DANE JACK CHURCH MD NPI 1790128387

NPI Details

Dane Jack Church, MD is an adult reconstructive orthopaedic surgery orthopaedic surgery in Springfield, IL with 13 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Dane Jack Church, MD NPI is 1790128387. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 S KOKE MILL RD
SPRINGFIELD, IL
ZIP 62711-252
Phone: (217) 547-9100
Fax: (217) 547-9236

The NPI 1790128387 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• X-ray of knee, 4 or more views (HCPCS:73564)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of knee, 3 views (HCPCS:73562)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Replacement of knee joint, both sides of knee (HCPCS:27447)
• Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• X-ray of both hips, 3-4 views (HCPCS:73522)
• Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
• X-ray of lower leg, 2 views (HCPCS:73590)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• X-ray of knee, 1-2 views (HCPCS:73560)
• Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
• Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS:27236)
• Ct scan of leg without contrast (HCPCS:73700)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Mri scan of leg joint without contrast (HCPCS:73721)
• Revision of thigh and lower leg bone components of total knee joint prosthesis (HCPCS:27487)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Insertion of drug-delivery device in joint (HCPCS:20704)
• Hip replacement (HCPCS:NAN09)
• Knee replacement (HCPCS:NAN06)
• Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 4/12/2013 and was last updated on 4/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: