Active NPI 1528030616 Individual Practitioner Male Practitioner

Dr. Malcom E Baxter , MD

Orthopaedic Surgery • Hermitage, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Malcom Baxter, MD is a certified Orthopaedic Surgery practicing in Hermitage, TN. With approximately 36 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 1990, Dr. Baxter delivers high-quality medical care to the local community at 5651 FRIST BLVD STE 200.

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

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5651 Frist Blvd Ste 200

Hermitage, TN 370762056

Telephone 6158850200

Fax 6158850267

Associated Practice Facility / Clinic

🏢 Southern Spine Center Plc Facility NPI 1982745014

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hermitage, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +13.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

13 Specialists

Practicing in Hermitage, TN (509 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baxter (36 Years) 36 Yrs

Hermitage Specialty Average (22.5 Years) 22.5 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	43	26	$212.37	$81.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$304.65	$101.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$467.52	$142.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$252.00	$90.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$309.00	$136.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	144	17	$7.00	$0.14
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$202.43	$89.00
20610 Aspiration and/or injection of fluid from large joint	21	21	$197.14	$62.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$203.00	$117.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$309.00	$136.97
73030 X-ray of shoulder, minimum of 2 views	16	13	$87.00	$30.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$391.67	$161.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$308.33	$110.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	476	47	$7.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	128	85	$138.00	$70.49
20610 Aspiration and/or injection of fluid from large joint	70	56	$200.57	$61.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$201.00	$101.24
73562 X-ray of knee, 3 views	40	38	$87.00	$34.30
73721 Mri scan of leg joint without contrast	38	18	$718.50	$106.04
73502 X-ray of hip, 2-3 views	25	15	$131.00	$37.21
73221 Mri scan of arm joint without contrast	22	11	$718.50	$106.58
73030 X-ray of shoulder, minimum of 2 views	21	17	$87.00	$27.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$82.00	$42.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	904	71	$7.00	$0.11
20610 Aspiration and/or injection of fluid from large joint	142	81	$214.23	$60.23
99213 Established patient office or other outpatient visit, typically 15 minutes	110	80	$138.00	$69.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$201.00	$101.20
73562 X-ray of knee, 3 views	57	45	$96.16	$32.48
73030 X-ray of shoulder, minimum of 2 views	29	24	$105.00	$25.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$82.00	$41.92
73502 X-ray of hip, 2-3 views	21	18	$131.00	$37.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,096	79	$6.95	$0.11
20610 Aspiration and/or injection of fluid from large joint	177	87	$214.58	$54.18
99213 Established patient office or other outpatient visit, typically 15 minutes	119	94	$134.82	$62.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$197.25	$91.62
73562 X-ray of knee, 3 views	40	38	$87.00	$27.82
73221 Mri scan of arm joint without contrast	32	16	$718.50	$103.58
73030 X-ray of shoulder, minimum of 2 views	30	25	$87.00	$23.98
73502 X-ray of hip, 2-3 views	26	25	$131.00	$31.60
73721 Mri scan of leg joint without contrast	23	13	$746.04	$93.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$82.00	$38.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,190	75	$7.00	$0.11
20610 Aspiration and/or injection of fluid from large joint	155	81	$238.06	$60.45
99213 Established patient office or other outpatient visit, typically 15 minutes	98	69	$110.00	$61.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$181.00	$94.67
73562 X-ray of knee, 3 views	43	39	$87.00	$28.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$158.00	$91.69
73030 X-ray of shoulder, minimum of 2 views	24	21	$87.00	$23.08
73502 X-ray of hip, 2-3 views	23	20	$131.00	$31.05
73721 Mri scan of leg joint without contrast	21	14	$990.00	$112.66
73221 Mri scan of arm joint without contrast	16	11	$956.06	$129.91

Medical Specialties & State Licenses

CMS Verified: 2025-06-26

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 26514

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 FL ME148489

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3091405 (TN)

Commercial Insurance / Payer ID Bcbs Of Tn

3039197 (TN)

Hospital & Practice Group Affiliations

Advanced Diagnostic Imaging Pc

5653 Frist Blvd, Hermitage, TN 370762066

Phone: 6152392046

Secondary Practice Locations

25 Doctor Drive, Medical Plaza 2

Panama City, FL 324054520

Phone: 8507672455

4998 Crossings Cir Ste 200

Mt Juliet, TN 371220018

Phone: 6155535000

1492 Tiny Town Rd Ste A1

Clarksville, TN 370427874

Phone: 6157581030

317 Seven Springs Way Ste 101

Brentwood, TN 370274576

Phone: 6153709992

2113 Memorial Blvd Ste D

Murfreesboro, TN 371295109

Phone: 6156406447

121 Bear Xing Ste 300

Mt Juliet, TN 371224306

Phone: 6158850200

5653 Frist Blvd Ste 731

Hermitage, TN 370762066

Phone: 6158852778

Practice Associates & Co-Workers

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

30 Associated Practitioners

Megan Gesell , PT

Physical Therapist

NPI 1023272754

Physical Therapist

Dr. Erik Maryniw , MD

Orthopaedic Surgery

NPI 1063730059

Doctor of Medicine (M.D.)

Dr. Matthew King , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1093209918

Doctor of Podiatric Medicine

Hannah Hertel , PA-C

Physician Assistant

NPI 1144692328

Physician Assistant (Certified)

Katarina Shoulders , PTA

Physical Therapy Assistant

NPI 1164904983

Physical Therapist Assistant

Dr. Tarek Elalayli , MD

Orthopaedic Surgery

NPI 1174664296

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location June 26, 2025

Registered at 5651 FRIST BLVD STE 200, HERMITAGE, TN 370762056 (Tel: 6158850200)

📍

Updated Practice Location June 08, 2023

Registered at 5653 FRIST BLVD STE 731, HERMITAGE, TN 370762066 (Tel: 6158852778)

📍

Updated Practice Location January 17, 2023

Registered at 302 OLD LEBANON DIRT RD STE 200, HERMITAGE, TN 370762391 (Tel: 6153914545)

📍

Updated Business Mailing Address January 17, 2023

Registered at 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 370723132 (Tel: 6152392018)

📍

Updated Practice Location April 30, 2021

Registered at 25 DOCTOR DRIVE, MEDICAL PLAZA 2, PANAMA CITY, FL 324054520 (Tel: 8507672455)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2021

Orthopaedic Surgery (License #ME148489 in FL)

✅

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2017

Registered at 394 HARDING PLACE, STE 200, NASHVILLE, TN 37211 (Tel: 6158344482)

📍

Updated Business Mailing Address June 28, 2017

Registered at 1321 MURFREESBORO RD, STE 510, NASHVILLE, TN 37217 (Tel: 6153668890)

👤

Provider Name / Credentials Updated June 28, 2017

Recorded as MALCOM BAXTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Orthopaedic Surgery (License #26514 in TN)

✅

NPI Profile Active June 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2010

Registered at 394 HARDING PLACE, STE 200, NASHVILLE, TN 37211 (Tel: 6158344482)

📍

Updated Business Mailing Address June 23, 2010

Registered at 1321 MURFREESBORO RD, STE 510, NASHVILLE, TN 37217 (Tel: 6153668890)

👤

Provider Name / Credentials Updated June 23, 2010

Recorded as MALCOM BAXTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2010

Orthopaedic Surgery (License #26514 in TN)

🟢

Initial NPI Registration & Enumeration February 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1528030616

Entity Type:

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

Enumeration Date: February 03, 2006

Last Update: June 26, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3024 Business Park Cir

Goodlettsville, TN 370723132

Phone: 6152392018

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.