Active NPI 1790808848 Individual Practitioner Male Practitioner

Dr. Benjamin P. Debelak , DO

Orthopaedic Surgery • Gallatin, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Debelak, DO is a certified Orthopaedic Surgery practicing in Gallatin, TN. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Debelak delivers high-quality medical care to the local community at 253 W MAIN ST.

Dr. Debelak maintains professional affiliations with Premier Orthopaedics And Sports Medicine Plc, Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

253 W Main St

Gallatin, TN 370663290

Telephone 6158267171

Associated Practice Facility / Clinic

🏢 Sumner Comprehensive Care Inc. Facility NPI 1184801136

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

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

21 Yrs -3.5 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

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Debelak (21 Years) 21 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
99213 Established patient office or other outpatient visit, typically 15 minutes	222	116	$221.00	$81.48
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	156	67	$12.00	$6.64
20610 Aspiration and/or injection of fluid from large joint	140	70	$217.29	$62.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	75	$313.00	$111.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$408.00	$147.34
73562 X-ray of knee, 3 views	54	39	$169.00	$35.87
73030 X-ray of shoulder, minimum of 2 views	50	27	$158.04	$29.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$318.00	$119.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$193.00	$70.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$275.00	$101.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	900	11	$18.00	$8.63
20610 Aspiration and/or injection of fluid from large joint	170	71	$190.59	$59.11
99213 Established patient office or other outpatient visit, typically 15 minutes	131	83	$180.45	$82.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	67	$260.29	$117.28
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	91	65	$12.00	$6.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$348.04	$148.86
73030 X-ray of shoulder, minimum of 2 views	53	32	$114.92	$31.42
73562 X-ray of knee, 3 views	39	27	$126.95	$36.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$284.61	$117.73
73502 X-ray of hip, 2-3 views	20	13	$153.40	$39.48
27447 Replacement of knee joint, both sides of knee	11	11	$6288.91	$1074.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	7,566	14	$4.07	$1.54
99213 Established patient office or other outpatient visit, typically 15 minutes	109	61	$138.00	$82.68
20610 Aspiration and/or injection of fluid from large joint	102	40	$188.82	$59.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	51	$260.00	$126.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$309.00	$156.64
73030 X-ray of shoulder, minimum of 2 views	46	24	$87.00	$30.82
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	36	27	$12.00	$6.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$203.00	$120.36
73562 X-ray of knee, 3 views	35	25	$96.94	$37.77
73502 X-ray of hip, 2-3 views	23	14	$131.00	$35.97
J1030 Injection, methylprednisolone acetate, 40 mg	19	13	$15.00	$6.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$201.00	$104.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	50	$138.00	$85.34
20610 Aspiration and/or injection of fluid from large joint	75	29	$184.80	$57.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	35	$203.00	$120.70
J1030 Injection, methylprednisolone acetate, 40 mg	43	30	$15.00	$5.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$201.00	$95.20
73030 X-ray of shoulder, minimum of 2 views	30	22	$92.80	$26.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$264.79	$129.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$309.00	$153.62
73562 X-ray of knee, 3 views	22	18	$94.91	$34.46
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$978.00	$162.12
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$2995.00	$998.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	28	$138.00	$71.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$201.00	$101.22
20610 Aspiration and/or injection of fluid from large joint	37	19	$194.59	$59.84
J1030 Injection, methylprednisolone acetate, 40 mg	29	19	$15.00	$6.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$203.00	$103.68
73030 X-ray of shoulder, minimum of 2 views	22	14	$94.91	$29.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$264.54	$134.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,251	31	$50.00	$11.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,021	171	$10.25	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	324	206	$153.28	$70.87
20610 Aspiration and/or injection of fluid from large joint	304	180	$140.50	$59.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	107	$224.26	$104.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$228.11	$103.05
73030 X-ray of shoulder, minimum of 2 views	80	65	$69.80	$28.23
73562 X-ray of knee, 3 views	62	58	$89.26	$35.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$281.56	$132.88
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	39	36	$1436.14	$170.72
29827 Repair of shoulder rotator cuff using an endoscope	37	33	$2307.76	$1015.92
73502 X-ray of hip, 2-3 views	29	22	$78.17	$36.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$92.81	$41.28
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	16	$2438.40	$1097.47
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$2638.70	$1191.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,232	216	$10.25	$1.79
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,043	21	$50.00	$11.78
99213 Established patient office or other outpatient visit, typically 15 minutes	381	227	$153.53	$69.29
20610 Aspiration and/or injection of fluid from large joint	320	211	$138.77	$58.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	168	168	$228.38	$102.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	122	$224.64	$103.21
73030 X-ray of shoulder, minimum of 2 views	102	83	$71.81	$27.94
73562 X-ray of knee, 3 views	61	50	$89.30	$33.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	52	$281.56	$132.34
73610 X-ray of ankle, minimum of 3 views	37	20	$74.10	$29.61
73100 X-ray of wrist, 2 views	36	18	$71.46	$29.63
29827 Repair of shoulder rotator cuff using an endoscope	31	29	$2307.76	$1018.63
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	29	29	$1436.14	$170.35
73502 X-ray of hip, 2-3 views	25	22	$87.00	$39.01
29881 Removal of knee cartilage using an endoscope	17	17	$1356.36	$481.43
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$2566.69	$1151.99
20550 Injection into tendon or ligament	13	11	$209.31	$45.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	992	18	$50.00	$12.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	925	178	$10.25	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	321	189	$153.33	$69.63
20610 Aspiration and/or injection of fluid from large joint	263	172	$134.68	$56.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$228.38	$101.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	114	$224.64	$100.25
73030 X-ray of shoulder, minimum of 2 views	69	61	$68.45	$26.48
73562 X-ray of knee, 3 views	51	44	$83.80	$32.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$281.56	$132.13
73610 X-ray of ankle, minimum of 3 views	32	13	$74.10	$29.56
73560 X-ray of knee, 1-2 views	25	15	$69.22	$27.71
29827 Repair of shoulder rotator cuff using an endoscope	23	22	$2307.76	$962.91
73100 X-ray of wrist, 2 views	23	16	$69.20	$26.44
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$709.62	$161.85
29881 Removal of knee cartilage using an endoscope	14	14	$1264.59	$500.72
73502 X-ray of hip, 2-3 views	14	14	$87.00	$38.94
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$2638.70	$1185.98
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$2566.69	$1097.62

