Active NPI 1699741520 Individual Practitioner Male Practitioner

Dr. James Michael Bennett , MD

Orthopaedic Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Bennett, MD is a certified Orthopaedic Surgery practicing in Houston, TX. With approximately 27 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1999, Dr. Bennett delivers high-quality medical care to the local community at 7401 SOUTH MAIN ST.

Dr. Bennett is affiliated with Joint Pain And Orthopedics, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, 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

7401 South Main St

Houston, TX 770304509

Telephone 7137992300

Fax 7137943380

Associated Practice Facility / Clinic

🏢 Fondren Orthopedic Group L.l.p. Facility NPI 1609830595

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +2.9 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

214 Specialists

Practicing in Houston, TX (1627 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bennett (27 Years) 27 Yrs

Houston Specialty Average (24.1 Years) 24.1 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
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	3,900	40	$61.00	$6.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	304	64	$6.00	$0.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	119	$298.00	$122.02
20610 Aspiration and/or injection of fluid from large joint	118	85	$191.00	$67.18
73562 X-ray of knee, 3 views	115	84	$100.00	$38.05
73030 X-ray of shoulder, minimum of 2 views	62	44	$83.00	$32.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$299.00	$106.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$456.00	$160.10
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$202.00	$82.68
73070 X-ray of elbow, 2 views	15	14	$77.00	$27.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	2,706	29	$61.00	$6.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	191	37	$6.00	$1.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	98	$298.00	$122.18
73562 X-ray of knee, 3 views	97	74	$100.00	$39.08
20610 Aspiration and/or injection of fluid from large joint	79	52	$191.00	$66.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$456.00	$158.93
73030 X-ray of shoulder, minimum of 2 views	44	37	$83.00	$33.49
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$202.00	$86.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$299.00	$108.16
73130 X-ray of hand, minimum of 3 views	13	11	$90.00	$35.88
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1740.00	$248.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	2,340	28	$57.67	$13.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	266	55	$5.38	$1.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	136	$282.59	$123.78
73562 X-ray of knee, 3 views	131	89	$91.75	$39.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$430.59	$162.39
20610 Aspiration and/or injection of fluid from large joint	92	75	$180.57	$66.73
73030 X-ray of shoulder, minimum of 2 views	77	62	$76.65	$34.07
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$189.64	$88.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$281.86	$109.11
29880 Removal of both knee cartilages using an endoscope	12	12	$1637.67	$314.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,987	25	$33.16	$17.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	247	58	$5.00	$1.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	132	$274.00	$125.63
73562 X-ray of knee, 3 views	120	85	$92.00	$39.24
20610 Aspiration and/or injection of fluid from large joint	92	66	$175.00	$64.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$419.00	$163.86
73030 X-ray of shoulder, minimum of 2 views	56	45	$74.64	$33.06
29880 Removal of both knee cartilages using an endoscope	13	13	$1581.00	$429.60
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$194.00	$89.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	167	62	$5.00	$1.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	90	$274.06	$107.11
73562 X-ray of knee, 3 views	103	79	$92.00	$37.95
99213 Established patient office or other outpatient visit, typically 15 minutes	93	71	$187.96	$73.47
20610 Aspiration and/or injection of fluid from large joint	67	63	$171.36	$63.25
73030 X-ray of shoulder, minimum of 2 views	56	49	$76.00	$32.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$419.00	$161.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$278.00	$106.04
73070 X-ray of elbow, 2 views	17	12	$70.59	$27.48
29880 Removal of both knee cartilages using an endoscope	16	15	$1553.75	$308.01
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$1261.33	$168.14
29823 Removal of extensive shoulder joint tissue using an endoscope	15	15	$1606.27	$315.42
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$3009.87	$955.22
29879 Repair of knee joint using an endoscope	11	11	$1719.00	$681.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	387	102	$5.00	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	282	174	$188.00	$72.36
73562 X-ray of knee, 3 views	132	92	$92.00	$35.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$278.00	$105.25
20610 Aspiration and/or injection of fluid from large joint	106	96	$171.81	$61.60
73030 X-ray of shoulder, minimum of 2 views	74	63	$76.00	$28.80
73070 X-ray of elbow, 2 views	21	18	$71.00	$25.84
29880 Removal of both knee cartilages using an endoscope	16	16	$1495.00	$557.57
20605 Aspiration and/or injection of medium joint or joint capsule	13	11	$132.00	$47.76
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$1618.00	$298.67
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$3012.00	$970.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	395	87	$10.57	$1.82
99213 Established patient office or other outpatient visit, typically 15 minutes	225	151	$127.59	$71.25
73562 X-ray of knee, 3 views	103	80	$77.31	$34.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$193.32	$106.53
20610 Aspiration and/or injection of fluid from large joint	97	82	$146.66	$64.58
73030 X-ray of shoulder, minimum of 2 views	71	57	$68.23	$28.62
73070 X-ray of elbow, 2 views	19	14	$65.32	$26.44
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	19	19	$2960.00	$642.10
29880 Removal of both knee cartilages using an endoscope	16	16	$3349.00	$150.52
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$3078.62	$1011.25
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$2609.54	$172.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	713	144	$11.00	$1.76
99213 Established patient office or other outpatient visit, typically 15 minutes	267	183	$119.00	$70.17
20610 Aspiration and/or injection of fluid from large joint	154	129	$141.04	$62.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$177.00	$105.33
73562 X-ray of knee, 3 views	128	100	$75.00	$33.82
73030 X-ray of shoulder, minimum of 2 views	95	80	$67.84	$28.21
73130 X-ray of hand, minimum of 3 views	22	15	$70.00	$29.41
73070 X-ray of elbow, 2 views	20	19	$65.00	$26.16
29880 Removal of both knee cartilages using an endoscope	12	12	$3349.00	$446.57
20605 Aspiration and/or injection of medium joint or joint capsule	12	12	$100.75	$47.84

