Workers’ Compensation Provider Billing FAQs

A workers’ compensation provider is a doctor, hospital, or other healthcare provider that provides services to injured workers who are covered by the Workers’ Compensation Law.

You may come across several billing terminology and this section will help answer some of your questions. This section is based on New York state workers compensation guidelines.

If you’re billing for any services that are not related to workers’ compensation, those charges should be billed separately from the workers’ compensation claims that you submit to your insurance company. For example, if you’re filing a claim for an injured worker but also treating them for another condition like diabetes, then those billings should be separated so that only the portion related to their injury is paid for through workers’ compensation insurance benefits and not their health insurance plan as well.

Do all CMS-1500 submissions require a medical narrative or form attachments?

Yes, all CMS-1500 forms require a medical narrative or attachments when submitted through a clearinghouse, XML submission partner, or directly to the Workers’ Compensation Board. The Board provides a medical narrative report template for each provider’s CMS-1500 submission. Therefore, XML submission partners must reject CMS-1500 submissions without medical narratives or attachments.

Does data of the CMS-1500 require the same format for submissions to the payer and the Workers’ Compensation Board?

No. The Workers’ Compensation Board has specific requirements for electronic CMS-1500 transfer submissions. As a result, the electronic transfer for payer’s requirements may differ and require verification.

Does the CMS-1500 replace the C-4.3 form?

No, CMS-1500 does not replace the C-4.3 form.

Does the Workers’ Compensation Board accept a paper CMS-1500 form?

Yes, the Workers’ Compensation Board will accept a paper CMS-1500 but strongly encourages electronic submission via the XML submission process.

How are EOBs/EORs transmitted from the payer to the medical provider?

A payer must electronically submit EOBs/EORs to the XML submission partner with the submission of the electronic CMS-1500 form. However, a payer may send the EOBs/EORs to the medical provider via a mutually agreed method if the CMS-1500 was not submitted electronically. Specific CARC codes must identify objection reasons for payer EOBs/EORs or X12 835 transactions.

What methods are available to submit the CMS-1500?

Providers should utilize electronic submission via an XML submission process to submit the CMS-1500.

What is the process to submit only to the Workers’ Compensation Board if there is no payer or an undetermined payer?

The medical provider should obtain the patient’s employer’s name and address. However, if the patient is unsure of the correct employer, they must contact their human resources office or supervisor. In addition, New York state employers must conspicuously post the Notice of Compliance – Workers’ Compensation Law (Form C-105) within the workplace to identify the correct employer Workers’ Compensation insurance carrier name, address, phone number, and policy number.

Will insurance carriers accept copies of the original red CMS-1500 form?

Insurance carriers should accept copies of the original CMS-1500 form. However, submission does not require the original red CMS-1500. The document must provide clarity for payers and the scanning of the Workers’ Compensation Board.

Does the “Currently Authorized” column of the “Listing of Providers Authorized to Submit XML Data” report indicate authorization of the provider to submit XML or imply WCB authorization?

The “Currently Authorized” column indicates WCB authorization and authorization to submit XML data.

What is the correct method to identify a patient’s birth sex if Field 3 (birthdate, gender) on the CMS-1500 only allows for male and female, but the patient identifies as neither?

Field 3 is optional and completed if correct data is known. However, if the patient identifies as neither male nor female, leave Field 3 blank.

Is a new XML Submission Agreement required to submit the CMS-1500 if completed to submit the EC-4NARR?

No. Providers must only submit the XML Submission Agreement to the Workers’ Compensation Board once.

Must providers first register with the Workers’ Compensation Board to begin submitting the CMS-1500, medical narrative, and attachments?

Providers must complete the online Medical Portal registration process and agree to the legal agreement terms by selecting the “Agreement for XML submission of CMS-1500” within the Billing section before the Board will accept electronic CMS-1500 submissions.

How can I submit the CMS-1500 form using the XML submission process if my clearinghouse is not registered as a Workers’ Compensation Board XML submission partner?

