Active NPI 1700869997 Individual Practitioner Male Practitioner

Dr. Theodore Andrew Belanger , MD

Orthopaedic Surgery • Rockwall, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Belanger, MD is a certified Orthopaedic Surgery practicing in Rockwall, TX. With approximately 29 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1997, Dr. Belanger delivers high-quality medical care to the local community at 3164 HORIZON RD.

Dr. Belanger is affiliated with Arlington Neurosurgeons, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of lower and sacral spine, 2-3 views, established patient outpatient office visit, new 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

3164 Horizon Rd
Suite 100

Rockwall, TX 750327805

Telephone 9727728767

Fax 9727728780

Associated Practice Facility / Clinic

🏢 Texas Back Institute Physicians P.a. Facility NPI 1841220837

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Rockwall, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +10.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

16 Specialists

Practicing in Rockwall, TX (1627 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Belanger (29 Years) 29 Yrs

Rockwall Specialty Average (18.9 Years) 18.9 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
72100 X-ray of lower and sacral spine, 2-3 views	264	168	$121.82	$37.35
99213 Established patient office or other outpatient visit, typically 15 minutes	184	120	$154.87	$86.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	70	$95.41	$53.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$332.51	$158.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	64	$231.45	$121.50
22614 Fusion of additional segment of spine	67	25	$1293.70	$372.99
72040 X-ray of upper spine, 2-3 views	61	36	$125.18	$37.15
63048 Partial removal of spine bone with release of spinal cord and/or nerves	49	27	$671.88	$191.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$210.92	$106.25
22612 Fusion of spine in lower back	33	33	$5108.48	$1457.37
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	21	$863.74	$245.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$283.69	$124.63
72070 X-ray of middle spine, 2 views	27	23	$105.96	$30.95
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	26	$3766.38	$612.14
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	23	$2517.17	$726.71
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	21	21	$4977.05	$666.74
72082 X-ray of entire middle and lower spine, 2-3 views	19	16	$202.05	$65.86
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$2480.67	$679.36
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	15	14	$5737.80	$435.71
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$198.00	$78.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	266	184	$124.00	$37.75
99213 Established patient office or other outpatient visit, typically 15 minutes	199	135	$139.00	$86.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$320.00	$159.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	76	$84.00	$53.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	70	$206.00	$122.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$208.00	$106.46
72040 X-ray of upper spine, 2-3 views	67	50	$119.00	$37.39
22614 Fusion of additional segment of spine	52	22	$1228.00	$366.66
99221 Initial hospital inpatient care per day, typically 30 minutes	46	45	$198.00	$79.62
72070 X-ray of middle spine, 2 views	36	30	$103.00	$31.45
63048 Partial removal of spine bone with release of spinal cord and/or nerves	29	16	$666.00	$197.34
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	28	18	$826.00	$235.60
72082 X-ray of entire middle and lower spine, 2-3 views	25	24	$191.00	$67.28
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	23	$2449.00	$715.82
22612 Fusion of spine in lower back	19	19	$4880.00	$1383.96
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$3698.00	$679.74
72080 X-ray of middle and lower spine, 2 views	16	12	$112.00	$33.17
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	15	15	$4710.00	$702.65
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	12	12	$1476.00	$432.86
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	11	11	$1580.00	$484.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	246	160	$124.00	$38.90
99213 Established patient office or other outpatient visit, typically 15 minutes	184	116	$139.00	$87.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	75	$84.00	$54.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	69	$206.00	$124.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$320.00	$159.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$208.00	$108.14
99221 Initial hospital inpatient care per day, typically 30 minutes	44	42	$198.00	$95.61
72040 X-ray of upper spine, 2-3 views	43	36	$119.00	$38.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	35	21	$826.00	$239.99
72082 X-ray of entire middle and lower spine, 2-3 views	31	25	$191.00	$67.60
63048 Partial removal of spine bone with release of spinal cord and/or nerves	28	19	$666.00	$196.00
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$3698.00	$766.45
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	16	$2392.00	$705.71
22612 Fusion of spine in lower back	16	16	$4880.00	$1450.12
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	15	15	$4710.00	$589.78
72070 X-ray of middle spine, 2 views	13	12	$103.00	$32.20
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	12	11	$1476.00	$432.56
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$2449.00	$710.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	200	154	$124.00	$38.90
99213 Established patient office or other outpatient visit, typically 15 minutes	186	135	$139.00	$89.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	97	$84.00	$55.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	71	$206.00	$127.26
72040 X-ray of upper spine, 2-3 views	72	57	$119.00	$37.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$320.00	$165.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$208.00	$110.67
22614 Fusion of additional segment of spine	39	14	$1228.00	$374.25
72082 X-ray of entire middle and lower spine, 2-3 views	33	25	$191.00	$69.13
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$198.00	$98.36
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	17	$666.00	$202.03
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	15	$826.00	$247.24
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$3698.00	$667.44
22612 Fusion of spine in lower back	14	14	$4880.00	$1537.14
72070 X-ray of middle spine, 2 views	14	12	$103.00	$32.13
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$2449.00	$729.80
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$4710.00	$640.43

