Dr. Mark Douglas Fish , DO
Orthopaedic Surgery • Clive, IA
12499 University Ave, Ste. 210
Clive, IA 503258288
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 17, 2006; this date does not establish years in practice.
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Published CMS data list 1,614 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:
- J0702 — Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg: 322 service units.
- 99214 — Established patient outpatient office visit: 208 service units.
- 99213 — Established patient outpatient office visit: 153 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.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 22 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 581 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:
- Amoxicillin — 238 prescription fills, including refills.
- Meloxicam — 143 prescription fills, including refills.
- Celecoxib — 100 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 6 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Iowa (2024, 129 clinicians with data). Median for this group: 1,749. Middle half: 618 to 3,771.
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 1,375 in 2020 to 1,614 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
12499 University Ave
Ste. 210
Clive, IA 503258288
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: Broadlawns Medical Center; Capital Orthopaedics And Sports Medicine Pc; Knoxville Community Hospital 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
2001
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
389 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 $227,906 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 $172,638 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
635 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
$2,360 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: $538.49 across 5 records.
By nature of payment
- Food and Beverage: $538.49 across 5 records.
Reporting-company totals
- Zimmer Biomet Holdings, Inc.: $339.90 across 3 records.
- PRISM MEDICAL: $144.78 across 1 record.
- Kerecis Limited: $53.81 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
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 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, “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. Fish 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. Fish 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 Clive and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Orthopaedic Surgery in Iowa (2024, 129 clinicians with data). Median for this group: 1,749. Middle half: 618 to 3,771.
Too few clinicians listed under Orthopaedic Surgery in Clive have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Orthopaedic Surgery in Iowa (2024, 129 clinicians with data). Median for this group: $105,421. Middle half: $45,407 to $179,109.
Too few clinicians listed under Orthopaedic Surgery in Clive have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Orthopaedic Surgery in Iowa (2024, 129 clinicians with data). Median for this group: $81,530. Middle half: $34,160 to $138,007.
Too few clinicians listed under Orthopaedic Surgery in Clive have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Orthopaedic Surgery in Iowa (2024, 149 clinicians with data). Median for this group: 153. Middle half: 45 to 456.
Too few clinicians listed under Orthopaedic Surgery in Clive have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Orthopaedic Surgery in Iowa (2024, 149 clinicians with data). Median for this group: $846. Middle half: $177 to $2,399.
Too few clinicians listed under Orthopaedic Surgery in Clive have Medicare Part D data for 2024 to compare.
4 active clinicians are listed under Orthopaedic Surgery with a practice address in Clive, IA (258 in Iowa).
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 increased 17% from 1,375 in 2020 to 1,614 in 2024.
- 2020: 1,375
- 2021: 1,649
- 2022: 1,573
- 2023: 1,602
- 2024: 1,614
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Medicare-allowed amount
Medicare-allowed amount increased 25% from $182,732 in 2020 to $227,906 in 2024.
- 2020: $182,732
- 2021: $236,553
- 2022: $235,570
- 2023: $217,384
- 2024: $227,906
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Paid by Medicare
Paid by Medicare increased 25% from $137,992 in 2020 to $172,638 in 2024.
- 2020: $137,992
- 2021: $180,600
- 2022: $181,526
- 2023: $167,946
- 2024: $172,638
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 163% from 221 in 2020 to 581 in 2024.
- 2020: 221
- 2021: 304
- 2022: 434
- 2023: 510
- 2024: 581
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30-day fills
30-day fills increased 160% from 244 in 2020 to 635 in 2024.
- 2020: 244
- 2021: 333
- 2022: 461
- 2023: 545
- 2024: 635
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Part D drug cost
Part D drug cost increased 60% from $1,477 in 2020 to $2,360 in 2024.
- 2020: $1,477
- 2021: $1,624
- 2022: $2,519
- 2023: $2,908
- 2024: $2,360
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 91% from $6,095.44 in 2021 to $538.49 in 2025.
