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Dr. Michael V. Cushing , MD

Orthopaedic Surgery โ€ข Newnan, GA

Active NPI 1285721274 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1755 Highway 34 E, Suite 220
Newnan, GA 302655631

Call 7705022175 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1755 Highway 34 E
Suite 220

Newnan, GA 302655631

Telephone 7705022175
Fax 7705022131
Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone
Southern Bone & Joint Ambulatory Surgical Center, Llc Facility NPI 1528166113

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 3 distinct group names: Georgia Bone And Joint, Llc; Laboratory Fitness Llc; Physiotherapy Associates Inc. 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

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1996

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.

Medicare patients

496 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

It gives a sense of how many people with Medicare this clinician treated that year.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $222,750 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $166,836 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 โ€“ by Provider and Service, 2024.

30-day fills

616 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

$3,272 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 โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $27,075.93 across 24 records.

By nature of payment

  • Consulting Fee: $25,700.00 across 10 records.
  • Food and Beverage: $1,131.04 across 11 records.
  • Travel and Lodging: $244.89 across 3 records.

Reporting-company totals (3 largest of 4)

  • Shoulder Innovations, Inc.: $26,471.83 across 16 records.
  • Arthrex, Inc.: $429.53 across 6 records.
  • EXACTECH, INC.: $165.74 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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

30 years (graduated 1996)

CMS Doctors and Clinicians data list 1996 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

2006

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Cushing 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Cushing 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.

Guide: What ordering and referring status means

Compared with the same specialty in Newnan and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Orthopaedic Surgery in Newnan, GA (2024, 12 clinicians with data). Median for this group: 3,966. Middle half: 2,415 to 6,178.

Close to the middle for clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: 2,112. Middle half: 682 to 5,937.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Orthopaedic Surgery in Newnan, GA (2024, 12 clinicians with data). Median for this group: $152,262. Middle half: $114,450 to $216,974.

A higher Medicare-allowed amount than 80% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: $96,431. Middle half: $41,948 to $181,444.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Orthopaedic Surgery in Newnan, GA (2024, 12 clinicians with data). Median for this group: $114,225. Middle half: $83,571 to $164,891.

A higher Medicare payment amount than 80% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: $71,995. Middle half: $31,204 to $136,115.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Orthopaedic Surgery in Newnan, GA (2024, 12 clinicians with data). Median for this group: 708. Middle half: 578 to 864.

More Part D prescriptions than 60% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 487 clinicians with data). Median for this group: 491. Middle half: 182 to 889.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Orthopaedic Surgery in Newnan, GA (2024, 12 clinicians with data). Median for this group: $3,813. Middle half: $3,012 to $7,514.

Close to the middle for clinicians listed under Orthopaedic Surgery in Georgia (2024, 487 clinicians with data). Median for this group: $3,700. Middle half: $1,125 to $8,077.

13 active clinicians are listed under Orthopaedic Surgery with a practice address in Newnan, GA (753 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newnan

15.4% of these 13 clinicians have the CMS telehealth indicator.

92.3% of these 13 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.

  • Medicare Part B services

    Medicare Part B services increased 15% from 2,588 in 2020 to 2,973 in 2024.

    • 2020: 2,588
    • 2021: 2,320
    • 2022: 2,630
    • 2023: 2,782
    • 2024: 2,973

  • Medicare-allowed amount

    Medicare-allowed amount increased 15% from $194,199 in 2020 to $222,750 in 2024.

    • 2020: $194,199
    • 2021: $192,191
    • 2022: $210,136
    • 2023: $191,580
    • 2024: $222,750

  • Paid by Medicare

    Paid by Medicare increased 13% from $147,535 in 2020 to $166,836 in 2024.

    • 2020: $147,535
    • 2021: $146,544
    • 2022: $158,779
    • 2023: $142,219
    • 2024: $166,836

  • Medicare Part D prescriptions

    Medicare Part D prescriptions increased 42% from 429 in 2020 to 611 in 2024.

    • 2020: 429
    • 2021: 463
    • 2022: 480
    • 2023: 511
    • 2024: 611

  • 30-day fills

    30-day fills increased 44% from 429 in 2020 to 616 in 2024.

    • 2020: 429
    • 2021: 466
    • 2022: 483
    • 2023: 517
    • 2024: 616

  • Part D drug cost

    Part D drug cost stayed about the same: $3,278 in 2020 and $3,272 in 2024.

    • 2020: $3,278
    • 2021: $2,739
    • 2022: $2,948
    • 2023: $3,397
    • 2024: $3,272

  • Industry payments (Open Payments)

    Industry payments (Open Payments) increased 476% from $4,702.00 in 2021 to $27,075.93 in 2025.

    • 2021: $4,702.00
    • 2022: $36.21
    • 2023: $5,266.87
    • 2024: $935.14
    • 2025: $27,075.93

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 ยท 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

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 24 records totaling $27,075.93.

