Active NPI 1982903142 Individual Practitioner Male Practitioner

Dr. Dayne Timothy Mickelson , MD

Orthopaedic Surgery • Bellevue, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Dayne Mickelson, MD is a certified Orthopaedic Surgery practicing in Bellevue, WA. With approximately 15 years of clinical experience since graduating from University Of Washington School Of Medicine in 2011, Dr. Mickelson delivers high-quality medical care to the local community at 3101 NORTHUP WAY STE 201.

Dr. Mickelson is affiliated with Proliance Surgeons Inc P S and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, x-ray of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3101 Northup Way Ste 201

Bellevue, WA 980041435

Telephone 4254553600

Fax 4254553920

Associated Practice Facility / Clinic

🏢 Proliance Surgeons Inc P S Facility NPI 1508893066

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Bellevue, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -10.6 yrs vs City Avg

City Avg: 25.6 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

34 Specialists

Practicing in Bellevue, WA (707 Statewide)

Telehealth Adoption Rate

26.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mickelson (15 Years) 15 Yrs

Bellevue Specialty Average (25.6 Years) 25.6 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	142	122	$252.24	$140.08
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	141	32	$14.00	$6.98
99213 Established patient office or other outpatient visit, typically 15 minutes	77	65	$177.71	$100.28
73564 X-ray of knee, 4 or more views	56	44	$114.79	$55.21
73030 X-ray of shoulder, minimum of 2 views	47	43	$87.38	$40.63
20610 Aspiration and/or injection of fluid from large joint	46	45	$227.26	$77.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$238.53	$122.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$367.00	$182.54
73700 Ct scan of leg without contrast	15	13	$675.00	$151.70
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	15	12	$1035.00	$233.47
27447 Replacement of knee joint, both sides of knee	15	12	$5024.00	$1373.50
73721 Mri scan of leg joint without contrast	12	12	$1188.67	$172.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	152	32	$14.00	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	106	79	$175.00	$98.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	92	$249.00	$138.04
73030 X-ray of shoulder, minimum of 2 views	65	50	$87.00	$40.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$237.00	$123.13
73564 X-ray of knee, 4 or more views	52	43	$114.00	$54.92
20610 Aspiration and/or injection of fluid from large joint	43	42	$217.40	$76.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$361.00	$174.43
27447 Replacement of knee joint, both sides of knee	11	11	$5024.00	$1382.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	150	30	$14.00	$6.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	94	$249.00	$141.15
99213 Established patient office or other outpatient visit, typically 15 minutes	76	59	$175.00	$97.84
73030 X-ray of shoulder, minimum of 2 views	53	42	$87.00	$40.87
20610 Aspiration and/or injection of fluid from large joint	50	37	$218.48	$75.85
73564 X-ray of knee, 4 or more views	37	32	$114.00	$54.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$237.00	$123.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$361.00	$174.62
73721 Mri scan of leg joint without contrast	15	15	$1192.40	$178.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	178	33	$14.00	$6.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	96	$228.12	$143.32
99213 Established patient office or other outpatient visit, typically 15 minutes	80	67	$155.80	$100.95
20610 Aspiration and/or injection of fluid from large joint	43	35	$222.33	$74.22
73030 X-ray of shoulder, minimum of 2 views	42	33	$87.00	$40.38
73564 X-ray of knee, 4 or more views	39	36	$114.00	$54.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$337.53	$185.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$225.50	$117.68
73562 X-ray of knee, 3 views	13	13	$103.00	$47.88
73221 Mri scan of arm joint without contrast	12	12	$1297.25	$198.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	174	37	$14.00	$7.04
99213 Established patient office or other outpatient visit, typically 15 minutes	90	67	$143.00	$80.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	59	$214.00	$118.83
20610 Aspiration and/or injection of fluid from large joint	48	38	$216.63	$70.61
73030 X-ray of shoulder, minimum of 2 views	47	35	$87.00	$36.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$214.00	$116.69
73564 X-ray of knee, 4 or more views	34	31	$96.56	$49.27
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$209.00	$109.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$86.00	$50.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	215	44	$14.00	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	123	82	$143.00	$79.46
20610 Aspiration and/or injection of fluid from large joint	52	43	$228.35	$69.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$214.00	$115.28
73030 X-ray of shoulder, minimum of 2 views	39	27	$87.00	$33.66
73564 X-ray of knee, 4 or more views	38	30	$95.26	$45.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$214.00	$113.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$86.00	$47.30
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$209.00	$106.78
73502 X-ray of hip, 2-3 views	16	12	$90.75	$41.33
73221 Mri scan of arm joint without contrast	15	14	$1158.00	$188.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	110	$141.83	$77.25
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	128	31	$14.00	$6.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	67	$211.97	$114.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	11	$5.00	$1.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg	56	12	$3.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	54	39	$226.85	$70.05
73502 X-ray of hip, 2-3 views	53	34	$82.89	$36.69
73030 X-ray of shoulder, minimum of 2 views	52	36	$83.00	$31.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$212.60	$115.43
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$207.60	$107.04
73564 X-ray of knee, 4 or more views	24	21	$95.63	$44.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$324.37	$177.28
73610 X-ray of ankle, minimum of 3 views	16	11	$72.19	$33.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$85.36	$48.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	11	11	$85.73	$41.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	16	$5.00	$1.85
J1100 Injection, dexamethasone sodium phosphate, 1 mg	72	16	$3.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$138.00	$78.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$207.00	$114.99
73030 X-ray of shoulder, minimum of 2 views	19	15	$84.00	$32.23
20610 Aspiration and/or injection of fluid from large joint	16	16	$215.75	$68.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$207.00	$115.38