Clearinghouses interested in becoming XML partners must register with the Workers’ Compensation Board. Then, submission partners must test the CMS-1500 XML submission process and become approved for implementation. The clearinghouse may work with an approved XML submission partner if they do not want to become a direct submission partner.

Where can I receive additional billing information?

The medical provider should obtain the patient’s employer’s name and address. However, if the patient is unsure of the correct employer, they must contact their human resources office or supervisor.

In addition, New York state employers must conspicuously post the Notice of Compliance – Workers’ Compensation Law (Form C-105) within the workplace to identify the correct employer Workers’ Compensation insurance carrier name, address, phone number, and policy number. In addition, providers may obtain information using the Employer Coverage Search app located on the Workers’ Compensation Board’s website.

What are the unique CMS-1500 requirements for chiropractors?

Chiropractors do not have unique CMS-1500 requirements. However, chiropractors must utilize the initial and subsequent narrative report requirements of the CMS-1500.

How can I become a Workers’ Compensation Board authorized provider?

Providers must apply to become a Workers’ Compensation Board authorized provider.

How can I verify that a clearinghouse is in the process of becoming a CMS-1500 XML submission partner?

The Workers’ Compensation Board publishes a listing of clearinghouses interested, testing, and approved to become a CMS-1500 XML submission partner.

Does the Expanded Provider Law affect how I submit the CMS-1500 via XML?

The Expanded Provider Law requires licensed clinical social workers, nurse practitioners, acupuncturists, physician assistants, occupational therapists, and physical therapists to bill as rendering providers. Providers must complete the online Medical Portal registration process and agree to the legal agreement terms by selecting the “Agreement for XML submission of CMS-1500” within the Billing section before the Board will accept electronic CMS-1500 submissions.

Explain the requirements of the TIFF-formatted medical narrative and image of a completed CMS-1500.

All images must have sufficient clarity, and the provider must ensure adequate quality. Specific requirements to ensure passing the upload process include:

  • TIFF-4-format, such as TIFF using ‘CCITT Group 4 Fax compression
  • The filling order must include the “Most Significant Bit (MSB) to Least Significant Bit (LSB)”
  • Only single-strip images
  • No tiled images
  • 200 dpi
  • Only black and white with a color depth of 1 bit
  • One image per file, no multi-page TIFF files, convert a duplex document into two image files

How should I submit a CMS-1500 for surgery when another physician, nurse practitioner, or physician assistant assisted the surgeon?

Enter the surgeon’s Rating Code within Field 19, the license number and NPI in Field 24J, and sign the bill in Field 31. Utilize Modifier 83 in Field 24D to identify assistant services by a physician assistant or nurse practitioner. Use Modifier 80 to identify surgery assistant services by another physician. In addition, include the name, license number, and NPI of a surgical assistant provider within the medical narrative.

Which methods are acceptable for sending the CMS-1500 to the XML submission partner?

Providers may submit the CMS-1500 to the XML submission partner on any mutually agreeable method, such as EDI, mail, fax, email, portal, etc.

What is the process when I receive acknowledgment of a paid bill but have not received payment?

The provider may submit a Request for Decision on Unpaid Medical Bill(s) (Form HP-1.0) using the OnBoard online system for unpaid bills after 45 days of the payer acknowledging the medical bill. Do not resubmit because the clock will restart, and the provider must wait an additional 45 days to respond or pay.

What are the specific requirements for durable medical equipment (DME) supplies when submitting a CMS-1500?

Durable medical equipment (DME) suppliers must include their eight-digit Medicaid Management Information System (MMIS) number into Field 24J of the CMS-1500 or the medical narrative attachment when submitting a CMS-1500 to an XML submission partner.

Who is required to register for XML submission if we are a small medical practice using a third-party administrator to submit Workers’ Compensation bills?

The treating provider must register for XML submission, not the third-party administrator.

Are all providers required to become authorized by the Workers’ Compensation Board to submit the CMS-1500?

