Active NPI 1245233261 Individual Practitioner Male Practitioner

Dr. Jack D Goldstein , MD

Orthopaedic Surgery • E Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Jack Goldstein, MD is a registered healthcare professional specializing in Orthopaedic Surgery in E Providence, RI. Practice services are available at 400 MASSASOIT AVE under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, injection, methylprednisolone acetate, 1 mg, 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

400 Massasoit Ave
Suite 201

E Providence, RI 029142012

Telephone 4019195222

Fax 4019195227

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in E Providence, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

1 Specialists

Practicing in E Providence, RI (154 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,217	16	$38.00	$17.35
J1010 Injection, methylprednisolone acetate, 1 mg	295	12	$1.25	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	228	100	$175.00	$90.82
73562 X-ray of knee, 3 views	164	85	$101.00	$41.18
73030 X-ray of shoulder, minimum of 2 views	74	42	$130.00	$34.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	54	$255.00	$129.08
20610 Aspiration and/or injection of fluid from large joint	65	21	$257.00	$61.29
73502 X-ray of hip, 2-3 views	64	38	$100.00	$48.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$300.00	$107.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$280.00	$181.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	283	141	$162.70	$90.58
73562 X-ray of knee, 3 views	138	76	$101.00	$42.38
73502 X-ray of hip, 2-3 views	68	37	$100.00	$48.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	57	$241.98	$128.36
73030 X-ray of shoulder, minimum of 2 views	61	37	$130.00	$35.58
20610 Aspiration and/or injection of fluid from large joint	44	23	$257.00	$59.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$277.94	$114.32
J1030 Injection, methylprednisolone acetate, 40 mg	24	18	$12.98	$7.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	234	122	$160.00	$92.51
73562 X-ray of knee, 3 views	136	78	$101.15	$46.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	71	$235.00	$131.17
73502 X-ray of hip, 2-3 views	61	38	$100.00	$47.91
73030 X-ray of shoulder, minimum of 2 views	54	34	$130.00	$34.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$275.00	$116.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	22	$450.00	$201.59
J1030 Injection, methylprednisolone acetate, 40 mg	21	13	$12.00	$6.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$300.00	$173.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	136	$144.42	$93.99
73562 X-ray of knee, 3 views	166	96	$101.90	$42.93
73502 X-ray of hip, 2-3 views	86	56	$100.00	$48.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	71	$209.37	$133.88
73030 X-ray of shoulder, minimum of 2 views	61	36	$130.00	$35.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$221.43	$115.27
20610 Aspiration and/or injection of fluid from large joint	28	14	$257.00	$61.66
J1030 Injection, methylprednisolone acetate, 40 mg	17	16	$12.00	$5.69
27447 Replacement of knee joint, both sides of knee	15	15	$3950.00	$1356.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$264.29	$175.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$450.00	$205.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	305	159	$140.00	$77.95
73562 X-ray of knee, 3 views	133	83	$101.00	$41.32
73502 X-ray of hip, 2-3 views	66	48	$100.00	$47.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	48	$200.00	$108.07
73030 X-ray of shoulder, minimum of 2 views	49	36	$130.00	$34.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$200.00	$108.46
20610 Aspiration and/or injection of fluid from large joint	31	15	$257.00	$62.71
J1030 Injection, methylprednisolone acetate, 40 mg	30	20	$12.00	$6.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$450.00	$211.92
27447 Replacement of knee joint, both sides of knee	14	12	$3892.86	$1389.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	370	189	$140.00	$75.98
73562 X-ray of knee, 3 views	221	133	$101.46	$38.49
73502 X-ray of hip, 2-3 views	98	68	$100.00	$43.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	75	$200.00	$107.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$200.00	$110.30
73030 X-ray of shoulder, minimum of 2 views	51	38	$130.00	$30.25
20610 Aspiration and/or injection of fluid from large joint	46	20	$262.59	$62.13
J1030 Injection, methylprednisolone acetate, 40 mg	31	18	$12.39	$6.32
27447 Replacement of knee joint, both sides of knee	19	18	$3365.79	$1430.61
27130 Replacement of thigh bone and hip joint with prosthesis	14	12	$3600.00	$1431.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	291	150	$143.85	$75.36
73562 X-ray of knee, 3 views	134	90	$98.86	$40.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	58	$192.53	$111.83
73502 X-ray of hip, 2-3 views	59	45	$98.45	$43.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$220.86	$106.36
73030 X-ray of shoulder, minimum of 2 views	29	23	$125.81	$30.75
J1030 Injection, methylprednisolone acetate, 40 mg	24	17	$10.25	$6.38
20610 Aspiration and/or injection of fluid from large joint	21	14	$216.93	$65.36
27447 Replacement of knee joint, both sides of knee	13	13	$3407.91	$1321.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	390	216	$151.95	$73.32
73562 X-ray of knee, 3 views	123	93	$112.94	$37.73
73502 X-ray of hip, 2-3 views	79	65	$140.57	$41.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	52	$220.71	$108.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$232.57	$109.08
20610 Aspiration and/or injection of fluid from large joint	39	15	$249.00	$64.36
73030 X-ray of shoulder, minimum of 2 views	24	17	$96.71	$29.70
27447 Replacement of knee joint, both sides of knee	16	16	$5585.56	$1372.88

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI RI8073

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

9020116 (RI)

Commercial Insurance / Payer ID Aetna Us Healthcare

2432493 (RI)

Commercial Insurance / Payer ID Tufts

779577 (RI)

Commercial Insurance / Payer ID Railroad Medicare

200042974 (RI)

Commercial Insurance / Payer ID Cigna

2797369003 (RI)

Commercial Insurance / Payer ID United Healthcare

0900689 (PR)

Commercial Insurance / Payer ID Ri Blue Cross Blue Shield

0000022384 (RI)

Commercial Insurance / Payer ID Ri Blue Chip

202113 (RI)

Commercial Insurance / Payer ID Neighborhood Health

15131 (RI)

Commercial Insurance / Payer ID Harvard Pilgrim Health Ca

61829 (RI)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Jessica Leblanc , RNP

Nurse Practitioner - Acute Care

NPI 1144606799

Krista Curran , MS, CCC-SLP

Speech-Language Pathologist

NPI 1306040688

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2009

Registered at 400 MASSASOIT AVE, SUITE 201, E PROVIDENCE, RI 029142012 (Tel: 4019195222)

📍

Updated Business Mailing Address November 02, 2009

Registered at 400 MASSASOIT AVE, SUITE 201, E PROVIDENCE, RI 029142012 (Tel: 4019195222)

👤

Provider Name / Credentials Updated November 02, 2009

Recorded as JACK GOLDSTEIN, M.D.1208

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2009

Orthopaedic Surgery (License #RI8073 in RI)

🟢

Initial NPI Registration & Enumeration May 23, 2005

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. Jack Goldstein. 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: 1245233261

Entity Type:

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

Enumeration Date: May 23, 2005

Last Update: November 02, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 Massasoit Ave, Suite 201

E Providence, RI 029142012

Phone: 4019195222

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.