- 2021: $6,095.44
- 2022: $3,091.43
- 2023: $1,928.14
- 2024: $2,397.30
- 2025: $538.49
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): fewer than 11 records totaling $538.49.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| PRISM MEDICAL |
Food and Beverage
In-kind items and services
|
— | General | $144.78 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
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Oxford | General | $142.86 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
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Persona | General | $132.58 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
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— | General | $64.46 |
| Kerecis Limited |
Food and Beverage
Cash or cash equivalent
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Kerecis SurgiClose | General | $53.81 |
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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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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322 | 124 | $15.00 | $6.95 |
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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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208 | 171 | $287.70 | $116.93 |
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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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153 | 129 | $195.00 | $82.80 |
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73564
X-ray of knee, 4 or more views
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146 | 115 | $129.88 | $42.40 |
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20610
Aspiration and/or injection of fluid from large joint
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144 | 120 | $284.28 | $63.55 |
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73501
X-ray of hip, 1 view
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100 | 78 | $107.57 | $29.27 |
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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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99 | 99 | $432.00 | $152.32 |
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73030
X-ray of shoulder, minimum of 2 views
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86 | 70 | $110.00 | $30.91 |
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73562
X-ray of knee, 3 views
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61 | 51 | $115.00 | $36.92 |
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27447
Replacement of knee joint, both sides of knee
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50 | 49 | $3541.00 | $1146.40 |
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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
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40 | 40 | $353.00 | $102.41 |
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23472
Prosthetic repair of shoulder joint, total shoulder
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29 | 28 | $3804.00 | $1290.64 |
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73221
Mri scan of arm joint without contrast
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28 | 28 | $654.43 | $138.33 |
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72148
Mri scan of lower spinal canal without contrast
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25 | 25 | $543.44 | $119.24 |
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27130
Replacement of thigh bone and hip joint with prosthesis
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21 | 20 | $4890.00 | $1091.79 |
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73721
Mri scan of leg joint without contrast
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19 | 19 | $831.05 | $141.95 |
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20611
Aspiration and/or injection of fluid large joint using ultrasound guidance
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18 | 17 | $266.67 | $95.34 |
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99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
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17 | 17 | $35.00 | $17.62 |
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29824
Partial removal of collar bone at shoulder using an endoscope
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13 | 13 | $1751.00 | $253.96 |
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29826
Shaving of part of shoulder bone and repair of ligament using an endoscope
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13 | 13 | $460.00 | $152.02 |
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29823
Removal of extensive shoulder joint tissue using an endoscope
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11 | 11 | $1624.00 | $112.44 |
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29827
Repair of shoulder rotator cuff using an endoscope
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11 | 11 | $2776.00 | $960.46 |
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 |
|---|---|---|---|---|---|
| Amoxicillin | Amoxicillin | 238 | 502 | $266.77 | 147 |
| Meloxicam | Meloxicam | 143 | 5,385 | $347.44 | 49 |
| Celecoxib | Celecoxib | 100 | 3,467 | $1,380.89 | 32 |
| Clindamycin Hcl | Clindamycin Hcl | 73 | 140 | $121.75 | 47 |
| Methylprednisolone | Methylprednisolone | 16 | 96 | $101.16 | 16 |
| Diclofenac Sodium | Diclofenac Sodium | 11 | 330 | $141.66 | — |
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.
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.
NUCC Taxonomy Code: 207XS0114X
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
NUCC Taxonomy Code: 207XX0004X
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
NUCC Taxonomy Code: 207XX0005X
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20070509000079
IA
1951312305
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
Capital Orthopaedics And Sports Medicine Pc
12499 University Ave, Clive, IA 503258288
Phone: 5154402676
Broadlawns Medical Center
1801 Hickman Rd, Des Moines, IA 503141548
Phone: 5152822200
Knoxville Community Hospital Inc
1202 W Howard St, Knoxville, IA 501383103
Phone: 6418287211
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Surgical
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Podiatrist
Doctor of Podiatric Medicine
Career & Practice History
NPI enumerated May 17, 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.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Clive
Healthcare providers in CliveMailing Address
12499 University Ave, Ste. 210
Clive, IA 503258288
Phone: 5154402676