Dr. James Abbott, MD
5470 Kings Island Drive, Ste 120, Mason, OH 45040 • +1-308-555-5333
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Mason Percentiles
NPI #1598809519 • CBSA Regional • Orthopedic Surgery
Dr. James Abbott, MD (NPI #1598809519) practices Orthopedic Surgery in Mason, OH (45040) with sub-specialty concentration in 59 Active CMS HCPCS Codes, recording 870 annual CMS services across 155 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Mason percentile) (-0.58σ vs OH state mean, 14.29th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Abbott (averaging 5.6 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 19% of tracked volume (163 encounters), paired with 20610 (122x).
At 5470 Kings Island Drive, Ste 120 (45040), Dr. James Abbott, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.81/5 bedside rating).
Credentialed as an MD specialist with 26 years post-graduation experience since completing medical school at an LCME/COCA institution (2000), Dr. Abbott coordinates 59 Active CMS HCPCS Codes workups from 5470 Kings Island Drive, Ste 120 (+1-308-555-5333).
Compared against Mason, OH Orthopedic Surgery peers
870 annual services across 155 beneficiaries
Standard deviations from OH 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 | 163 | 12th | $109 – $150 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 122 | 12th | $116 – $160 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 86 | 12th | $65 – $90 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 50 | 12th | $157 – $215 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 32 | 12th | $1010 – $1384 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (59 HCPCS billing breadth) | 417 | 0th | $123 – $178 |
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Dr. James Abbott, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Abbott National Provider Identifier | NPI #1598809519 (MD) | CMS NPPES Registry (45040) |
| Dr. Abbott Mason CMS Volume Rank | 0.00th Pct (870 CMS svcs; Z -0.577σ) | CMS Medicare Part B (OH Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mason, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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