Active NPI 1093052532 Individual Practitioner Male Practitioner

Justin A Caplinger , PA-C

Physician Assistant • Arlington, TX

Professional Overview & Biography Verified Profile Summary

Justin Caplinger, PA-C is a certified Physician Assistant practicing in Arlington, TX. With approximately 14 years of clinical experience since completing medical education in 2012, Justin Caplinger delivers high-quality medical care to the local community at 3533 MATLOCK ROAD.

Justin Caplinger is affiliated with Tmi Sports Medicine And Orthopedic Surgery Pa and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 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

3533 Matlock Road

Arlington, TX 760153604

Telephone 8174190303

Fax 8174685963

Associated Practice Facility / Clinic

🏢 Tmi Sports Medicine And Orthopedic Surgery Pa Facility NPI 1972582690

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Arlington, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +5.2 yrs vs City Avg

City Avg: 8.8 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

117 Specialists

Practicing in Arlington, TX (11140 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caplinger (14 Years) 14 Yrs

Arlington Specialty Average (8.8 Years) 8.8 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,298	189	$1.57	$0.98
20610 Aspiration and/or injection of fluid from large joint	312	167	$100.86	$61.29
99213 Established patient office or other outpatient visit, typically 15 minutes	240	165	$179.38	$75.12
73564 X-ray of knee, 4 or more views	156	123	$92.65	$39.43
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	152	36	$84.64	$72.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	122	$253.36	$105.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$220.75	$93.16
72110 X-ray of lower and sacral spine, minimum of 4 views	73	70	$102.53	$43.29
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	67	51	$146.71	$87.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$329.63	$136.72
73030 X-ray of shoulder, minimum of 2 views	45	43	$69.21	$29.11
72050 X-ray of upper spine, 4 or 5 views	24	23	$106.63	$43.00
73502 X-ray of hip, 2-3 views	21	21	$93.52	$39.79
72190 X-ray of pelvis, minimum of 3 views	18	18	$84.37	$35.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	294	63	$2.34	$1.14
20610 Aspiration and/or injection of fluid from large joint	93	63	$128.94	$62.19
99213 Established patient office or other outpatient visit, typically 15 minutes	60	49	$180.54	$72.98
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	59	16	$84.64	$74.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$255.44	$106.87
73564 X-ray of knee, 4 or more views	30	28	$90.64	$39.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$223.19	$93.75
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	15	15	$199.94	$83.61
73030 X-ray of shoulder, minimum of 2 views	14	14	$70.04	$29.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	78	$182.74	$76.97
J1030 Injection, methylprednisolone acetate, 40 mg	94	71	$30.00	$5.90
20610 Aspiration and/or injection of fluid from large joint	84	57	$127.56	$59.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$259.44	$108.88
73564 X-ray of knee, 4 or more views	50	50	$76.42	$40.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$219.46	$94.63
72110 X-ray of lower and sacral spine, minimum of 4 views	41	40	$94.28	$44.48
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	26	23	$190.02	$84.60
73502 X-ray of hip, 2-3 views	21	20	$79.80	$40.65
73030 X-ray of shoulder, minimum of 2 views	18	16	$56.66	$29.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$334.76	$140.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	210	127	$166.37	$77.17
20610 Aspiration and/or injection of fluid from large joint	156	82	$126.57	$60.83
J1030 Injection, methylprednisolone acetate, 40 mg	140	91	$30.00	$5.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$219.46	$94.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	78	$244.80	$109.25
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	69	16	$450.00	$75.67
72110 X-ray of lower and sacral spine, minimum of 4 views	69	66	$94.28	$43.57
73030 X-ray of shoulder, minimum of 2 views	47	40	$56.66	$28.73
73564 X-ray of knee, 4 or more views	46	46	$76.42	$38.77
73502 X-ray of hip, 2-3 views	36	34	$79.80	$40.00
73560 X-ray of knee, 1-2 views	33	21	$59.94	$27.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	24	23	$190.02	$86.00
72050 X-ray of upper spine, 4 or 5 views	23	23	$87.52	$45.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$334.76	$142.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	142	93	$30.00	$5.94
20610 Aspiration and/or injection of fluid from large joint	133	93	$119.57	$58.59
99213 Established patient office or other outpatient visit, typically 15 minutes	133	87	$152.87	$63.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$219.15	$91.35
73564 X-ray of knee, 4 or more views	75	67	$76.42	$36.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	65	$222.02	$89.16
73030 X-ray of shoulder, minimum of 2 views	46	40	$56.66	$27.07
72110 X-ray of lower and sacral spine, minimum of 4 views	39	39	$94.28	$41.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$334.76	$139.65
73560 X-ray of knee, 1-2 views	29	21	$59.94	$28.33
73502 X-ray of hip, 2-3 views	28	27	$79.80	$37.21
72050 X-ray of upper spine, 4 or 5 views	12	12	$87.52	$43.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	83	52	$30.00	$6.24
20610 Aspiration and/or injection of fluid from large joint	80	59	$142.15	$55.41
99213 Established patient office or other outpatient visit, typically 15 minutes	56	50	$142.74	$62.39
73564 X-ray of knee, 4 or more views	45	34	$76.42	$34.78
27447 Replacement of knee joint, both sides of knee	41	38	$1346.84	$180.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$210.78	$90.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$210.98	$89.81
73030 X-ray of shoulder, minimum of 2 views	29	26	$56.66	$25.29
73560 X-ray of knee, 1-2 views	22	18	$59.94	$27.03
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$1221.70	$159.87
73502 X-ray of hip, 2-3 views	20	19	$79.80	$34.65
27130 Replacement of thigh bone and hip joint with prosthesis	14	13	$1348.14	$173.91
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$1186.35	$161.77
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$1446.40	$196.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	78	36	$30.00	$6.68
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$119.94	$59.71
20610 Aspiration and/or injection of fluid from large joint	47	40	$301.43	$52.08
73560 X-ray of knee, 1-2 views	37	31	$92.33	$23.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$202.43	$87.97
73030 X-ray of shoulder, minimum of 2 views	28	22	$105.75	$23.97
73564 X-ray of knee, 4 or more views	28	22	$117.45	$32.35
27447 Replacement of knee joint, both sides of knee	26	25	$3449.43	$179.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$180.58	$88.46
73502 X-ray of hip, 2-3 views	16	13	$132.43	$33.75
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$2858.73	$160.38
29827 Repair of shoulder rotator cuff using an endoscope	13	12	$2390.56	$138.96
29823 Removal of extensive shoulder joint tissue using an endoscope	12	11	$1342.94	$19.47
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$2676.45	$191.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	48	23	$30.00	$5.43
20610 Aspiration and/or injection of fluid from large joint	43	28	$411.56	$51.82
27447 Replacement of knee joint, both sides of knee	33	32	$7300.36	$180.23
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$105.00	$60.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$195.00	$86.33
73560 X-ray of knee, 1-2 views	25	22	$117.00	$24.58
73564 X-ray of knee, 4 or more views	21	17	$144.00	$31.28
73030 X-ray of shoulder, minimum of 2 views	20	18	$129.00	$23.87
73502 X-ray of hip, 2-3 views	17	14	$164.00	$34.10
27245 Treatment of broken neck of thigh bone with bone implant	17	17	$6877.41	$162.89
27130 Replacement of thigh bone and hip joint with prosthesis	17	15	$6553.65	$162.98
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	13	$5145.50	$158.29

