Active NPI 1275562589 Individual Practitioner Male Practitioner

Dr. Jonathan J Carmouche , MD

Orthopaedic Surgery • Roanoke, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Carmouche, MD is a certified Orthopaedic Surgery practicing in Roanoke, VA. With approximately 26 years of clinical experience since graduating from George Washington University School Of Medicine in 2000, Dr. Carmouche delivers high-quality medical care to the local community at 2331 FRANKLIN RD SW.

Dr. Carmouche maintains professional affiliations with Carilion Giles Community Hospital, Carilion Medical Center, Carilion Healthcare Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion, partial removal of middle spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2331 Franklin Rd Sw

Roanoke, VA 240141111

Telephone 5405106200

Fax 5408575306

Associated Practice Facility / Clinic

🏢 Carilion Medical Center Facility NPI 1851621130

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Roanoke, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +11.8 yrs vs City Avg

City Avg: 14.2 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

36 Specialists

Practicing in Roanoke, VA (618 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carmouche (26 Years) 26 Yrs

Roanoke Specialty Average (14.2 Years) 14.2 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	161	144	$62.58	$61.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	114	$90.15	$86.00
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	84	52	$785.86	$239.60
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	60	60	$3459.20	$858.40
63048 Partial removal of spine bone with release of spinal cord and/or nerves	58	34	$711.00	$196.22
22612 Fusion of spine in lower back	31	31	$4779.00	$1498.09
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	29	29	$4654.00	$700.04
22614 Fusion of additional segment of spine	29	13	$1225.00	$364.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$128.00	$126.09
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	23	23	$5094.74	$1344.98
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	23	21	$1052.00	$286.94
22840 Placement of stabilizing device to back of 1 spine bone in neck	20	20	$2344.60	$704.03
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	19	14	$1226.00	$339.96
22845 Placement of stabilizing device to front, 2-3 spine bone segments	19	19	$2232.00	$675.08
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$2400.00	$708.93

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	183	159	$103.93	$90.64
99213 Established patient office or other outpatient visit, typically 15 minutes	150	137	$68.32	$61.31
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	79	48	$636.86	$243.67
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	53	53	$2670.70	$915.94
63048 Partial removal of spine bone with release of spinal cord and/or nerves	45	29	$535.00	$202.02
22614 Fusion of additional segment of spine	28	15	$982.86	$375.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$185.14	$129.14
22612 Fusion of spine in lower back	25	24	$4259.88	$1459.94
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	24	23	$3343.99	$672.50
22845 Placement of stabilizing device to front, 2-3 spine bone segments	23	22	$1723.30	$697.68
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	23	17	$956.39	$380.33
22840 Placement of stabilizing device to back of 1 spine bone in neck	22	22	$1886.82	$694.82
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	21	21	$3963.05	$1533.78
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	14	14	$841.29	$279.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$120.00	$75.23
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	12	$1780.62	$732.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	221	194	$70.91	$66.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	184	$105.39	$97.21
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	53	39	$600.00	$255.47
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	46	44	$2199.00	$956.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$168.10	$134.11
22614 Fusion of additional segment of spine	39	11	$886.00	$389.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$113.18	$79.04
63048 Partial removal of spine bone with release of spinal cord and/or nerves	22	13	$447.00	$208.83
22840 Placement of stabilizing device to back of 1 spine bone in neck	21	21	$1727.00	$753.28
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	18	18	$3121.00	$682.85
22612 Fusion of spine in lower back	18	18	$4058.00	$1583.90
22845 Placement of stabilizing device to front, 2-3 spine bone segments	15	15	$1647.00	$721.49
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$3700.00	$1558.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	202	$70.55	$67.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	207	$105.05	$98.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$159.73	$135.34
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	68	67	$2176.36	$894.85
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	54	47	$600.00	$260.33
22614 Fusion of additional segment of spine	52	13	$886.00	$393.96
63048 Partial removal of spine bone with release of spinal cord and/or nerves	52	29	$440.98	$211.21
22612 Fusion of spine in lower back	38	36	$4058.00	$1573.77
22840 Placement of stabilizing device to back of 1 spine bone in neck	32	32	$1727.00	$764.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$105.23	$82.22
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	30	30	$3121.00	$742.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	18	$110.00	$53.07
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$1647.00	$690.71
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	12	$1729.00	$767.82
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$3700.00	$1399.27
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	11	11	$2013.82	$1033.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$104.09	$99.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	287	$69.35	$51.62
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	66	45	$600.00	$264.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$102.06	$76.38
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	55	55	$2199.00	$953.07
63048 Partial removal of spine bone with release of spinal cord and/or nerves	45	33	$444.52	$215.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$101.65	$79.65
22614 Fusion of additional segment of spine	41	13	$886.00	$385.31
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	29	29	$3121.00	$710.86
22612 Fusion of spine in lower back	29	29	$4058.00	$1623.00
99441 Telephone medical discussion with physician, 5-10 minutes	27	27	$53.59	$25.97
22840 Placement of stabilizing device to back of 1 spine bone in neck	22	22	$1727.00	$765.16
22845 Placement of stabilizing device to front, 2-3 spine bone segments	19	19	$1647.00	$730.49
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	16	13	$757.00	$295.16
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$95.00	$51.70
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$3700.00	$1597.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	457	380	$68.18	$50.76
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	114	75	$596.32	$255.74
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	96	94	$2182.97	$905.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$101.51	$76.46
22614 Fusion of additional segment of spine	66	21	$886.00	$397.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	54	$102.02	$76.70
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	50	49	$3077.31	$735.06
22612 Fusion of spine in lower back	49	48	$4000.03	$1560.58
63048 Partial removal of spine bone with release of spinal cord and/or nerves	48	36	$447.00	$214.59
22840 Placement of stabilizing device to back of 1 spine bone in neck	42	41	$1698.22	$756.80
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	35	22	$757.00	$285.93
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	23	23	$3700.00	$1498.66
22845 Placement of stabilizing device to front, 2-3 spine bone segments	23	23	$1647.00	$720.44
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	18	17	$863.00	$404.50
22846 Placement of stabilizing device to front, 4-7 spine bone segments	13	13	$1712.00	$727.48
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$1729.00	$776.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	540	436	$67.12	$51.15
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	110	70	$600.00	$250.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$102.91	$75.70
22614 Fusion of additional segment of spine	84	26	$871.23	$389.22
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	76	70	$2158.49	$877.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	55	$101.88	$76.14
22612 Fusion of spine in lower back	51	51	$3816.64	$1507.75
63048 Partial removal of spine bone with release of spinal cord and/or nerves	50	30	$440.74	$211.09
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	38	38	$3121.00	$734.49
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	36	21	$757.00	$329.67
22840 Placement of stabilizing device to back of 1 spine bone in neck	32	32	$1727.00	$772.08
22845 Placement of stabilizing device to front, 2-3 spine bone segments	27	27	$1647.00	$699.63
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	26	26	$3700.00	$1477.22
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	19	16	$863.00	$404.15
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	19	18	$1943.16	$798.30
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$1586.61	$698.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$151.40	$128.83
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment	12	12	$3479.00	$1664.45
22846 Placement of stabilizing device to front, 4-7 spine bone segments	11	11	$1712.00	$769.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	423	358	$66.77	$50.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	166	$95.74	$77.33
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	148	92	$600.00	$249.93
22614 Fusion of additional segment of spine	135	37	$886.00	$391.72
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	67	67	$2199.00	$840.05
22612 Fusion of spine in lower back	53	52	$3150.00	$1474.56
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	52	51	$3121.00	$758.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$148.76	$124.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$98.35	$74.94
22845 Placement of stabilizing device to front, 2-3 spine bone segments	48	48	$1647.00	$688.23
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	39	39	$3700.00	$1537.89
22840 Placement of stabilizing device to back of 1 spine bone in neck	35	34	$1727.00	$746.30
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	31	27	$757.00	$280.93
63048 Partial removal of spine bone with release of spinal cord and/or nerves	27	20	$435.41	$209.75
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	25	19	$863.00	$388.87
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	19	$1729.00	$768.50
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$1813.04	$880.79
22846 Placement of stabilizing device to front, 4-7 spine bone segments	13	13	$1712.00	$741.80

