Active NPI 1538168117 Individual Practitioner Male Practitioner

Dr. Daniel R Gaccione , MD

Orthopaedic Surgery • Westerly, RI

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Gaccione, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Westerly, RI. Practice services are available at 101 AIRPORT RD under active NPI credentials.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 80 mg, aspiration and/or injection of fluid from large joint, 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

101 Airport Rd

Westerly, RI 02891

Telephone 4015960259

Fax 4013485934

Associated Practice Facility / Clinic

🏢 Coastal Neurology, Inc Facility NPI 1730376799

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Westerly, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.3 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Westerly, RI (154 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.5% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	327	151	$58.00	$10.95
20610 Aspiration and/or injection of fluid from large joint	294	156	$198.10	$77.20
99213 Established patient office or other outpatient visit, typically 15 minutes	216	162	$150.00	$95.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$225.00	$118.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	44	$125.00	$59.73
73562 X-ray of knee, 3 views	43	35	$112.00	$43.81
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$175.00	$77.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$175.00	$135.42
J1030 Injection, methylprednisolone acetate, 40 mg	19	17	$30.00	$6.36
73030 X-ray of shoulder, minimum of 2 views	17	14	$84.71	$35.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	336	175	$183.33	$74.64
J1040 Injection, methylprednisolone acetate, 80 mg	336	170	$58.35	$10.64
99213 Established patient office or other outpatient visit, typically 15 minutes	295	196	$150.00	$96.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$225.00	$119.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	58	$175.00	$136.12
73562 X-ray of knee, 3 views	65	48	$112.00	$42.87
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	60	14	$125.00	$75.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$125.00	$59.99
73030 X-ray of shoulder, minimum of 2 views	27	25	$82.00	$36.28
J1030 Injection, methylprednisolone acetate, 40 mg	26	23	$30.00	$5.70
73502 X-ray of hip, 2-3 views	16	16	$108.00	$49.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$275.00	$139.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	333	160	$58.00	$11.47
20610 Aspiration and/or injection of fluid from large joint	324	166	$199.51	$74.51
99213 Established patient office or other outpatient visit, typically 15 minutes	255	183	$130.39	$79.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$204.02	$114.10
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	60	12	$125.00	$79.85
73562 X-ray of knee, 3 views	44	33	$112.00	$40.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$252.50	$146.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$105.77	$48.78
J1030 Injection, methylprednisolone acetate, 40 mg	23	20	$30.00	$6.04
73030 X-ray of shoulder, minimum of 2 views	18	13	$82.00	$35.01
73502 X-ray of hip, 2-3 views	18	17	$108.00	$47.78
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$3909.00	$1351.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$307.69	$216.27
27447 Replacement of knee joint, both sides of knee	12	12	$6469.00	$1515.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	474	215	$58.00	$12.08
20610 Aspiration and/or injection of fluid from large joint	468	222	$195.56	$69.99
99213 Established patient office or other outpatient visit, typically 15 minutes	379	258	$125.00	$77.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$200.00	$113.70
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	94	20	$125.00	$79.91
73562 X-ray of knee, 3 views	70	45	$112.00	$38.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	32	$100.00	$47.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$250.00	$143.67
J1030 Injection, methylprednisolone acetate, 40 mg	29	23	$30.00	$6.25
73030 X-ray of shoulder, minimum of 2 views	25	21	$85.68	$31.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$175.00	$102.19
73502 X-ray of hip, 2-3 views	14	12	$108.00	$45.25
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$4297.00	$1294.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	472	225	$193.22	$67.74
J1040 Injection, methylprednisolone acetate, 80 mg	455	212	$58.00	$12.98
99213 Established patient office or other outpatient visit, typically 15 minutes	446	294	$125.00	$74.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$200.00	$110.11
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	103	27	$125.00	$84.83
73562 X-ray of knee, 3 views	77	51	$112.00	$35.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	50	$100.00	$45.05
J1030 Injection, methylprednisolone acetate, 40 mg	36	29	$30.00	$6.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$175.00	$109.43
73502 X-ray of hip, 2-3 views	26	22	$108.00	$40.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$250.00	$139.61
73030 X-ray of shoulder, minimum of 2 views	18	16	$82.00	$29.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$225.00	$166.87
27447 Replacement of knee joint, both sides of knee	13	13	$6469.00	$1449.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	525	240	$58.00	$10.96
20610 Aspiration and/or injection of fluid from large joint	521	250	$183.03	$67.55
99213 Established patient office or other outpatient visit, typically 15 minutes	459	308	$125.00	$73.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$200.00	$109.96
73562 X-ray of knee, 3 views	120	65	$112.00	$37.19
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	97	19	$125.00	$85.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$175.00	$108.03
73030 X-ray of shoulder, minimum of 2 views	44	34	$83.05	$30.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$100.00	$44.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$300.00	$206.43
27447 Replacement of knee joint, both sides of knee	30	29	$6469.00	$1438.87
J1030 Injection, methylprednisolone acetate, 40 mg	25	21	$30.00	$5.82
73502 X-ray of hip, 2-3 views	24	22	$108.00	$43.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$225.00	$165.69

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI MD07085

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 CT 034988

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem Bc/bs

010007085RI02 (RI)

Commercial Insurance / Payer ID United Health

0901058

Commercial Insurance / Payer ID Bcbs

22654-7 (RI)

Commercial Insurance / Payer ID Healthnet

2V1386

Commercial Insurance / Payer ID Anthem Bc/bs

010034988CT02 (CT)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Christopher Hutchins , MD

Orthopaedic Surgery

NPI 1902805591

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2013

Registered at 101 AIRPORT RD, WESTERLY, RI 02891 (Tel: 4015960259)

📍

Updated Business Mailing Address September 12, 2013

Registered at 101 AIRPORT RD., WESTERLY, RI 02891 (Tel: 4015960259)

👤

Provider Name / Credentials Updated September 12, 2013

Recorded as DANIEL GACCIONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2013

Orthopaedic Surgery (License #MD07085 in RI)

🟢

Initial NPI Registration & Enumeration July 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1538168117

Entity Type:

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

Enumeration Date: July 18, 2005

Last Update: September 12, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 Airport Rd.

Westerly, RI 02891

Phone: 4015960259

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.