Active NPI 1144242298 Individual Practitioner Male Practitioner

Dr. Michael Andrew Caines , MD

Orthopaedic Surgery • Suffolk, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Caines, MD is a certified Orthopaedic Surgery practicing in Suffolk, VA. With approximately 34 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1992, Dr. Caines delivers high-quality medical care to the local community at 5838 HARBOUR VIEW BLVD.

Dr. Caines is affiliated with Bon Secours Medical Group Hampton Roads Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of foot, minimum of 3 views, x-ray of ankle, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5838 Harbour View Blvd
Suite 100

Suffolk, VA 234352663

Telephone 7576735680

Fax 7574833075

Associated Practice Facility / Clinic

🏢 Orthopaedic Surgery Centers, Pc Ii Facility NPI 1427147826

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Suffolk, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +4.2 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

14 Specialists

Practicing in Suffolk, VA (618 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caines (34 Years) 34 Yrs

Suffolk Specialty Average (29.8 Years) 29.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	138	$323.70	$124.30
73630 X-ray of foot, minimum of 3 views	184	117	$91.00	$33.00
99213 Established patient office or other outpatient visit, typically 15 minutes	177	122	$218.74	$88.25
73610 X-ray of ankle, minimum of 3 views	110	59	$91.40	$34.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	17	$3.53	$0.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$473.93	$157.28
73600 X-ray of ankle, 2 views	40	31	$80.00	$31.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$578.00	$160.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$323.63	$108.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	219	148	$217.26	$88.38
73630 X-ray of foot, minimum of 3 views	182	122	$90.86	$30.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	114	$320.58	$123.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	95	19	$5.00	$1.05
73610 X-ray of ankle, minimum of 3 views	87	56	$91.10	$31.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$314.65	$109.62
73600 X-ray of ankle, 2 views	38	27	$79.92	$26.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$577.63	$170.84
73620 X-ray of foot, 2 views	13	13	$77.69	$26.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$481.64	$164.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	208	145	$215.00	$90.34
73630 X-ray of foot, minimum of 3 views	207	122	$89.69	$34.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	121	$318.00	$125.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	16	$5.00	$1.15
73610 X-ray of ankle, minimum of 3 views	75	44	$90.13	$37.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$302.80	$111.13
73600 X-ray of ankle, 2 views	32	25	$77.28	$32.09
28470 Closed treatment of broken foot bone	14	13	$565.00	$200.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	333	197	$215.00	$90.91
73630 X-ray of foot, minimum of 3 views	231	147	$90.00	$34.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	136	$318.00	$129.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	149	25	$5.00	$1.28
73610 X-ray of ankle, minimum of 3 views	120	67	$91.00	$37.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$296.00	$113.89
73600 X-ray of ankle, 2 views	39	33	$79.00	$32.50
20610 Aspiration and/or injection of fluid from large joint	29	14	$300.52	$66.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$444.77	$170.34
73560 X-ray of knee, 1-2 views	15	11	$89.60	$35.00
73620 X-ray of foot, 2 views	14	11	$77.00	$29.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$572.00	$200.91
73590 X-ray of lower leg, 2 views	12	12	$79.00	$32.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	195	$215.00	$74.56
73630 X-ray of foot, minimum of 3 views	227	142	$90.00	$32.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	103	$316.81	$109.86
73610 X-ray of ankle, minimum of 3 views	116	75	$91.00	$33.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	110	19	$5.00	$1.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$480.82	$164.96
73600 X-ray of ankle, 2 views	42	30	$79.00	$32.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$302.30	$104.00
G0444 Annual depression screening, 5 to 15 minutes	21	21	$51.00	$18.58
20610 Aspiration and/or injection of fluid from large joint	21	11	$308.29	$68.70
73620 X-ray of foot, 2 views	15	12	$77.00	$26.28
28470 Closed treatment of broken foot bone	14	13	$561.14	$192.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$572.00	$207.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	691	353	$215.00	$72.89
73630 X-ray of foot, minimum of 3 views	337	221	$90.00	$30.65
73610 X-ray of ankle, minimum of 3 views	198	109	$90.02	$31.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	179	32	$5.00	$1.53
73600 X-ray of ankle, 2 views	91	68	$79.00	$29.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	72	$318.00	$103.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$489.00	$160.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	46	$318.00	$107.13
20610 Aspiration and/or injection of fluid from large joint	40	20	$329.93	$68.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$572.00	$203.45
73560 X-ray of knee, 1-2 views	20	15	$92.40	$29.56
73620 X-ray of foot, 2 views	19	14	$77.00	$24.16
28470 Closed treatment of broken foot bone	17	15	$565.00	$209.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	11	$297.00	$99.26
73564 X-ray of knee, 4 or more views	15	11	$116.00	$41.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	663	350	$215.00	$71.40
73630 X-ray of foot, minimum of 3 views	409	253	$90.72	$28.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	26	$5.00	$1.58
73600 X-ray of ankle, 2 views	126	95	$80.25	$28.90
73610 X-ray of ankle, minimum of 3 views	118	65	$89.35	$30.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	70	$318.00	$103.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$318.00	$107.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$489.00	$162.52
20610 Aspiration and/or injection of fluid from large joint	44	18	$316.91	$57.61
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	37	11	$352.00	$129.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	29	$572.00	$201.66
73560 X-ray of knee, 1-2 views	28	19	$79.93	$28.12
73564 X-ray of knee, 4 or more views	24	21	$116.00	$37.72
73590 X-ray of lower leg, 2 views	21	18	$79.00	$28.32
28470 Closed treatment of broken foot bone	21	19	$565.00	$185.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	577	322	$215.00	$69.39
73630 X-ray of foot, minimum of 3 views	319	213	$90.36	$27.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	216	43	$5.00	$1.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	110	$318.00	$104.36
73610 X-ray of ankle, minimum of 3 views	114	66	$89.86	$29.07
73600 X-ray of ankle, 2 views	112	91	$78.51	$27.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$489.00	$158.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$318.00	$103.03
20610 Aspiration and/or injection of fluid from large joint	35	25	$284.57	$58.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$572.00	$200.23
28470 Closed treatment of broken foot bone	23	20	$565.00	$186.83
73564 X-ray of knee, 4 or more views	22	16	$116.00	$30.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$426.00	$130.43
73560 X-ray of knee, 1-2 views	15	14	$84.00	$26.27
73620 X-ray of foot, 2 views	12	11	$77.00	$25.41
73590 X-ray of lower leg, 2 views	12	12	$79.00	$28.17