Medical Specialties & State Licenses

CMS Verified: 2026-05-21

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License VA 0101240988

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 VA 0101-240988

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

1275562589 (VA)

Commercial Insurance / Payer ID Virginia Health Network

1275562589 (VA)

Commercial Insurance / Payer ID Medicaid Of West Virginia

3810018726 (VA)

Commercial Insurance / Payer ID Intotal

1275562589 (VA)

Commercial Insurance / Payer ID Cigna

1275562589 (VA)

Commercial Insurance / Payer ID Optima Health Plan

1275562589 (VA)

Commercial Insurance / Payer ID Aetna

1275562589 (VA)

Commercial Insurance / Payer ID Va Premier

1275562589 (VA)

Commercial Insurance / Payer ID Anthem

1275562589 (VA)

Commercial Insurance / Payer ID Umwa

1275562589 (VA)

Hospital & Practice Group Affiliations

Carilion Healthcare Corporation

2900 Lamb Cir, Christiansburg, VA 240736345

Phone: 5407312000

Carilion Medical Center

2331 Franklin Rd Sw, Roanoke, VA 240141111

Phone: 5402245170

Carilion Giles Community Hospital

1107 A Brookdale St, Martinsville, VA 241124501

Phone: 2766703300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Matthew Dawson , MD

Physical Medicine & Rehabilitation

NPI 1003159021

Doctor of Medicine (M.D.)

Kelly Kugach

Podiatrist - Foot & Ankle Surgery

NPI 1003445594

Dr. Peter Apel , MD, PhD

Orthopaedic Surgery - Hand Surgery

NPI 1013178052

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Kathryn Hoyt

Physician Assistant - Surgical

NPI 1013454776

Jason Peery , PA-C

Physician Assistant - Surgical

NPI 1023209368

Physician Assistant (Certified)

Dr. Ryan Putnam , MD

Orthopaedic Surgery

NPI 1043369853

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2026

Orthopaedic Surgery (License #0101-240988 in VA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2025

Orthopaedic Surgery (License #0101240988 in VA)

📍

Updated Business Mailing Address July 18, 2022

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713

✅

NPI Profile Active March 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2016

Registered at 2331 FRANKLIN RD SW, ROANOKE, VA 240141111 (Tel: 5407251226)

📍

Updated Business Mailing Address March 29, 2016

Registered at 2331 FRANKLIN RD SW, ROANOKE, VA 240141111 (Tel: 5407251226)

👤

Provider Name / Credentials Updated March 29, 2016

Recorded as JONATHAN CARMOUCHE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2016

Orthopaedic Surgery (License #0101-240988 in VA)

🟢

Initial NPI Registration & Enumeration June 30, 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: 1275562589

Entity Type:

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

Enumeration Date: June 30, 2006

Last Update: May 21, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

Phone: 5402245516

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.