Dr. Donald Ellingsen, MD
601 W 5th Ave Ste 400, Spokane, WA 99204 • +1-846-555-1793
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Spokane Percentiles
NPI #1194791343 • CBSA Regional • Orthopedic Surgery
Within the Spokane, WA (CBSA local) Orthopedic Surgery cohort, Dr. Donald Ellingsen, MD with sub-specialty concentration in 31 Active CMS HCPCS Codes ranks at the 93.75th municipal percentile and 95.33th WA percentile (+2.00σ Z-score) based on 8,873 billed procedures for 232 patients.
Fee-schedule auditing of NPI 1194791343 highlights 251 annual claims for 99213 (93.75th Spokane percentile; $37–$52 self-pay corridor) plus 188 encounters under 20610 and 132 under 73562.
For out-of-network patients contacting +1-846-555-1793, Dr. Ellingsen's practice posts a $222.00 GPCI self-pay consult estimate ($222.00 patient-logged median, 4.63/5 composite reality score over 18 submissions).
NPI registry verification (#1194791343) confirms Dr. Donald Ellingsen's MD standing serving CBSA 99204 with a 4.63/5 patient scorecard.
Top 10% Orthopedic Surgery volume leader in Spokane, WA
8,873 annual services across 232 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 | 251 | 93.75th | $37 – $52 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 188 | 89.75th | $39 – $54 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 132 | 97.75th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 77 | 98.75th | $53 – $72 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 49 | 89.75th | $341 – $467 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (31 HCPCS billing breadth) | 8,177 | 93.75th | $45 – $65 |
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Dr. Donald Ellingsen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ellingsen National Provider Identifier | NPI #1194791343 (MD) | CMS NPPES Registry (99204) |
| Dr. Ellingsen Spokane CMS Volume Rank | 93.75th Pct (8,873 CMS svcs; Z +2.003σ) | CMS Medicare Part B (WA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spokane, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 10 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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