Dr. Tristan Andrew Altbuch , MD
Orthopaedic Surgery • Gainesville, FL
4500 W Newberry Rd
Gainesville, FL 326072245
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Tristan Altbuch is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on June 7, 2007; this date does not establish years in practice.
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Published CMS data list 16,291 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1010 — Injection, methylprednisolone acetate, 1 mg: 11,080 service units.
- J3304 — Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg: 1,728 service units.
- J7329 — Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg: 1,150 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
See all 24 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 659 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tramadol Hcl — 145 prescription fills, including refills.
- Oxycodone Hcl — 110 prescription fills, including refills.
- Amoxicillin — 68 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 14 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery in Gainesville, FL (2024, 32 clinicians with data). Median for this group: 378. Middle half: 226 to 3,013.
More Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: 1,648. Middle half: 432 to 4,712.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,345 in 2020 to 16,291 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4500 W Newberry Rd
Gainesville, FL 326072245
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 3 distinct group names: Cora Health Services Inc; Lake Area Physical Therapy Inc.; The Orthopaedic Institute, Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2007
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
703 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $388,702 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $298,721 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
659 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$6,706 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $511.33 across 13 records.
By nature of payment
- Food and Beverage: $511.33 across 13 records.
Reporting-company totals (3 largest of 6)
- Smith+Nephew, Inc.: $197.16 across 3 records.
- Stryker Corporation: $185.44 across 6 records.
- ORTHALIGN INC: $73.49 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Altbuch has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Altbuch as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gainesville and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery in Gainesville, FL (2024, 32 clinicians with data). Median for this group: 378. Middle half: 226 to 3,013.
More Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: 1,648. Middle half: 432 to 4,712.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Orthopaedic Surgery in Gainesville, FL (2024, 32 clinicians with data). Median for this group: $44,780. Middle half: $18,023 to $166,692.
A higher Medicare-allowed amount than 85% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: $111,234. Middle half: $38,225 to $238,999.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Orthopaedic Surgery in Gainesville, FL (2024, 32 clinicians with data). Median for this group: $33,347. Middle half: $12,732 to $126,030.
A higher Medicare payment amount than 85% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: $83,613. Middle half: $27,846 to $181,468.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Orthopaedic Surgery in Gainesville, FL (2024, 25 clinicians with data). Median for this group: 176. Middle half: 39 to 309.
More Part D prescriptions than 75% of clinicians listed under Orthopaedic Surgery in Florida (2024, 886 clinicians with data). Median for this group: 263. Middle half: 82 to 561.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Orthopaedic Surgery in Gainesville, FL (2024, 25 clinicians with data). Median for this group: $1,576. Middle half: $296 to $3,073.
A higher Part D drug cost than 75% of clinicians listed under Orthopaedic Surgery in Florida (2024, 886 clinicians with data). Median for this group: $2,152. Middle half: $610 to $6,138.
59 active clinicians are listed under Orthopaedic Surgery with a practice address in Gainesville, FL (1,473 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gainesville
6.8% of these 59 clinicians have the CMS telehealth indicator.
35.6% of these 59 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 595% from 2,345 in 2020 to 16,291 in 2024.
- 2020: 2,345
- 2021: 5,750
- 2022: 6,378
- 2023: 6,084
- 2024: 16,291
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Medicare-allowed amount
Medicare-allowed amount increased 27% from $305,396 in 2020 to $388,702 in 2024.
- 2020: $305,396
- 2021: $433,953
- 2022: $446,460
- 2023: $397,567
- 2024: $388,702
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Paid by Medicare
Paid by Medicare increased 27% from $234,583 in 2020 to $298,721 in 2024.
- 2020: $234,583
- 2021: $336,739
- 2022: $337,781
- 2023: $301,971
- 2024: $298,721
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 103% from 325 in 2020 to 659 in 2024.
- 2020: 325
- 2021: 403
- 2022: 395
- 2023: 523
- 2024: 659
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30-day fills
30-day fills increased 100% from 330 in 2020 to 659 in 2024.
- 2020: 330
- 2021: 404
- 2022: 398
- 2023: 525
- 2024: 659
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Part D drug cost
Part D drug cost increased 60% from $4,181 in 2020 to $6,706 in 2024.
- 2020: $4,181
- 2021: $4,753
- 2022: $4,811
- 2023: $5,619
- 2024: $6,706
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 59% from $1,238.76 in 2021 to $511.33 in 2025.
