Active NPI 1386677227 Individual Practitioner Male Practitioner

Dr. Thomas L Gautsch , MD

Orthopaedic Surgery • Gallatin, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Gautsch, MD is a certified Orthopaedic Surgery practicing in Gallatin, TN. With approximately 37 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 1989, Dr. Gautsch delivers high-quality medical care to the local community at 570 HARTSVILLE PIKE.

Dr. Gautsch is affiliated with Advanced Diagnostic Imaging Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of knee, x-ray of knee, 1-2 views, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

570 Hartsville Pike

Gallatin, TN 370662450

Telephone 6154523320

Fax 6154522668

Associated Practice Facility / Clinic

🏢 Southern Sports Medicine Institute, Pllc Facility NPI 1497966832

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Gallatin, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +12.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Gallatin, TN (509 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gautsch (37 Years) 37 Yrs

Gallatin Specialty Average (24.5 Years) 24.5 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
73564 X-ray of knee, 4 or more views	72	70	$229.55	$40.82
73560 X-ray of knee, 1-2 views	69	59	$138.33	$30.47
27447 Replacement of knee joint, both sides of knee	56	49	$6477.30	$1128.25
20985 Computer-assisted surgery for muscle and bone procedure	56	49	$625.46	$128.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$467.52	$145.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$309.27	$117.67
20610 Aspiration and/or injection of fluid from large joint	20	13	$342.58	$67.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	1,236	13	$46.16	$9.05
J1100 Injection, dexamethasone sodium phosphate, 1 mg	210	27	$0.53	$0.12
73560 X-ray of knee, 1-2 views	154	113	$140.13	$30.90
73564 X-ray of knee, 4 or more views	146	146	$235.00	$42.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$467.52	$153.07
20985 Computer-assisted surgery for muscle and bone procedure	98	89	$626.30	$129.83
27447 Replacement of knee joint, both sides of knee	97	89	$6294.02	$1157.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	63	$306.23	$116.46
20610 Aspiration and/or injection of fluid from large joint	77	39	$325.12	$65.38
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$212.37	$83.48
73030 X-ray of shoulder, minimum of 2 views	25	25	$148.23	$31.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$304.65	$103.16
73010 X-ray of shoulder blade	13	13	$132.92	$21.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	9,408	17	$7.22	$1.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg	472	44	$0.67	$0.12
73564 X-ray of knee, 4 or more views	153	149	$221.89	$42.73
20610 Aspiration and/or injection of fluid from large joint	131	65	$346.18	$62.74
73560 X-ray of knee, 1-2 views	124	91	$137.54	$31.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	92	$300.60	$119.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$459.77	$155.15
20985 Computer-assisted surgery for muscle and bone procedure	89	79	$625.96	$132.96
27447 Replacement of knee joint, both sides of knee	89	80	$6377.42	$1164.72
99213 Established patient office or other outpatient visit, typically 15 minutes	67	59	$206.27	$84.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$292.63	$102.39
73030 X-ray of shoulder, minimum of 2 views	40	40	$132.89	$31.90
73010 X-ray of shoulder blade	39	39	$128.22	$22.07
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$2416.87	$158.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	13,608	20	$7.22	$2.18
J1100 Injection, dexamethasone sodium phosphate, 1 mg	609	60	$0.68	$0.15
73564 X-ray of knee, 4 or more views	168	159	$229.56	$42.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	162	162	$463.66	$154.06
73560 X-ray of knee, 1-2 views	132	88	$133.56	$30.81
20610 Aspiration and/or injection of fluid from large joint	130	67	$371.38	$63.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	91	$306.51	$119.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	97	93	$409.68	$166.21
27447 Replacement of knee joint, both sides of knee	75	72	$6477.30	$1164.21
20985 Computer-assisted surgery for muscle and bone procedure	73	70	$625.46	$135.31
73030 X-ray of shoulder, minimum of 2 views	51	50	$145.07	$31.10
73010 X-ray of shoulder blade	47	47	$144.48	$21.60
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$205.56	$85.98
29827 Repair of shoulder rotator cuff using an endoscope	14	13	$4525.56	$959.06
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$2787.30	$155.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$302.76	$105.40
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$2812.05	$196.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	14,448	20	$7.30	$2.17
J1100 Injection, dexamethasone sodium phosphate, 1 mg	408	37	$0.68	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	145	$304.51	$102.21
73564 X-ray of knee, 4 or more views	127	112	$197.16	$40.03
20610 Aspiration and/or injection of fluid from large joint	104	43	$351.30	$57.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$465.33	$154.72
73560 X-ray of knee, 1-2 views	91	61	$132.03	$30.59
73030 X-ray of shoulder, minimum of 2 views	56	50	$134.48	$30.39
73010 X-ray of shoulder blade	47	46	$133.37	$25.55
27447 Replacement of knee joint, both sides of knee	44	41	$6477.30	$1272.29
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	37	27	$400.64	$84.58
20985 Computer-assisted surgery for muscle and bone procedure	32	29	$625.46	$139.69
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$205.56	$70.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$302.76	$101.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	16,128	26	$7.22	$2.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	740	67	$0.68	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	150	$303.78	$101.18
20610 Aspiration and/or injection of fluid from large joint	179	82	$360.84	$58.15
73564 X-ray of knee, 4 or more views	167	154	$197.65	$37.56
73560 X-ray of knee, 1-2 views	147	84	$136.00	$29.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$462.35	$151.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	90	83	$409.82	$134.84
73030 X-ray of shoulder, minimum of 2 views	70	61	$135.81	$27.36
73010 X-ray of shoulder blade	61	58	$134.91	$28.87
27447 Replacement of knee joint, both sides of knee	59	55	$6477.30	$1255.34
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$205.56	$68.44
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	21	$2787.30	$164.81
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$2812.05	$340.57
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$4525.56	$991.14
29879 Repair of knee joint using an endoscope	13	13	$2764.49	$617.29
29881 Removal of knee cartilage using an endoscope	11	11	$2693.93	$157.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	19,992	32	$7.22	$2.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	664	65	$0.68	$0.12
20610 Aspiration and/or injection of fluid from large joint	189	87	$362.46	$55.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	142	$303.72	$97.43
73564 X-ray of knee, 4 or more views	159	146	$203.93	$34.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	155	155	$465.33	$147.31
73560 X-ray of knee, 1-2 views	149	82	$135.85	$27.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	123	112	$409.68	$129.29
27447 Replacement of knee joint, both sides of knee	64	59	$6477.30	$1210.95
73010 X-ray of shoulder blade	58	53	$137.34	$26.95
73030 X-ray of shoulder, minimum of 2 views	58	54	$132.12	$26.08
73502 X-ray of hip, 2-3 views	41	24	$170.24	$36.75
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$205.56	$64.76
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	17	$2787.30	$160.02
29879 Repair of knee joint using an endoscope	13	13	$2977.14	$595.45
29881 Removal of knee cartilage using an endoscope	13	13	$2693.93	$256.55
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$4525.56	$959.96
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$2812.05	$218.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	10,752	17	$7.22	$2.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg	749	72	$0.68	$0.11
20610 Aspiration and/or injection of fluid from large joint	200	87	$327.84	$51.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	146	$303.72	$98.81
73560 X-ray of knee, 1-2 views	182	92	$132.74	$28.16
73564 X-ray of knee, 4 or more views	151	130	$190.88	$38.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$465.33	$152.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	105	97	$409.68	$133.59
73030 X-ray of shoulder, minimum of 2 views	60	58	$132.12	$26.17
73010 X-ray of shoulder blade	58	55	$132.84	$27.55
27447 Replacement of knee joint, both sides of knee	55	49	$6477.30	$1262.35
20985 Computer-assisted surgery for muscle and bone procedure	54	48	$625.46	$137.60
99213 Established patient office or other outpatient visit, typically 15 minutes	46	45	$205.56	$68.09
73502 X-ray of hip, 2-3 views	25	20	$170.24	$37.70
29827 Repair of shoulder rotator cuff using an endoscope	19	19	$4525.56	$926.20
29824 Partial removal of collar bone at shoulder using an endoscope	19	18	$2812.05	$220.85
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	17	$2787.30	$164.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$121.32	$38.59
29828 Release of shoulder biceps tendon using an endoscope	11	11	$3838.55	$413.54
29807 Repair of shoulder socket cartilage using an endoscope	11	11	$4339.26	$643.20