No. Particular urgent care, emergency department, out-of-state, and durable medical equipment (DME) providers are not eligible for authorized Workers’ Compensation Board treatment. Providers must register for XML submission to submit bills electronically via an XML submission partner.

Where should the second ordering provider’s information apply on the CMS-1500 if there are two different ordering providers since only one provider can submit data in Field 17?

One provider will enter their information, such as name, state license number, and NPI, in Fields 17, 17a, and 17b. The second provider must enter their information in the attached medical narrative.

When will I know the payer accepted my bill?

You will receive verifiable acknowledgment data on record when submitting electronically to show the payer received the bill. Then, the payer must remit the payment within 45 days.

What are the required timeframes for submitting medical reports?

The timeframes for submitting medical reports to the Workers’ Compensation Board and the payer, according to NYCRR 325-1.3, are:

  • Submit the initial CMS-1500 (formally the C-4, OT/PT-4, PS-4) within 48 hours of the initial treatment.
  • Submit subsequent CMS-1500 (formally the C-4.2, OT/PT-4, PS-4) within 15 days after the initial treatment and for continuing treatment. Each follow-up visit is not more than 90 days apart unless medically necessary.

Do all payers accept CMS-1500?

All payers must accept paper, electronic, EDI, or other mutually agreed formats CMS-1500.

Can providers view patient medical records through clearinghouses?

Clearinghouses utilize their services to medical providers. Therefore, you should confirm the services offered by clearinghouses.

Do clearinghouses use medical records from Medicare, Medicaid, or private insurers to dispute WCB claims?

The CMS-1500 initiative does not endorse data sharing outside the Workers’ Compensation system. In addition, providers must not simultaneously bill Workers’ Compensation payers and insurers for the same service. However, Workers’ Compensation Law 13(a) requires employers to promptly provide services to an injured employee, including medical, dental, surgical, optometric, or other treatment modalities.

Where should I enter the provider’s WCB authorization number and rating coding on the CMS-1500?

Enter the provider’s authorization number and rating code in Field 19 on the CMS-1500.

Are medical narrative attachments required for patients with a lifetime approved benefit?

Medical narrative attachments are required for all medical bills, regardless of the patient’s permanent classification.

Does the Workers’ Compensation Board website provide an area to upload medical narratives manually?

Yes, the Workers’ Compensation Board website allows one to upload medical reports.

Is the provider required to use the same clearinghouse (XML submission partner) as the payer during electronic submissions?

No, the provider is not required to use the same clearinghouse as the payer. For example, clearinghouses utilize multiple agreements with other clearinghouses to ensure prompt submission to payers when passing bills electronically.

Can I bill the patient if the bill becomes rejected?

No, you can not bill the patient if the payer rejects the bill according to Section 13-f of the Workers’ Compensation Law.

When can the provider submit an initial medical bill or report for treatment to the payer and the Workers’ Compensation Board?

The initial medical treatment may become submitted to the Workers’ Compensation Board and the payer based on medical decisions. As a result, the medical provider should submit the bill or report to the XML submission partner if the patient has a reportable Workers’ Compensation injury beyond first aid. The WCL does not necessitate an employer who wishes to pay for medical treatment directly.

Are system and workflow changes required to send to the Workers’ Compensation Board proprietary data elements for the provider WCB Rating Code and Authorization Number due to lack of support in the X12 837?

No, changes are not necessary to your existing workflow process. As a result, the XML submission partner will process the electronic indexing to the Workers’ Compensation Board’s field table matrix to ensure the WCB Rating Code and Authorization Number of the CMS-1500 form and compliant XML documentation.

Are there any attachment format changes to comply with the NYS Workers’ Compensation Board attachment requirements when submitting attachments to our clearinghouse for Property and Casualty Commercial payers?

No. Approved XML submission partners will ensure the attachment format conversion process complies with the Workers’ Compensation Board’s format requirements.

When is the CMS-1500 used?