Medical Specialties & State Licenses

CMS Verified: 2025-07-24

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License VA 0101231723

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

006408664 (VA)

Commercial Insurance / Payer ID Rr Medicare

P00799702 (VA)

Commercial Insurance / Payer ID Medicare Rr

200043180 (VA)

Hospital & Practice Group Affiliations

Bon Secours Medical Group Hampton Roads Specialty Care Llc

3636 High St, Portsmouth, VA 237073236

Phone: 7573982222

Bon Secours Medical Group Hampton Roads Specialty Care Llc

150 Kingsley Ln, Norfolk, VA 235054602

Phone: 7573982673

Bon Secours Medical Group Hampton Roads Specialty Care Llc

930 W 21st St, Norfolk, VA 235171516

Bon Secours Medical Group Hampton Roads Specialty Care Llc

5838 Harbour View Blvd, Suffolk, VA 234352663

Bon Secours Medical Group Hampton Roads Specialty Care Llc

3636 High St, Portsmouth, VA 237073236

Phone: 7572153565

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Aaron Marlow , MD

Orthopaedic Surgery

NPI 1093737140

Doctor of Medicine (M.D.)

Dr. Steven Blasdell , MD

Orthopaedic Surgery

NPI 1114929361

Doctor of Medicine (M.D.)

Dr. Kraig Graham , MD

Orthopaedic Surgery

NPI 1174755961

Doctor of Medicine (M.D.)

Dr. Jeffrey Persons , MD

Orthopaedic Surgery

NPI 1265454417

Doctor of Medicine (M.D.)

Dr. Ernesto Luciano-Perez , MD

Orthopaedic Surgery

NPI 1336179357

Doctor of Medicine (M.D.)

Kaylah Duplain

Physician Assistant

NPI 1366155665

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2025

Orthopaedic Surgery (License #0101231723 in VA)

✅

NPI Profile Active February 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2011

Registered at 5838 HARBOUR VIEW BLVD, SUITE 100, SUFFOLK, VA 234352663 (Tel: 7576735680)

📍

Updated Business Mailing Address February 28, 2011

Registered at 5838 HARBOUR VIEW BLVD, SUITE 100, SUFFOLK, VA 234352663 (Tel: 7576735680)

👤

Provider Name / Credentials Updated February 28, 2011

Recorded as MICHAEL CAINES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2011

Orthopaedic Surgery (License #0101231723 in VA)

🟢

Initial NPI Registration & Enumeration July 24, 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: 1144242298

Entity Type:

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

Enumeration Date: July 24, 2006

Last Update: July 24, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5838 Harbour View Blvd, Suite 100

Suffolk, VA 234352663

Phone: 7576735680

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.