Active NPI 1871546507 Individual Practitioner Male Practitioner

Dr. James David Kuplic , MD

Orthopaedic Surgery • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Kuplic, MD is a certified Orthopaedic Surgery practicing in Appleton, WI. With approximately 35 years of clinical experience since graduating from Washington University School Of Medicine in 1991, Dr. Kuplic delivers high-quality medical care to the local community at 2105 E ENTERPRISE AVE.

Dr. Kuplic is affiliated with Orthopedic And Sports Institute Of The Fox Valley S C and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established 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

2105 E Enterprise Ave

Appleton, WI 549137862

Telephone 9205601000

Fax 9207316732

Associated Practice Facility / Clinic

🏢 Valley Orthopedic Clinic Sc Facility NPI 1780628925

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Appleton, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +10.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

32 Specialists

Practicing in Appleton, WI (688 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kuplic (35 Years) 35 Yrs

Appleton Specialty Average (25.0 Years) 25.0 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	817	66	$5.60	$0.98
20610 Aspiration and/or injection of fluid from large joint	94	60	$514.71	$66.80
99213 Established patient office or other outpatient visit, typically 15 minutes	77	65	$194.36	$85.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	51	$152.78	$52.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$278.33	$120.22
73564 X-ray of knee, 4 or more views	50	38	$305.92	$44.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$426.50	$155.98
73560 X-ray of knee, 1-2 views	34	30	$230.94	$30.18
27447 Replacement of knee joint, both sides of knee	32	30	$12428.81	$1168.93
73502 X-ray of hip, 2-3 views	31	25	$274.65	$44.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$297.69	$101.19
73030 X-ray of shoulder, minimum of 2 views	12	12	$309.00	$32.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	739	65	$3.76	$1.08
20610 Aspiration and/or injection of fluid from large joint	87	65	$488.62	$66.93
99213 Established patient office or other outpatient visit, typically 15 minutes	76	67	$186.00	$84.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	68	$269.28	$120.53
73560 X-ray of knee, 1-2 views	46	37	$212.09	$30.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$412.00	$156.13
73564 X-ray of knee, 4 or more views	39	31	$295.00	$44.47
73502 X-ray of hip, 2-3 views	37	35	$263.00	$44.68
27447 Replacement of knee joint, both sides of knee	29	28	$11538.00	$1144.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$146.00	$53.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$289.00	$104.91
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$15460.00	$1165.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	572	49	$2.50	$1.12
20610 Aspiration and/or injection of fluid from large joint	87	59	$497.59	$64.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	60	$269.00	$119.49
99213 Established patient office or other outpatient visit, typically 15 minutes	52	45	$186.00	$82.83
73502 X-ray of hip, 2-3 views	43	43	$263.00	$45.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$412.00	$154.19
27447 Replacement of knee joint, both sides of knee	33	31	$11538.00	$1177.37
73564 X-ray of knee, 4 or more views	32	27	$295.00	$44.58
73560 X-ray of knee, 1-2 views	29	25	$222.00	$32.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$146.00	$53.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$289.00	$105.81
J1040 Injection, methylprednisolone acetate, 80 mg	18	13	$21.00	$11.53
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$15460.00	$1139.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	99	58	$21.00	$10.66
20610 Aspiration and/or injection of fluid from large joint	98	68	$457.65	$63.70
99213 Established patient office or other outpatient visit, typically 15 minutes	80	68	$186.00	$86.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	64	$269.00	$121.77
73564 X-ray of knee, 4 or more views	46	36	$295.00	$44.04
73560 X-ray of knee, 1-2 views	36	30	$217.78	$30.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$289.00	$107.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$412.00	$160.15
73502 X-ray of hip, 2-3 views	32	29	$263.00	$44.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$146.00	$53.87
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$15460.00	$1197.50
J1030 Injection, methylprednisolone acetate, 40 mg	18	15	$10.00	$5.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$453.00	$173.50
27447 Replacement of knee joint, both sides of knee	15	15	$12307.20	$1236.19
73562 X-ray of knee, 3 views	13	11	$250.00	$38.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	84	$186.00	$72.12
20610 Aspiration and/or injection of fluid from large joint	77	57	$445.71	$61.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$289.00	$103.35
J1040 Injection, methylprednisolone acetate, 80 mg	72	45	$21.00	$11.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	55	$146.00	$43.27
73502 X-ray of hip, 2-3 views	48	38	$263.00	$43.47
73564 X-ray of knee, 4 or more views	35	28	$295.00	$42.03
27447 Replacement of knee joint, both sides of knee	34	31	$12216.71	$1321.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$269.00	$104.81
73560 X-ray of knee, 1-2 views	22	21	$222.00	$32.04
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$15460.00	$1284.17
J1030 Injection, methylprednisolone acetate, 40 mg	16	12	$10.00	$6.08
73721 Mri scan of leg joint without contrast	13	13	$3894.00	$154.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	80	$186.00	$71.03
20610 Aspiration and/or injection of fluid from large joint	91	69	$480.00	$62.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$289.00	$102.16
J1040 Injection, methylprednisolone acetate, 80 mg	84	50	$21.00	$12.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	65	$146.00	$43.12
73502 X-ray of hip, 2-3 views	38	34	$263.00	$41.08
73560 X-ray of knee, 1-2 views	37	30	$209.68	$28.97
73564 X-ray of knee, 4 or more views	33	28	$295.00	$39.71
J1030 Injection, methylprednisolone acetate, 40 mg	21	16	$10.00	$6.22
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$15460.00	$1272.17
27447 Replacement of knee joint, both sides of knee	20	20	$11682.25	$1271.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$269.00	$104.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	90	67	$433.33	$55.85
99213 Established patient office or other outpatient visit, typically 15 minutes	88	72	$181.00	$65.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	65	$142.00	$39.38
J1040 Injection, methylprednisolone acetate, 80 mg	72	50	$21.00	$12.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$281.00	$95.01
73560 X-ray of knee, 1-2 views	36	21	$211.64	$26.51
73502 X-ray of hip, 2-3 views	33	27	$249.64	$35.02
27447 Replacement of knee joint, both sides of knee	30	26	$11538.00	$1177.38
73564 X-ray of knee, 4 or more views	25	20	$295.00	$35.53
J1030 Injection, methylprednisolone acetate, 40 mg	23	17	$10.00	$6.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	77	$137.00	$40.39
20610 Aspiration and/or injection of fluid from large joint	88	72	$426.14	$58.16
99213 Established patient office or other outpatient visit, typically 15 minutes	78	69	$174.00	$67.93
J1040 Injection, methylprednisolone acetate, 80 mg	75	58	$20.00	$10.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$270.00	$97.64
73564 X-ray of knee, 4 or more views	41	34	$284.00	$36.74
73560 X-ray of knee, 1-2 views	33	26	$213.00	$28.46
73502 X-ray of hip, 2-3 views	28	23	$237.86	$36.04
27447 Replacement of knee joint, both sides of knee	17	16	$11746.59	$1279.17
J1030 Injection, methylprednisolone acetate, 40 mg	16	13	$10.00	$5.82
27130 Replacement of thigh bone and hip joint with prosthesis	13	12	$14865.00	$1243.12

