Active NPI 1346218237 Individual Practitioner Male Practitioner

Dr. James T Guille , MD

Orthopaedic Surgery • Pottstown, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Guille, MD is a certified Orthopaedic Surgery practicing in Pottstown, PA. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Guille delivers high-quality medical care to the local community at 1561 MEDICAL DR..

Dr. Guille maintains professional affiliations with Novacare Outpatient Rehabilitation East, Inc., Premier Orthopaedic And Sports Medicine Associates, Ltd, Phoenix Rehabilitation And Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, new 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

1561 Medical Dr.

Pottstown, PA 19464

Telephone 6107929292

Fax 6107929293

Associated Practice Facility / Clinic

🏢 Brandywine Institute Of Orthopaedics, P.c. Facility NPI 1053349936

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Pottstown, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +3.6 yrs vs City Avg

City Avg: 26.4 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

7 Specialists

Practicing in Pottstown, PA (1345 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guille (30 Years) 30 Yrs

Pottstown Specialty Average (26.4 Years) 26.4 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	438	56	$4.00	$0.99
99213 Established patient office or other outpatient visit, typically 15 minutes	152	108	$284.45	$91.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$352.00	$112.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	60	$399.00	$128.12
20610 Aspiration and/or injection of fluid from large joint	61	38	$223.92	$71.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$522.00	$169.51
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	32	26	$351.72	$109.29
73562 X-ray of knee, 3 views	28	22	$133.00	$41.80
73030 X-ray of shoulder, minimum of 2 views	27	20	$112.00	$35.53
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	24	16	$1650.00	$507.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$178.00	$57.51
73130 X-ray of hand, minimum of 3 views	24	19	$119.00	$38.08
72114 X-ray lower and sacral spine, minimum of 6 views	21	21	$201.00	$62.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$414.00	$130.49
73630 X-ray of foot, minimum of 3 views	19	12	$112.00	$34.89
73502 X-ray of hip, 2-3 views	18	17	$152.00	$48.51
73564 X-ray of knee, 4 or more views	18	13	$150.00	$48.07
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	18	16	$46.98	$16.46
73610 X-ray of ankle, minimum of 3 views	16	12	$120.00	$37.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	724	72	$10.90	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	127	99	$267.93	$94.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	100	$352.19	$132.68
20610 Aspiration and/or injection of fluid from large joint	111	70	$236.09	$74.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$478.65	$171.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$337.82	$117.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	38	$163.56	$57.29
73030 X-ray of shoulder, minimum of 2 views	34	26	$108.50	$37.13
72114 X-ray lower and sacral spine, minimum of 6 views	32	32	$196.41	$66.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$372.45	$135.04
73562 X-ray of knee, 3 views	27	24	$123.22	$43.56
73564 X-ray of knee, 4 or more views	24	22	$143.33	$49.96
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	20	13	$1650.00	$508.74
73110 X-ray of wrist, minimum of 3 views	16	12	$122.25	$43.94
73610 X-ray of ankle, minimum of 3 views	15	12	$112.00	$39.62
73502 X-ray of hip, 2-3 views	14	13	$137.14	$50.32
25600 Closed treatment of broken forearm bones	13	13	$982.77	$372.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,080	14	$59.00	$21.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	791	78	$30.00	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	151	$255.29	$135.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$388.00	$177.49
20610 Aspiration and/or injection of fluid from large joint	88	59	$191.31	$71.23
99213 Established patient office or other outpatient visit, typically 15 minutes	60	49	$173.00	$96.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	42	$104.00	$60.30
73562 X-ray of knee, 3 views	46	40	$100.00	$45.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$257.00	$119.31
73030 X-ray of shoulder, minimum of 2 views	33	22	$95.00	$37.96
72114 X-ray lower and sacral spine, minimum of 6 views	29	29	$180.00	$67.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	18	$91.07	$15.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$477.00	$206.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$322.00	$139.71
73120 X-ray of hand, 2 views	21	15	$80.00	$34.19
73100 X-ray of wrist, 2 views	21	11	$80.00	$37.30
73502 X-ray of hip, 2-3 views	20	16	$100.00	$51.55
72100 X-ray of lower and sacral spine, 2-3 views	19	13	$120.00	$43.77
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	18	11	$585.00	$114.14
73630 X-ray of foot, minimum of 3 views	15	11	$90.00	$37.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	488	50	$30.00	$1.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	195	$254.00	$138.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	155	155	$388.00	$179.43
72100 X-ray of lower and sacral spine, 2-3 views	56	44	$120.00	$43.45
20610 Aspiration and/or injection of fluid from large joint	43	28	$215.12	$75.58
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$173.00	$97.78
73610 X-ray of ankle, minimum of 3 views	40	23	$90.00	$39.27
73100 X-ray of wrist, 2 views	39	25	$80.00	$37.15
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	32	25	$603.28	$109.54
73030 X-ray of shoulder, minimum of 2 views	30	19	$95.00	$37.49
73562 X-ray of knee, 3 views	24	20	$100.00	$44.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	17	$104.00	$60.31