Medical Specialties & State Licenses

CMS Verified: 2024-05-23

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD60476167

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 - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License WA MD60476167

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2018712 (WA)

Hospital & Practice Group Affiliations

Proliance Surgeons Inc P S

510 8th Ave Ne, Issaquah, WA 980295436

Phone: 4253923030

Secondary Practice Locations

18100 Ne Union Hill Rd Ste 330

Redmond, WA 980523330

Phone: 4254553600

515 Minor Ave Ste 200

Seattle, WA 981042133

Phone: 4254553600

510 8th Ave Ne Ste 200

Issaquah, WA 980295436

Phone: 4253923030

Practice Associates & Co-Workers

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

33 Associated Practitioners

Dr. Mary Thayer , MD

Orthopaedic Surgery - Hand Surgery

NPI 1134549272

Doctor of Medicine (M.D.)

Dr. James Bruckner , MD

Orthopaedic Surgery

NPI 1154392942

Doctor of Medicine (M.D.)

Shelby Dobbs , PA-C

Physician Assistant - Surgical

NPI 1184669491

Physician Assistant (Certified)

Dr. Grant Lohse , MD

Orthopaedic Surgery - Hand Surgery

NPI 1205033784

Doctor of Medicine (M.D.)

Michael Young , PA

Physician Assistant - Surgical

NPI 1225181902

Physician Assistant

Dr. Silas Marshall , MD

Orthopaedic Surgery

NPI 1225217011

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events

📍

Updated Practice Location May 23, 2024

Registered at 3101 NORTHUP WAY STE 201, BELLEVUE, WA 980041435 (Tel: 4254553600)

📍

Updated Business Mailing Address May 23, 2024

Registered at 510 8TH AVE NE STE 320, ISSAQUAH, WA 980295436 (Tel: 4255070733)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2024

Orthopaedic Surgery (License #MD60476167 in WA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Orthopaedic Surgery (License #MD60476167 in WA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Orthopaedic Surgery (License #MD60476167 in WA)

✅

NPI Profile Active August 29, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2017

Registered at 1231 116TH AVE NE STE 750, BELLEVUE, WA 980043812 (Tel: 4254553600)

📍

Updated Business Mailing Address August 29, 2017

Registered at 805 MADISON ST STE 901, SEATTLE, WA 981041172 (Tel: (206) 264-8100)

👤

Provider Name / Credentials Updated August 29, 2017

Recorded as DAYNE MICKELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2017

Orthopaedic Surgery (License #MD60476167 in WA)

📍

Updated Practice Location April 09, 2017

Registered at DUKE UNIVERSITY MEDICAL CTR, BOX 3615, DURHAM, NC 277100001 (Tel: 9196848111)

📍

Updated Business Mailing Address April 09, 2017

Registered at 2308 PARKSIDE DR, DURHAM, NC 277072968 (Tel: 9196848111)

✅

NPI Profile Active April 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2014

Registered at 325 9TH AVE, BOX #359798. DEPT OF ORTHOPAEDIC SURGERY, SEATTLE, WA 981042420 (Tel: 2067444930)

📍

Updated Business Mailing Address April 04, 2014

Registered at 325 9TH AVE, BOX #359798. DEPT OF ORTHOPAEDIC SURGERY, SEATTLE, WA 981042420 (Tel: 2067444930)

👤

Provider Name / Credentials Updated April 04, 2014

Recorded as DAYNE MICKELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 26, 2011

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: 1982903142

Entity Type:

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

Enumeration Date: March 26, 2011

Last Update: May 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

510 8th Ave Ne Ste 320

Issaquah, WA 980295436

Phone: 4255070733

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.