Active NPI 1437158599 Individual Practitioner Male Practitioner

Dr. Samuel D D'agata , MD

Orthopaedic Surgery • Hanover, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuel D'Agata, MD is a certified Orthopaedic Surgery practicing in Hanover, PA. With approximately 43 years of clinical experience since graduating from Tufts University School Of Medicine in 1983, Dr. D'Agata delivers high-quality medical care to the local community at 1227 BALTIMORE ST.

Dr. D'Agata is affiliated with Wellspan Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1227 Baltimore St

Hanover, PA 173314406

Telephone 7178127559

Fax 7176322422

Associated Practice Facility / Clinic

🏢 Wellspan Medical Group Facility NPI 1184962821

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hanover, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +13.4 yrs vs City Avg

City Avg: 29.6 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Hanover, PA (1345 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. D'agata (43 Years) 43 Yrs

Hanover Specialty Average (29.6 Years) 29.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$126.50	$85.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$195.00	$105.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	13	$9.00	$1.04
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$120.75	$87.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$195.00	$108.57
20610 Aspiration and/or injection of fluid from large joint	11	11	$193.45	$71.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,152	15	$38.00	$10.72
99213 Established patient office or other outpatient visit, typically 15 minutes	280	204	$119.00	$90.11
20610 Aspiration and/or injection of fluid from large joint	136	88	$168.76	$67.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	124	81	$9.00	$1.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	58	$180.00	$124.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	47	$78.00	$55.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$195.00	$110.81
27447 Replacement of knee joint, both sides of knee	21	21	$4608.48	$1289.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,056	15	$38.00	$10.81
99213 Established patient office or other outpatient visit, typically 15 minutes	262	203	$119.00	$73.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	74	$9.00	$1.44
20610 Aspiration and/or injection of fluid from large joint	109	84	$175.71	$66.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	56	$180.00	$106.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	44	$78.00	$44.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$195.00	$106.27
27447 Replacement of knee joint, both sides of knee	24	23	$4582.29	$1413.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,248	20	$38.00	$11.37
99213 Established patient office or other outpatient visit, typically 15 minutes	351	228	$119.00	$72.53
20610 Aspiration and/or injection of fluid from large joint	125	85	$160.51	$62.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	110	70	$9.00	$1.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	63	$78.00	$43.91
27447 Replacement of knee joint, both sides of knee	30	29	$4545.63	$1396.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$195.00	$103.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$180.00	$106.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,008	16	$38.00	$11.75
99213 Established patient office or other outpatient visit, typically 15 minutes	415	277	$119.00	$68.42
20610 Aspiration and/or injection of fluid from large joint	107	77	$167.63	$60.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	101	69	$9.00	$1.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	48	$78.00	$41.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	19	$143.00	$69.64
27447 Replacement of knee joint, both sides of knee	18	18	$4399.00	$1317.02
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$1828.00	$172.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	912	15	$32.21	$12.45
99213 Established patient office or other outpatient visit, typically 15 minutes	249	202	$119.00	$68.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	243	171	$78.00	$40.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	131	86	$8.11	$1.75
20610 Aspiration and/or injection of fluid from large joint	123	93	$154.99	$59.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$195.00	$101.41
27447 Replacement of knee joint, both sides of knee	44	42	$4399.00	$1307.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	22	$143.00	$68.67
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$131.00	$70.07
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$2360.00	$1151.58

Medical Specialties & State Licenses

CMS Verified: 2025-01-13

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD043979E

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

001172799 (PA)

Commercial Insurance / Payer ID Gateway

1519968 (PA)

Commercial Insurance / Payer ID Amerihealth Mercy - Wmg

30112674 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

416732 (PA)

Commercial Insurance / Payer ID Upmc

418249 (PA)

Hospital & Practice Group Affiliations

Wellspan Medical Group

207 Blooming Grove Rd, Hanover, PA 173317917

Phone: 7178127559

Secondary Practice Locations

2319 S George St

York, PA 174035009

Phone: 7178124090

Practice Associates & Co-Workers

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

15 Associated Practitioners

Alex Despines , PA-C

Physician Assistant - Medical

NPI 1104377167

Physician Assistant (Certified)

Theresa Evelius , ATC

Specialist/Technologist - Athletic Trainer

NPI 1134987977

Certified Athletic Trainer

Dr. Matthew Posner , MD

Orthopaedic Surgery - Sports Medicine

NPI 1194870766

Doctor of Medicine (M.D.)

Dr. Francis Kilkelly , MD

Orthopaedic Surgery

NPI 1215936372

Doctor of Medicine (M.D.)

Cortlin Dell

Physician Assistant - Medical

NPI 1255979316

Dr. James Ellison , MD

Orthopaedic Surgery

NPI 1306845466

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 January 13, 2025

Registered at 1227 BALTIMORE ST, HANOVER, PA 173314406 (Tel: 7178127559)

📍

Updated Business Mailing Address October 16, 2024

Registered at 601 MEMORY LN, YORK, PA 174022231 (Tel: 7178511405)

✅

NPI Profile Active June 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 10, 2016

Registered at 207 BLOOMING GROVE RD, HANOVER, PA 173317917 (Tel: 7176325259)

📍

Updated Business Mailing Address June 10, 2016

Registered at 3421 CONCORD RD, YORK, PA 174029001 (Tel: 7178127559)

👤

Provider Name / Credentials Updated June 10, 2016

Recorded as SAMUEL D'AGATA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2016

Orthopaedic Surgery (License #MD043979E in PA)

🟢

Initial NPI Registration & Enumeration July 20, 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: 1437158599

Entity Type:

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

Enumeration Date: July 20, 2005

Last Update: January 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

601 Memory Ln

York, PA 174022231

Phone: 7178511405

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.