Active NPI 1518927672 Individual Practitioner Male Practitioner

Dr. James H Carson , MD

Orthopaedic Surgery • Lancaster, PA

Professional Overview & Biography Verified Profile Summary

Dr. James Carson, MD is a certified Orthopaedic Surgery practicing in Lancaster, PA. With approximately 39 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 1987, Dr. Carson delivers high-quality medical care to the local community at 170 N POINTE BLVD.

Dr. Carson does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, injection, gadoterate meglumine, 0.1 ml, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

170 N Pointe Blvd

Lancaster, PA 176014132

Telephone 7172994871

Fax 7173912494

Associated Practice Facility / Clinic

🏢 Orthopedic Assoc Of Lancaster Ltd Facility NPI 1609835933

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

1987

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Lancaster, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +16.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

52 Specialists

Practicing in Lancaster, PA (1345 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carson (39 Years) 39 Yrs

Lancaster Specialty Average (22.4 Years) 22.4 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
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,620	20	$50.21	$6.45
A9575 Injection, gadoterate meglumine, 0.1 ml	1,610	12	$0.56	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	350	232	$197.00	$85.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	324	59	$4.65	$0.98
73560 X-ray of knee, 1-2 views	149	101	$84.00	$31.45
20610 Aspiration and/or injection of fluid from large joint	142	87	$241.50	$68.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	64	$117.00	$52.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$295.00	$104.77
73502 X-ray of hip, 2-3 views	42	41	$120.00	$38.31
73030 X-ray of shoulder, minimum of 2 views	34	30	$86.00	$28.51
72100 X-ray of lower and sacral spine, 2-3 views	33	32	$113.00	$32.64
73721 Mri scan of leg joint without contrast	24	23	$1218.00	$133.98
73562 X-ray of knee, 3 views	24	23	$100.00	$29.88
73610 X-ray of ankle, minimum of 3 views	23	18	$90.00	$30.05
27447 Replacement of knee joint, both sides of knee	21	21	$4489.00	$1215.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$295.00	$121.58
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$308.95	$78.24
72148 MRI scan of lower spinal canal	17	17	$1237.00	$120.70
73630 X-ray of foot, minimum of 3 views	13	12	$89.00	$26.95
73221 Mri scan of arm joint without contrast	11	11	$1217.00	$137.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,800	18	$50.21	$6.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	274	55	$4.65	$1.09
99213 Established patient office or other outpatient visit, typically 15 minutes	268	192	$197.00	$86.19
73560 X-ray of knee, 1-2 views	115	91	$84.00	$32.16
20610 Aspiration and/or injection of fluid from large joint	104	68	$235.67	$67.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	80	$117.00	$53.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$295.00	$107.28
73502 X-ray of hip, 2-3 views	43	37	$120.00	$40.02
73030 X-ray of shoulder, minimum of 2 views	33	25	$86.00	$30.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$295.00	$122.37
73721 Mri scan of leg joint without contrast	31	30	$1218.00	$136.50
73610 X-ray of ankle, minimum of 3 views	25	18	$87.49	$26.26
73562 X-ray of knee, 3 views	23	21	$100.00	$29.99
72100 X-ray of lower and sacral spine, 2-3 views	21	20	$113.00	$35.37
73221 Mri scan of arm joint without contrast	16	15	$1217.00	$132.44
27447 Replacement of knee joint, both sides of knee	15	15	$4489.00	$1176.40
72148 MRI scan of lower spinal canal	15	15	$1237.00	$116.14
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$305.43	$80.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$460.00	$148.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,260	16	$50.21	$10.64
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	768	13	$35.85	$10.41
99213 Established patient office or other outpatient visit, typically 15 minutes	287	185	$197.00	$88.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	284	60	$4.65	$1.15
20610 Aspiration and/or injection of fluid from large joint	136	85	$233.18	$68.25
73560 X-ray of knee, 1-2 views	110	84	$84.00	$32.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	67	$117.00	$54.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$295.00	$108.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	52	$295.00	$124.12
73502 X-ray of hip, 2-3 views	51	46	$120.00	$42.23
73030 X-ray of shoulder, minimum of 2 views	37	31	$86.00	$30.29
72100 X-ray of lower and sacral spine, 2-3 views	29	29	$113.00	$32.78
73721 Mri scan of leg joint without contrast	25	23	$1218.00	$141.66
73562 X-ray of knee, 3 views	22	20	$100.00	$30.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$460.00	$162.51
72148 MRI scan of lower spinal canal	16	16	$1237.00	$125.11
73221 Mri scan of arm joint without contrast	16	16	$1217.00	$141.84
27447 Replacement of knee joint, both sides of knee	16	15	$4489.00	$1254.52
73610 X-ray of ankle, minimum of 3 views	15	12	$90.00	$32.84
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$301.08	$97.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,472	22	$35.85	$10.69
99213 Established patient office or other outpatient visit, typically 15 minutes	325	196	$197.00	$89.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	202	46	$4.65	$1.25
73560 X-ray of knee, 1-2 views	132	98	$84.00	$32.91
20610 Aspiration and/or injection of fluid from large joint	100	54	$228.97	$66.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$295.00	$109.93
73502 X-ray of hip, 2-3 views	64	51	$118.66	$40.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	59	$117.00	$55.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	35	$295.00	$128.55
72100 X-ray of lower and sacral spine, 2-3 views	32	32	$113.00	$35.44
73721 Mri scan of leg joint without contrast	31	30	$1218.00	$150.65
72148 MRI scan of lower spinal canal	23	23	$1237.00	$136.28
73562 X-ray of knee, 3 views	18	18	$100.00	$29.26
73610 X-ray of ankle, minimum of 3 views	18	13	$90.00	$33.41
73030 X-ray of shoulder, minimum of 2 views	17	14	$86.00	$32.38
27447 Replacement of knee joint, both sides of knee	12	12	$4489.00	$1291.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	864	14	$35.85	$10.85
99213 Established patient office or other outpatient visit, typically 15 minutes	255	182	$197.00	$73.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	217	52	$4.65	$1.45
73560 X-ray of knee, 1-2 views	103	74	$84.00	$31.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	88	$117.00	$44.52
20610 Aspiration and/or injection of fluid from large joint	75	51	$249.40	$68.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$295.00	$104.36
73502 X-ray of hip, 2-3 views	55	48	$118.40	$39.63
73030 X-ray of shoulder, minimum of 2 views	39	37	$86.00	$28.53
72100 X-ray of lower and sacral spine, 2-3 views	25	25	$113.00	$33.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$295.00	$104.75
20550 Injection into tendon or ligament	18	16	$178.89	$57.16
73562 X-ray of knee, 3 views	18	15	$100.00	$28.29
72148 MRI scan of lower spinal canal	17	17	$1237.00	$136.40
73721 Mri scan of leg joint without contrast	14	13	$1218.00	$158.86
27447 Replacement of knee joint, both sides of knee	13	13	$4489.00	$1381.18
73610 X-ray of ankle, minimum of 3 views	12	11	$90.00	$30.07
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$296.55	$102.37

