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Dr. Michael Jay Patney , DO

Orthopaedic Surgery โ€ข Appleton, WI

Active NPI 1922069053 Individual Practitioner Male Practitioner
Practice location in NPPES

820 E Grant St
Appleton, WI 549113483

Call 9208315050 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

820 E Grant St

Appleton, WI 549113483

Telephone 9208315050
Fax 9207386400
Organization at the Same NPPES Address or Phone
Fox Valley Pulmonary Medicine, Llc Facility NPI 1265590848

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

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $2,858 in 2022

The total amount Medicare approved for these services in 2022. 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 โ€“ by Provider and Service, 2022.

Paid by Medicare

About $2,284 in 2022

The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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 โ€“ by Provider and Service, 2022.

30-day fills

106 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

$3,425 in 2018

The total cost of these prescriptions in 2018, 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 โ€“ by Provider and Drug, 2018.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $36.54 in 2022

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 2022.

Guide: How to read an Open Payments record

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, 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. Patney 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. Patney 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 Appleton and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Patney are from 2022.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Patney are from 2018.

32 active clinicians are listed under Orthopaedic Surgery with a practice address in Appleton, WI (656 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

3.1% of these 32 clinicians have the CMS telehealth indicator.

78.1% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2018), CMS Open Payments (2022), 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 2022
Disclosure Year:

Program year 2022 (payments made January 1 โ€“ December 31, 2022): fewer than 11 records totaling $36.54.

Manufacturer Payment Nature Product Type Amount ($)
DePuy Synthes Sales Inc.
Food and Beverage
In-kind items and services
NA General $36.54

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2022.

CMS Part B ยท Data Year 2022
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2021 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€“2022; 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
22 22 $621.00 $129.91

Source: CMS Part B by Provider and Service, 2022; 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.

CMS Part D ยท Data Year 2018
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 34 300 $590.95 22
Celecoxib Celecoxib 21 795 $2,385.05 15
Tizanidine Hcl Tizanidine Hcl 13 455 $232.80 โ€”
Meloxicam Meloxicam 12 510 $41.52 โ€”
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 11 141 $174.66 โ€”

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

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES WI 70690

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 FL OS9041

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: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2678934-00 (FL)
Medicaid ID
260255288A (GA)
Other Identifier Railroad Medicare
P01087488 (FL)

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

I20211014003143

Enrollment State Jurisdiction

IL

PECOS Control ID

1850297599

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.

Secondary Practice Locations

3627 University Blvd S, Suite 435

Jacksonville, FL 322164230

Phone: 9042691930

Clinicians Sharing This Practice Address or Phone

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

40 listed
Roopa Achuri

Physician Assistant

NPI 1225531635
Catherine Allen , MSN, APNP

Nurse Practitioner - Family

NPI 1952971285

Master of Science in Nursing, Advanced Practice Nurse Prescriber

NPI 1073279816

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Jessica Arneson , PA

Physician Assistant

NPI 1790177681

Physician Assistant

Chantal Rea Bauer

Physical Therapist

NPI 1679207591
Jessica Baumbach , APNP

Nurse Practitioner

NPI 1285854950

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2019

Orthopaedic Surgery (license number reported to NPPES: FL OS9041)

๐Ÿ“
Updated Practice Location December 31, 2018

Registered at 820 E GRANT ST, APPLETON, WI 549113483 (Tel: 9208315050)

๐Ÿ“
Updated Business Mailing Address December 31, 2018

Registered at 1728 HARRINGTON PARK DR, JACKSONVILLE, FL 322252685 (Tel: 9042515683)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2018

Orthopaedic Surgery (license number reported to NPPES: WI 875)

โœ…
NPI Profile Active December 29, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 29, 2016

Registered at 3627 UNIVERSITY BLVD S, SUITE 435, JACKSONVILLE, FL 322164230 (Tel: 9042691930)

๐Ÿ“
Business Mailing Address (Initial Record) December 29, 2016

Registered at 7855 ARGYLE FOREST BLVD, SUITE 101, JACKSONVILLE, FL 322445596 (Tel: 9042826331)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 29, 2016

Recorded as MICHAEL PATNEY, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2016

Orthopaedic Surgery (license number reported to NPPES: FL OS9041)

๐ŸŸข
Initial NPI Registration & Enumeration March 29, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922069053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2006
Last Update: May 30, 2019
Sole Proprietor: No

Other Orthopaedic Surgery Specialists in Appleton

All Orthopaedic Surgery Specialists in Appleton

Mailing Address

1728 Harrington Park Dr

Jacksonville, FL 322252685

Phone: 9042515683

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.