Medical Specialties & State Licenses

CMS Verified: 2021-04-28

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX M2258

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

178606301 (TX)

Hospital & Practice Group Affiliations

Joint Pain And Orthopedics, Pllc

4316 James Casey St, Austin, TX 787451116

Phone: 5122663377

Secondary Practice Locations

4690 Sweetwater Blvd Ste 240

Sugar Land, TX 77479

Phone: 2816338600

Practice Associates & Co-Workers

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

40 Associated Practitioners

Juliette Zumwalt , PA

Physician Assistant

NPI 1003000738

Physician Assistant

David Loncarich

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1003804428

Karen Gunter , PA

Physician Assistant - Surgical

NPI 1013021534

Physician Assistant

Cuong Phan

Clinical Nurse Specialist

NPI 1013610757

Angela Nguyen , PA-C

Physician Assistant - Surgical

NPI 1013857754

Physician Assistant (Certified)

Susan Ball , RN

Registered Nurse

NPI 1013907278

Registered Nurse

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address January 31, 2022

Registered at PO BOX 5730, BELFAST, ME 049155700 (Tel: 2816338600)

✅

NPI Profile Active January 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2011

Registered at 7401 SOUTH MAIN ST, HOUSTON, TX 770304509 (Tel: 7137992300)

📍

Updated Business Mailing Address January 18, 2011

Registered at 7401 SOUTH MAIN ST, HOUSTON, TX 770304509 (Tel: 7137992300)

👤

Provider Name / Credentials Updated January 18, 2011

Recorded as JAMES BENNETT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2011

Orthopaedic Surgery (License #M2258 in TX)

🟢

Initial NPI Registration & Enumeration February 28, 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: 1699741520

Entity Type:

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

Enumeration Date: February 28, 2006

Last Update: January 31, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 5730

Belfast, ME 049155700

Phone: 2816338600

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.