Dr. David Fischer, MD
711 S Auburn St, Kennewick, WA 99336 • +1-616-555-8431
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Kennewick Percentiles
NPI #1881636009 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across WA Orthopedic Surgery providers positions Dr. David Fischer, MD in Kennewick at -0.62σ (0th city percentile / 4.33th state percentile, 125 Medicare beneficiaries), with clinical focus spanning 80 Active CMS HCPCS Codes.
Dr. Fischer's longitudinal care intensity (5.6 billed units per patient across 125 individuals) centers on 99213 (253 annual units) and 20610 ($166–$228 cash range).
Self-pay new patient consultations with Dr. Fischer (CPT 99204 GPCI-adjusted benchmark) estimate around $222.00 (community reported average: $222.00) with hybrid in-clinic and telehealth video consults, 15-minute average reception wait, and a 4.54/5 modern protocol openness score across 13 patient logs.
Spanning 27 years of clinical practice following 1999 graduation from medical training, Dr. David Fischer integrates 80 Active CMS HCPCS Codes diagnostics for Kennewick metro patients.
Compared against Kennewick, WA Orthopedic Surgery peers
704 annual services across 125 beneficiaries
Standard deviations from WA 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 | 253 | 12th | $156 – $214 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 190 | 12th | $166 – $228 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 134 | 12th | $93 – $128 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 77 | 12th | $224 – $307 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 49 | 12th | $1441 – $1975 |
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Dr. David Fischer, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fischer National Provider Identifier | NPI #1881636009 (MD) | CMS NPPES Registry (99336) |
| Dr. Fischer Kennewick CMS Volume Rank | 0.00th Pct (704 CMS svcs; Z -0.618σ) | CMS Medicare Part B (WA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Kennewick, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 15 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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