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA08268

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Tmi Sports Medicine And Orthopedic Surgery Pa

3533 Matlock Rd, Arlington, TX 760153604

Phone: 8174190303

Practice Associates & Co-Workers

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

40 Associated Practitioners

Thobias Hedman , MS, ATC, LAT

Specialist/Technologist - Athletic Trainer

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Master of Science, Certified Athletic Trainer, Licensed Athletic Trainer

Malena Eaves , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1053138925

Certified Athletic Trainer, Licensed Athletic Trainer

Christopher Haggard

Physical Therapist - Orthopedic

NPI 1063208908

Joseph Rueda , PA-S

Physician Assistant

NPI 1174306179

PAS

Dr. Tariq Hendawi , MD

Orthopaedic Surgery

NPI 1174818785

Doctor of Medicine (M.D.)

Dr. Bailey Johnson , PT, DPT

Physical Therapist

NPI 1184509879

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 11, 2015

Registered at 3533 MATLOCK ROAD, ARLINGTON, TX 760153604 (Tel: 8174190303)

📍

Updated Business Mailing Address June 11, 2015

Registered at 3533 MATLOCK ROAD, ARLINGTON, TX 760153604 (Tel: 8174190303)

👤

Provider Name / Credentials Updated June 11, 2015

Recorded as JUSTIN CAPLINGER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2015

Physician Assistant (License #PA08268 in TX)

🟢

Initial NPI Registration & Enumeration January 03, 2013

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: 1093052532

Entity Type:

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

Enumeration Date: January 03, 2013

Last Update: June 11, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3533 Matlock Road

Arlington, TX 760153604

Phone: 8174190303

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.