Dr. E David Risch , MD
Orthopaedic Surgery • Palatka, FL
6500 Crill Ave, Suite 1
Palatka, FL 321776807
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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NPI assigned on May 31, 2005; this date does not establish years in practice.
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Published CMS data list 2,104 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- J1100 — Injection, dexamethasone sodium phosphate, 1 mg: 520 service units.
- 99214 — Established patient outpatient office visit: 451 service units.
- 96372 — Injection of drug or substance under skin or into muscle: 141 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 24 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 160 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Prednisone — 71 prescription fills, including refills.
- Meloxicam — 45 prescription fills, including refills.
- Diclofenac Sodium Er (Diclofenac Sodium) — 27 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 2,503 in 2017 to 2,104 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
6500 Crill Ave
Suite 1
Palatka, FL 321776807
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $73,395 in 2018
The total amount Medicare approved for these services in 2018. 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, 2018.
Paid by Medicare
About $52,395 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, 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, 2018.
30-day fills
222 standardized 30-day fills in 2018
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
$2,415 in 2018
The total cost of these prescriptions in 2018, 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, 2018.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2005
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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.
Compared with the same specialty in Palatka and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Risch are from 2018.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Risch are from 2018.
3 active clinicians are listed under Orthopaedic Surgery with a practice address in Palatka, FL (1,473 in Florida).
Addresses are self-reported to NPPES and may be out of date.
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 decreased 16% from 2,503 in 2017 to 2,104 in 2018.
- 2017: 2,503
- 2018: 2,104
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Medicare-allowed amount
Medicare-allowed amount decreased 17% from $88,279 in 2017 to $73,395 in 2018.
- 2017: $88,279
- 2018: $73,395
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Paid by Medicare
Paid by Medicare decreased 22% from $67,445 in 2017 to $52,395 in 2018.
- 2017: $67,445
- 2018: $52,395
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 54% from 349 in 2014 to 160 in 2018.
- 2014: 349
- 2015: 377
- 2016: 306
- 2017: 315
- 2018: 160
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30-day fills
30-day fills decreased 42% from 383 in 2014 to 222 in 2018.
- 2014: 383
- 2015: 425
- 2016: 391
- 2017: 420
- 2018: 222
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Part D drug cost
Part D drug cost decreased 27% from $3,324 in 2014 to $2,415 in 2018.
- 2014: $3,324
- 2015: $3,811
- 2016: $9,611
- 2017: $7,080
- 2018: $2,415
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2018), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 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, 2017–2018; 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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J1100
Injection, dexamethasone sodium phosphate, 1 mg
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520 | 68 | $5.63 | $0.11 |
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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
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451 | 317 | $160.34 | $101.39 |
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96372
Injection of drug or substance under skin or into muscle
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141 | 107 | $30.24 | $19.01 |
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J1030
Injection, methylprednisolone acetate, 40 mg
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130 | 67 | $15.00 | $6.24 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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129 | 66 | $15.00 | $1.77 |
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81003
Automated urinalysis test
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92 | 76 | $4.77 | $2.71 |
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20610
Aspiration and/or injection of fluid from large joint
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86 | 56 | $92.04 | $57.37 |
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J1885
Injection, ketorolac tromethamine, per 15 mg
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77 | 23 | $35.00 | $0.53 |
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87804
Detection test by immunoassay with direct visual observation for influenza virus
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68 | 34 | $23.50 | $16.22 |
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71046
X-ray of chest, 2 views
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64 | 56 | $45.00 | $28.23 |
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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
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53 | 47 | $108.65 | $68.69 |
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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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42 | 42 | $246.89 | $156.32 |
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J0696
Injection, ceftriaxone sodium, per 250 mg
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40 | 14 | $16.25 | $0.60 |
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73562
X-ray of knee, 3 views
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29 | 22 | $52.59 | $32.92 |
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94644
Inhalation treatment for acute airway obstruction, first hour
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28 | 27 | $66.02 | $41.16 |
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94664
Evaluation of use of breathing device
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26 | 26 | $25.41 | $15.84 |
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J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
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20 | 19 | $45.00 | $0.14 |
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72100
X-ray of lower and sacral spine, 2-3 views
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18 | 18 | $51.60 | $32.39 |
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73630
X-ray of foot, minimum of 3 views
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17 | 13 | $43.32 | $27.19 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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17 | 17 | $25.32 | $15.93 |
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73030
X-ray of shoulder, minimum of 2 views
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16 | 16 | $43.34 | $27.21 |
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20552
Injection of trigger points, 1-2 muscles
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14 | 13 | $83.07 | $50.51 |
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90471
Administration of vaccine
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13 | 13 | $30.24 | $19.01 |
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90714
Diphtheria and tetanus vaccine (7 years or older)
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13 | 13 | $34.62 | $23.09 |
Source: CMS Part B by Provider and Service, 2018; 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 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 71 | 2,503 | $544.21 | 32 |
| Meloxicam | Meloxicam | 45 | 2,430 | $300.64 | 24 |
| Diclofenac Sodium Er | Diclofenac Sodium | 27 | 959 | $648.85 | 11 |
| Celecoxib | Celecoxib | 17 | 690 | $921.63 | — |
Source: CMS Part D by Provider and Drug, 2018; 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.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Internal Medicine
Emergency Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPPES lists this NPI as deactivated as of August 21, 2018; the reason is not published.
Registered at 6500 CRILL AVE, SUITE 1, PALATKA, FL 321776807 (Tel: 3863289686)
Registered at PO BOX 1459, PALATKA, FL 321781459 (Tel: 3863289686)
Recorded as E RISCH, M.D.
Orthopaedic Surgery (license number reported to NPPES: FL ME39524)
Record officially reactivated for active practice on April 05, 2006
NPPES lists this NPI as deactivated as of March 20, 2006; the reason is not published.
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Palatka
Healthcare providers in PalatkaMailing Address
Po Box 1459
Palatka, FL 321781459
Phone: 3863289686