Active NPI 1417987983 Individual Practitioner Male Practitioner

Dr. Shelby H. Carter , MD

Orthopaedic Surgery • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Shelby Carter, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Austin, TX. Practice services are available at 1301 W 38TH ST STE 102 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1301 W 38th St Ste 102

Austin, TX 787051010

Telephone 5124544561

Fax 5124672906

Associated Practice Facility / Clinic

🏢 Medical Park Orthopaedic Clinic Facility NPI 1124057344

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Austin, TX

Active Practitioner

Practitioner Clinical Experience

Active

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

69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

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	181	150	$205.71	$126.27
73564 X-ray of knee, 4 or more views	133	103	$100.09	$44.69
73562 X-ray of knee, 3 views	125	109	$102.14	$39.83
73502 X-ray of hip, 2-3 views	116	97	$127.00	$45.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$320.00	$164.14
99213 Established patient office or other outpatient visit, typically 15 minutes	49	48	$139.00	$90.16
27447 Replacement of knee joint, both sides of knee	47	45	$4694.00	$1270.70
20610 Aspiration and/or injection of fluid from large joint	41	35	$230.02	$62.99
J1040 Injection, methylprednisolone acetate, 80 mg	32	30	$25.00	$10.33
27130 Replacement of thigh bone and hip joint with prosthesis	25	25	$4392.00	$1307.82
77073 Imaging for bone length assessment	15	15	$119.00	$44.60

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	181	148	$206.00	$106.18
73562 X-ray of knee, 3 views	138	106	$94.96	$37.74
73564 X-ray of knee, 4 or more views	116	86	$97.10	$42.09
73502 X-ray of hip, 2-3 views	109	89	$127.00	$43.78
20610 Aspiration and/or injection of fluid from large joint	65	46	$232.00	$61.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$320.00	$161.39
99213 Established patient office or other outpatient visit, typically 15 minutes	58	56	$139.00	$74.05
27447 Replacement of knee joint, both sides of knee	50	46	$4694.00	$1387.10
J1040 Injection, methylprednisolone acetate, 80 mg	39	34	$25.00	$10.89
77073 Imaging for bone length assessment	18	18	$119.00	$43.07
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$4392.00	$1395.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	345	253	$92.52	$36.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	279	$206.00	$107.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	248	248	$320.00	$163.47
73502 X-ray of hip, 2-3 views	232	193	$127.00	$42.36
73564 X-ray of knee, 4 or more views	212	161	$98.42	$41.18
27447 Replacement of knee joint, both sides of knee	137	125	$4694.00	$1405.26
20610 Aspiration and/or injection of fluid from large joint	117	93	$232.00	$61.57
J1040 Injection, methylprednisolone acetate, 80 mg	97	86	$25.00	$11.77
99213 Established patient office or other outpatient visit, typically 15 minutes	74	73	$139.00	$74.32
77073 Imaging for bone length assessment	55	55	$119.00	$37.86
27130 Replacement of thigh bone and hip joint with prosthesis	50	47	$4392.00	$1378.65
73560 X-ray of knee, 1-2 views	29	24	$76.97	$32.79
27446 Repair of knee joint	24	22	$3370.00	$1228.32
72170 X-ray of pelvis, 1-2 views	12	11	$83.00	$33.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	532	370	$88.63	$33.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	303	$206.00	$103.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	243	243	$320.00	$159.63
73502 X-ray of hip, 2-3 views	196	176	$127.00	$39.51
20610 Aspiration and/or injection of fluid from large joint	142	114	$232.00	$59.44
J1040 Injection, methylprednisolone acetate, 80 mg	122	105	$25.00	$12.84
27447 Replacement of knee joint, both sides of knee	109	102	$4694.00	$1347.79
99213 Established patient office or other outpatient visit, typically 15 minutes	83	79	$139.00	$70.26
27130 Replacement of thigh bone and hip joint with prosthesis	57	55	$4392.00	$1341.66
73560 X-ray of knee, 1-2 views	45	43	$88.87	$30.54
20985 Computer-assisted surgery for muscle and bone procedure	39	38	$455.00	$144.18
73564 X-ray of knee, 4 or more views	32	22	$88.00	$37.91
77073 Imaging for bone length assessment	31	30	$119.00	$34.57
72170 X-ray of pelvis, 1-2 views	30	27	$83.00	$30.50
73521 X-ray of both hips, 2 views	13	11	$122.00	$36.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	542	371	$106.93	$34.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	270	$206.00	$102.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	234	234	$320.00	$155.80
73502 X-ray of hip, 2-3 views	177	159	$127.00	$40.33
20610 Aspiration and/or injection of fluid from large joint	151	117	$256.58	$60.97
27447 Replacement of knee joint, both sides of knee	133	124	$4870.47	$1355.37
J1040 Injection, methylprednisolone acetate, 80 mg	107	95	$25.00	$10.63
99213 Established patient office or other outpatient visit, typically 15 minutes	106	103	$139.00	$70.89
20985 Computer-assisted surgery for muscle and bone procedure	79	76	$455.00	$142.63
27130 Replacement of thigh bone and hip joint with prosthesis	57	54	$4392.00	$1283.84
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	44	17	$509.00	$148.33
73564 X-ray of knee, 4 or more views	43	35	$116.09	$38.72
73560 X-ray of knee, 1-2 views	31	26	$93.00	$30.10
72170 X-ray of pelvis, 1-2 views	30	25	$83.00	$31.17
77071 Application of stress by physician for joint imaging	22	22	$142.00	$47.03
73521 X-ray of both hips, 2 views	18	18	$122.00	$38.86

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX H9048

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

094771502 (TX)

Medicaid State Provider ID

132346107 (TX)

Commercial Insurance / Payer ID Bcbs

817425 (TX)

Commercial Insurance / Payer ID Aetna Trs

4293049 (TX)

Commercial Insurance / Payer ID Scott & White

91043 (TX)

Practice Associates & Co-Workers

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

23 Associated Practitioners

Jason Holinbeck

Family Medicine - Sports Medicine

NPI 1003106766

Dr. Kevin Bozic , MD

Orthopaedic Surgery

NPI 1013960921

Doctor of Medicine (M.D.)

Michael Farris , PA

Physician Assistant

NPI 1043324791

Physician Assistant

Olivia Cummins , PA-C

Physician Assistant

NPI 1083329171

Physician Assistant (Certified)

Doyle Parker , PT

Physical Therapist

NPI 1083695415

Physical Therapist

Mckenzie Lavengco , PA-C

Physician Assistant

NPI 1215671813

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location February 09, 2022

Registered at 1301 W 38TH ST STE 102, AUSTIN, TX 787051010 (Tel: 5124544561)

✅

NPI Profile Active February 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2011

Registered at 1301 W. 38TH ST. #102, AUSTIN, TX 787051010 (Tel: 5124544561)

📍

Updated Business Mailing Address February 15, 2011

Registered at PO BOX 26726, AUSTIN, TX 787550726 (Tel: 5124078686)

👤

Provider Name / Credentials Updated February 15, 2011

Recorded as SHELBY CARTER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2011

Orthopaedic Surgery (License #H9048 in TX)

🟢

Initial NPI Registration & Enumeration July 03, 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: 1417987983

Entity Type:

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

Enumeration Date: July 03, 2006

Last Update: February 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 26726

Austin, TX 787550726

Phone: 5124078686

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.