Active NPI 1770788267 Individual Practitioner Male Practitioner

Dr. Douglas Randolph Arnold , MD

Orthopaedic Surgery • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Arnold, MD is a certified Orthopaedic Surgery practicing in Madison, WI. With approximately 19 years of clinical experience since graduating from University Of Florida College Of Medicine in 2007, Dr. Arnold delivers high-quality medical care to the local community at 1211 FISH HATCHERY RD.

Dr. Arnold is affiliated with Dean Health Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1211 Fish Hatchery Rd

Madison, WI 537151909

Telephone 6082528000

Fax 6082886490

Associated Practice Facility / Clinic

🏢 Dean Health Systems, Inc Facility NPI 1053358846

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Madison, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -0.6 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

106 Specialists

Practicing in Madison, WI (688 Statewide)

Telehealth Adoption Rate

10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Arnold (19 Years) 19 Yrs

Madison Specialty Average (19.6 Years) 19.6 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	168	35	$5.00	$0.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	41	$361.00	$121.02
20610 Aspiration and/or injection of fluid from large joint	44	38	$534.23	$60.82
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$256.00	$85.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$544.00	$156.50
73200 Ct scan of arm without contrast	19	19	$2085.00	$144.97
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$12378.00	$1306.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	212	41	$10.42	$1.09
99213 Established patient office or other outpatient visit, typically 15 minutes	72	56	$193.15	$86.49
20610 Aspiration and/or injection of fluid from large joint	44	35	$527.63	$65.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$314.42	$120.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$451.00	$123.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$502.14	$158.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$290.62	$106.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	462	75	$12.08	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	127	97	$185.57	$87.12
20610 Aspiration and/or injection of fluid from large joint	103	69	$442.62	$63.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$273.59	$107.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$275.79	$123.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$111.94	$54.06
27447 Replacement of knee joint, both sides of knee	17	15	$9218.65	$1192.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$469.00	$160.34
64721 Release and/or relocation of hand nerve	12	12	$2267.21	$413.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	369	68	$12.00	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	138	99	$181.43	$87.36
20610 Aspiration and/or injection of fluid from large joint	106	78	$432.96	$63.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$267.74	$108.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	41	$271.83	$125.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	27	$109.20	$54.48
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	29	12	$16.00	$6.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$461.88	$161.61
27447 Replacement of knee joint, both sides of knee	11	11	$8741.82	$1211.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	400	61	$34.37	$1.44
99213 Established patient office or other outpatient visit, typically 15 minutes	185	136	$196.50	$72.41
20610 Aspiration and/or injection of fluid from large joint	102	72	$374.70	$63.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$284.88	$102.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$250.72	$101.46
27447 Replacement of knee joint, both sides of knee	17	14	$8015.35	$1296.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$114.52	$44.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	405	70	$43.56	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	206	142	$195.67	$71.97
20610 Aspiration and/or injection of fluid from large joint	112	80	$298.11	$59.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$285.30	$103.31
27447 Replacement of knee joint, both sides of knee	17	16	$7738.87	$1289.40
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	16	13	$887.94	$873.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$429.52	$132.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	373	68	$42.59	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	207	141	$190.78	$69.70
20610 Aspiration and/or injection of fluid from large joint	100	79	$290.25	$59.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$278.67	$102.54
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	33	12	$69.04	$7.15
27447 Replacement of knee joint, both sides of knee	23	21	$6966.96	$718.74
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	14	11	$862.43	$511.37
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$7055.50	$814.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$421.04	$130.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	520	88	$42.25	$1.81
99213 Established patient office or other outpatient visit, typically 15 minutes	214	140	$182.95	$69.16
20610 Aspiration and/or injection of fluid from large joint	125	93	$270.71	$58.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$268.01	$102.82
27447 Replacement of knee joint, both sides of knee	11	11	$6798.95	$791.95

Medical Specialties & State Licenses

CMS Verified: 2023-08-02

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 52646-20

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1770788267 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

1211 Fish Hatchery Rd, Madison, WI 537151909

Phone: 6082528000

Secondary Practice Locations

2817 New Pinery Rd

Portage, WI 539010387

Phone: 6087456420

Practice Associates & Co-Workers

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

40 Associated Practitioners

Chandler Reinholtz , PT

Physical Therapist

NPI 1023787207

Physical Therapist

Dr. Yamil Arbaje , MD

Internal Medicine - Hematology & Oncology

NPI 1033162904

Doctor of Medicine (M.D.)

Ann Herrold-Peterson , LCSW

Social Worker - Clinical

NPI 1033175260

Licensed Clinical Social Worker

Dr. Katherine Moriarty , MD

Pediatrics

NPI 1043251440

Doctor of Medicine (M.D.)

Dr. Jason Isenberg , MD

Otolaryngology

NPI 1043262439

Doctor of Medicine (M.D.)

Jan Schubert , MA

Social Worker - Clinical

NPI 1043404692

Master of Arts

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 02, 2023

Registered at 1211 FISH HATCHERY RD, MADISON, WI 537151909 (Tel: 6082528000)

📍

Updated Business Mailing Address August 02, 2023

Registered at 1211 FISH HATCHERY RD, MADISON, WI 537151909 (Tel: 6082528000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2023

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active October 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2013

Registered at 2817 NEW PINERY RD, PORTAGE, WI 539010387 (Tel: 6087456420)

📍

Updated Business Mailing Address October 08, 2013

Registered at 2817 NEW PINERY RD, P.O. BOX 387, PORTAGE, WI 539010387 (Tel: 6087456420)

👤

Provider Name / Credentials Updated October 08, 2013

Recorded as DOUGLAS ARNOLD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2013

Orthopaedic Surgery (License #52646-20 in WI)

🟢

Initial NPI Registration & Enumeration June 15, 2007

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: 1770788267

Entity Type:

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

Enumeration Date: June 15, 2007

Last Update: August 02, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1211 Fish Hatchery Rd

Madison, WI 537151909

Phone: 6082528000

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.