Active NPI 1568422665 Individual Practitioner Male Practitioner

Dr. Carl M Adolph , MD

Orthopaedic Surgery • Lancaster, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carl Adolph, MD is a certified Orthopaedic Surgery practicing in Lancaster, PA. With approximately 38 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 1988, Dr. Adolph delivers high-quality medical care to the local community at 170 N POINTE BLVD.

Dr. Adolph is affiliated with Orthopedic Assoc Of Lancaster Ltd and accepts Medicare assignment.

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

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

University Of South Alabama College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

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

38 Yrs +15.6 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

65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Adolph (38 Years) 38 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	434	66	$4.65	$0.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	164	$295.00	$121.22
20610 Aspiration and/or injection of fluid from large joint	146	86	$237.83	$67.76
73562 X-ray of knee, 3 views	108	78	$100.00	$36.40
99213 Established patient office or other outpatient visit, typically 15 minutes	101	77	$197.00	$85.43
73502 X-ray of hip, 2-3 views	69	49	$120.00	$40.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$460.00	$155.81
73030 X-ray of shoulder, minimum of 2 views	55	41	$86.00	$30.45
72100 X-ray of lower and sacral spine, 2-3 views	39	39	$113.00	$34.04
73110 X-ray of wrist, minimum of 3 views	39	23	$100.00	$37.47
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	34	11	$381.51	$118.93
72170 X-ray of pelvis, 1-2 views	23	23	$76.00	$24.69
73610 X-ray of ankle, minimum of 3 views	23	15	$90.00	$32.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$295.00	$105.11
73630 X-ray of foot, minimum of 3 views	15	12	$89.00	$29.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,500	14	$50.21	$6.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	824	110	$4.65	$1.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	178	$295.00	$122.27
20610 Aspiration and/or injection of fluid from large joint	212	117	$234.78	$67.01
99213 Established patient office or other outpatient visit, typically 15 minutes	172	121	$197.00	$86.32
73562 X-ray of knee, 3 views	127	77	$100.00	$37.28
73502 X-ray of hip, 2-3 views	79	60	$120.00	$41.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$460.00	$159.70
73110 X-ray of wrist, minimum of 3 views	71	29	$100.00	$37.52
73030 X-ray of shoulder, minimum of 2 views	54	39	$86.00	$30.56
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	46	13	$381.51	$126.50
72100 X-ray of lower and sacral spine, 2-3 views	40	40	$113.00	$34.18
73610 X-ray of ankle, minimum of 3 views	32	19	$90.00	$32.06
73630 X-ray of foot, minimum of 3 views	28	21	$89.00	$29.65
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$304.40	$80.01
73130 X-ray of hand, minimum of 3 views	19	17	$89.00	$31.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$295.00	$107.63
72170 X-ray of pelvis, 1-2 views	17	15	$76.00	$26.50
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	16	11	$14.00	$13.78
77002 Fluoroscopic guidance for needle placement	16	12	$208.00	$110.08
73080 X-ray of elbow, minimum of 3 views	16	12	$98.00	$28.41
29075 Application of elbow to finger cast	14	11	$236.00	$84.01
27447 Replacement of knee joint, both sides of knee	13	11	$4489.00	$1233.36
73070 X-ray of elbow, 2 views	12	11	$78.00	$25.68
73721 Mri scan of leg joint without contrast	11	11	$1218.00	$136.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	802	108	$4.65	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	160	$295.00	$124.33
20610 Aspiration and/or injection of fluid from large joint	200	121	$237.57	$69.49
99213 Established patient office or other outpatient visit, typically 15 minutes	149	109	$197.00	$87.68
73562 X-ray of knee, 3 views	127	91	$100.00	$38.90
73502 X-ray of hip, 2-3 views	77	52	$120.00	$39.32
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	72	19	$381.51	$130.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$460.00	$162.66
73030 X-ray of shoulder, minimum of 2 views	43	36	$86.00	$31.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$295.00	$108.78
72100 X-ray of lower and sacral spine, 2-3 views	40	40	$113.00	$34.41
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$294.50	$97.04
73610 X-ray of ankle, minimum of 3 views	30	17	$90.00	$34.80
73630 X-ray of foot, minimum of 3 views	24	20	$89.00	$29.73
72170 X-ray of pelvis, 1-2 views	22	20	$76.00	$26.22
72148 MRI scan of lower spinal canal	19	19	$1237.00	$119.32
72040 X-ray of upper spine, 2-3 views	16	16	$107.00	$35.05
73130 X-ray of hand, minimum of 3 views	15	13	$89.00	$32.56
77002 Fluoroscopic guidance for needle placement	13	11	$208.00	$113.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,440	21	$35.85	$10.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	794	116	$4.65	$1.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	174	$295.00	$125.67
20610 Aspiration and/or injection of fluid from large joint	205	124	$233.35	$68.27
99213 Established patient office or other outpatient visit, typically 15 minutes	195	129	$197.00	$89.71
73562 X-ray of knee, 3 views	116	85	$100.00	$38.52
73502 X-ray of hip, 2-3 views	95	55	$120.00	$42.16
