Dr. John Doherty, MD
3 W Olive St, Ste 118, Scranton, PA 18508 • +1-375-555-3326
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Scranton Percentiles
NPI #1962488809 • CBSA Regional • Orthopedic Surgery
Dr. John Doherty, MD (NPI #1962488809) practices Orthopedic Surgery in Scranton, PA (18508) with sub-specialty concentration in 28 Active CMS HCPCS Codes, recording 8,519 annual CMS services across 654 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (85.71th Scranton percentile) (+0.53σ vs PA state mean, 83.89th statewide percentile).
Fee-schedule auditing of NPI 1962488809 highlights 551 annual claims for 99213 (85.71th Scranton percentile; $35–$50 self-pay corridor) plus 413 encounters under 20610 and 291 under 73562.
Self-pay new patient consultations with Dr. Doherty (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.80/5 modern protocol openness score across 17 patient logs.
NPI registry verification (#1962488809) confirms Dr. John Doherty's MD standing serving CBSA 18508 with a 4.54/5 patient scorecard.
Compared against Scranton, PA Orthopedic Surgery peers
8,519 annual services across 654 beneficiaries
Standard deviations from PA 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 | 551 | 85.71th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 413 | 88.71th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 291 | 87.71th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 168 | 86.71th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 107 | 82.71th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (28 HCPCS billing breadth) | 6,989 | 85.71th | $45 – $65 |
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Dr. John Doherty, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Doherty National Provider Identifier | NPI #1962488809 (MD) | CMS NPPES Registry (18508) |
| Dr. Doherty Scranton CMS Volume Rank | 85.71th Pct (8,519 CMS svcs; Z +0.528σ) | CMS Medicare Part B (PA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Scranton, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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