Active NPI 1235244898 Individual Practitioner Male Practitioner

Dr. Derek Hugh Andreini , MD

Orthopaedic Surgery • Wheeling, WV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Andreini, MD is a certified Orthopaedic Surgery practicing in Wheeling, WV. With approximately 50 years of clinical experience since completing medical education in 1976, Dr. Andreini delivers high-quality medical care to the local community at 1 MEDICAL PARK.

Dr. Andreini accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, 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

1 Medical Park
Suite 703

Wheeling, WV 26003

Telephone 3042426373

Fax 3042426371

Associated Practice Facility / Clinic

🏢 Wheeling Hospital Inc Facility NPI 1104821305

Medicare Profile & Education

Medical School

Other

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Wheeling, WV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +21.3 yrs vs City Avg

City Avg: 28.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Wheeling, WV (141 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Andreini (50 Years) 50 Yrs

Wheeling Specialty Average (28.7 Years) 28.7 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	105	57	$148.00	$62.03
20610 Aspiration and/or injection of fluid from large joint	76	44	$162.21	$48.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$214.00	$92.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$182.00	$78.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$293.00	$127.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	57	$148.65	$63.43
20610 Aspiration and/or injection of fluid from large joint	84	45	$172.29	$50.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	18	$216.29	$93.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$293.00	$122.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$182.00	$80.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	59	$129.77	$64.83
20610 Aspiration and/or injection of fluid from large joint	66	44	$134.33	$46.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	21	$204.20	$94.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$160.67	$81.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$270.41	$131.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	63	$72.00	$66.01
20610 Aspiration and/or injection of fluid from large joint	96	49	$61.25	$43.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	51	$130.00	$97.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$197.00	$133.57
99213 Established patient office or other outpatient visit, typically 15 minutes	18	12	$121.00	$84.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	202	86	$72.00	$50.98
20610 Aspiration and/or injection of fluid from large joint	105	49	$60.57	$43.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$118.00	$75.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$130.00	$78.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	174	82	$72.00	$50.22
20610 Aspiration and/or injection of fluid from large joint	132	59	$60.00	$42.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	125	15	$80.00	$38.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$118.00	$75.44
99238 Hospital discharge day management, 30 minutes or less	15	15	$140.00	$71.64
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$121.00	$66.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$130.00	$77.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$259.50	$135.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	549	51	$76.00	$37.33
20610 Aspiration and/or injection of fluid from large joint	72	43	$67.50	$45.25
99213 Established patient office or other outpatient visit, typically 15 minutes	56	36	$72.00	$48.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	48	$247.00	$130.02
99238 Hospital discharge day management, 30 minutes or less	46	45	$133.25	$69.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$118.00	$73.23
20610 Aspiration and/or injection of fluid from large joint	22	13	$175.00	$49.68
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$121.00	$64.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$130.00	$74.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$188.00	$95.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	816	11	$14.00	$11.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	672	68	$72.33	$37.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	360	26	$2.50	$1.81
99213 Established patient office or other outpatient visit, typically 15 minutes	150	84	$110.00	$62.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	85	$226.53	$128.59
20610 Aspiration and/or injection of fluid from large joint	95	39	$135.00	$46.36
99238 Hospital discharge day management, 30 minutes or less	73	66	$126.78	$68.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$180.00	$95.20
73502 X-ray of hip, 2-3 views	35	19	$86.86	$34.31
73560 X-ray of knee, 1-2 views	28	23	$61.79	$25.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$160.00	$91.08

Medical Specialties & State Licenses

CMS Verified: 2020-06-12

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WV 13314

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

3136298 (WV)

Medicaid State Provider ID

0624328 (OH)

Medicaid State Provider ID

0099314000 (WV)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Molly Fisher , SLP

Speech-Language Pathologist

NPI 1003247412

Speech-Language Pathologist

Dr. Kristina Johnson , PhD

Behavior Analyst

NPI 1003294166

Doctor of Philosophy (Ph.D.)

Michael Garman , ATC, PTA

Specialist/Technologist - Athletic Trainer

NPI 1003759606

Certified Athletic Trainer, Physical Therapist Assistant

Catherine Sansone , PT

Physical Therapist

NPI 1003979725

Physical Therapist

Billie Johnston , PT

Physical Therapist

NPI 1013070739

Physical Therapist

Angela Hennis

Nurse Practitioner - Family

NPI 1013567395

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 12, 2020

Registered at 1 MEDICAL PARK, SUITE 703, WHEELING, WV 26003 (Tel: 3042426373)

📍

Updated Business Mailing Address June 12, 2020

Registered at 1 MEDICAL PARK, SUITE 703, WHEELING, WV 26003 (Tel: 3042426373)

✅

NPI Profile Active February 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2011

Registered at 20 MEDICAL PARK, SUITE 102, WHEELING, WV 260036390 (Tel: 3042426373)

📍

Updated Business Mailing Address February 15, 2011

Registered at 40 MEDICAL PARK, SUITE 302, WHEELING, WV 260036392 (Tel: 3042426373)

👤

Provider Name / Credentials Updated February 15, 2011

Recorded as DEREK ANDREINI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2011

Orthopaedic Surgery (License #13314 in WV)

🟢

Initial NPI Registration & Enumeration August 21, 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: 1235244898

Entity Type:

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

Enumeration Date: August 21, 2006

Last Update: June 12, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Medical Park, Suite 703

Wheeling, WV 26003

Phone: 3042426373

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.