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Dr. Thomas Russell Westphal , MD

Orthopaedic Surgery • Lancaster, PA

Active NPI 1083681621 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2150 Harrisburg Pike, Suite 200
Lancaster, PA 176012644

Call 7173580800 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

2150 Harrisburg Pike
Suite 200

Lancaster, PA 176012644

Telephone 7173580800
Fax 7173580802
Organization at the Same NPPES Address or Phone
The Physicians' Surgery Center Lancaster General, Llc Facility NPI 1750592531

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 1 group name: Lancaster General Medical Group. 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

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1981

Medicare patients

334 people with Original Medicare in 2024

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

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $159,875 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.

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 $122,709 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

13 standardized 30-day fills in 2023

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

$13 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

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, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $261.91 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

45 years (graduated 1981)

CMS Doctors and Clinicians data list 1981 as the year this clinician finished professional 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.

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?”

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. Westphal 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. Westphal 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.

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 Lancaster and Pennsylvania

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 70% of clinicians listed under Orthopaedic Surgery in Lancaster, PA (2024, 33 clinicians with data). Median for this group: 1,562. Middle half: 821 to 2,713.

Fewer Medicare Part B services than 60% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: 1,409. Middle half: 423 to 3,828.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Orthopaedic Surgery in Lancaster, PA (2024, 33 clinicians with data). Median for this group: $95,092. Middle half: $66,383 to $159,883.

A higher Medicare-allowed amount than 70% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: $79,921. Middle half: $29,713 to $179,136.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Orthopaedic Surgery in Lancaster, PA (2024, 33 clinicians with data). Median for this group: $72,126. Middle half: $48,164 to $122,709.

A higher Medicare payment amount than 70% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 714 clinicians with data). Median for this group: $59,301. Middle half: $21,954 to $135,040.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Westphal are from 2023.

48 active clinicians are listed under Orthopaedic Surgery with a practice address in Lancaster, PA (1,254 in Pennsylvania).

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

Telehealth indicator in Lancaster

0% of these 48 clinicians have the CMS telehealth indicator.

64.6% of these 48 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), 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

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $261.91.

Manufacturer Payment Nature Product Type Amount ($)
Zimmer Biomet Holdings, Inc.
Education
In-kind items and services
— General $261.91

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

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
296 36 $4.08 $1.00
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
116 101 $171.55 $85.83
20610 Aspiration and/or injection of fluid from large joint
91 65 $225.08 $75.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
70 70 $340.01 $171.01
27447 Replacement of knee joint, both sides of knee
65 64 $2607.11 $1195.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
48 45 $244.50 $119.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
29 29 $210.17 $105.37
27130 Replacement of thigh bone and hip joint with prosthesis
23 22 $2501.04 $1123.30
73560 X-ray of knee, 1-2 views
23 22 $64.57 $23.97
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
21 11 $2195.69 $671.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
18 18 $107.33 $52.21
73502 X-ray of hip, 2-3 views
17 17 $75.59 $33.67
73562 X-ray of knee, 3 views
17 15 $81.29 $29.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $338.55 $158.39

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 2023.

CMS Part D · Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Meloxicam Meloxicam 13 390 $12.93 —

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-04-27
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES PA MD030417E

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES NY MD199841

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: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
15164970007 (PA)
Other Identifier Keystone Mercy Health Pla
30009073 (PA)
Other Identifier Highmark Blue Shield
WE189650 (PA)
Other Identifier Railroad Medicare
200035250 (PA)
Other Identifier Geisinger Health Plan
5710 (PA)
Other Identifier Keystone Health Central
0993823 (PA)
Other Identifier Gateway
1523078 (PA)
Other Identifier Capital Blue Cross
01707702 (PA)
Other Identifier Amerihealth65
255326000 (PA)
Other Identifier Aetna
2109635 (PA)

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

I20100420000280

Enrollment State Jurisdiction

PA

PECOS Control ID

0446156939

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

Lancaster General Medical Group

426 Cloverleaf Rd, Elizabethtown, PA 170229320

Phone: 7173931900

Lancaster General Medical Group

554 N Duke St, Lancaster, PA 176022250

Phone: 7172915863

Lancaster General Medical Group

555 N Duke St, Lancaster, PA 176022250

Lancaster General Medical Group

3045 Marietta Ave, Lancaster, PA 176011321

Phone: 7172994644

Lancaster General Medical Group

538 N Queen St, Lancaster, PA 176033046

Phone: 7176277696

Lancaster General Medical Group

538 N Queen St, Lancaster, PA 176033027

Lancaster General Medical Group

555 N Duke St 1st Floor, Lancaster, PA 176022250

Phone: 7175603782

Lancaster General Medical Group

432 Cloverleaf Rd, Elizabethtown, PA 170229320

Phone: 7175446350

Lancaster General Medical Group

418 Cloverleaf Rd, Elizabethtown, PA 170229320

Phone: 7176277696

Clinicians Sharing This Practice Address or Phone

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

6 listed
Dr. Perry Argires , MD

Neurological Surgery

NPI 1053308999

Doctor of Medicine (M.D.)

Usha Baublitz , PA-C

Physician Assistant - Medical

NPI 1790368009

Physician Assistant (Certified)

April Bowermaster , MSPT

Physical Therapist

NPI 1487698940

Master of Science in Physical Therapy

John De Jesus , MS, PA-C

Physician Assistant - Medical

NPI 1740318583

Master of Science, Physician Assistant (Certified)

Dr. Jarod John , MD

Psychiatry & Neurology - Neurology

NPI 1386829802

Doctor of Medicine (M.D.)

Brittany Stambaugh , PT

Physical Therapist

NPI 1558816298

Physical Therapist

Career & Practice History

NPI enumerated March 02, 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: 1083681621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2006
Last Update: April 27, 2020
Sole Proprietor: No

Other Orthopaedic Surgery Specialists in Lancaster

All Orthopaedic Surgery Specialists in Lancaster

Mailing Address

2150 Harrisburg Pike, Suite 200

Lancaster, PA 176012644

Phone: 7173580800

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.