73070 X-ray of elbow, 2 views	23	12	$85.00	$31.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$477.00	$209.83
25600 Closed treatment of broken forearm bones	21	21	$792.00	$374.46
72040 X-ray of upper spine, 2-3 views	20	15	$110.00	$43.07
73630 X-ray of foot, minimum of 3 views	19	17	$90.00	$37.51
73120 X-ray of hand, 2 views	16	11	$80.00	$34.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$257.00	$120.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	495	58	$29.35	$1.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	148	$255.90	$116.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$384.48	$176.23
99213 Established patient office or other outpatient visit, typically 15 minutes	75	57	$178.01	$79.63
72100 X-ray of lower and sacral spine, 2-3 views	61	46	$120.00	$41.31
73100 X-ray of wrist, 2 views	55	31	$80.00	$35.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$257.04	$114.57
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	42	33	$595.71	$105.01
73030 X-ray of shoulder, minimum of 2 views	31	21	$95.00	$35.81
73610 X-ray of ankle, minimum of 3 views	29	20	$90.00	$37.82
20610 Aspiration and/or injection of fluid from large joint	29	22	$206.72	$71.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$477.00	$216.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$104.00	$49.24
73120 X-ray of hand, 2 views	18	12	$80.00	$32.85
25600 Closed treatment of broken forearm bones	17	17	$782.47	$365.52
73070 X-ray of elbow, 2 views	13	11	$85.00	$30.98
73564 X-ray of knee, 4 or more views	12	12	$110.00	$47.42
23600 Closed treatment of broken top of upper arm bone	11	11	$817.18	$363.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	618	74	$10.00	$1.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	204	$221.46	$114.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$366.00	$172.50
99213 Established patient office or other outpatient visit, typically 15 minutes	98	79	$143.41	$79.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$259.00	$114.27
73100 X-ray of wrist, 2 views	61	34	$80.00	$34.39
72100 X-ray of lower and sacral spine, 2-3 views	51	43	$120.00	$39.23
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	48	39	$496.88	$104.73
20610 Aspiration and/or injection of fluid from large joint	44	30	$329.55	$75.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$413.00	$214.12
73030 X-ray of shoulder, minimum of 2 views	36	25	$95.00	$32.41
73564 X-ray of knee, 4 or more views	32	23	$110.00	$44.58
25600 Closed treatment of broken forearm bones	26	26	$738.00	$359.81
73610 X-ray of ankle, minimum of 3 views	22	13	$90.00	$35.93
73070 X-ray of elbow, 2 views	19	13	$85.00	$29.03
73120 X-ray of hand, 2 views	14	11	$80.00	$31.35
23600 Closed treatment of broken top of upper arm bone	13	13	$823.00	$358.89
73630 X-ray of foot, minimum of 3 views	12	11	$90.00	$31.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	615	57	$10.00	$1.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	204	$221.00	$112.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$366.00	$174.47
99213 Established patient office or other outpatient visit, typically 15 minutes	80	63	$142.47	$77.49
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	75	42	$498.00	$101.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$259.00	$113.80
72100 X-ray of lower and sacral spine, 2-3 views	59	44	$100.09	$36.90
20610 Aspiration and/or injection of fluid from large joint	42	25	$282.86	$68.40
73100 X-ray of wrist, 2 views	39	24	$68.71	$31.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	33	$413.00	$214.40
73562 X-ray of knee, 3 views	32	27	$81.49	$37.34
72110 X-ray of lower and sacral spine, minimum of 4 views	32	29	$117.68	$52.28
73030 X-ray of shoulder, minimum of 2 views	28	21	$76.27	$31.48
25600 Closed treatment of broken forearm bones	21	21	$738.00	$355.12
73610 X-ray of ankle, minimum of 3 views	21	13	$77.65	$33.76
73630 X-ray of foot, minimum of 3 views	17	15	$81.00	$31.43
23600 Closed treatment of broken top of upper arm bone	13	13	$823.00	$356.52
73502 X-ray of hip, 2-3 views	12	12	$95.18	$44.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	779	80	$10.00	$1.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	202	$221.83	$111.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	151	151	$366.00	$171.48
99213 Established patient office or other outpatient visit, typically 15 minutes	94	84	$147.16	$75.26
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	76	49	$515.13	$103.50
72100 X-ray of lower and sacral spine, 2-3 views	73	43	$73.01	$36.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	71	$413.00	$209.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$259.00	$113.84
73562 X-ray of knee, 3 views	55	38	$62.98	$37.76
20610 Aspiration and/or injection of fluid from large joint	52	31	$257.50	$70.87
73100 X-ray of wrist, 2 views	45	29	$52.48	$30.71
22614 Fusion of additional segment of spine	37	11	$1152.00	$394.29
72110 X-ray of lower and sacral spine, minimum of 4 views	36	36	$100.75	$51.51
73030 X-ray of shoulder, minimum of 2 views	30	22	$60.04	$30.72
73120 X-ray of hand, 2 views	30	22	$51.75	$27.67
63048 Partial removal of spine bone with release of spinal cord and/or nerves	27	11	$582.00	$214.70
73610 X-ray of ankle, minimum of 3 views	21	14	$57.58	$33.30
73060 X-ray of upper arm, minimum of 2 views	21	12	$59.38	$30.64
72040 X-ray of upper spine, 2-3 views	20	17	$68.60	$34.83
25600 Closed treatment of broken forearm bones	19	19	$738.00	$348.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$146.00	$74.54
73502 X-ray of hip, 2-3 views	16	15	$85.55	$43.85
72070 X-ray of middle spine, 2 views	16	15	$68.60	$35.85
23600 Closed treatment of broken top of upper arm bone	16	16	$823.00	$347.19
22612 Fusion of spine in lower back	14	14	$2418.00	$1738.85
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	13	$2867.00	$589.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$104.00	$45.70

