Dr. Thomas Duncan Utterback , MD
Orthopaedic Surgery • Canby, OR
8051 S Lone Elder Rd
Canby, OR 970139127
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. Thomas Utterback is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on January 30, 2006; this date does not establish years in practice.
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Published CMS data list 43 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:
- 27447 — Replacement of knee joint, both sides of knee: 26 service units.
- 27130 — Replacement of thigh bone and hip joint with prosthesis: 17 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 the full table · Guide: How to read Medicare Part B data
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Medicare Part B services went from 26 in 2017 to 43 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
8051 S Lone Elder Rd
Canby, OR 970139127
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 $9,567 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 $7,622 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.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
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.
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 Canby and Oregon
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Utterback are from 2018.
1 active clinicians are listed under Orthopaedic Surgery with a practice address in Canby, OR (336 in Oregon).
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 65% from 26 in 2017 to 43 in 2018.
- 2017: 26
- 2018: 43
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Medicare-allowed amount
Medicare-allowed amount increased 64% from $5,837 in 2017 to $9,567 in 2018.
- 2017: $5,837
- 2018: $9,567
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Paid by Medicare
Paid by Medicare increased 64% from $4,651 in 2017 to $7,622 in 2018.
- 2017: $4,651
- 2018: $7,622
Sources: CMS Medicare Physician & Other Practitioners (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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27447
Replacement of knee joint, both sides of knee
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26 | 26 | $5430.00 | $222.40 |
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27130
Replacement of thigh bone and hip joint with prosthesis
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17 | 17 | $5080.00 | $222.62 |
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.
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.
Career & Practice History
NPI enumerated January 30, 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
Mailing Address
Po Box 942
Canby, OR 970130942
Phone: 5032632400