Active NPI 1861593196 Individual Practitioner Male Practitioner

Dr. Robert Edward Caton , MD

Specialist • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Caton, MD is a certified Specialist practicing in Modesto, CA. With approximately 46 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 1980, Dr. Caton delivers high-quality medical care to the local community at 1524 MCHENRY AVE.

Dr. Caton is affiliated with Golden Valley Health Centers and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1524 Mchenry Ave
Suite 515

Modesto, CA 953504500

Telephone 2094915370

Fax 2094915379

Associated Practice Facility / Clinic

🏢 Modesto Radiological Medical Group, Inc. Facility NPI 1992747547

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +10.8 yrs vs City Avg

City Avg: 35.2 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

154 Specialists

Practicing in Modesto, CA (6446 Statewide)

Telehealth Adoption Rate

0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caton (46 Years) 46 Yrs

Modesto Specialty Average (35.2 Years) 35.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	62	$161.79	$92.54
20610 Aspiration and/or injection of fluid from large joint	44	22	$115.00	$64.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$275.00	$112.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	62	$155.41	$92.32
73562 X-ray of knee, 3 views	32	15	$74.00	$43.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$270.85	$113.88
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$126.00	$74.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	87	$142.20	$93.76
20610 Aspiration and/or injection of fluid from large joint	48	22	$115.00	$67.25
73562 X-ray of knee, 3 views	36	18	$74.00	$43.87
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$126.00	$75.52
27447 Replacement of knee joint, both sides of knee	12	11	$3354.75	$1294.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$250.00	$114.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	76	$142.00	$95.12
20610 Aspiration and/or injection of fluid from large joint	102	31	$115.00	$66.69
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$129.03	$76.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$250.00	$116.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	86	$134.86	$78.12
20610 Aspiration and/or injection of fluid from large joint	75	30	$115.00	$64.56
99201 New patient office or other outpatient visit, typically 10 minutes	39	39	$83.00	$48.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$250.00	$111.78
73562 X-ray of knee, 3 views	15	11	$72.00	$41.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$82.00	$47.57
29881 Removal of knee cartilage using an endoscope	12	11	$1585.00	$563.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	90	$134.48	$74.46
20610 Aspiration and/or injection of fluid from large joint	94	35	$115.00	$59.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$81.00	$46.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$250.00	$107.37
99201 New patient office or other outpatient visit, typically 10 minutes	25	25	$82.04	$47.48
29881 Removal of knee cartilage using an endoscope	13	13	$1927.69	$525.36
27447 Replacement of knee joint, both sides of knee	11	11	$4285.00	$1352.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	79	$135.00	$73.04
20610 Aspiration and/or injection of fluid from large joint	115	34	$115.00	$58.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	33	$79.00	$43.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$250.00	$107.41
99201 New patient office or other outpatient visit, typically 10 minutes	29	29	$80.14	$44.14
29881 Removal of knee cartilage using an endoscope	11	11	$2130.55	$510.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	96	$135.00	$73.21
20610 Aspiration and/or injection of fluid from large joint	123	32	$115.00	$56.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$250.00	$107.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	32	$78.00	$42.77
99201 New patient office or other outpatient visit, typically 10 minutes	34	34	$79.00	$43.00

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G48633

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

GR0021000 (CA)

Hospital & Practice Group Affiliations

Golden Valley Health Centers

1524 Mchenry Ave, Modesto, CA 953504570

Phone: 2097224842

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Michael Rossini , MD

Specialist

NPI 1922199959

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 29, 2012

Registered at 1524 MCHENRY AVE, SUITE 515, MODESTO, CA 953504500 (Tel: 2094915370)

📍

Updated Business Mailing Address May 29, 2012

Registered at 1524 MCHENRY AVE, SUITE 515, MODESTO, CA 95350 (Tel: 2094915370)

👤

Provider Name / Credentials Updated May 29, 2012

Recorded as ROBERT CATON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2012

Specialist (License #G48633 in CA)

🟢

Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861593196

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 26, 2006

Last Update: May 29, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1524 Mchenry Ave, Suite 515

Modesto, CA 95350

Phone: 2094915370

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.