ANDREW STEVEN FRANKEL M.D.
NPI 1568575538
Orthopaedic Surgery in Exton, PA

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
69.89/100
CMS Quality Rating
780 W LINCOLN HWY, THE COMMONS AT OAKLANDS, EXTON, PA 19341(610) 873-1188(610) 873-1388 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew Steven Frankel M.d. NPPES

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

ANDREW STEVEN FRANKEL M.D. (NPI 1568575538) is an individual orthopaedic surgery provider in Exton, Pennsylvania, licensed in Pennsylvania (MD039098E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Paoli Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1986).

NPPES Registry Identity

NPI1568575538
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANDREW STEVEN FRANKELCredential: M.D.
Location Address780 W LINCOLN HWY, THE COMMONS AT OAKLANDSExton, PA 19341-2547
Mailing Address780 W Lincoln Hwy, The Commons At OaklandsExton, PA 19341-2547 · (610) 873-1188 · Fax (610) 873-1388
Fax(610) 873-1388
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1986
Enumeration DateAugust 16, 2006
Last NPPES UpdateAugust 21, 2013
NPI 1568575538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MD039098E
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.

780 W LINCOLN HWY, Exton, PA 19341

Other Identifiers 3

Medicaid001423191PA
Medicare ID-Type Unspecified002320
Medicare UPINF58965

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew Steven Frankel 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 ID2264475607
PECOS Enrollment IDI20050607000015
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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
3,072 services48 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,380 services17 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
354 services214 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.
307 services127 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
280 services66 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
123 services71 patients

Hospital Affiliations CMS Care Compare 2

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

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19341 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.

69.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.55
Promoting Interoperability100
Improvement Activities40
Cost39.09

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Colorectal Cancer Screening 2% 549
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
24
Documentation of Current Medications in the Medical Record 95% 2392
Falls: Screening for Future Fall Risk 84% 476
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 0% 1308
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80% 853
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 72% 29
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81% 853
Provide Patients Electronic Access to Their Health Information 97% 371
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS) 0.03% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 74% 68
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
499
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
499
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
499

Other Providers at the Same Location NPPES 12

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

Physical Therapist (Orthopedic)
780 W LINCOLN HWY
EXTON, PA 19341
Physical Therapist (Orthopedic)
780 W LINCOLN HWY
EXTON, PA 19341
Physician Assistant (Medical)
780 W LINCOLN HWY, THE COMMONS AT OAKLANDS
EXTON, PA 19341
Orthopaedic Surgery
780 W LINCOLN HWY, THE COMMONS AT OAKLANDS
EXTON, PA 19341
Physical Therapist
780 W LINCOLN HWY
EXTON, PA 19341
Physical Therapist
780 W LINCOLN HWY
EXTON, PA 19341
Physical Therapist
780 W LINCOLN HWY
EXTON, PA 19341
Durable Medical Equipment & Medical Supplies
780 W LINCOLN HWY, THE COMMONS AT OAKLANDS
EXTON, PA 19341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568575538, enumerated as an "individual" on August 16, 2006.

The provider is located at 780 W LINCOLN HWY THE COMMONS AT OAKLANDS EXTON, PA 19341 and the phone number is (610) 873-1188.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Andrew Frankel is affiliated with: PAOLI HOSPITAL and CHESTER COUNTY HOSPITAL.