Active NPI 1619966561 Individual Practitioner Male Practitioner

Dr. David Joseph Smith , MD

Orthopaedic Surgery • Clarion, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Smith, MD is a certified Orthopaedic Surgery practicing in Clarion, PA. With approximately 52 years of clinical experience since graduating from University Of Chicago, Pritzker School Of Medicine in 1974, Dr. Smith delivers high-quality medical care to the local community at 24 DOCTORS LN STE 200.

Dr. Smith maintains professional affiliations with Center For Orthopaedic And Sports Medicine Pc, Ipg Ortho Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, methylprednisolone acetate, 80 mg, 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

24 Doctors Ln Ste 200

Clarion, PA 162148574

Telephone 8142261950

Fax 8142261956

Medicare Profile & Education

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Clarion, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

52 Yrs +2.0 yrs vs City Avg

City Avg: 50.0 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Clarion, PA (1345 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (52 Years) 52 Yrs

Clarion Specialty Average (50.0 Years) 50.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	52	$118.00	$86.28
J1040 Injection, methylprednisolone acetate, 80 mg	39	17	$36.00	$11.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	25	$71.00	$53.90
20610 Aspiration and/or injection of fluid from large joint	35	16	$134.26	$63.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$169.00	$107.02
27447 Replacement of knee joint, both sides of knee	12	11	$2200.00	$1233.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	76	$118.00	$87.14
20610 Aspiration and/or injection of fluid from large joint	56	29	$129.27	$63.63
J1040 Injection, methylprednisolone acetate, 80 mg	47	29	$36.00	$10.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	25	$71.00	$54.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$171.00	$124.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	150	95	$118.00	$88.13
20610 Aspiration and/or injection of fluid from large joint	85	40	$131.48	$64.25
J1030 Injection, methylprednisolone acetate, 40 mg	74	37	$19.00	$5.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$169.00	$106.45
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$76.05	$66.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	14	$71.00	$54.81
20610 Aspiration and/or injection of fluid from large joint	18	11	$75.00	$45.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$171.00	$127.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$100.00	$82.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	92	47	$81.52	$48.98
99213 Established patient office or other outpatient visit, typically 15 minutes	87	64	$75.34	$51.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	53	$50.31	$25.73
99201 New patient office or other outpatient visit, typically 10 minutes	38	38	$50.66	$26.46
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$75.00	$50.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$110.00	$71.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	68	$75.63	$50.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	51	$50.00	$25.17
20610 Aspiration and/or injection of fluid from large joint	62	39	$75.48	$46.16
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$77.31	$49.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	17	$110.00	$71.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	86	33	$15.00	$6.61
99213 Established patient office or other outpatient visit, typically 15 minutes	78	69	$110.00	$72.53
99213 Established patient office or other outpatient visit, typically 15 minutes	54	34	$75.56	$49.01
20610 Aspiration and/or injection of fluid from large joint	51	40	$210.00	$62.73
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$75.00	$48.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	27	$50.64	$24.34
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	32	15	$15.00	$7.54
73562 X-ray of knee, 3 views	28	23	$185.00	$35.16
20610 Aspiration and/or injection of fluid from large joint	23	13	$75.00	$44.91
72170 X-ray of pelvis, 1-2 views	15	11	$215.00	$31.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$105.00	$75.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	957	297	$210.00	$60.73
99213 Established patient office or other outpatient visit, typically 15 minutes	926	461	$110.00	$70.71
J1030 Injection, methylprednisolone acetate, 40 mg	883	241	$15.00	$5.53
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	430	138	$15.00	$7.78
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	301	52	$250.00	$84.97
73564 X-ray of knee, 4 or more views	181	149	$225.00	$38.41
73560 X-ray of knee, 1-2 views	166	98	$170.00	$29.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$190.00	$105.95
72170 X-ray of pelvis, 1-2 views	146	114	$215.00	$30.63
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	110	33	$250.00	$149.32
73030 X-ray of shoulder, minimum of 2 views	97	73	$210.00	$28.23
72100 X-ray of lower and sacral spine, 2-3 views	92	92	$210.00	$33.27
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	82	51	$750.00	$91.73
73721 Mri scan of leg joint without contrast	59	56	$2400.00	$166.85
73521 X-ray of both hips, 2 views	55	51	$248.73	$37.65
73562 X-ray of knee, 3 views	55	49	$185.00	$34.56
73110 X-ray of wrist, minimum of 3 views	49	16	$180.00	$34.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	46	$450.00	$198.74
93922 Ultrasound study of arm and leg arteries	42	42	$500.00	$86.10
73610 X-ray of ankle, minimum of 3 views	34	13	$175.00	$30.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$90.00	$42.46
27447 Replacement of knee joint, both sides of knee	30	30	$9700.00	$1422.38
77077 X-ray of joints, multiple	26	26	$250.00	$36.10
27130 Replacement of thigh bone and hip joint with prosthesis	25	24	$15000.00	$1390.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$160.00	$104.76
73221 Mri scan of arm joint without contrast	22	22	$2400.00	$179.37
73130 X-ray of hand, minimum of 3 views	22	19	$175.00	$29.96
20552 Injections of trigger points in 1 or 2 muscles	19	13	$240.00	$49.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$270.00	$161.83
73630 X-ray of foot, minimum of 3 views	14	11	$170.00	$28.39
73080 X-ray of elbow, minimum of 3 views	12	11	$185.00	$30.23
73502 X-ray of hip, 2-3 views	12	12	$200.00	$39.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$60.00	$19.36

Medical Specialties & State Licenses

CMS Verified: 2022-12-07

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036052288

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

103514430 (PA)

Hospital & Practice Group Affiliations

Center For Orthopaedic And Sports Medicine Pc

720 W Mahoning St, Punxsutawney, PA 157671351

Phone: 8149380740

Ipg Ortho Llp

720 W Mahoning St, Punxsutawney, PA 157671351

Phone: 8149384447

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Michael Pollock , MD

Orthopaedic Surgery

NPI 1689692170

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 07, 2022

Registered at 24 DOCTORS LN STE 200, CLARION, PA 162148574 (Tel: 8142261950)

📍

Updated Business Mailing Address December 07, 2022

Registered at 24 DOCTORS LANE, STE 200, CLARION, PA 162148574 (Tel: 8142261950)

✅

NPI Profile Active February 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2011

Registered at 5540 W 111TH ST, OAK LAWN, IL 604535574 (Tel: 7084238440)

📍

Updated Business Mailing Address February 18, 2011

Registered at 5540 W 111TH ST, OAK LAWN, IL 604535574 (Tel: 7084238440)

👤

Provider Name / Credentials Updated February 18, 2011

Recorded as DAVID SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2011

Orthopaedic Surgery (License #036052288 in IL)

🟢

Initial NPI Registration & Enumeration October 13, 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: 1619966561

Entity Type:

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

Enumeration Date: October 13, 2005

Last Update: December 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

24 Doctors Lane, Ste 200

Clarion, PA 162148574

Phone: 8142261950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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