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	$35.85	$11.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	408	80	$4.65	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	270	195	$197.00	$71.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	218	166	$117.00	$43.60
73560 X-ray of knee, 1-2 views	137	96	$84.00	$30.72
20610 Aspiration and/or injection of fluid from large joint	127	81	$242.09	$62.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$295.00	$105.31
73502 X-ray of hip, 2-3 views	57	48	$120.00	$35.24
73030 X-ray of shoulder, minimum of 2 views	54	42	$86.00	$26.49
72148 MRI scan of lower spinal canal	33	33	$1237.00	$158.59
20550 Injection into tendon or ligament	32	22	$161.00	$51.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$295.00	$106.33
72100 X-ray of lower and sacral spine, 2-3 views	25	23	$113.00	$32.82
73562 X-ray of knee, 3 views	24	22	$100.00	$28.63
73721 Mri scan of leg joint without contrast	22	21	$1218.00	$198.69
73610 X-ray of ankle, minimum of 3 views	20	17	$90.00	$27.02
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$202.00	$74.54
27447 Replacement of knee joint, both sides of knee	17	16	$4489.00	$1370.17
73110 X-ray of wrist, minimum of 3 views	16	13	$100.00	$31.17
20610 Aspiration and/or injection of fluid from large joint	13	13	$215.00	$41.08
73221 Mri scan of arm joint without contrast	12	12	$1217.00	$189.36
73630 X-ray of foot, minimum of 3 views	12	11	$89.00	$25.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,504	23	$35.85	$11.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	358	64	$4.65	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	257	168	$197.00	$70.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	206	150	$117.00	$42.39
73560 X-ray of knee, 1-2 views	134	95	$84.00	$29.20
20610 Aspiration and/or injection of fluid from large joint	129	79	$241.67	$62.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$295.00	$105.14
73502 X-ray of hip, 2-3 views	40	37	$120.00	$37.67
73030 X-ray of shoulder, minimum of 2 views	39	29	$86.00	$27.51
72148 MRI scan of lower spinal canal	27	27	$1237.00	$185.10
72100 X-ray of lower and sacral spine, 2-3 views	25	25	$113.00	$33.04
73630 X-ray of foot, minimum of 3 views	22	15	$89.00	$25.95
73110 X-ray of wrist, minimum of 3 views	20	11	$100.00	$33.33
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$202.00	$72.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$295.00	$101.27
27447 Replacement of knee joint, both sides of knee	19	17	$4489.00	$1295.98
73721 Mri scan of leg joint without contrast	15	14	$1218.00	$220.80
20610 Aspiration and/or injection of fluid from large joint	13	11	$215.00	$39.18
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$302.00	$100.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,760	32	$35.85	$12.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	350	65	$4.65	$1.81
99213 Established patient office or other outpatient visit, typically 15 minutes	220	148	$197.00	$69.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	212	160	$117.00	$41.56
20610 Aspiration and/or injection of fluid from large joint	131	88	$244.54	$60.41
73560 X-ray of knee, 1-2 views	115	88	$84.00	$29.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$295.00	$103.47
73501 X-ray of hip with pelvis, 1 view	35	31	$85.00	$25.50
73030 X-ray of shoulder, minimum of 2 views	29	25	$86.00	$27.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$295.00	$103.69
73721 Mri scan of leg joint without contrast	21	19	$1218.00	$194.45
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$202.00	$72.03
72148 MRI scan of lower spinal canal	15	15	$1237.00	$163.13
73630 X-ray of foot, minimum of 3 views	14	11	$89.00	$27.50
72100 X-ray of lower and sacral spine, 2-3 views	14	13	$113.00	$33.29
27447 Replacement of knee joint, both sides of knee	14	14	$4489.00	$1344.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$401.54	$134.13
20610 Aspiration and/or injection of fluid from large joint	12	12	$232.92	$44.09

