Active NPI 1295899987 Individual Practitioner Male Practitioner

Dr. David R Jones , MD

Orthopaedic Surgery • Berlin, WI

Professional Overview & Biography Verified Profile Summary

Dr. David Jones, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Berlin, WI. Practice services are available at 191 MEMORIAL DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, 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

191 Memorial Dr
Suite 100

Berlin, WI 549231241

Telephone 9203612500

Fax 9203612973

Associated Practice Facility / Clinic

🏢 Central Wisconsin Orthopedics And Sports Medicine Facility NPI 1922143858

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Berlin, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Berlin, WI (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	43	$235.72	$87.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$347.96	$121.04
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	34	16	$13.19	$6.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$489.58	$160.15
73560 X-ray of knee, 1-2 views	27	22	$302.17	$38.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$142.12	$53.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$323.33	$107.01
73562 X-ray of knee, 3 views	16	16	$322.94	$41.12
73030 X-ray of shoulder, minimum of 2 views	12	12	$250.83	$32.03

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	88	56	$136.08	$43.43
99213 Established patient office or other outpatient visit, typically 15 minutes	85	61	$225.72	$71.31
73560 X-ray of knee, 1-2 views	41	33	$252.25	$35.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$315.85	$103.31
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	30	15	$12.87	$6.69
73562 X-ray of knee, 3 views	27	27	$296.28	$42.35
73030 X-ray of shoulder, minimum of 2 views	21	14	$242.82	$34.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$334.58	$104.89
20610 Aspiration and/or injection of fluid from large joint	18	18	$398.41	$59.27
36415 Insertion of needle into vein for collection of blood sample	11	11	$15.00	$3.00

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	186	102	$125.45	$42.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$307.64	$101.88
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	77	34	$12.49	$6.65
99213 Established patient office or other outpatient visit, typically 15 minutes	64	58	$207.44	$68.67
73100 X-ray of wrist, 2 views	45	15	$168.00	$30.38
73560 X-ray of knee, 1-2 views	44	34	$218.48	$36.81
73030 X-ray of shoulder, minimum of 2 views	36	22	$188.78	$29.27
20610 Aspiration and/or injection of fluid from large joint	31	27	$290.11	$56.76
72100 X-ray of lower and sacral spine, 2-3 views	29	26	$182.83	$28.50
73562 X-ray of knee, 3 views	28	28	$257.56	$44.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$308.70	$101.16
73502 X-ray of hip, 2-3 views	26	23	$224.30	$39.31
36415 Insertion of needle into vein for collection of blood sample	22	18	$12.00	$2.94
73600 X-ray of ankle, 2 views	16	12	$185.88	$33.00
20985 Computer-assisted surgery for muscle and bone procedure	16	15	$693.03	$137.11
27447 Replacement of knee joint, both sides of knee	14	13	$6590.41	$1270.57
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$6550.82	$1271.25

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	231	126	$120.00	$41.64
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	94	47	$12.00	$7.18
99213 Established patient office or other outpatient visit, typically 15 minutes	76	68	$199.00	$68.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$294.00	$102.41
73560 X-ray of knee, 1-2 views	53	43	$212.70	$36.09
73562 X-ray of knee, 3 views	48	48	$220.52	$38.22
20610 Aspiration and/or injection of fluid from large joint	47	43	$278.00	$57.03
73502 X-ray of hip, 2-3 views	37	35	$204.76	$36.95
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$204.00	$71.06
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$176.50	$28.66
36415 Insertion of needle into vein for collection of blood sample	30	27	$11.96	$2.94
73030 X-ray of shoulder, minimum of 2 views	29	23	$181.28	$28.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$295.00	$101.64
20985 Computer-assisted surgery for muscle and bone procedure	20	20	$662.00	$137.42
27447 Replacement of knee joint, both sides of knee	20	20	$6298.00	$1271.73
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$5683.00	$1154.58

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	285	160	$116.00	$41.48
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	110	49	$11.00	$6.75
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$198.00	$71.42
99213 Established patient office or other outpatient visit, typically 15 minutes	64	58	$193.00	$70.02
20610 Aspiration and/or injection of fluid from large joint	53	48	$272.04	$57.77
73562 X-ray of knee, 3 views	51	48	$254.02	$37.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$285.00	$102.89
73030 X-ray of shoulder, minimum of 2 views	40	35	$200.00	$27.67
72100 X-ray of lower and sacral spine, 2-3 views	33	32	$260.18	$32.49
73502 X-ray of hip, 2-3 views	33	30	$324.91	$39.65
36415 Insertion of needle into vein for collection of blood sample	30	24	$10.69	$2.94
73560 X-ray of knee, 1-2 views	26	19	$238.46	$35.05
73100 X-ray of wrist, 2 views	23	12	$175.04	$26.42
73120 X-ray of hand, 2 views	21	14	$135.24	$23.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$286.00	$103.03
20985 Computer-assisted surgery for muscle and bone procedure	17	16	$618.00	$138.89
27447 Replacement of knee joint, both sides of knee	16	15	$6057.00	$1281.10
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	12	$52.25	$10.45
27130 Replacement of thigh bone and hip joint with prosthesis	12	11	$6027.00	$1281.66

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 22113

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

30505000 (WI)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Remigio Milan , PA

Physician Assistant

NPI 1114077708

Physician Assistant

Dr. Robert Brooks , DO

Orthopaedic Surgery

NPI 1619472834

Doctor of Osteopathic Medicine (D.O.)

Emily Strahota , PA-C

Physician Assistant

NPI 1639554173

Physician Assistant (Certified)

Victoria Cross , APNP

Nurse Practitioner - Family

NPI 1902807803

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 11, 2015

Registered at 191 MEMORIAL DR, SUITE 100, BERLIN, WI 549231241 (Tel: 9203612500)

📍

Updated Business Mailing Address February 11, 2015

Registered at 191 MEMORIAL DR, SUITE 100, BERLIN, WI 549231241 (Tel: 9203612500)

👤

Provider Name / Credentials Updated February 11, 2015

Recorded as DAVID JONES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2015

Orthopaedic Surgery (License #22113 in WI)

🟢

Initial NPI Registration & Enumeration December 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. David Jones. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295899987

Entity Type:

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

Enumeration Date: December 20, 2006

Last Update: February 11, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

191 Memorial Dr, Suite 100

Berlin, WI 549231241

Phone: 9203612500

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.