	$59.87	$31.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$203.00	$96.53
73502 X-ray of hip, 2-3 views	67	54	$74.00	$35.62
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$140.00	$67.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	53	$81.00	$39.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	49	$202.00	$96.85
73030 X-ray of shoulder, minimum of 2 views	52	43	$49.50	$24.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$265.00	$125.10
72100 X-ray of lower and sacral spine, 2-3 views	33	33	$63.00	$29.84
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	29	21	$255.00	$117.92
73110 X-ray of wrist, minimum of 3 views	29	19	$63.00	$29.85
73630 X-ray of foot, minimum of 3 views	24	17	$50.92	$24.55
27447 Replacement of knee joint, both sides of knee	24	23	$2651.33	$1215.91
73610 X-ray of ankle, minimum of 3 views	23	13	$56.00	$27.59
29879 Repair of knee joint using an endoscope	20	19	$1270.00	$610.43
27245 Treatment of broken neck of thigh bone with bone implant	19	19	$2407.26	$1154.01
20605 Aspiration and/or injection of medium joint or joint capsule	18	15	$95.00	$36.59
29881 Removal of knee cartilage using an endoscope	18	17	$1035.00	$120.30
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	15	15	$1261.00	$229.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	14	$139.00	$67.38
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$2308.00	$1111.23
72040 X-ray of upper spine, 2-3 views	12	12	$60.00	$28.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$391.00	$188.11

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OK 23194

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

200005660A (OK)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Jordan Matli , PA-C

Physician Assistant

NPI 1285141028

Physician Assistant (Certified)

Kyle Langford , PA-C

Physician Assistant

NPI 1528832391

Physician Assistant (Certified)

Dr. Corey Mayo , DO

Orthopaedic Surgery

NPI 1578742110

Doctor of Osteopathic Medicine (D.O.)

Dr. Craig Rogers , DO

Orthopaedic Surgery

NPI 1982918348

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active June 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 26, 2017

Registered at 1651 PROFESSIONAL CIRCLE, YUKON, OK 73099 (Tel: 4053506770)

📍

Updated Business Mailing Address June 26, 2017

Registered at 5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 731125556 (Tel: 4053506770)

👤

Provider Name / Credentials Updated June 26, 2017

Recorded as MICHAEL DAVOLI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2017

Orthopaedic Surgery (License #23194 in OK)

✅

NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2016

Registered at 1651 PROFESSIONAL CIRCLE, YUKON, OK 73099 (Tel: 4053506770)

📍

Updated Business Mailing Address February 03, 2016

Registered at 5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 731125556 (Tel: 4053506770)

👤

Provider Name / Credentials Updated February 03, 2016

Recorded as MICHAEL DAVOLI, MD

🎓

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

Orthopaedic Surgery (License #23194 in OK)

🟢

Initial NPI Registration & Enumeration January 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669450581

Entity Type:

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

Enumeration Date: January 03, 2006

Last Update: June 26, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5300 N Independence Ave, Suite 280

Oklahoma City, OK 731125556

Phone: 4053506770

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.