- 2021: $1,238.76
- 2022: $1,595.94
- 2023: $1,220.36
- 2024: $396.05
- 2025: $511.33
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 13 records totaling $511.33.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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TRIGEN INTERTAN | General | $132.50 |
| ORTHALIGN INC |
Food and Beverage
In-kind items and services
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ORTHALIGN PLUS | General | $73.49 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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MAKO | General | $63.21 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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ICONIX | General | $42.57 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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— | General | $38.98 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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ICONIX | General | $35.04 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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NovoStitch | General | $25.68 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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MONOVISC | General | $20.71 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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MAKO | General | $19.81 |
| CGG Medical Inc |
Food and Beverage
In-kind items and services
|
— | General | $18.98 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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— | General | $17.31 |
| Pacira Pharmaceuticals Incorporated |
Food and Beverage
In-kind items and services
|
Exparel | General | $15.55 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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1788 | General | $7.50 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1010
Injection, methylprednisolone acetate, 1 mg
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11,080 | 123 | $0.39 | $0.13 |
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J3304
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
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1,728 | 27 | $57.00 | $17.36 |
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J7329
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg
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1,150 | 17 | $29.01 | $7.31 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
651 | 501 | $220.00 | $91.29 |
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73564
X-ray of knee, 4 or more views
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277 | 213 | $137.00 | $46.01 |
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73030
X-ray of shoulder, minimum of 2 views
|
241 | 182 | $107.00 | $33.86 |
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20610
Aspiration and/or injection of fluid from large joint
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213 | 143 | $214.23 | $72.49 |
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73502
X-ray of hip, 2-3 views
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176 | 149 | $123.00 | $46.43 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
164 | 151 | $325.00 | $128.41 |
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73562
X-ray of knee, 3 views
|
150 | 106 | $106.00 | $39.90 |
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J1030
Injection, methylprednisolone acetate, 40 mg
|
80 | 34 | $21.00 | $6.33 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
74 | 74 | $328.00 | $112.66 |
|
27447
Replacement of knee joint, both sides of knee
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70 | 66 | $6140.50 | $1333.39 |
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20611
Aspiration and/or injection of fluid large joint using ultrasound guidance
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62 | 60 | $305.85 | $102.12 |
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23472
Prosthetic repair of shoulder joint, total shoulder
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27 | 27 | $5611.00 | $1470.84 |
|
27130
Replacement of thigh bone and hip joint with prosthesis
|
22 | 22 | $6068.00 | $1346.64 |
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29826
Shaving of part of shoulder bone and repair of ligament using an endoscope
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20 | 20 | $980.00 | $179.43 |
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29827
Repair of shoulder rotator cuff using an endoscope
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20 | 20 | $4600.00 | $1076.41 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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20 | 20 | $501.00 | $168.66 |
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73080
X-ray of elbow, minimum of 3 views
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16 | 14 | $97.00 | $32.12 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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15 | 14 | $320.00 | $119.55 |
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29823
Removal of extensive shoulder joint tissue using an endoscope
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12 | 12 | $3051.00 | $163.68 |
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29881
Removal of knee cartilage using an endoscope
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12 | 12 | $1700.00 | $567.58 |
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73521
X-ray of both hips, 2 views
|
11 | 11 | $111.00 | $40.28 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 145 | 1,396 | $439.39 | 113 |
| Oxycodone Hcl | Oxycodone Hcl | 110 | 692 | $722.82 | 108 |
| Amoxicillin | Amoxicillin | 68 | 70 | $87.84 | 39 |
| Celecoxib | Celecoxib | 68 | 2,025 | $3,071.59 | 58 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 61 | 386 | $862.24 | 60 |
| Tamsulosin Hcl | Tamsulosin Hcl | 44 | 595 | $97.59 | 42 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 39 | 259 | $261.83 | 35 |
| Mupirocin | Mupirocin | 27 | 525 | $238.98 | 27 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 24 | 144 | $72.60 | 20 |
| Diclofenac Sodium | Diclofenac Sodium | 18 | 443 | $433.71 | 18 |
| Ondansetron Odt | Ondansetron | 17 | 108 | $153.17 | 17 |
| Meloxicam | Meloxicam | 14 | 405 | $28.84 | 12 |
| Minocycline Hcl | Minocycline Hcl | 13 | 199 | $185.97 | — |
| Ondansetron Hcl | Ondansetron Hcl | 11 | 73 | $48.97 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20130729000819
FL
5496902538
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Cora Health Services Inc
2953 Traverse Trl, The Villages, FL 321632017
Phone: 3526933378
Lake Area Physical Therapy Inc.
Po Box, Melrose, FL 326661099
Lake Area Physical Therapy Inc.
Po Box, Melrose, FL 326661099
Lake Area Physical Therapy Inc.
Po Box, Melrose, FL 326661099
Lake Area Physical Therapy Inc.
Po Box, Melrose, FL 326661099
The Orthopaedic Institute, Pa
146 Sw Orthopedic Ct, Lake City, FL 320240672
Phone: 3867559215
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Pain Medicine - Interventional Pain Medicine
Doctor of Medicine (M.D.)
Occupational Therapist
Occupational Therapist
Internal Medicine - Sports Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Career & Practice History
NPI enumerated June 07, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Gainesville
- Dr. Rull James Toussaint, MD
- Dr. Michael Talerico, MD
- Dr. Jennifer Hagen, MD, MS
- Dr. Jessica Mcquerry, MD
- Dr. Miqi Wang, MD
- Dr. Matthew Crozier, MD
Mailing Address
4500 W Newberry Rd
Gainesville, FL 326072245
Phone: 3523366000