Active NPI 1790742724 Individual Practitioner Male Practitioner

Dr. Derek J Orton , MD

Orthopaedic Surgery • Greenfield, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Orton, MD is a certified Orthopaedic Surgery practicing in Greenfield, WI. With approximately 26 years of clinical experience since graduating from Medical College Of Wisconsin in 2000, Dr. Orton delivers high-quality medical care to the local community at 9000 W SURA LN.

Dr. Orton maintains professional affiliations with Aurora Advanced Healthcare, Inc., Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9000 W Sura Ln

Greenfield, WI 532283477

Telephone 2623292225

Associated Practice Facility / Clinic

🏢 Aurora Surgery Centers, Llc Facility NPI 1659839686

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Greenfield, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -7.7 yrs vs City Avg

City Avg: 33.7 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Greenfield, WI (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Orton (26 Years) 26 Yrs

Greenfield Specialty Average (33.7 Years) 33.7 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	174	118	$350.00	$83.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$510.00	$103.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$515.00	$117.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$915.00	$152.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$755.00	$155.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	184	130	$330.00	$82.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$485.00	$102.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$497.74	$112.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$720.00	$155.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$875.00	$163.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	185	138	$313.00	$82.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$460.00	$103.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	156	$295.64	$83.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$430.00	$102.93
22614 Fusion of additional segment of spine	49	16	$5030.00	$348.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$210.00	$51.80
99221 Initial hospital inpatient care per day, typically 30 minutes	19	17	$395.00	$94.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$330.00	$55.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$435.00	$124.32
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$9810.00	$680.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	126	$281.00	$70.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$608.00	$155.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	47	$597.85	$136.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$416.00	$104.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$407.00	$103.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$200.00	$43.53
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$375.00	$97.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	128	$265.00	$69.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$582.00	$152.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	45	$575.80	$129.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$393.00	$104.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$389.00	$102.72
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$360.00	$95.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$307.00	$69.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$191.00	$43.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	162	$252.00	$69.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	117	$375.00	$101.72
99221 Initial hospital inpatient care per day, typically 30 minutes	44	42	$402.27	$94.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	44	$542.36	$135.91
22614 Fusion of additional segment of spine	37	11	$5807.43	$356.22
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	13	$3619.20	$193.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$292.00	$63.45
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$17493.21	$746.28
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	18	16	$4270.00	$231.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$374.00	$75.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	272	183	$240.00	$68.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	209	$360.28	$102.00
99221 Initial hospital inpatient care per day, typically 30 minutes	35	35	$380.00	$96.53
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$17083.95	$826.19
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	14	$6444.82	$240.57
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	15	$4056.00	$195.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$278.00	$69.44
20931 Donor bone graft for spine surgery	14	13	$1300.82	$103.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$530.50	$138.57

Medical Specialties & State Licenses

CMS Verified: 2024-04-01

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 49025

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 WI 49025

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

34841100 (WI)

Commercial Insurance / Payer ID Rr Medicare

P01114676 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

2900 W Oklahoma Ave, Milwaukee, WI 532154330

Phone: 4146496000

Aurora Medical Group, Inc.

709 Spring Valley Rd, Burlington, WI 531057614

Phone: 2627676020

Aurora Advanced Healthcare, Inc.

2424 S 90th St, West Allis, WI 532272455

Phone: 4143288750

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Aurora Advanced Healthcare, Inc.

3003 W Good Hope Rd, Milwaukee, WI 532092042

Phone: 4143523100

Aurora Advanced Healthcare, Inc.

8901 W Lincoln Ave, West Allis, WI 532272409

Phone: 4143295950

Secondary Practice Locations

2801 W Kinnickinnic River Pkwy, Suite 345

Milwaukee, WI 532153669

Phone: 4146497900

Practice Associates & Co-Workers

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

40 Associated Practitioners

Stephaney Bublitz , OTR, L

Occupational Therapist

NPI 1013589035

Occupational Therapist Registered, L

Dr. Amelia Neumann , PT, DPT

Physical Therapist

NPI 1033003777

Physical Therapist, Doctor of Physical Therapy

Madison Coady , PT

Physical Therapist

NPI 1043059017

Physical Therapist

Samantha Hilt

Pharmacist

NPI 1043840994

Laura Socha , OTR

Occupational Therapist

NPI 1053599605

Occupational Therapist Registered

Kelly Herbst-Frailing , MPT

Physical Therapist

NPI 1053889840

Master of Physical Therapy

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 01, 2024

Registered at 9000 W SURA LN, GREENFIELD, WI 532283477 (Tel: 2623292225)

📍

Updated Business Mailing Address April 01, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2021

Orthopaedic Surgery (License #49025 in WI)

✅

NPI Profile Active January 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2013

Registered at 2801 W KINNICKINNIC RIVER PKWY, SUITE 345, MILWAUKEE, WI 532153669 (Tel: 4146497900)

📍

Updated Business Mailing Address January 23, 2013

Registered at 3003 W GOOD HOPE RD, MILWAUKEE, WI 532092042 (Tel: 4143523100)

👤

Provider Name / Credentials Updated January 23, 2013

Recorded as DEREK ORTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2013

Orthopaedic Surgery (License #49025 in WI)

🟢

Initial NPI Registration & Enumeration April 26, 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. Derek Orton. 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: 1790742724

Entity Type:

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

Enumeration Date: April 26, 2006

Last Update: April 01, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.