Medical Specialties & State Licenses

CMS Verified: 2020-09-10

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 3817

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 - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License NC 2014-00194

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License NC 2014-00194

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

980 Professional Park Dr, Clarksville, TN 370405251

Phone: 9312219967

Select Physical Therapy Holdings Inc

980 Professional Park Dr, Clarksville, TN 370405251

Phone: 9312219967

Premier Orthopaedics And Sports Medicine Plc

355 New Shackle Island Rd, Hendersonville, TN 370752479

Phone: 6153381000

Secondary Practice Locations

353 New Shackle Island Rd Ste 141c

Hendersonville, TN 370752366

Phone: 6158267171

3443 Dickerson Pike Ste 190

Nashville, TN 372072533

Phone: 6158601580

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Marc Tressler , DO

Orthopaedic Surgery

NPI 1003903121

Doctor of Osteopathic Medicine (D.O.)

Dr. Gregg Motz , MD

Orthopaedic Surgery

NPI 1215908868

Doctor of Medicine (M.D.)

Dr. Robert Fogolin , MD

Orthopaedic Surgery

NPI 1831153147

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 10, 2020

Registered at 253 W MAIN ST, GALLATIN, TN 370663290 (Tel: 6158267171)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2020

Orthopaedic Surgery (License #3817 in TN)

📍

Updated Business Mailing Address June 08, 2020

Registered at PO BOX 370, FORTSON, GA 318080370

✅

NPI Profile Active February 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2014

Registered at 581 LEROY GEORGE DR STE 3, CLYDE, NC 287218084 (Tel: 8284524131)

📍

Updated Business Mailing Address February 17, 2014

Registered at 581 LEROY GEORGE DR STE 3, CLYDE, NC 287218084 (Tel: 8284524131)

👤

Provider Name / Credentials Updated February 17, 2014

Recorded as BENJAMIN DEBELAK, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2014

Orthopaedic Surgery (License #2014-00194 in NC)

🟢

Initial NPI Registration & Enumeration April 06, 2007

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: 1790808848

Entity Type:

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

Enumeration Date: April 06, 2007

Last Update: September 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 370

Fortson, GA 318080370

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.