Manufacturer Payment Nature Product Type Amount ($)
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $5,625.00
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $3,150.00
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $2,925.00
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $2,250.00
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $2,000.00
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $2,000.00
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $2,000.00
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $2,000.00
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $2,000.00
Shoulder Innovations, Inc.
Consulting Fee
Cash or cash equivalent
 InSet System General $1,750.00
Shoulder Innovations, Inc.
Food and Beverage
Cash or cash equivalent
 InSet System General $257.70
Shoulder Innovations, Inc.
Food and Beverage
Cash or cash equivalent
 InSet System General $193.48
EXACTECH, INC.
Food and Beverage
In-kind items and services
 EQUINOXE General $165.74
Arthrex, Inc.
Travel and Lodging
In-kind items and services
 โ€” General $160.89
Arthrex, Inc.
Food and Beverage
In-kind items and services
 โ€” General $145.96
Shoulder Innovations, Inc.
Food and Beverage
Cash or cash equivalent
 InSet System General $140.76
Shoulder Innovations, Inc.
Food and Beverage
Cash or cash equivalent
 InSet System General $95.89
Shoulder Innovations, Inc.
Travel and Lodging
Cash or cash equivalent
 InSet System General $42.00
Shoulder Innovations, Inc.
Travel and Lodging
Cash or cash equivalent
 InSet System General $42.00
Arthrex, Inc.
Food and Beverage
In-kind items and services
 โ€” General $34.92
Arthrex, Inc.
Food and Beverage
In-kind items and services
 โ€” General $34.92
Arthrex, Inc.
Food and Beverage
In-kind items and services
 โ€” General $26.42
Arthrex, Inc.
Food and Beverage
In-kind items and services
 โ€” General $26.42
Electronic Waveform Lab, Inc.
Food and Beverage
Cash or cash equivalent
 โ€” General $8.83

Source: CMS Open Payments, program year 2025, released June 30, 2026.

A reported payment does not necessarily indicate wrongdoing; clinicians can dispute a record with CMS.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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 โ€“ by Provider and Service data, 2017โ€“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
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
1,179 250 $20.00 $6.98
73030 X-ray of shoulder, minimum of 2 views
429 285 $107.00 $32.51
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
352 251 $216.00 $87.23
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
301 229 $342.30 $97.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
196 167 $314.00 $122.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
85 85 $258.00 $105.92
73221 Mri scan of arm joint without contrast
65 62 $1150.00 $135.31
20610 Aspiration and/or injection of fluid from large joint
60 27 $249.68 $67.42
72040 X-ray of upper spine, 2-3 views
44 44 $123.00 $36.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
36 36 $398.00 $160.86
23472 Prosthetic repair of shoulder joint, total shoulder
34 34 $5078.00 $1395.77
29827 Repair of shoulder rotator cuff using an endoscope
28 27 $10333.80 $1006.81
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
27 20 $104.00 $19.50
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope
25 25 $616.00 $160.11
73562 X-ray of knee, 3 views
25 21 $126.00 $37.85
97140 Therapy procedure using manual technique, each 15 minutes
23 18 $96.00 $18.61
73080 X-ray of elbow, minimum of 3 views
19 18 $100.00 $31.21
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
17 13 $120.00 $26.17
73200 Ct scan of arm without contrast
15 15 $824.00 $97.39
29824 Partial removal of collar bone at shoulder using an endoscope
13 13 $6537.20 $235.55

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 192 1,265 $1,178.42 137
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 185 1,003 $1,337.02 126
Meloxicam Meloxicam 62 2,010 $141.70 24
Tramadol Hcl Tramadol Hcl 57 438 $128.89 38
Methylprednisolone Methylprednisolone 42 252 $253.30 40
Amoxicillin Amoxicillin 22 26 $27.75 14
Clindamycin Hcl Clindamycin Hcl 14 47 $53.30 โ€”
Ibuprofen Ibuprofen 13 203 $35.96 โ€”
Ondansetron Odt Ondansetron 13 69 $107.45 12
Diazepam Diazepam 11 13 $7.73 โ€”

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

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES GA 044193

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20051216000146

Enrollment State Jurisdiction

GA

PECOS Control ID

5698716397

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Laboratory Fitness Llc

401 Dividend Dr, Peachtree City, GA 302691939

Phone: 6785061236

Physiotherapy Associates Inc

40 Greenway Ct, Newnan, GA 302652326

Phone: 7705020195

Georgia Bone And Joint, Llc

1755 Hwy 34 E, Newnan, GA 302653190

Phone: 7705022175

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

23 listed
NPI 1023727054

Doctor of Physical Therapy

Darron Baham , PA-C

Physician Assistant

NPI 1114103785

Physician Assistant (Certified)

Dr. Tyler Balfour , DPT

Physical Therapist

NPI 1922525369

Doctor of Physical Therapy

Dr. George Ballantyne , MD

Orthopaedic Surgery

NPI 1962599936

Doctor of Medicine (M.D.)

Schnyder Boucard

Physician Assistant

NPI 1831800317
Dianna Bureau , PA

Physician Assistant

NPI 1811473556

Physician Assistant

Career & Practice History

NPI enumerated October 10, 2006.

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.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285721274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: May 23, 2013
Sole Proprietor: No
Update or Correct Profile

Other Orthopaedic Surgery Specialists in Newnan

All Orthopaedic Surgery Specialists in Newnan

Mailing Address

1755 Highway 34 E, Suite 2200

Newnan, GA 302655631

Phone: 7705022175

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.