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	113	91	$206.00	$104.60
99213 Established patient office or other outpatient visit, typically 15 minutes	104	81	$139.00	$71.65
72100 X-ray of lower and sacral spine, 2-3 views	88	76	$124.00	$36.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	55	$84.00	$43.64
22614 Fusion of additional segment of spine	45	20	$1228.00	$385.66
99221 Initial hospital inpatient care per day, typically 30 minutes	41	37	$198.00	$100.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$208.00	$105.53
63048 Partial removal of spine bone with release of spinal cord and/or nerves	37	21	$666.00	$207.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	36	$320.00	$160.56
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	33	21	$826.00	$254.26
72040 X-ray of upper spine, 2-3 views	29	25	$119.00	$35.60
22842 Placement of stabilizing device to back, 3-6 spine bone segments	27	26	$2449.00	$751.32
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	24	$3698.00	$713.12
22612 Fusion of spine in lower back	16	16	$4880.00	$1564.14
72082 X-ray of entire middle and lower spine, 2-3 views	14	14	$191.00	$65.36
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	13	$2392.00	$748.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	246	170	$85.38	$71.53
72100 X-ray of lower and sacral spine, 2-3 views	180	151	$55.25	$34.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$125.62	$105.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	93	$51.66	$43.76
22614 Fusion of additional segment of spine	102	35	$610.94	$387.25
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	65	36	$416.06	$251.52
72040 X-ray of upper spine, 2-3 views	56	51	$54.23	$33.29
63048 Partial removal of spine bone with release of spinal cord and/or nerves	50	35	$324.00	$207.61
99221 Initial hospital inpatient care per day, typically 30 minutes	43	43	$117.07	$99.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$137.67	$104.71
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	34	33	$1504.05	$737.87
22612 Fusion of spine in lower back	30	30	$2167.16	$1443.54
22842 Placement of stabilizing device to back, 3-6 spine bone segments	29	29	$1011.40	$742.82
72082 X-ray of entire middle and lower spine, 2-3 views	28	24	$80.16	$62.33
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	21	21	$2168.18	$661.96
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$1170.17	$726.64
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	16	14	$605.08	$296.32
22610 Fusion of spine in upper back	13	13	$1876.02	$1060.14
22830 Exploration of spinal fusion	11	11	$981.96	$476.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	182	$77.87	$69.01
72100 X-ray of lower and sacral spine, 2-3 views	247	182	$41.38	$32.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$111.42	$102.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	81	$48.07	$41.26
63048 Partial removal of spine bone with release of spinal cord and/or nerves	79	43	$228.46	$201.10
22614 Fusion of additional segment of spine	63	28	$415.70	$359.44
72040 X-ray of upper spine, 2-3 views	63	53	$39.64	$30.75
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	53	30	$383.83	$235.58
72082 X-ray of entire middle and lower spine, 2-3 views	49	39	$67.60	$56.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$117.69	$98.86
22612 Fusion of spine in lower back	40	39	$1889.39	$1283.30
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$102.94	$98.65
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	37	36	$1100.18	$817.10
22842 Placement of stabilizing device to back, 3-6 spine bone segments	26	25	$897.58	$703.49
22840 Placement of stabilizing device to back of 1 spine bone in neck	21	21	$883.62	$716.28
22533 Fusion of lower spine bone through side with partial removal of disc, 1 bone	17	17	$1702.81	$1230.00
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	16	16	$1827.54	$446.32
22830 Exploration of spinal fusion	14	14	$833.14	$435.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	163	$79.28	$68.93
72100 X-ray of lower and sacral spine, 2-3 views	228	185	$42.07	$32.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$116.78	$101.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	86	$48.02	$41.09
22614 Fusion of additional segment of spine	81	37	$412.85	$380.94
72040 X-ray of upper spine, 2-3 views	81	64	$40.81	$31.04
63048 Partial removal of spine bone with release of spinal cord and/or nerves	70	37	$237.77	$205.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	70	$115.45	$101.70
72082 X-ray of entire middle and lower spine, 2-3 views	63	52	$70.53	$56.62
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	55	33	$320.09	$246.24
22612 Fusion of spine in lower back	41	41	$1751.76	$1196.72
22842 Placement of stabilizing device to back, 3-6 spine bone segments	40	38	$873.22	$735.97
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	37	37	$1270.49	$669.80
22533 Fusion of lower spine bone through side with partial removal of disc, 1 bone	23	23	$2037.78	$1428.91
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$140.00	$98.16
22830 Exploration of spinal fusion	19	18	$1053.71	$426.24
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	18	11	$387.94	$372.48
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$746.59	$716.74
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$1621.70	$1339.95
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$777.86	$746.09

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NC 2003-00556

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 - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License NC 2006-00556

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

89134HW (NC)

Hospital & Practice Group Affiliations

Arlington Neurosurgeons, Pllc

3901 W 15th St, Plano, TX 750757738

Phone: 9725966800

Practice Associates & Co-Workers

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

1 Associated Practitioners

Tammy Nguyen , PA-C

Physician Assistant

NPI 1093281180

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active January 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2016

Registered at 3164 HORIZON RD, SUITE 100, ROCKWALL, TX 750327805 (Tel: 9727728767)

📍

Updated Business Mailing Address January 14, 2016

Registered at PO BOX 262409, PLANO, TX 750262409 (Tel: 9727728767)

👤

Provider Name / Credentials Updated January 14, 2016

Recorded as THEODORE BELANGER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2016

Orthopaedic Surgery (License #2003-00556 in NC)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2016

Orthopaedic Surgery (License #2006-00556 in NC)

🟢

Initial NPI Registration & Enumeration November 22, 2005

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: 1700869997

Entity Type:

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

Enumeration Date: November 22, 2005

Last Update: January 14, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 262409

Plano, TX 750262409

Phone: 9727728767

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.