Active NPI 1518994441 Individual Practitioner Male Practitioner

Dr. R. Craig Saunders , MD

Orthopaedic Surgery • Sparta, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. R. Saunders, MD is a certified Orthopaedic Surgery practicing in Sparta, TN. With approximately 42 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1984, Dr. Saunders delivers high-quality medical care to the local community at 423 SEWELL DR.

Dr. Saunders is affiliated with Amg-Livingston Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, 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

423 Sewell Dr

Sparta, TN 385831223

Telephone 9317389333

Fax 9317389340

Associated Practice Facility / Clinic

🏢 Campbell Clinic Pc Facility NPI 1245128214

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Sparta, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs Matches City Avg

City Avg: 42.0 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Sparta, TN (509 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Saunders (42 Years) 42 Yrs

Sparta Specialty Average (42.0 Years) 42.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	4,009	43	$0.25	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	111	69	$166.58	$80.76
20610 Aspiration and/or injection of fluid from large joint	84	47	$163.00	$55.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$225.00	$99.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	33	$228.51	$109.14
J1040 Injection, methylprednisolone acetate, 80 mg	25	22	$25.00	$8.67
73030 X-ray of shoulder, minimum of 2 views	25	18	$18.54	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$356.27	$152.76
73130 X-ray of hand, minimum of 3 views	17	12	$17.16	$7.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$301.00	$119.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$101.00	$48.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	264	22	$4.09	$1.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	72	$206.87	$115.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$329.50	$150.78
20610 Aspiration and/or injection of fluid from large joint	37	27	$175.59	$59.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$278.80	$159.60
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$143.59	$83.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	729	53	$4.00	$1.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	131	$202.00	$118.65
20610 Aspiration and/or injection of fluid from large joint	80	47	$183.70	$62.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	40	$272.00	$164.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$311.00	$156.19
62323 Injection of substance into lower spine canal using imaging guidance	31	19	$475.00	$91.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$389.00	$209.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	149	$202.00	$119.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	122	17	$4.00	$1.20
J1040 Injection, methylprednisolone acetate, 80 mg	107	57	$27.00	$10.64
20610 Aspiration and/or injection of fluid from large joint	95	60	$189.85	$61.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$311.00	$154.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	46	$272.00	$170.56
62323 Injection of substance into lower spine canal using imaging guidance	31	18	$475.00	$85.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$389.00	$194.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	138	$202.00	$100.14
J1040 Injection, methylprednisolone acetate, 80 mg	106	56	$27.00	$11.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	98	58	$272.00	$137.18
20610 Aspiration and/or injection of fluid from large joint	70	45	$200.40	$62.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$311.00	$152.84
62323 Injection of substance into lower spine canal using imaging guidance	38	21	$475.00	$96.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$389.00	$190.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	343	162	$202.32	$100.34
J1040 Injection, methylprednisolone acetate, 80 mg	119	53	$27.00	$11.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	97	66	$272.00	$134.55
20610 Aspiration and/or injection of fluid from large joint	80	48	$204.57	$60.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$311.00	$147.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$389.00	$190.28
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$137.00	$69.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	268	126	$137.00	$67.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	114	$202.00	$101.01
J1040 Injection, methylprednisolone acetate, 80 mg	150	74	$17.39	$12.80
20610 Aspiration and/or injection of fluid from large joint	118	70	$182.57	$58.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$311.00	$150.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$202.00	$100.64
62323 Injection of substance into lower spine canal using imaging guidance	38	22	$456.00	$95.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	168	95	$81.00	$39.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	96	$202.00	$99.34
99213 Established patient office or other outpatient visit, typically 15 minutes	119	87	$137.00	$68.01
J1040 Injection, methylprednisolone acetate, 80 mg	117	60	$13.00	$10.98
20610 Aspiration and/or injection of fluid from large joint	88	48	$176.49	$57.48
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$139.00	$69.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$202.00	$98.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$311.00	$153.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$272.00	$135.32
62323 Injection of substance into lower spine canal using imaging guidance	16	11	$456.00	$95.61

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN MD49189

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 TX J2779

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Department Of Labor

376710000 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

88581X (TX)

Hospital & Practice Group Affiliations

Amg-Livingston Llc

506 W Main St, Livingston, TN 385701718

Phone: 9318232663

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 22, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2014

Registered at 423 SEWELL DR, SPARTA, TN 385831223 (Tel: 9317389333)

📍

Updated Business Mailing Address December 22, 2014

Registered at 421 SEWELL DR, SPARTA, TN 385831223 (Tel: 9317384395)

👤

Provider Name / Credentials Updated December 22, 2014

Recorded as R. SAUNDERS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2014

Orthopaedic Surgery (License #MD49189 in TN)

🟢

Initial NPI Registration & Enumeration June 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1518994441

Entity Type:

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

Enumeration Date: June 27, 2006

Last Update: December 22, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

421 Sewell Dr

Sparta, TN 385831223

Phone: 9317384395

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.