73030 X-ray of shoulder, minimum of 2 views	68	44	$86.00	$31.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$460.00	$166.64
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	56	13	$381.51	$135.96
72100 X-ray of lower and sacral spine, 2-3 views	49	49	$113.00	$34.37
73610 X-ray of ankle, minimum of 3 views	46	26	$90.00	$31.69
72170 X-ray of pelvis, 1-2 views	43	43	$76.00	$25.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$295.00	$111.23
73110 X-ray of wrist, minimum of 3 views	23	14	$100.00	$38.33
72040 X-ray of upper spine, 2-3 views	15	15	$107.00	$36.34
72148 MRI scan of lower spinal canal	13	13	$1237.00	$141.79
73721 Mri scan of leg joint without contrast	13	13	$1218.00	$163.61
77002 Fluoroscopic guidance for needle placement	13	13	$208.00	$114.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	864	11	$35.85	$10.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	598	91	$4.65	$1.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	129	$295.00	$106.45
20610 Aspiration and/or injection of fluid from large joint	145	88	$256.52	$68.74
99213 Established patient office or other outpatient visit, typically 15 minutes	131	106	$197.00	$73.56
73562 X-ray of knee, 3 views	106	73	$100.00	$36.15
73502 X-ray of hip, 2-3 views	73	51	$118.51	$40.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$460.00	$160.51
72170 X-ray of pelvis, 1-2 views	40	37	$76.00	$26.29
73610 X-ray of ankle, minimum of 3 views	36	19	$88.19	$30.88
73030 X-ray of shoulder, minimum of 2 views	33	30	$86.00	$31.09
72100 X-ray of lower and sacral spine, 2-3 views	32	32	$113.00	$34.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$295.00	$106.33
73110 X-ray of wrist, minimum of 3 views	24	14	$100.00	$34.88
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$294.24	$102.60
72040 X-ray of upper spine, 2-3 views	11	11	$107.00	$35.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,440	19	$35.85	$11.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	550	80	$4.65	$1.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	150	$295.00	$104.34
20610 Aspiration and/or injection of fluid from large joint	191	92	$266.22	$65.53
99213 Established patient office or other outpatient visit, typically 15 minutes	164	129	$197.00	$71.81
73562 X-ray of knee, 3 views	137	87	$100.00	$34.79
73502 X-ray of hip, 2-3 views	110	55	$119.18	$37.09
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	80	20	$381.51	$138.04
72170 X-ray of pelvis, 1-2 views	50	49	$76.00	$29.78
73030 X-ray of shoulder, minimum of 2 views	48	36	$86.00	$26.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$295.00	$106.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$460.00	$161.49
72100 X-ray of lower and sacral spine, 2-3 views	36	36	$113.00	$32.37
73630 X-ray of foot, minimum of 3 views	19	14	$89.00	$27.28
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	17	17	$559.94	$88.44
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$298.47	$100.86
27130 Replacement of thigh bone and hip joint with prosthesis	15	14	$4198.00	$1320.73
27447 Replacement of knee joint, both sides of knee	13	13	$4489.00	$1391.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	912	16	$35.85	$11.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	556	88	$4.65	$1.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	146	$295.00	$103.30
99213 Established patient office or other outpatient visit, typically 15 minutes	193	143	$197.00	$70.39
20610 Aspiration and/or injection of fluid from large joint	186	102	$241.59	$62.58
73562 X-ray of knee, 3 views	97	69	$100.00	$32.69
73502 X-ray of hip, 2-3 views	87	54	$120.00	$36.97
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	69	19	$381.51	$143.13
73030 X-ray of shoulder, minimum of 2 views	48	38	$86.00	$27.01
72170 X-ray of pelvis, 1-2 views	48	47	$76.00	$29.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$295.00	$105.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$460.00	$160.60
72100 X-ray of lower and sacral spine, 2-3 views	37	35	$113.00	$31.92
73560 X-ray of knee, 1-2 views	23	19	$84.00	$25.82
73630 X-ray of foot, minimum of 3 views	23	14	$89.00	$26.18
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	19	17	$606.47	$92.11
20610 Aspiration and/or injection of fluid from large joint	17	15	$227.65	$41.62
72148 MRI scan of lower spinal canal	11	11	$1237.00	$147.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	578	84	$4.65	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	204	144	$197.00	$70.45
20610 Aspiration and/or injection of fluid from large joint	170	100	$251.68	$62.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	108	$295.00	$103.23
73562 X-ray of knee, 3 views	130	81	$100.00	$32.91
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	69	24	$381.51	$148.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$295.00	$104.52
73501 X-ray of hip with pelvis, 1 view	63	48	$85.00	$25.49
72170 X-ray of pelvis, 1-2 views	57	54	$76.00	$29.73
72100 X-ray of lower and sacral spine, 2-3 views	47	46	$113.00	$33.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$460.00	$159.03
73030 X-ray of shoulder, minimum of 2 views	35	20	$86.00	$27.52
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	32	29	$657.56	$94.56
73610 X-ray of ankle, minimum of 3 views	30	16	$90.00	$29.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$117.00	$41.90

