Active NPI 1215935820 Individual Practitioner Male Practitioner

Dr. Robert D Graham , MD

Orthopaedic Surgery • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Graham, MD is a certified Orthopaedic Surgery practicing in Austin, TX. With approximately 29 years of clinical experience since graduating from Duke University School Of Medicine in 1997, Dr. Graham delivers high-quality medical care to the local community at 12309 N MOPAC EXPY STE 150.

Dr. Graham is affiliated with Seton Family Of Doctors and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12309 N Mopac Expy Ste 150

Austin, TX 78758

Telephone 5124916404

Fax 5128336716

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +5.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

90 Specialists

Practicing in Austin, TX (1627 Statewide)

Telehealth Adoption Rate

12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graham (29 Years) 29 Yrs

Austin Specialty Average (23.3 Years) 23.3 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
J1010 Injection, methylprednisolone acetate, 1 mg	4,100	80	$0.65	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	305	221	$223.00	$90.45
20610 Aspiration and/or injection of fluid from large joint	111	92	$189.92	$67.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	73	$329.00	$128.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$329.00	$110.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$501.00	$167.46
23472 Prosthetic repair of shoulder joint, total shoulder	54	54	$4457.00	$1433.66
20985 Computer-assisted surgery for muscle and bone procedure	49	49	$449.00	$141.27
23430 Anchoring of biceps tendon	43	43	$2280.00	$374.68
J1030 Injection, methylprednisolone acetate, 40 mg	32	30	$9.00	$6.33
29827 Repair of shoulder rotator cuff using an endoscope	25	25	$3239.00	$1065.55
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	25	25	$537.00	$167.34
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	18	$289.89	$101.99
23470 Prosthetic repair of shoulder joint	11	11	$3671.00	$1196.47
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1903.00	$167.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	196	$328.95	$127.37
J1030 Injection, methylprednisolone acetate, 40 mg	193	100	$9.00	$7.59
99213 Established patient office or other outpatient visit, typically 15 minutes	167	143	$223.00	$90.34
73030 X-ray of shoulder, minimum of 2 views	155	119	$61.00	$26.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$329.00	$112.40
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	135	98	$302.28	$113.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	14	$5.00	$1.05
23472 Prosthetic repair of shoulder joint, total shoulder	59	56	$4457.00	$1406.67
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	36	36	$537.00	$164.14
29827 Repair of shoulder rotator cuff using an endoscope	34	34	$3239.00	$1019.42
23430 Anchoring of biceps tendon	19	19	$2280.00	$417.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$501.00	$157.43
20900 Small bone graft harvest	17	16	$577.00	$89.39
20610 Aspiration and/or injection of fluid from large joint	16	16	$205.75	$73.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	504	317	$72.53	$29.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	460	313	$343.49	$129.55
J1030 Injection, methylprednisolone acetate, 40 mg	205	121	$9.30	$6.27
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	150	119	$306.87	$110.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$328.55	$112.95
23472 Prosthetic repair of shoulder joint, total shoulder	49	49	$4405.54	$1371.58
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	44	43	$532.23	$168.22
29827 Repair of shoulder rotator cuff using an endoscope	41	40	$3223.36	$1063.88
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$247.28	$91.74
23430 Anchoring of biceps tendon	20	20	$2263.69	$410.67
29822 Removal of shoulder joint tissue using an endoscope	12	12	$1733.22	$128.64
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1871.73	$197.92
20900 Small bone graft harvest	11	11	$577.00	$88.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	698	376	$98.63	$35.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	596	335	$375.50	$131.74
J1030 Injection, methylprednisolone acetate, 40 mg	307	131	$10.14	$5.68
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	187	125	$321.26	$107.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$326.60	$113.53
23472 Prosthetic repair of shoulder joint, total shoulder	57	57	$4226.77	$1416.10
23430 Anchoring of biceps tendon	37	37	$2172.30	$434.49
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$267.15	$93.43
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	32	32	$503.28	$167.92
29827 Repair of shoulder rotator cuff using an endoscope	31	31	$3110.08	$1058.34
23020 Release of tendon of shoulder joint	20	20	$2011.30	$385.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$488.52	$170.43
29823 Removal of extensive shoulder joint tissue using an endoscope	16	16	$1735.87	$152.56
20902 Harvest of graft from large bone	12	12	$807.30	$138.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	549	306	$81.21	$34.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	485	295	$309.36	$109.16
J1030 Injection, methylprednisolone acetate, 40 mg	160	105	$13.00	$6.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	139	103	$295.54	$103.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$310.91	$108.45
23472 Prosthetic repair of shoulder joint, total shoulder	52	51	$5159.39	$1485.25
23430 Anchoring of biceps tendon	45	45	$2183.82	$562.80
99213 Established patient office or other outpatient visit, typically 15 minutes	42	41	$209.28	$71.73
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	38	38	$521.73	$172.48
29827 Repair of shoulder rotator cuff using an endoscope	38	38	$3100.71	$1023.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$476.16	$164.00
23020 Release of tendon of shoulder joint	36	35	$2015.97	$445.02
29823 Removal of extensive shoulder joint tissue using an endoscope	33	33	$1808.97	$175.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	529	296	$81.32	$29.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	277	$309.37	$107.85
J1030 Injection, methylprednisolone acetate, 40 mg	179	118	$12.78	$6.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$312.00	$107.35
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	144	119	$283.47	$96.02
99213 Established patient office or other outpatient visit, typically 15 minutes	69	66	$209.28	$73.98
23472 Prosthetic repair of shoulder joint, total shoulder	57	57	$4499.71	$1495.52
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	31	31	$521.73	$175.94
29827 Repair of shoulder rotator cuff using an endoscope	31	31	$3100.71	$1064.50
29823 Removal of extensive shoulder joint tissue using an endoscope	23	23	$1808.97	$168.80
73562 X-ray of knee, 3 views	21	13	$96.09	$37.51
23430 Anchoring of biceps tendon	19	19	$2183.82	$374.90
73221 Mri scan of arm joint without contrast	16	15	$662.91	$212.25
20900 Small bone graft harvest	13	13	$1202.88	$93.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	516	321	$81.45	$29.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	497	327	$309.31	$106.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$311.89	$106.60
J1030 Injection, methylprednisolone acetate, 40 mg	162	134	$13.00	$6.57
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	155	132	$273.42	$92.97
73562 X-ray of knee, 3 views	59	36	$94.46	$35.78
23472 Prosthetic repair of shoulder joint, total shoulder	53	53	$4292.61	$1347.95
73221 Mri scan of arm joint without contrast	37	37	$662.91	$224.30
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	36	36	$521.73	$160.15
29827 Repair of shoulder rotator cuff using an endoscope	33	33	$3100.71	$927.76
29823 Removal of extensive shoulder joint tissue using an endoscope	30	30	$1808.97	$188.47
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$214.18	$70.68
72040 X-ray of upper spine, 2-3 views	15	15	$93.48	$33.67
23430 Anchoring of biceps tendon	15	15	$2181.21	$452.66
20900 Small bone graft harvest	14	14	$1202.88	$83.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	495	272	$79.24	$28.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	486	305	$308.91	$105.84
J1030 Injection, methylprednisolone acetate, 40 mg	179	141	$12.96	$5.66
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	165	136	$272.61	$93.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	163	163	$311.77	$104.87
73562 X-ray of knee, 3 views	112	55	$92.13	$34.61
23472 Prosthetic repair of shoulder joint, total shoulder	48	48	$4292.61	$1409.95
20900 Small bone graft harvest	34	31	$1202.88	$90.20
23020 Release of tendon of shoulder joint	33	33	$2015.97	$328.53
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	32	32	$521.73	$176.20
73221 Mri scan of arm joint without contrast	29	26	$671.17	$204.85
29827 Repair of shoulder rotator cuff using an endoscope	29	29	$3100.71	$1058.99
29823 Removal of extensive shoulder joint tissue using an endoscope	24	24	$1808.97	$187.83
23430 Anchoring of biceps tendon	24	24	$2182.19	$360.87
72040 X-ray of upper spine, 2-3 views	23	22	$93.48	$33.16
27447 Replacement of knee joint, both sides of knee	18	15	$3975.00	$1293.84
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$209.28	$73.18
99495 Transitional care management services for problem of at least moderate complexity	18	18	$475.00	$163.35
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$1948.95	$236.17

