Dr. Miguel Pelton, MD
901 Enterprise Pkwy Ste 900, Hampton, VA 23666 • +1-772-555-1815
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Hampton Percentiles
NPI #1235558958 • CBSA Regional • Orthopedic Surgery
Dr. Miguel Pelton, MD (NPI #1235558958) practices Orthopedic Surgery in Hampton, VA (23666) with sub-specialty concentration in 52 Active CMS HCPCS Codes, recording 1,917 annual CMS services across 133 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (11.11th Hampton percentile) (-0.53σ vs VA state mean, 32.35th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Pelton (averaging 14.4 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 8% of tracked volume (162 encounters), paired with 20610 (122x).
At 901 Enterprise Pkwy Ste 900 (23666), Dr. Miguel Pelton, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.64/5 bedside rating).
Patients evaluating Dr. Miguel Pelton in ZIP 23666 note 21 years of post-doctoral tenure (null, 2005) alongside 14.4 annual CMS procedures per patient.
Compared against Hampton, VA Orthopedic Surgery peers
1,917 annual services across 133 beneficiaries
Standard deviations from VA 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 | 162 | 12th | $38 – $53 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 122 | 16.11th | $40 – $55 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 86 | 12.11th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 50 | 15.11th | $54 – $74 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 32 | 12th | $347 – $476 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (52 HCPCS billing breadth) | 1,467 | 11.11th | $45 – $65 |
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Dr. Miguel Pelton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pelton National Provider Identifier | NPI #1235558958 (MD) | CMS NPPES Registry (23666) |
| Dr. Pelton Hampton CMS Volume Rank | 11.11th Pct (1,917 CMS svcs; Z -0.529σ) | CMS Medicare Part B (VA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hampton, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.44/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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