The CMS-1500 is a standard claim form for medical providers to bill the Centers for Medicare and Medicaid Services (CMS) and health insurers.

Can a casual relationship cause a rejected CMS-1500? What are the criteria used by the Workers’ Compensation Board for judgment of work-related causation?

The CMS-1500 requires a medical narrative report attachment. Three mandatory elements of most medical narratives include:

  • The patient’s work status
  • The causal relationship
  • The temporary impairment percentage

The CMS-1500 may become rejected if the narrative medical report of the three elements is missing. However, the CMS-1500 does not change information related to a payer’s assessment of a casual relationship.

Can I use the CMS-1500 form to bill for medical testimony?

Use the CPT code 99075 on the CMS-1500 to utilize medical testimony. Medical services billing regulations do not adhere to medical testimony bills and are not subject to the standard 45-day payment period. As a result, a CARC code does not exist, and payers do not file a legal or valuation objection for payment.

Are electronically submitted CMS-1500 forms required to submit to the Workers’ Compensation Board?

No, providers who submit the CMS-1500 electronically via an XML submission partner will advance to the carrier and the Workers’ Compensation Board.

What occurs if a provider leaves out information from the CMS-1500 narrative?

Missing mandatory elements of the CMS-1500 narrative, such as the patient’s work status, a causal relationship to the injury and work activities, and temporary impairment percentage may become legally defective.

Can an occupational or physical therapist submit a temporary impairment percentage on the CMS-1500?

Occupational and physical therapists do not enter information regarding a causal relationship or temporary impairment percentage.

Does the Workers’ Compensation Board still accept faxed claims?

No, the Board no longer accepts faxed claims. However, the Workers’ Compensation Board accepts claims through electronic submissions, XML submission partners, mail, email, or web upload.

Is there a list of payers that do not accept electronic claims?

All Workers’ Compensation payers must electronically accept the CMS-1500, EDI, or other mutually agreed forms, effective October 1, 2021.

Are specified narrative requirements to daily progress notes necessary when applying for CMS-1500 submission?

Yes, the CMS-1500 Requirements page of the Workers’ Compensation Board outlines detailed information required on the medical narrative attachment.

How can I electronically submit the attached medical narrative?

Coordinate the process and format the electronic submission with your XML submission partner. An approved XML submission partner can submit the attachment format in compliance with Workers’ Compensation Board requirements.

Can I utilize a SOAP note generated by treatment visits that do not include all of the information during a re-exam for the medical narrative requirement of the CMS-1500?

  • The medical narrative for the CMS-1500 has three mandatory elements:
  • The patient’s work status
  • The causal relationship
    The temporary impairment percentage
    A medical narrative may become legally defective if missing the mandatory elements.

Can providers hire an XML submission partner, or does the insurance company hire their XML submission partner to submit medical claims?

Providers should partner with an approved XML submission partner to ensure the medical bill, and narrative attachment are sent and accepted by the appropriate payer.

Is there a penalty for not billing through an XML submission partner?

No, utilizing an XML submission partner is encouraged but not required.

Are DME suppliers required to bill using a CMS-1500 form and provide a medical narrative, even if they do not examine the patient?

Yes, DME suppliers are required to bill using the CMS-1500. In addition, the accompanying attachment must include a copy of the physician’s prescription (order) for the DME items and proof of enrollment certification in the NYS Medicaid program, including the Medicaid Management Information System (MMIS) number.

If my office decides to submit a paper CMS-1500, must we register for the Medical Portal?

Yes, providers are strongly encouraged to register for the Medical Portal to apply to become Workers’ Compensation Board authorized, renew an authorization, update practice information, receive training on the user’s roles, access lookup tools for the Workers’ Compensation Board’s Medical Treatment Guidelines and Drug Formulary, execute the User Agreement to submit CMS-1500 medical bills through an XML submission process.

In addition, providers can use the Medical Portal to access OnBoard: Limited Release, delegate users when submitting prior authorization requests, and Request for Decision on Unpaid Medical Bills (Form HP-1.0).