Medical Specialties & State Licenses

CMS Verified: 2021-02-12

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD072648L

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 Amerihealthmercy

1140698 (PA)

Commercial Insurance / Payer ID Blue Shield

950004 (PA)

Commercial Insurance / Payer ID Railroad Medicare

200042473 (PA)

Commercial Insurance / Payer ID Blue Cross

02208801 (PA)

Commercial Insurance / Payer ID Aetna

2513087 (PA)

Commercial Insurance / Payer ID Healthamerica/healthassur

136291 (PA)

Hospital & Practice Group Affiliations

Orthopedic Assoc Of Lancaster Ltd

2913 Spooky Nook Rd, Manheim, PA 175459149

Phone: 7172994871

Orthopedic Assoc Of Lancaster Ltd

170 N Pointe Blvd, Lancaster, PA 176014132

Phone: 7172994871

Orthopedic Assoc Of Lancaster Ltd

170 N Pointe Blvd, Lancaster, PA 176014132

Orthopedic Assoc Of Lancaster Ltd

212 Willow Valley Lakes Dr, Willow Street, PA 175849668

Phone: 7172994871

Orthopedic Assoc Of Lancaster Ltd

1701 Cornwall Rd, Lebanon, PA 170427480

Phone: 7172994871

Secondary Practice Locations

212 Willow Valley Lakes Dr Ste 201

Willow Street, PA 175849668

Phone: 7172994871

2913 Spooky Nook Rd Ste 100

Manheim, PA 175459149

Phone: 7172994871

1701 Cornwall Rd Ste 200

Lebanon, PA 170427480

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 November 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 26, 2010

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

📍

Updated Business Mailing Address November 26, 2010

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

👤

Provider Name / Credentials Updated November 26, 2010

Recorded as CARL ADOLPH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2010

Orthopaedic Surgery (License #MD072648L 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

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NPI Administrative Meta

NPI Number: 1568422665

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.