Active NPI 1033217864 Individual Practitioner Male Practitioner

Dr. David J Simenstad , MD

Orthopaedic Surgery • Marshfield, WI

Professional Overview & Biography Verified Profile Summary

Dr. David Simenstad, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Marshfield, WI. Practice services are available at 1000 N OAK AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, replacement of knee joint, both sides of knee, 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

1000 N Oak Ave

Marshfield, WI 544495703

Telephone 7153875511

Associated Practice Facility / Clinic

🏢 Marshfield Clinic Inc Facility NPI 1952347981

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Marshfield, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

12 Specialists

Practicing in Marshfield, WI (688 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.4% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$383.72	$93.12
27447 Replacement of knee joint, both sides of knee	34	32	$14889.00	$1185.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$493.83	$126.51
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$224.97	$62.95
27130 Replacement of thigh bone and hip joint with prosthesis	22	20	$14893.00	$1186.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$457.06	$128.97
99213 Established patient office or other outpatient visit, typically 15 minutes	68	66	$171.42	$64.23
27447 Replacement of knee joint, both sides of knee	45	42	$13915.00	$1196.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$296.66	$94.78
20610 Aspiration and/or injection of fluid from large joint	33	29	$740.80	$50.08
27130 Replacement of thigh bone and hip joint with prosthesis	29	28	$13919.00	$1193.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$318.56	$79.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$124.96	$34.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	96	$176.97	$64.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	66	$275.07	$96.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$325.55	$80.09
27447 Replacement of knee joint, both sides of knee	50	48	$13380.00	$1207.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$409.31	$130.63
20610 Aspiration and/or injection of fluid from large joint	35	34	$675.43	$49.85
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$13384.00	$1208.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$104.78	$34.80
20985 Computer-assisted surgery for muscle and bone procedure	15	15	$1454.00	$135.54
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$104.78	$34.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$242.50	$71.87
99213 Established patient office or other outpatient visit, typically 15 minutes	62	59	$146.08	$49.07
20985 Computer-assisted surgery for muscle and bone procedure	36	33	$1415.11	$134.32
27447 Replacement of knee joint, both sides of knee	35	32	$13026.86	$1245.31
20610 Aspiration and/or injection of fluid from large joint	24	20	$524.26	$47.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$221.53	$76.31
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$12997.75	$1283.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$104.13	$23.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$231.81	$71.15
99213 Established patient office or other outpatient visit, typically 15 minutes	85	79	$141.55	$48.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	43	$210.60	$76.60
27447 Replacement of knee joint, both sides of knee	45	42	$12429.09	$1289.40
20985 Computer-assisted surgery for muscle and bone procedure	44	41	$1350.80	$139.17
20610 Aspiration and/or injection of fluid from large joint	35	33	$503.70	$49.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	23	$97.37	$24.67
27130 Replacement of thigh bone and hip joint with prosthesis	27	23	$12346.81	$1245.23
29881 Removal of knee cartilage using an endoscope	13	12	$4972.38	$517.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$225.39	$71.42
99213 Established patient office or other outpatient visit, typically 15 minutes	51	49	$135.75	$48.17
99213 Established patient office or other outpatient visit, typically 15 minutes	46	45	$178.10	$70.12
27447 Replacement of knee joint, both sides of knee	43	42	$12034.84	$1271.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$270.40	$102.35
20985 Computer-assisted surgery for muscle and bone procedure	41	40	$1307.10	$137.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$300.23	$97.93
20610 Aspiration and/or injection of fluid from large joint	22	20	$471.89	$47.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$208.20	$71.95
27130 Replacement of thigh bone and hip joint with prosthesis	22	22	$12128.16	$1171.67
J1040 Injection, methylprednisolone acetate, 80 mg	15	12	$40.20	$12.73
20610 Aspiration and/or injection of fluid from large joint	14	14	$602.29	$63.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$94.23	$24.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	102	$161.43	$69.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$265.15	$102.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	63	$246.14	$102.91
27447 Replacement of knee joint, both sides of knee	41	38	$11156.22	$1261.16
20985 Computer-assisted surgery for muscle and bone procedure	35	32	$1219.20	$134.92
20610 Aspiration and/or injection of fluid from large joint	31	29	$590.64	$61.82
J1040 Injection, methylprednisolone acetate, 80 mg	27	23	$33.71	$11.11
27130 Replacement of thigh bone and hip joint with prosthesis	24	24	$11164.06	$1281.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$112.06	$41.59
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$194.13	$71.35

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 35433

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

32050200 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Muhammad Maaz Zuberi , MBBS

Surgery - Vascular Surgery

NPI 1003307638

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Jonathan Cutlan , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1013030758

Doctor of Medicine (M.D.)

Dr. Michael Katsnelson , MD

Psychiatry & Neurology - Neurology

NPI 1013170067

Doctor of Medicine (M.D.)

Kimberly Badzinski , CDE

Nutritionist - Nutrition, Education

NPI 1013234780

Certified Diabetes Educator

Dr. James Nash , DO

Internal Medicine

NPI 1013323187

Doctor of Osteopathic Medicine (D.O.)

Dr. Tahir Khan , MBBS

Internal Medicine - Pulmonary Disease

NPI 1013328095

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 27, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 27, 2011

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495703 (Tel: 7153875511)

📍

Updated Business Mailing Address May 27, 2011

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495703 (Tel: 7153875511)

👤

Provider Name / Credentials Updated May 27, 2011

Recorded as DAVID SIMENSTAD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2011

Orthopaedic Surgery (License #35433 in WI)

🟢

Initial NPI Registration & Enumeration September 20, 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: 1033217864

Entity Type:

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

Enumeration Date: September 20, 2006

Last Update: May 27, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1000 N Oak Ave

Marshfield, WI 544495703

Phone: 7153875511

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.