May a provider submit a completed Form C-4 or Form C-4.2 for a CMS-1500 attachment to demonstrate medical necessity and compliance with the MTGs?

The Workers’ Compensation Board discontinued Form C-4 and Form C-4.2 as of July 1, 2022. Instead, the Workers’ Compensation Board created a medical narrative report template to complete each CMS-1500 submission.

Will each medical provider have their own electronic payer ID if we submit bills electronically?

Insurers and employers may self-insure for Workers’ Compensation benefits with New York state by utilizing an assigned seven-character identification number on the Payers’ XML Submission Partner Lookup webpage. Approved XML submission partners and clearinghouses are competent about the correct Payer ID required to deliver electronic medical bills to the payer.

Will each medical provider affiliated with a group practice need to individually register for the Medical Portal and XML submission of the CMS-1500?

Yes, each provider who wants to submit the CMS-1500 using the XML submission process must first complete the online Medical Portal registration process. Providers who have not yet signed up for XML submission of the CMS-1500 will see a link under the Billing section “Agreement for XML submission of CMS-1500” when logging into the Medical Portal.

If the CMS-1500 does not replace the C-4.3, can I submit the C-4.3 electronically using an XML submission partner?

Using an XML submission partner, you may use the CMS-1500 to submit medical bills for permanency evaluations electronically. Medical providers should:

  • Only use CPT codes 99243 or 99245
  • Only use one CPT code, 99243 or 99245, on the medical bill
  • Attach a completed C-4.3 to the CMS-1500 as the medical narrative
  • Do not send a C-4.3 to the Board separately

How can I use the CMS-1500 paper version when more than six procedures, services, or supplies on one date of service?

You may submit multiple CMS-1500 forms if there are more than six line items for one service date when the total charge amount appears only on the last form.

How can I electronically submit bills for apportioned claims?

You should clearly state the apportioned bill on the medical narrative attachment and include other WCB case number(s) and carrier claim numbers when submitting an apportioned bill.

Please refer to your state’s Workers’ Compensation Board website or speak with a Workers’ Compensation attorney for additional information.

Call Us Now!

