DR. JOHN D. DORCHAK M.D.
NPI 1528000379
Orthopaedic Surgery in Columbus, GA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
64.94/100
CMS Quality Rating
6262 VETERANS PKWY, COLUMBUS, GA 31909(706) 324-6661(706) 327-6701 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 20, 2020, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. John D. Dorchak M.d. NPPES

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

DR. JOHN D. DORCHAK M.D. (NPI 1528000379) is an individual orthopaedic surgery provider in Columbus, Georgia, licensed in Georgia (039090) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Northside, and maintains a secondary practice location in Dothan.

NPPES Registry Identity

NPI1528000379
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN D. DORCHAKCredential: M.D.
Location Address6262 VETERANS PKWYColumbus, GA 31909-3540
Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008
Fax(706) 327-6701
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1984
Enumeration DateJune 12, 2006
Last NPPES UpdateNovember 20, 20202 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
✔ NPI 1528000379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 039090
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.
6262 VETERANS PKWY, Columbus, GA 31909

Secondary Practice Location 1

Location 1512 N Shady LnDothan, AL 36303-2991 · Phone (334) 699-5747 · Fax (334) 699-5750

Accepted 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

Dr. John D. Dorchak M.d. 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 ID8729059357
PECOS Enrollment IDI20040805000458, I20111214000298
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 Reassignment

Medicare enrollment records show John Dorchak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
6262 VETERANS PKWY
Columbus, GA 31909
  • Reassigned Medicare billing, Alabama and Georgia enrollments
  • Medicare enrollment name: Hughston Clinic PC
  • 107 clinicians in this Medicare group

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 35

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.

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.
636 services420 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
393 services273 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
207 services122 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
148 services144 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
141 services134 patients
Harvest of bone fragment for spine bone graft 20937
A harvest of a bone fragment for a spine bone graft is a procedure where a small piece of bone is taken from another part of your body. This bone is then used to help repair or strengthen areas in your spine that may be damaged or weak.
131 services128 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31909 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

64.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality39.53
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%573 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
12%302 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
1%1,277 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
57%21 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%20 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%20 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
50%3,029 patients2/55-star benchmark: 100%
e-Prescribing
95%224 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%1,769 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%2,474 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,305 patients
0%1,305 patients
Provide Patients Electronic Access to Their Health Information
79%647 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%141 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 922 patients
Patients totalRate: 10% · 922 patients
10%922 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier12 claims12 services$11.26 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
3 suppliers36 claims36 services$833.72 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 20

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

Physician Assistant (Surgical)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Specialist/Technologist (Athletic Trainer)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Orthopaedic Surgery
6262 VETERANS PKWY
COLUMBUS, GA 31909
Physician Assistant (Surgical)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Physical Therapist (Electrophysiology, Clinical)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Physical Therapist
6262 VETERANS PKWY
COLUMBUS, GA 31909
Orthopaedic Surgery (Sports Medicine)
6262 VETERANS PKWY
COLUMBUS, GA 31909
Orthopaedic Surgery
6262 VETERANS PKWY
COLUMBUS, GA 31909

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 John Dorchak's NPI number?

The NPI number for John Dorchak is 1528000379. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is John Dorchak located?

John Dorchak practices at 6262 Veterans Pkwy, Columbus, GA 31909. The listed phone number is (706) 324-6661.

What is John Dorchak's specialty?

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

Is John Dorchak enrolled in Medicare?

Yes. John Dorchak 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 organization bills Medicare for John Dorchak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Dorchak reassigns Medicare benefits to Hughston Clinic, P.C. (Columbus, GA). The 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 John Dorchak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Dorchak accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list John Dorchak 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 John Dorchak affiliated with any hospitals?

According to CMS data, John Dorchak is affiliated with Piedmont Columbus Regional Northside.

When was this NPI record last updated?

The NPPES record for John Dorchak was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.