Active NPI 1023351194 Individual Practitioner Male Practitioner

Dr. Kenneth John Mcalpine , MD

Orthopaedic Surgery • West Reading, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Mcalpine, MD is a certified Orthopaedic Surgery practicing in West Reading, PA. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Mcalpine delivers high-quality medical care to the local community at 301 S 7TH AVE STE 365.

Dr. Mcalpine maintains professional affiliations with Berks Ortho Llc, Phoenix Rehabilitation And Health Services Inc, Keystone Rehabilitation Systems Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 S 7th Ave Ste 365

West Reading, PA 196111436

Telephone 4846282663

Fax 4846282621

Associated Practice Facility / Clinic

🏢 Keystone Orthopaedic Specialists Llc Facility NPI 1164972147

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in West Reading, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -11.1 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

11 Specialists

Practicing in West Reading, PA (1345 Statewide)

Telehealth Adoption Rate

27.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcalpine (13 Years) 13 Yrs

West Reading Specialty Average (24.1 Years) 24.1 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	617	169	$10.02	$0.97
99213 Established patient office or other outpatient visit, typically 15 minutes	449	350	$131.00	$85.25
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	375	12	$25.00	$7.27
64640 Destruction of peripheral nerve or branch	245	49	$496.76	$67.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	192	$189.37	$120.37
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	165	133	$249.70	$104.10
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	155	146	$250.00	$218.42
20610 Aspiration and/or injection of fluid from large joint	93	65	$201.08	$70.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$269.00	$158.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$181.00	$105.49
27447 Replacement of knee joint, both sides of knee	84	79	$5650.00	$1213.67
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	73	56	$340.00	$58.85
20610 Aspiration and/or injection of fluid from large joint	65	53	$163.85	$44.76
77002 Fluoroscopic guidance for needle placement	58	47	$162.00	$25.24
27130 Replacement of thigh bone and hip joint with prosthesis	53	51	$6215.00	$1214.02
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	49	49	$184.00	$28.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	29	$80.00	$50.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$295.00	$170.79
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	13	13	$6773.00	$1648.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$346.00	$122.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$99.00	$49.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	1,203	29	$25.00	$8.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	708	176	$10.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	558	386	$174.06	$87.51
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	175	131	$266.29	$116.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	159	$244.29	$124.34
20610 Aspiration and/or injection of fluid from large joint	133	90	$191.73	$71.81
64640 Destruction of peripheral nerve or branch	104	23	$529.28	$72.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$214.61	$109.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$318.09	$162.24
27447 Replacement of knee joint, both sides of knee	64	63	$5650.00	$1256.35
20985 Computer-assisted surgery for muscle and bone procedure	53	53	$400.00	$141.49
64640 Destruction of peripheral nerve or branch	52	12	$505.00	$146.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	45	$347.50	$171.46
27130 Replacement of thigh bone and hip joint with prosthesis	39	37	$6200.51	$1257.61
0054T Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation	30	30	$460.00	$226.31
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	23	$524.08	$30.01
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	23	23	$250.00	$226.31
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	22	20	$209.09	$62.77
20610 Aspiration and/or injection of fluid from large joint	21	20	$150.00	$42.05
77002 Fluoroscopic guidance for needle placement	16	16	$280.13	$26.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$346.00	$127.73
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	12	11	$6773.00	$1713.83
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$767.00	$56.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	805	17	$25.00	$15.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	608	149	$10.00	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	462	305	$179.00	$88.10
20610 Aspiration and/or injection of fluid from large joint	223	139	$171.52	$70.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	123	$254.00	$124.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$329.00	$163.03
64640 Destruction of peripheral nerve or branch	78	18	$505.00	$148.83
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	59	49	$233.90	$110.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$220.00	$108.58
20985 Computer-assisted surgery for muscle and bone procedure	35	34	$400.00	$142.38
27447 Replacement of knee joint, both sides of knee	29	28	$5650.00	$1263.72
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$6215.00	$1258.88
20610 Aspiration and/or injection of fluid from large joint	23	23	$156.52	$45.56
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$257.00	$97.96
77002 Fluoroscopic guidance for needle placement	19	19	$162.00	$27.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$355.00	$175.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	19	$220.00	$98.73
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$767.00	$56.39
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	15	14	$200.00	$61.65
0054T Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation	15	15	$460.00	$225.93
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	13	11	$86.00	$24.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	409	104	$10.00	$1.25
99213 Established patient office or other outpatient visit, typically 15 minutes	375	238	$162.64	$89.12
20610 Aspiration and/or injection of fluid from large joint	221	122	$198.19	$72.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	178	178	$316.78	$163.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	143	$238.52	$125.71
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	68	14	$262.50	$133.73
20610 Aspiration and/or injection of fluid from large joint	53	39	$155.66	$46.21
77002 Fluoroscopic guidance for needle placement	50	36	$162.00	$27.29
20985 Computer-assisted surgery for muscle and bone procedure	42	41	$371.43	$144.04
27447 Replacement of knee joint, both sides of knee	40	39	$5650.00	$1281.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$346.00	$129.93
27130 Replacement of thigh bone and hip joint with prosthesis	31	30	$6215.00	$1286.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$335.00	$177.60
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	18	17	$86.00	$23.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$214.38	$109.95
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	13	12	$6773.00	$1597.03
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3338.00	$1059.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	362	90	$10.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	244	168	$127.00	$72.69
20610 Aspiration and/or injection of fluid from large joint	199	110	$195.23	$70.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	146	$184.00	$106.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	146	146	$265.00	$160.44
20610 Aspiration and/or injection of fluid from large joint	63	52	$166.67	$48.58
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	63	17	$262.50	$133.74
77002 Fluoroscopic guidance for needle placement	55	44	$162.00	$27.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$346.00	$137.01
27447 Replacement of knee joint, both sides of knee	29	26	$5650.00	$1364.12
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$257.00	$101.28
27130 Replacement of thigh bone and hip joint with prosthesis	18	16	$6215.00	$1369.11
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$3557.25	$1171.93
20985 Computer-assisted surgery for muscle and bone procedure	15	15	$246.00	$149.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$292.86	$143.09
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$67.69	$63.55
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3186.27	$1111.08
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	11	11	$6773.00	$1773.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	38	$10.00	$1.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	73	$184.00	$104.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$265.00	$160.00
20610 Aspiration and/or injection of fluid from large joint	53	43	$169.81	$62.85
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$127.00	$71.81
20610 Aspiration and/or injection of fluid from large joint	25	25	$174.00	$49.72
77002 Fluoroscopic guidance for needle placement	23	23	$162.00	$27.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$175.00	$104.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$346.00	$134.77