Based on 107 reviews
Dr. Nakul Karkare is awesome! And patriotic! Thank you, Dr. Karkare for displaying the American Flag in your waiting room, honoring and mourning our military personnel, this Memorial Day, who died while serving in the United States Armed Forces.
00:52 30 May 23
Excellent and skilled orthopedic practice specializing in joint replacements. Dr Karkare was trained at the Hospital for Special Surgery and has excellent results, as do his associates!! Would gladly refer family members to the practice!!
00:24 30 May 23
I had such a wonderful experience with Complete Orthopedics in Stony Brook. Not only did Dr. Kuo fix my broken wrist with such kindness and care, but the office staff, including Billing, Reception and the X-Ray Technician, was always so helpful, going out of their way to ensure that each patient felt welcome, answering any questions with a smile, and ensuring any issues with insurance/billing were handled with the utmost professionalism. I highly recommend their practice!
Victoria DeMatteo
19:49 10 May 23
I'm very happy St. Catherine's sent me to this office for treatment after I broke my collar bone! Unfortunately the break was too severe to repair on its own and I had to have it rebuilt a week after the injury. Dr. Vaksha did a great job fixing it. I'm three months out, and I have full use of the arm and shoulder. The whole office staff is very professional, accommodating, and welcoming. I hope to not need orthopedic services again, but Dr. Vaksha will be my number one choice if I or anyone in family suffers such am injury.
Tina Rivera
20:42 08 May 23
No one likes going to the doctor. But these people make it painless. I go for knees, hips and shoulders. At almost 70 Complete Orthopedics keeps my active life style running smoothly. Whether chasing my Grandson and even surfing again, I highly recommend them!!
Thomas Slavin
15:02 02 Mar 23
Dr. Kuo knowledgeable and competent surgeon- very good experience and more importantly great result.
Joseph McCoy
21:23 25 Feb 23
Dr Vaksha was so kind and helpful. He took extra time with us and explained things so thoroughly. Highly recommend. Office very clean.
Susan Bosinius
20:20 19 Feb 23
Dr Vaksha, is a great doctor very professional knows what he talking about. Treat patient with upmost respect. Thank You
Troy Spencer
16:46 19 Jan 23
Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. .elizabeth .thank you so much .
blanca ventura
21:32 26 Oct 22
Been going to this place before my accident and after I had my knee surgery. So happy how I been treated and how well I am getting. Thank you all and specially Dr. VAKSHA for everything and getting back on track.
Ita Opico
19:01 25 Oct 22
Love this place From the minute I called I was treated kindly. When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. I came back in for my follow up and had the same great experience.
Christine Rostock
21:28 23 May 22
Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best.
Harry Jones
23:31 19 May 22
Complete orthopedics is a wonderful place to go when you hurt or injured a great staff and wonderful doctors very knowledgeable and helpful I would recommend this place to all of my family and friends that is in me of orthopedic care I give them 10 thumbs up
Wayne Pemberton
17:39 18 May 22
The staff is very professional and helpful. Dr. Vaksha is excellent. He takes time to listen and offer suggestions to help you get better. I’m very thankful and happy to be a patient here at Complete Orthopedics.
Phoenix Rising
19:54 16 May 22
Dr.Karkare is the best. He listens to everything and explains everything I recommend him to everyone. I am so happy he is my doctor.
Myrna James
00:48 13 May 22
Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo.
Erick Murillo
23:17 12 May 22
I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . I he was amazing he made me feel very comfortable and explained everything that was going to happen from surgery all the way through my physical therapy highly recommend Dr. Vaksha
Yolanda Ojeda
19:37 09 May 22
My appointment with Dr. Vaksha was amazing. Dr. Vaksha was very thorough and kind. I would refer this office to anyone who needs a great orthopedic doctor.
John Senechal
19:54 05 May 22
Scheduling my appointment was quick and easy. The staff was super friendly and down to earth. I was seen on time. The appropriate test, “x-rays” were taken before the conversation with doctor, something I really liked, test for analysis and conversation was done upfront. Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. I am happy I found them and would refer them to friends and family.
00:46 03 May 22
I have seen Dr. Kuo two times already and he's awesome along with his staff. Very friendly office and I'm glad to be a patient here.
Camaris A
20:01 28 Apr 22
Amazing team!! Very caring, profesional, and friendly!! Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! Elizabeth you the best thank you for you help always and you big smile and positive actitud❤️🙏🏼
breidy valerio
19:01 22 Apr 22
The staff is truly exceptional, they make you feel comfortable and welcomed. The doctors are amazing,always professional, compassionate and great listeners.
Elizabeth Collado
03:25 09 Apr 22
What a great place! The place is clean and organized.The staff is wonderful. Setting up physical therapy is right there as well.I'm so glad I found this place.
Donna Anne
22:45 05 Apr 22
This was my 1st time breaking something in my 27 years on this planet. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. Would highly recommend
tyron davis
16:06 01 Apr 22
Brand new office, same great doctors! Rooms are clean, plenty of parking, physical therapy attached, Dr. Karkare and his staff are awesome. Thank you!
Emily B
02:49 24 Mar 22
Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs
Mirna Caballero
14:53 03 Mar 22
