Active NPI 1487743209 Individual Practitioner Male Practitioner

Dr. James Allen Guess , MD

Orthopaedic Surgery • Carrollton, TX

Professional Overview & Biography Verified Profile Summary

Dr. James Guess, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Carrollton, TX. Practice services are available at 4780 N JOSEY LN under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views, x-ray of lower and sacral spine, minimum of 4 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4780 N Josey Ln

Carrollton, TX 750104615

Telephone 9724921334

Fax 9724925174

Associated Practice Facility / Clinic

🏢 Metrocrest Surgery Center Lp Facility NPI 1780683490

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Carrollton, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

11 Specialists

Practicing in Carrollton, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% 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 (2023)

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	269	131	$300.56	$122.30
72100 X-ray of lower and sacral spine, 2-3 views	214	96	$86.00	$37.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	85	$402.91	$169.17
99213 Established patient office or other outpatient visit, typically 15 minutes	83	61	$200.00	$86.67
72110 X-ray of lower and sacral spine, minimum of 4 views	52	51	$118.00	$47.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$550.00	$206.63
72070 X-ray of middle spine, 2 views	28	21	$81.00	$31.64
72040 X-ray of upper spine, 2-3 views	24	13	$86.00	$37.97
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	14	$1295.00	$242.10
72080 X-ray of middle and lower spine, 2 views	20	17	$87.00	$33.21
72050 X-ray of upper spine, 4 or 5 views	14	14	$116.00	$47.38
20939 Harvest of bone marrow for spine surgery graft	13	11	$334.00	$66.00

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	279	148	$300.00	$122.86
72100 X-ray of lower and sacral spine, 2-3 views	192	90	$86.00	$38.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	132	103	$400.00	$174.44
99213 Established patient office or other outpatient visit, typically 15 minutes	114	68	$200.00	$87.65
72110 X-ray of lower and sacral spine, minimum of 4 views	68	68	$118.00	$50.19
72040 X-ray of upper spine, 2-3 views	50	26	$86.00	$38.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$550.00	$212.86
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	16	$1295.00	$239.03
72070 X-ray of middle spine, 2 views	25	17	$81.00	$32.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$450.00	$157.63
20939 Harvest of bone marrow for spine surgery graft	21	16	$334.00	$64.73
72080 X-ray of middle and lower spine, 2 views	18	13	$87.00	$34.10
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	13	$5341.00	$883.51
72050 X-ray of upper spine, 4 or 5 views	15	15	$116.00	$52.23
22867 Insertion of stabilizing or separating device into lower spine at single level with open decompression	13	13	$4835.00	$789.82

