Dr. David Ruch, MD
4101 N Roxboro St, Durham, NC 27704 • +1-606-555-5813
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1356438998 • CBSA Regional • Orthopedic Surgery
Operating out of Durham, NC (4101 N Roxboro St), Orthopedic Surgery clinician Dr. David Ruch, MD (accredited MD/DO training, 2018) maintains a focused low-volume boutique caseload (28th Durham percentile) (26.44th NC percentile; Z-score -0.50σ across 1,244 documented services) with sub-specialty concentration in 70 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. David Ruch (27704) place 99213 at the top of the practice ledger (268 yearly units, 28th metro rank), rounded out by 20610 and 73562.
Cash-pay intake data for NPI 1356438998 (4101 N Roxboro St, Durham) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 19-minute average reception wait and 4.81/5 biomarker openness.
Spanning 8 years of clinical practice following 2018 graduation from medical training, Dr. David Ruch integrates 70 Active CMS HCPCS Codes diagnostics for Durham metro patients.
Compared against Durham, NC Orthopedic Surgery peers
1,244 annual services across 357 beneficiaries
Standard deviations from NC 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 | 268 | 28th | $134 – $183 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 201 | 24th | $142 – $195 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 141 | 30th | $80 – $109 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 82 | 31th | $192 – $263 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 52 | 33th | $1234 – $1692 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (70 HCPCS billing breadth) | 500 | 28th | $151 – $219 |
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Dr. David Ruch, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ruch National Provider Identifier | NPI #1356438998 (MD) | CMS NPPES Registry (27704) |
| Dr. Ruch Durham CMS Volume Rank | 28.00th Pct (1,244 CMS svcs; Z -0.497σ) | CMS Medicare Part B (NC Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Durham, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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