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD069514L

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License DE CL-0006605

Hospital & Practice Group Affiliations

Premier Orthopaedic And Sports Medicine Associates, Ltd

1561 Medical Dr, Pottstown, PA 194643218

Phone: 4849416734

Premier Orthopaedic And Sports Medicine Associates, Ltd

2004 Sproul Rd, Broomall, PA 190083511

Phone: 6103530800

Premier Orthopaedic And Sports Medicine Associates, Ltd

470 John Young Way, Exton, PA 193412557

Phone: 6103636589

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Novacare Outpatient Rehabilitation East, Inc.

201 2nd Ave, Collegeville, PA 194263613

Phone: 6104897703

Premier Orthopaedic And Sports Medicine Associates, Ltd

656 E Swedesford Rd, Wayne, PA 190871622

Phone: 6103636589

Premier Orthopaedic And Sports Medicine Associates, Ltd

119 E Uwchlan Ave, Exton, PA 193411293

Practice Associates & Co-Workers

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

9 Associated Practitioners

Jessica Clark , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1174940571

Licensed Athletic Trainer, Certified Athletic Trainer

Lindsey Seuren , ATC

Specialist/Technologist - Athletic Trainer

NPI 1184136269

Certified Athletic Trainer

Sarah Kauffman , CRNP

Nurse Practitioner

NPI 1346798188

Certified Registered Nurse Practitioner

Anil Dham , PT

Physical Therapist

NPI 1467607721

Physical Therapist

Dr. Scott Ritterman , MD

Orthopaedic Surgery

NPI 1467770727

Doctor of Medicine (M.D.)

Rebecca Wootten , ATC

Specialist/Technologist - Athletic Trainer

NPI 1568979490

Certified Athletic Trainer

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2014

Registered at 1561 MEDICAL DR., POTTSTOWN, PA 19464 (Tel: 6107929292)

📍

Updated Business Mailing Address January 16, 2014

Registered at 1561 MEDICAL DR., POTTSTOWN, PA 19464 (Tel: 6107929292)

👤

Provider Name / Credentials Updated January 16, 2014

Recorded as JAMES GUILLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2014

Orthopaedic Surgery (License #MD069514L in PA)

🟢

Initial NPI Registration & Enumeration March 08, 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: 1346218237

Entity Type:

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

Enumeration Date: March 08, 2006

Last Update: January 16, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1561 Medical Dr.

Pottstown, PA 19464

Phone: 6107929292

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.