Medical Specialties & State Licenses

CMS Verified: 2021-02-12

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD044403E

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

0015164320005 (PA)

Commercial Insurance / Payer ID Amerihealth Mercy

32249A (PA)

Commercial Insurance / Payer ID Healthamerica/healthassur

116414 (PA)

Commercial Insurance / Payer ID Railroad Medicare

200014755 (PA)

Commercial Insurance / Payer ID Blue Shield

711572 (PA)

Commercial Insurance / Payer ID Blue Cross

02059501 (PA)

Commercial Insurance / Payer ID Aetna

0517834 (PA)

Secondary Practice Locations

1701 Cornwall Rd Ste 200

Lebanon, PA 170427480

Phone: 7172994871

2913 Spooky Nook Rd Ste 100

Manheim, PA 175459149

Phone: 7172994871

212 Willow Valley Lakes Dr Ste 201

Willow Street, PA 175849668

Phone: 7172994871

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Alexandria Starks , MD

Orthopaedic Surgery

NPI 1003226846

Doctor of Medicine (M.D.)

Daniel Brown

Occupational Therapist - Hand

NPI 1003590688

Dr. Thomas Sherman , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1013208156

Doctor of Medicine (M.D.)

Miranda Harlan , OT CHT

Occupational Therapist

NPI 1033139605

OTCHT

Dr. Jeffrey Conly , MD

Physical Medicine & Rehabilitation

NPI 1033275045

Doctor of Medicine (M.D.)

Christopher Wanyo

Physical Therapist

NPI 1053869099

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2011

Registered at 170 N POINTE BLVD, LANCASTER, PA 176014132 (Tel: 7172994871)

📍

Updated Business Mailing Address January 28, 2011

Registered at 170 N POINTE BLVD, LANCASTER, PA 176014132 (Tel: 7172994871)

👤

Provider Name / Credentials Updated January 28, 2011

Recorded as JAMES CARSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2011

Orthopaedic Surgery (License #MD044403E in PA)

🟢

Initial NPI Registration & Enumeration March 24, 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. James Carson. 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: 1518927672

Entity Type:

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

Enumeration Date: March 24, 2006

Last Update: February 12, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

170 N Pointe Blvd

Lancaster, PA 176014132

Phone: 7172994871

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.