Active NPI 1235133257 Individual Practitioner Male Practitioner

Dr. James E Cain , MD

Orthopaedic Surgery • Glendale, WI

Professional Overview & Biography Verified Profile Summary

Dr. James Cain, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Glendale, WI. Practice services are available at 525 WEST RIVER WOODS PARKWAY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views, 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

525 West River Woods Parkway
Suite 130

Glendale, WI 53212

Telephone 4149610304

Fax 4149612061

Associated Practice Facility / Clinic

🏢 Orthopaedic Consultants, Llp Facility NPI 1003848318

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Glendale, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.7 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

18 Specialists

Practicing in Glendale, WI (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.7% 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 (2020)

Reporting Year:

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	117	76	$166.84	$43.30
99213 Established patient office or other outpatient visit, typically 15 minutes	95	73	$272.85	$70.57
72100 X-ray of lower and sacral spine, 2-3 views	74	65	$221.00	$36.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$416.00	$103.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$394.96	$102.64
72040 X-ray of upper spine, 2-3 views	13	13	$216.00	$36.52

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	149	105	$160.44	$42.42
72100 X-ray of lower and sacral spine, 2-3 views	100	92	$221.00	$35.38
99213 Established patient office or other outpatient visit, typically 15 minutes	87	66	$257.46	$69.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$401.72	$102.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	50	$401.31	$103.19
72040 X-ray of upper spine, 2-3 views	20	20	$216.00	$35.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	88	$243.11	$66.93
72100 X-ray of lower and sacral spine, 2-3 views	90	69	$219.80	$33.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	59	$146.53	$39.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	49	$374.09	$99.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$377.38	$98.87
72040 X-ray of upper spine, 2-3 views	12	11	$211.50	$28.19

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	195	127	$131.23	$38.14
72100 X-ray of lower and sacral spine, 2-3 views	129	104	$194.00	$31.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	98	$230.26	$96.82
99213 Established patient office or other outpatient visit, typically 15 minutes	70	65	$168.51	$65.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$205.61	$96.38
72040 X-ray of upper spine, 2-3 views	25	25	$189.00	$29.00
72110 X-ray of lower and sacral spine, minimum of 4 views	21	20	$281.00	$44.37
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	16	16	$16323.38	$934.36
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$162.00	$67.84
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$72.00	$18.48

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 33238

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 - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License WI 33238

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License UT 7792214-1205

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

31838000 (WI)

Commercial Insurance / Payer ID Railroad Medicare

200017747

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Thomas Huizenga , MD

Orthopaedic Surgery

NPI 1013932615

Doctor of Medicine (M.D.)

Kayla Ortiz , APNP

Nurse Practitioner - Family

NPI 1114727856

Advanced Practice Nurse Prescriber

Dr. Donald Middleton , MD

Orthopaedic Surgery

NPI 1235190364

Doctor of Medicine (M.D.)

Marion Gailey , PA-C

Physician Assistant

NPI 1265885156

Physician Assistant (Certified)

Dr. Mark Aschliman , MD

Orthopaedic Surgery

NPI 1285695395

Doctor of Medicine (M.D.)

Patricia Jones Cooper , NP

Nurse Practitioner - Family

NPI 1558527200

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 18, 2018

Registered at 525 WEST RIVER WOODS PARKWAY, SUITE 130, GLENDALE, WI 53212 (Tel: 4149610304)

📍

Updated Business Mailing Address July 18, 2018

Registered at 525 WEST RIVER WOODS PARKWAY, SUITE 130, GLENDALE, WI 532121058 (Tel: 4149610304)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2018

Orthopaedic Surgery (License #33238 in WI)

✅

NPI Profile Active April 22, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2011

Registered at 575 W RIVER WOODS PKWY, SUITE 100, GLENDALE, WI 532121003 (Tel: 4143326262)

📍

Updated Business Mailing Address April 22, 2011

Registered at 575 W RIVER WOODS PKWY, SUITE 100, GLENDALE, WI 532121003 (Tel: 4143326262)

👤

Provider Name / Credentials Updated April 22, 2011

Recorded as JAMES CAIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2011

Orthopaedic Surgery (License #33238 in WI)

🟢

Initial NPI Registration & Enumeration June 08, 2005

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: 1235133257

Entity Type:

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

Enumeration Date: June 08, 2005

Last Update: July 18, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

525 West River Woods Parkway, Suite 130

Glendale, WI 532121058

Phone: 4149610304

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.