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	323	164	$300.00	$124.84
72100 X-ray of lower and sacral spine, 2-3 views	167	96	$86.00	$37.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	91	$400.00	$176.62
99213 Established patient office or other outpatient visit, typically 15 minutes	100	75	$200.00	$88.51
72110 X-ray of lower and sacral spine, minimum of 4 views	85	82	$118.00	$48.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$450.00	$159.49
72040 X-ray of upper spine, 2-3 views	50	24	$86.00	$38.41
72070 X-ray of middle spine, 2 views	24	20	$81.00	$31.71
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	13	$1241.04	$225.51
72050 X-ray of upper spine, 4 or 5 views	20	19	$116.00	$51.48
20939 Harvest of bone marrow for spine surgery graft	17	15	$334.00	$62.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$550.00	$215.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	137	$200.00	$73.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	123	$300.00	$106.12
72100 X-ray of lower and sacral spine, 2-3 views	150	95	$86.00	$36.51
72110 X-ray of lower and sacral spine, minimum of 4 views	81	80	$118.00	$46.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$450.00	$160.45
72040 X-ray of upper spine, 2-3 views	63	28	$86.00	$36.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	60	$400.00	$142.54
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	33	17	$1295.00	$252.51
72070 X-ray of middle spine, 2 views	28	15	$81.00	$30.45
20939 Harvest of bone marrow for spine surgery graft	22	19	$334.00	$68.48
72050 X-ray of upper spine, 4 or 5 views	19	19	$116.00	$48.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$120.00	$44.09
22612 Fusion of spine in lower back	12	11	$7742.00	$1556.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	305	154	$200.00	$71.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	145	$300.00	$104.42
72100 X-ray of lower and sacral spine, 2-3 views	169	92	$86.00	$34.58
72110 X-ray of lower and sacral spine, minimum of 4 views	101	101	$118.00	$47.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	80	$400.00	$140.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$450.00	$155.67
72050 X-ray of upper spine, 4 or 5 views	35	35	$116.00	$46.69
72040 X-ray of upper spine, 2-3 views	30	20	$86.00	$34.70
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	15	$1295.00	$254.41
72070 X-ray of middle spine, 2 views	22	15	$81.00	$31.38
20939 Harvest of bone marrow for spine surgery graft	17	16	$334.00	$69.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	314	162	$175.72	$69.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	146	$260.92	$102.19
72100 X-ray of lower and sacral spine, 2-3 views	175	100	$89.26	$32.82
72110 X-ray of lower and sacral spine, minimum of 4 views	90	90	$118.00	$45.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	87	85	$350.00	$137.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$400.00	$157.36
72040 X-ray of upper spine, 2-3 views	57	31	$90.00	$30.98
72050 X-ray of upper spine, 4 or 5 views	31	31	$121.42	$43.08
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	14	$1295.00	$246.48
63048 Partial removal of spine bone with release of spinal cord and/or nerves	21	12	$694.29	$207.73
72070 X-ray of middle spine, 2 views	20	15	$81.00	$28.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	13	$336.00	$133.26
20939 Harvest of bone marrow for spine surgery graft	14	14	$334.00	$66.06
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$5341.00	$854.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	407	213	$175.00	$65.89
72100 X-ray of lower and sacral spine, 2-3 views	247	121	$128.05	$29.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	139	$260.00	$96.17
72110 X-ray of lower and sacral spine, minimum of 4 views	107	107	$122.48	$38.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	87	87	$350.00	$129.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$400.00	$146.83
72040 X-ray of upper spine, 2-3 views	68	27	$108.96	$27.53
72080 X-ray of middle and lower spine, 2 views	43	26	$103.35	$25.66
63048 Partial removal of spine bone with release of spinal cord and/or nerves	39	22	$729.00	$189.23
76000 Imaging guidance for procedure, 60 minutes or less	37	32	$119.00	$7.89
72070 X-ray of middle spine, 2 views	33	21	$126.48	$28.43
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	22	$1295.00	$244.46
38220 Aspiration of bone marrow sample for diagnosis	30	28	$530.00	$29.80
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	23	$5341.00	$795.98
72050 X-ray of upper spine, 4 or 5 views	21	21	$116.00	$37.88
72082 X-ray of entire middle and lower spine, 2-3 views	18	14	$124.00	$53.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$336.00	$125.81
22511 Stabilization of lower spine bone	15	14	$2110.00	$382.70
63710 Placement of spinal cord graft	14	14	$5321.00	$641.48
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$3640.00	$680.02
22612 Fusion of spine in lower back	14	13	$7742.00	$1497.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$115.00	$39.57
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$7498.00	$731.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$127.00	$48.92

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX J7979

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 - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License TX J7979

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

99960903 (TX)

Commercial Insurance / Payer ID Bcbs Tx 02/01/11

8CR157 (TX)

Commercial Insurance / Payer ID Medicare Railroad - Effect. 02/01/2011

P00913368 (TX)

Commercial Insurance / Payer ID Medicare Part B - Effect 02/01/2011

TXB117514 (TX)

Commercial Insurance / Payer ID Medicare Nsc - Effect 02/01/2011

6484850003 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

8F2241 (TX)

Practice Associates & Co-Workers

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

28 Associated Practitioners

Nghi Huynh , PA-C

Physician Assistant

NPI 1013672419

Physician Assistant (Certified)

Henry Di

Physical Therapist

NPI 1013833722

Dr. Phillip Graehl , MD

Orthopaedic Surgery

NPI 1023107851

Doctor of Medicine (M.D.)

Brittany Klein

Physician Assistant

NPI 1023601226

Kimberly Hamilton , PA-C

Physician Assistant

NPI 1053538801

Physician Assistant (Certified)

Derek Smith , PT

Physical Therapist

NPI 1083703490

Physical Therapist

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 01, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2017

Registered at 4780 N JOSEY LN, CARROLLTON, TX 750104615 (Tel: 9724921334)

📍

Updated Business Mailing Address February 01, 2017

Registered at 4780 N JOSEY LN, CARROLLTON, TX 750104615 (Tel: 9724921334)

👤

Provider Name / Credentials Updated February 01, 2017

Recorded as JAMES GUESS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2017

Orthopaedic Surgery (License #J7979 in TX)

✅

NPI Profile Active May 22, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 22, 2013

Registered at 4780 N JOSEY LN, CARROLLTON, TX 750104615 (Tel: 9724921334)

📍

Updated Business Mailing Address May 22, 2013

Registered at 4780 N JOSEY LN, CARROLLTON, TX 750104615 (Tel: 9724921334)

👤

Provider Name / Credentials Updated May 22, 2013

Recorded as JAMES GUESS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2013

Orthopaedic Surgery (License #J7979 in TX)

🟢

Initial NPI Registration & Enumeration October 11, 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: 1487743209

Entity Type:

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

Enumeration Date: October 11, 2006

Last Update: February 01, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4780 N Josey Ln

Carrollton, TX 750104615

Phone: 9724921334

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.