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX L6404

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.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License TX L6404

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Hospital & Practice Group Affiliations

Seton Family Of Doctors

16020 Park Valley Dr, Round Rock, TX 786813573

Phone: 5122464488

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Burton Dunlap , MD

Orthopaedic Surgery - Sports Medicine

NPI 1174056907

Doctor of Medicine (M.D.)

Dr. Erica Harmon , DPT

Physical Therapist

NPI 1942749742

Doctor of Physical Therapy

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location August 27, 2018

Registered at 12309 N MOPAC EXPY STE 150, AUSTIN, TX 78758 (Tel: 5124916404)

📍

Updated Business Mailing Address August 27, 2018

Registered at 12309 N MOPAC EXPY STE 150, AUSTIN, TX 787582647 (Tel: 5124916404)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2018

Orthopaedic Surgery (License #L6404 in TX)

✅

NPI Profile Active February 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2015

Registered at 16020 PARK VALLEY DR, ROUND ROCK, TX 786813573 (Tel: 5129770000)

📍

Updated Business Mailing Address February 17, 2015

Registered at 16020 PARK VALLEY DR, ROUND ROCK, TX 786813573 (Tel: 5129770000)

👤

Provider Name / Credentials Updated February 17, 2015

Recorded as ROBERT GRAHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2015

Specialist (License #L6404 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2015

Orthopaedic Surgery (License #L6404 in TX)

🟢

Initial NPI Registration & Enumeration July 08, 2005

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: 1215935820

Entity Type:

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

Enumeration Date: July 08, 2005

Last Update: August 27, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12309 N Mopac Expy Ste 150

Austin, TX 787582647

Phone: 5124916404

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.