Orthopaedic Surgery In Martinsburg West Virginia

NPI list of 10 orthopaedic surgery registered providers with a business address in Martinsburg, WV of which 2 are registered as organizations and 8 as individuals. An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

NPI Name Type Taxonomy Address Medicare PECOS
1053328773JOHN ALLISON DRAPERIndividualOrthopaedic Surgery309 MEDICAL COURT
MARTINSBURG, WV 25401
(304) 263-0953
Non-Participating ProviderNO
1083785901THOMAS ELDON KNUTSONIndividualOrthopaedic Surgery1008 TAVERN RD STE102
MARTINSBURG, WV 25401
(304) 263-5129
Accepts MedicareYES
1104998715JOHN W BUSCHMANIndividualOrthopaedic Surgery1008 TAVERN RD SUITE 102
MARTINSBURG, WV 25401
(304) 263-5200
Accepts MedicareYES
1124022173RICHARD CHARLES AVIOLIIndividualOrthopaedic Surgery510 BUTLER AVE
MARTINSBURG, WV 25405
(304) 263-0811
Non-Participating ProviderYES
1487088332CENTERS FOR ADVANCED ORTHOPAEDICS, LLCOrganizationOrthopaedic Surgery309 MEDICAL COURT
MARTINSBURG, WV 25401
(304) 264-0535
Non-Participating ProviderNO
1548435662SAID EDWARD SAIDIndividualOrthopaedic Surgery1008 TAVERN RD SUITE 102
MARTINSBURG, WV 25401
(304) 263-5129
Non-Participating ProviderNO
1588743488CENTER FOR ORTHOPEDIC EXCELLENCE, PLLCOrganizationOrthopaedic Surgery1008 TAVERN RD SUITE 102
MARTINSBURG, WV 25401
(304) 263-5129
Non-Participating ProviderNO
1669543567TROY DALE FOSTERIndividualOrthopaedic Surgery1008 TAVERN RD STE 102
MARTINSBURG, WV 25401
(304) 263-5129
Accepts MedicareYES
1881765766JOSEPH PATRICK CINCINNATIIndividualOrthopaedic Surgery1008 TAVERN ROAD STE 102
MARTINSBURG, WV 25401
(304) 263-5129
Accepts MedicareYES
1942314620DOUGLAS SCOTT TICEIndividualOrthopaedic Surgery
(Orthopaedic Trauma)
309 MEDICAL CT
MARTINSBURG, WV 25401
(304) 263-0953
Non-Participating ProviderYES

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.