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CHARLES LONNIE GETZ MD
NPI 1063440527
Orthopaedic Surgery in Glen Mills, PA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
92.09/100
CMS Quality Rating
600 EVERGREEN DR STE 201, GLEN MILLS, PA 19342(267) 339-3558(267) 339-3763 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2022, Nov 10, 2015 (2 updates tracked since 2015).

About Charles Lonnie Getz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES LONNIE GETZ MD (NPI 1063440527) is an individual orthopaedic surgery provider in Glen Mills, Pennsylvania, licensed in Pennsylvania (MD072654L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063440527
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCHARLES LONNIE GETZCredential: MD
Location Address600 EVERGREEN DR STE 201Glen Mills, PA 19342-1053
Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (800) 321-9999 · Fax (267) 339-3761
Phone(267) 339-3558
Fax(267) 339-3763
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1998
Enumeration DateJune 30, 2006
Last NPPES UpdateFebruary 18, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2022
✔ NPI 1063440527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in PA · MD072654L✔ Licensed in NJ · 25MA07849700✔ Licensed in NY · 307588✔ Licensed in FL · ME152802
Definition
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.
600 EVERGREEN DR STE 201, Glen Mills, PA 19342
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11118 W Baltimore Pike Fl 3Media, PA 19063-6104 · Phone (267) 339-3558 · Fax (267) 339-3763
Location 2234 Mall Blvd Ste G30King Of Prussia, PA 19406-2921 · Phone (267) 339-3558 · Fax (267) 339-3763

Other Identifiers 4

Other2181382000PA · Ibc
Other2404764000NJ · Ibc
Other3279957Aetna
Other2205831Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Lonnie Getz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890731632
PECOS Enrollment IDI20070815000170
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Getz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Reconstructive Orthopaedic Associates II LLC
21 mi
Orthopaedic Surgery
833 CHESTNUT ST STE 1220
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 361 clinicians in this Medicare group
NPI 1861433278 (800) 321-9999
Rothman Orthopaedics Of New Jersey, LLC
33 mi
Orthopaedic Surgery
999 ROUTE 73 N FL 34
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 398 clinicians in this Medicare group
NPI 1215978630 (800) 321-9999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,195 services232 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
571 services381 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
464 services348 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
277 services227 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
162 services151 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
151 services151 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Promoting Interoperability99
Improvement Activities40
Cost87.88

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier22 claims22 services$68.78 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier59 claims59 services$101.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIAM C DORGAN PA-C
Physician Assistant (Medical)
600 EVERGREEN DR STE 201
GLEN MILLS, PA 19342
Delaware County (800) 321-9999
JOHN RICHARD LUKSCH D.O.
Family Medicine (Sports Medicine)
600 EVERGREEN DR STE 201
GLEN MILLS, PA 19342
Delaware County (267) 339-3558
JOANNA MCCLELLAND PA-C
Physician Assistant
600 EVERGREEN DR STE 201
GLEN MILLS, PA 19342
Delaware County (800) 321-9999
MIA SONG DO
Physical Medicine & Rehabilitation
600 EVERGREEN DR STE 201
GLEN MILLS, PA 19342
Delaware County (800) 321-9999
BRYAN A PERRY PA-C
Physician Assistant (Medical)
600 EVERGREEN DR STE 201
GLEN MILLS, PA 19342
Delaware County (800) 321-9999
ROBERT WINSTON FREDERICK M.D.
Orthopaedic Surgery
600 EVERGREEN DR STE 201
GLEN MILLS, PA 19342
Delaware County (267) 339-3558
CRAIG BADURA PT
Physical Therapist
600 EVERGREEN DR STE 201
GLEN MILLS, PA 19342
Delaware County (484) 480-7453
MR. THOMAS MURRIN JR. PA-C
Physician Assistant
600 EVERGREEN DR STE 201
GLEN MILLS, PA 19342
Delaware County (800) 321-9999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Getz's NPI number?

The NPI number for Charles Getz is 1063440527. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Charles Getz located?

Charles Getz practices at 600 Evergreen Dr Ste 201, Glen Mills, PA 19342. The listed phone number is (267) 339-3558.

What is Charles Getz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles Getz enrolled in Medicare?

Yes. Charles Getz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Charles Getz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Getz reassigns Medicare benefits to 2 organizations: Reconstructive Orthopaedic Associates II LLC (Philadelphia, PA) and Rothman Orthopaedics Of New Jersey, LLC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Getz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Getz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Charles Getz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Getz affiliated with any hospitals?

According to CMS data, Charles Getz is affiliated with Albert Einstein Medical Center, Chester County Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Getz was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.