Dr. Frank Pupparo, MD
30 Hagen DR, Suite 220, Rochester, NY 14625 • +1-734-555-1967
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1861427882 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across NY Orthopedic Surgery providers positions Dr. Frank Pupparo, MD in Rochester at -0.46σ (25.93th city percentile / 17.68th state percentile, 51 Medicare beneficiaries), with clinical focus spanning 15 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1861427882 highlights 76 annual claims for 99213 (25.93th Rochester percentile; $39–$54 self-pay corridor) plus 57 encounters under 20610 and 40 under 73562.
Direct cash-pay transparency modeling sets Dr. Pupparo's baseline new-consult rate near $232.00 in Rochester, NY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 11-minute average reception wait).
Clinical background for Dr. Pupparo (MD, NPI #1861427882) includes accredited doctoral training (2018, 8 yrs in practice) and virtual + in-office availability across NY.
Compared against Rochester, NY Orthopedic Surgery peers
1,041 annual services across 51 beneficiaries
Standard deviations from NY 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 | 76 | 25.93th | $39 – $54 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 57 | 20.93th | $41 – $56 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 40 | 28.93th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 23 | 21.93th | $55 – $76 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 15 | 20.93th | $357 – $489 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (15 HCPCS billing breadth) | 830 | 25.93th | $45 – $65 |
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Dr. Frank Pupparo, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pupparo National Provider Identifier | NPI #1861427882 (MD) | CMS NPPES Registry (14625) |
| Dr. Pupparo Rochester CMS Volume Rank | 25.93th Pct (1,041 CMS svcs; Z -0.457σ) | CMS Medicare Part B (NY Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 11 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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