Great staff. Dr. Vaksha is awesome and takes the time to listen to his patients. He is very compassionate. I would highly recommend this office.
Bebe Doyle
01:24 23 Feb 22
After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. The office is very clean and I appreciated the reminders of my appointments via phone call and through text. The patient portal made it easy for me to access all my documents including work notes. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. I highly recommend this office to anyone who’s looking for knowledgeable and kind orthopedic office.
Elizabeth Birchwell
21:31 28 Jan 21
The staff here are great, I was seen at the time of my appointment and was well taken care of!
Shaun Berry
18:14 07 Jan 21
They are an excellent practice. The front and back office people are amazing and so helpful. Rebecca is such a kind and understanding person. I had an issue with paperwork and she cleared it right up. Dr. Karkare is very knowledgeable, helpful, and caring.
Matt S.
19:31 18 Nov 20
Rebecca K. - What a true burst of sunshine. Very friendly and definitely an asset to the practice!
Laura Aston
18:17 17 Nov 20
Great experience, the Doctor is nice but the staff is incredible. I worked with Linda, who was profession and assisted me beyond what any person has done at other practices. Complete Ortho should be complimented for having such a person on their staff.I highly recommend this place!!!
Joe Allen
17:26 17 Nov 20
Linda and Becca they are so good ever time I come they are very nice I would tell everyone I no to come to this office..
Barbara Victor
16:45 17 Nov 20
I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . After a thorough examination and given exercises to do at home , I am feeling much better , and I ended up avoiding surgery . The staff at Complete Ortho is extremely attentive and show great care when making an appointment and are very friendly and i never waited more than 5 minutes for my appointment . So I would strongly recommend Complete Orthopedics for any aches and pains that one might be experiencing.....
Bill Becht
04:44 17 Nov 20
It was the afternoon of Friday Sept. 24. We were in Pt. Jefferson and my wife, Mary Ann, broke her hip. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. This would be her third time under the knife in the past year. It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. He put in a rod and two screws in her hip. She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. If it wasn’t for Dr. Karkare’s expertise she never would have been able to work. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731
Jack Harris
14:36 06 Nov 20
In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. After exhausting physical therapy and trying to labor through the pain, I had to make a quality of life decision. Total knee replacement was the only viable option. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. From the time I entered Dr. Karkare’s office for the first time until now, his staff has been amazing. Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. Courtesy and kind would be an understatement. Dr. Karkare went over and beyond from the wellness checks and phone calls all to assure me that I was important to him. This was the right decision no pain and no limp. Complete Orthopedics should be your choice!
Kenneth Randolph
22:18 25 Sep 20
Dr. Vadshka has a great bedside manner. He really takes his time and explains treatment options.
T Lee
12:33 09 Sep 20
I suffered with pain in both knees for years. My orthopedic doctor kept recommending knee replacement . I fought it for years, as I was just afraid. When I had no choice and could barely walk , it was recommended I see Dr. Karkare. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. He explained everything to us, and the office staff set everything up for us and made the process easy. So about one month after our initial meeting I had the first knee done. I was up walking mere hours after the surgery, and on the workout machines the next morning. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! Three months later I had the other knee done and went home the very next day. Dr. Karkare put my fears to rest . I would highly recommend him. His expertise gave me my life back. Thank you Dr. Karkare.SincerelyVito Congro
Ethel Congo
23:58 12 Aug 20
Dr Rhodin really cares for his patients. When I see him he makes sure to review my progress in detail.
Micki Cahill
15:03 08 Feb 20
My mom had a total hip replacement by dr karkare. He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. The office staff is the best, love Andrea.You wont find a better doctor.
Ryan Brigandi
21:06 13 Jul 18
There is no better Orthopedic doctor you will find. Broke my ankle three places on a Saturday. Called Dr. Karkare. He had is team ready at the hospital and operated on me within 6 hours after my injury. Now After 3 months of great care by him and his staff, I am walking to normalcy.
Spacecom Tel
04:13 23 Mar 18


Complete Orthopedics is a medical office and we are physicians . We are not attorneys. The information on this website is for general informational purposes only.

Nothing on this site should be taken as legal advice for any individual case or situation. The information posted is not intended to create, and receipt or viewing does not constitute, an attorney-client relationship or a doctor-patient relationship nor shall the information be used to form an legal or medical opinions.

You should not rely on any of the information contained on this website. You should seek the advice of a lawyer or physician immediately for more accurate information surrounding any legal or medical issues.

This information has been posted for informational and/or advertisement purposes only. You consent to these terms and conditions by using our website

I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.

You can see my full CV at my profile page.