Medical Specialties & State Licenses

CMS Verified: 2024-12-19

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 37759

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

32242000 (WI)

Hospital & Practice Group Affiliations

Orthopedic And Sports Institute Of The Fox Valley S C

212 E Green Bay St, Shawano, WI 541662472

Phone: 9205601000

Secondary Practice Locations

212 E Green Bay St Ste B

Shawano, WI 541662472

Phone: 9205601000

Practice Associates & Co-Workers

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

21 Associated Practitioners

Chandler Riem

Physical Therapist

NPI 1003587536

Lyndsey Maves , PA-C

Physician Assistant

NPI 1073597761

Physician Assistant (Certified)

Kristine Clark , OTC

Specialist/Technologist, Other

NPI 1073795506

Sheryl Gauthier , PA-C

Physician Assistant

NPI 1114231974

Physician Assistant (Certified)

Kim Willison , APNP

Nurse Practitioner - Adult Health

NPI 1225080955

Advanced Practice Nurse Prescriber

Dr. Todd Schubkegel , MD

Orthopaedic Surgery

NPI 1225291453

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address December 19, 2024

Registered at 2105 E ENTERPRISE AVE, APPLETON, WI 549137862 (Tel: 9205601000)

👤

Provider Name / Credentials Updated December 19, 2024

Recorded as JAMES KUPLIC, MD

📍

Updated Practice Location March 15, 2023

Registered at 2105 E ENTERPRISE AVE, APPLETON, WI 549137862 (Tel: 9207316611)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2105 E ENTERPRISE AVE, STE 111, APPLETON, WI 54913 (Tel: 9207316611)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2105 E ENTERPRISE AVE, STE 111, APPLETON, WI 54913 (Tel: 9207316611)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES KUPLIC, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #37759 in WI)

🟢

Initial NPI Registration & Enumeration May 17, 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: 1871546507

Entity Type:

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

Enumeration Date: May 17, 2006

Last Update: December 19, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2105 E Enterprise Ave

Appleton, WI 549137862

Phone: 9205601000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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