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 26910

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License TN MD26910

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License TN 26910

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

Q010788 (TN)

Commercial Insurance / Payer ID Bcbs Tn

6030594 (TN)

Commercial Insurance / Payer ID Rr Medicare

P01517622 (TN)

Hospital & Practice Group Affiliations

Advanced Diagnostic Imaging Pc

570 Hartsville Pike, Gallatin, TN 370662450

Phone: 6154523320

Advanced Diagnostic Imaging Pc

3443 Dickerson Pike, Nashville, TN 372072524

Phone: 6156122146

Practice Associates & Co-Workers

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

4 Associated Practitioners

Priti Mehta

Physical Therapist

NPI 1356660716

Karen Sims

Physical Therapist

NPI 1548615263

Harvey Lee , PT

Physical Therapist

NPI 1699823203

Physical Therapist

Dr. Andrea Dyer , DPT

Physical Therapist

NPI 1801857826

Doctor of Physical Therapy

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address May 10, 2017

Registered at 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 370723132 (Tel: 6158516033)

📍

Updated Practice Location May 10, 2017

Registered at 570 HARTSVILLE PIKE, GALLATIN, TN 370662450 (Tel: 6154523320)

👤

Provider Name / Credentials Updated May 10, 2017

Recorded as THOMAS GAUTSCH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Specialist (License #MD26910 in TN)

✅

NPI Profile Active April 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 02, 2015

Registered at 570 HARTSVILLE PIKE, GALLATIN, TN 370662450 (Tel: 6154523320)

📍

Updated Business Mailing Address April 02, 2015

Registered at 570 HARTSVILLE PIKE, GALLATIN, TN 370662450 (Tel: 6154523320)

👤

Provider Name / Credentials Updated April 02, 2015

Recorded as THOMAS GAUTSCH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2015

Specialist (License #MD26910 in TN)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1386677227

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: May 10, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3024 Business Park Cir

Goodlettsville, TN 370723132

Phone: 6158516033

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.