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD467075

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.

Hospital & Practice Group Affiliations

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Berks Ortho Llc

301 S 7th Ave, West Reading, PA 196111493

Phone: 4846282663

Keystone Rehabilitation Systems Inc

321 N Furnace St, Birdsboro, PA 195082057

Phone: 6105822250

Practice Associates & Co-Workers

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

4 Associated Practitioners

Jessica Ertel , PA-C

Physician Assistant - Surgical

NPI 1295328953

Physician Assistant (Certified)

Dr. Rayna Patel , DO

Student in an Organized Health Care Education/Training Program

NPI 1326987660

Doctor of Osteopathic Medicine (D.O.)

Dr. Stephen Longenecker , MD

Orthopaedic Surgery

NPI 1548262355

Doctor of Medicine (M.D.)

Daniel Hawkins , PA-C

Physician Assistant

NPI 1639646565

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 13, 2019

Registered at 301 S 7TH AVE STE 365, WEST READING, PA 196111436 (Tel: 4846282663)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2019

Orthopaedic Surgery (License #MD467075 in PA)

✅

NPI Profile Active March 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2013

Registered at 840 HARRISON AVE, BOSTON, MA 021182905 (Tel: 6176388442)

📍

Updated Business Mailing Address March 27, 2013

Registered at 840 HARRISON AVE, BOSTON, MA 021182905

👤

Provider Name / Credentials Updated March 27, 2013

Recorded as KENNETH MCALPINE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 27, 2013

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: 1023351194

Entity Type:

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

Enumeration Date: March 27, 2013

Last Update: August 13, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

840 Harrison Ave

Boston, MA 021182905

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.