Dr. Benjamin Umbel, DO
503 E Parker Rd, Morganton, NC 28655 • +1-745-555-1832
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Morganton Percentiles
NPI #1194266965 • CBSA Regional • Orthopedic Surgery
Dr. Benjamin Umbel, DO (NPI #1194266965) practices Orthopedic Surgery in Morganton, NC (28655) with sub-specialty concentration in 106 Active CMS HCPCS Codes, recording 1,301 annual CMS services across 272 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (33.33th Morganton percentile) (-0.48σ vs NC state mean, 28.12th statewide percentile).
Fee-schedule auditing of NPI 1194266965 highlights 392 annual claims for 99213 (33.33th Morganton percentile; $114–$156 self-pay corridor) plus 294 encounters under 20610 and 207 under 73562.
Direct cash-pay transparency modeling sets Dr. Umbel's baseline new-consult rate near $209.00 in Morganton, NC (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).
Credentialed as an DO specialist with 31 years post-graduation experience since completing medical school at an LCME/COCA institution (1995), Dr. Umbel coordinates 106 Active CMS HCPCS Codes workups from 503 E Parker Rd (+1-745-555-1832).
Compared against Morganton, NC Orthopedic Surgery peers
1,301 annual services across 272 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 | 392 | 33.33th | $114 – $156 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 294 | 28.33th | $121 – $166 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 207 | 30.33th | $68 – $93 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 120 | 30.33th | $163 – $224 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 76 | 30.33th | $1051 – $1440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (106 HCPCS billing breadth) | 212 | 33.33th | $128 – $186 |
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Dr. Benjamin Umbel, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Umbel National Provider Identifier | NPI #1194266965 (DO) | CMS NPPES Registry (28655) |
| Dr. Umbel Morganton CMS Volume Rank | 33.33th Pct (1,301 CMS svcs; Z -0.484σ) | CMS Medicare Part B (NC Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Morganton, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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