Dr. John Nelligan, MD
680 Guzzi Ln Ste 102, Sonora, CA 95370 • +1-857-555-2884
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Sonora Percentiles
NPI #1952491151 • CBSA Regional • Orthopedic Surgery
CMS Medicare Part B utilization records credit Dr. John Nelligan (MD, NPI 1952491151) at 680 Guzzi Ln Ste 102 in Sonora with 1,291 annual clinical services (423 beneficiaries), corresponding to a -0.35σ regional deviation and focused low-volume boutique caseload (20th Sonora percentile) with sub-specialty concentration in 92 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Nelligan (averaging 3.1 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 36% of tracked volume (465 encounters), paired with 20610 (349x).
Direct cash-pay transparency modeling sets Dr. Nelligan's baseline new-consult rate near $239.00 in Sonora, CA (cash-pay accepted, in-person clinic visits only, 19-minute average reception wait).
Clinical background for Dr. Nelligan (MD, NPI #1952491151) includes accredited doctoral training (2001, 25 yrs in practice) and dedicated on-site consultations at 680 Guzzi Ln Ste 102.
Compared against Sonora, CA Orthopedic Surgery peers
1,291 annual services across 423 beneficiaries
Standard deviations from CA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 465 | 20th | $256 – $351 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 349 | 20th | $273 – $374 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 245 | 15th | $153 – $210 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 142 | 24th | $368 – $504 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 90 | 18th | $2369 – $3246 |
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Dr. John Nelligan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelligan National Provider Identifier | NPI #1952491151 (MD) | CMS NPPES Registry (95370) |
| Dr. Nelligan Sonora CMS Volume Rank | 20.00th Pct (1,291 CMS svcs; Z -0.347σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sonora, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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