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

Q: What is Andrew Frankel's NPI number?

The NPI number for Andrew Frankel is 1568575538. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Andrew Frankel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Frankel was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 16, 2006PECOS Enrolled

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: October 25, 2026.

On this page

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.

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

Phone(610) 873-1188

Fax(610) 873-1388

Sole ProprietorYes

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

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Other Identifiers 3

Medicaid001423191PA

Medicare ID-Type Unspecified002320

Medicare UPINF58965

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Steven Frankel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Andrew Frankel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Orthopaedic And Sports Medicine Associates, Ltd

10.0 mi

Orthopaedic Surgery

3809 W CHESTER PIKE, SUITE 150
Newtown Square, PA 19073

Reassigned Medicare billing, Pennsylvania enrollment
241 clinicians in this Medicare group

NPI 1215987243 (610) 359-5664

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 15

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329

Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.

5,601 services56 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.

321 services132 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.

228 services163 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.

217 services161 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.

206 services62 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

178 services123 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

82 services65 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.

58 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 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.

21 services21 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.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services18 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

17 services15 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

16 services16 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

12 services12 patients

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

Quality

60.55

Promoting Interoperability

100

Improvement Activities

Cost

39.09

Reported Quality Measures

Colorectal Cancer Screening

2%549 patients1/55-star benchmark: 88%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%24 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%2,392 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

84%476 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,308 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 80% · 853 patients

Patients screened: 81% · 853 patients

72%29 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

97%371 patients4/55-star benchmark: 100%

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)

Lower rates are better for this measure.

0.03%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

74%68 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 499 patients

Patients totalRate: 0% · 499 patients

0%499 patients5/55-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.

Other Providers at the Same Location NPPES 14

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

NICOLE DUTZMAN PA-C

Physician Assistant (Medical)

780 W LINCOLN HWY
EXTON, PA 19341

Chester County (484) 206-4447

DR. KELLY MARTENS MURRAY MD

Orthopaedic Surgery

780 W LINCOLN HWY, THE COMMONS AT OAKLANDS
EXTON, PA 19341

Chester County (610) 873-1188

RHEUMATOLOGY AND ARTHRITIS CARE CENTER

Internal Medicine (Rheumatology)

780 W LINCOLN HWY
EXTON, PA 19341

Chester County (484) 206-4447

STEPHEN CLEMENT PT, DPT

Physical Therapist

780 W LINCOLN HWY
EXTON, PA 19341

Chester County (610) 873-4856

MRS. SUCHARITHA SHANMUGAM M.D.

Internal Medicine (Rheumatology)

780 W LINCOLN HWY
EXTON, PA 19341

Chester County (484) 206-4447

GABRIELLA B CARACCIOLO DPT

Physical Therapist

780 W LINCOLN HWY
EXTON, PA 19341

Chester County (610) 873-4856

MRS. CAROLINA MESA DEROSE PT

Physical Therapist (Orthopedic)

780 W LINCOLN HWY
EXTON, PA 19341

Chester County (610) 873-4856

ERIN M ROBERTS

Physical Therapist

780 W LINCOLN HWY
EXTON, PA 19341

Chester County (610) 873-4856

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 Andrew Frankel's NPI number?

The NPI number for Andrew Frankel is 1568575538. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Andrew Frankel located?

Andrew Frankel practices at 780 W Lincoln Hwy The Commons At Oaklands, Exton, PA 19341. The listed phone number is (610) 873-1188.

What is Andrew Frankel's specialty?

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

Is Andrew Frankel enrolled in Medicare?

Yes. Andrew Frankel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Frankel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Frankel reassigns Medicare benefits to Premier Orthopaedic And Sports Medicine Associates, Ltd (Newtown Square, PA). 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 Andrew Frankel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Frankel was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.