Active NPI 1811985328 Individual Practitioner Male Practitioner

Dr. Mark E Franklin , MD

Orthopaedic Surgery • Baytown, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mark Franklin, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Baytown, TX. Practice services are available at 4201 GARTH RD under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 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

4201 Garth Rd
Suite 107

Baytown, TX 775213167

Telephone 2814277400

Fax 2814278750

Associated Practice Facility / Clinic

🏢 The Womens Health Clinic, Inc. Facility NPI 1578555488

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Baytown, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 37.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Baytown, TX (1627 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.4% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	284	27	$5.00	$1.11
99213 Established patient office or other outpatient visit, typically 15 minutes	92	62	$212.00	$93.52
20610 Aspiration and/or injection of fluid from large joint	49	36	$353.57	$68.39
73562 X-ray of knee, 3 views	30	26	$131.77	$43.22
73030 X-ray of shoulder, minimum of 2 views	27	18	$106.89	$36.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$314.00	$132.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$317.00	$116.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$483.00	$173.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	209	138	$212.00	$94.83
J1030 Injection, methylprednisolone acetate, 40 mg	179	75	$16.00	$5.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	28	$5.00	$1.21
20610 Aspiration and/or injection of fluid from large joint	130	100	$362.12	$69.32
73562 X-ray of knee, 3 views	74	65	$134.00	$42.30
73030 X-ray of shoulder, minimum of 2 views	67	51	$104.37	$35.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$317.00	$116.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	52	$314.00	$134.57
73502 X-ray of hip, 2-3 views	39	34	$146.00	$48.76
73564 X-ray of knee, 4 or more views	26	14	$120.77	$48.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$483.00	$174.09
27447 Replacement of knee joint, both sides of knee	12	12	$7704.00	$1343.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	293	202	$212.00	$77.11
J1030 Injection, methylprednisolone acetate, 40 mg	260	108	$16.00	$5.99
20610 Aspiration and/or injection of fluid from large joint	185	132	$352.84	$64.48
73030 X-ray of shoulder, minimum of 2 views	107	86	$104.78	$34.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$317.00	$110.02
73564 X-ray of knee, 4 or more views	92	73	$144.20	$44.76
73502 X-ray of hip, 2-3 views	68	63	$146.00	$46.52
J1040 Injection, methylprednisolone acetate, 80 mg	50	45	$28.00	$11.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	50	$314.00	$110.74
73562 X-ray of knee, 3 views	44	40	$129.43	$40.39
27447 Replacement of knee joint, both sides of knee	16	15	$7704.00	$1424.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	397	253	$212.00	$75.02
73564 X-ray of knee, 4 or more views	177	144	$146.36	$42.31
20610 Aspiration and/or injection of fluid from large joint	167	125	$367.81	$64.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	140	29	$5.00	$1.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	138	$317.00	$109.29
J1030 Injection, methylprednisolone acetate, 40 mg	107	49	$16.00	$6.31
73030 X-ray of shoulder, minimum of 2 views	106	86	$107.33	$30.55
J1040 Injection, methylprednisolone acetate, 80 mg	75	59	$28.00	$12.01
73502 X-ray of hip, 2-3 views	50	42	$146.00	$43.53
27447 Replacement of knee joint, both sides of knee	34	32	$7704.00	$1361.92
73562 X-ray of knee, 3 views	28	23	$126.82	$37.72
73610 X-ray of ankle, minimum of 3 views	23	18	$114.78	$33.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$128.00	$45.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$314.00	$110.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$115.00	$39.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	149	$212.50	$73.97
73030 X-ray of shoulder, minimum of 2 views	118	88	$105.83	$29.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	82	$128.00	$44.18
20610 Aspiration and/or injection of fluid from large joint	108	78	$354.78	$61.64
73564 X-ray of knee, 4 or more views	99	85	$145.90	$40.26
J1030 Injection, methylprednisolone acetate, 40 mg	94	36	$16.00	$6.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$317.00	$109.68
J1040 Injection, methylprednisolone acetate, 80 mg	55	45	$28.00	$12.98
73502 X-ray of hip, 2-3 views	50	46	$146.00	$41.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$314.00	$109.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$483.00	$167.07
73610 X-ray of ankle, minimum of 3 views	20	15	$120.00	$31.95
73562 X-ray of knee, 3 views	19	16	$126.95	$36.26
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$296.00	$103.00
27447 Replacement of knee joint, both sides of knee	13	13	$7704.00	$1397.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	275	189	$128.00	$43.91
73030 X-ray of shoulder, minimum of 2 views	138	90	$107.78	$29.23
99213 Established patient office or other outpatient visit, typically 15 minutes	111	106	$212.00	$73.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$317.00	$106.03
20610 Aspiration and/or injection of fluid from large joint	92	78	$356.00	$59.83
73564 X-ray of knee, 4 or more views	92	79	$147.61	$40.05
J1040 Injection, methylprednisolone acetate, 80 mg	80	69	$28.00	$10.71
73502 X-ray of hip, 2-3 views	51	41	$146.00	$41.84
73503 X-ray of hip with pelvis, minimum of 4 views	36	33	$183.00	$52.11
73560 X-ray of knee, 1-2 views	32	25	$108.50	$30.11
73610 X-ray of ankle, minimum of 3 views	25	11	$117.60	$31.76
73562 X-ray of knee, 3 views	20	15	$123.95	$36.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$588.00	$205.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$401.00	$138.59
27447 Replacement of knee joint, both sides of knee	14	12	$7704.00	$1391.98
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$5389.00	$1082.23

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX G3368

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

114454506 (TX)

Medicaid State Provider ID

114454505 (TX)

Medicaid State Provider ID

114454503 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

1811985328 (TX)

Commercial Insurance / Payer ID Us Dept Of Labor

601771109

Commercial Insurance / Payer ID Us Dept Of Labor

616771105

Commercial Insurance / Payer ID Rr Medicare

P01079751 (TX)

Commercial Insurance / Payer ID Us Dept Of Labor

616771110

Commercial Insurance / Payer ID Rr Medicare

P01070954 (TX)

Commercial Insurance / Payer ID Us Dept Of Labor

616771101

Practice Associates & Co-Workers

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

8 Associated Practitioners

Molly Mchale , PA-C

Physician Assistant

NPI 1083508345

Physician Assistant (Certified)

Dr. Chia Wu , MD

Orthopaedic Surgery - Hand Surgery

NPI 1124464680

Doctor of Medicine (M.D.)

James Pyle

Orthopaedic Surgery

NPI 1255329686

Dr. Neel Patel , MD

Orthopaedic Surgery - Sports Medicine

NPI 1396198933

Doctor of Medicine (M.D.)

Michael Hopson

Orthopaedic Surgery - Sports Medicine

NPI 1578853867

Stephen Melancon , PA-C, ATC

Physician Assistant

NPI 1700108685

Physician Assistant (Certified), Certified Athletic Trainer

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2014

Registered at 4201 GARTH RD, SUITE 107, BAYTOWN, TX 775213167 (Tel: 2814277400)

📍

Updated Business Mailing Address March 11, 2014

Registered at 7401 MAIN ST, HOUSTON, TX 770304509 (Tel: 7137992300)

👤

Provider Name / Credentials Updated March 11, 2014

Recorded as MARK FRANKLIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2014

Orthopaedic Surgery (License #G3368 in TX)

🟢

Initial NPI Registration & Enumeration October 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1811985328

Entity Type:

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

Enumeration Date: October 10, 2005

Last Update: March 11, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7401 Main St

Houston, TX 770304509

Phone: 7137992300

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.