Active NPI 1528056033 Individual Practitioner Male Practitioner

Dr. Thomas Bradley Edwards , MD

Orthopaedic Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Edwards, MD is a certified Orthopaedic Surgery practicing in Houston, TX. With approximately 31 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1995, Dr. Edwards delivers high-quality medical care to the local community at 7401 SOUTH MAIN ST.

Dr. Edwards is affiliated with Ortholonestar Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, x-ray of shoulder, minimum of 2 views, established 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

7401 South Main St

Houston, TX 770304509

Telephone 7137992300

Fax 7137943380

Associated Practice Facility / Clinic

🏢 Fondren Orthopedic Group L.l.p. Facility NPI 1609830595

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +6.9 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

214 Specialists

Practicing in Houston, TX (1627 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwards (31 Years) 31 Yrs

Houston Specialty Average (24.1 Years) 24.1 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	4,882	52	$0.45	$0.13
73030 X-ray of shoulder, minimum of 2 views	675	451	$102.33	$34.67
99213 Established patient office or other outpatient visit, typically 15 minutes	499	334	$233.00	$90.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$334.00	$112.62
20610 Aspiration and/or injection of fluid from large joint	115	96	$220.96	$67.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	100	$338.00	$128.84
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	105	28	$129.00	$63.05
23472 Prosthetic repair of shoulder joint, total shoulder	63	63	$4604.00	$1581.20
23405 Incision of shoulder tendon	45	45	$1963.00	$317.45
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	31	20	$65.00	$48.23
J1040 Injection, methylprednisolone acetate, 80 mg	30	28	$30.00	$9.68
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	25	25	$553.00	$175.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$510.00	$168.72
29827 Repair of shoulder rotator cuff using an endoscope	22	22	$3391.00	$1118.26
29828 Release of shoulder biceps tendon using an endoscope	16	16	$2909.00	$492.65
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1987.00	$278.26
J7999 Compounded drug, not otherwise classified	11	11	$39.27	$33.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	575	418	$102.49	$35.28
99213 Established patient office or other outpatient visit, typically 15 minutes	522	342	$233.00	$91.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$334.00	$113.08
J1040 Injection, methylprednisolone acetate, 80 mg	141	112	$30.00	$11.73
20610 Aspiration and/or injection of fluid from large joint	133	112	$224.21	$68.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	60	$338.00	$128.22
23472 Prosthetic repair of shoulder joint, total shoulder	62	60	$4604.00	$1543.90
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$553.00	$176.49
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$3391.00	$1123.79
23405 Incision of shoulder tendon	11	11	$1963.00	$330.48
29828 Release of shoulder biceps tendon using an endoscope	11	11	$2909.00	$459.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	624	451	$102.51	$35.87
99213 Established patient office or other outpatient visit, typically 15 minutes	477	336	$234.48	$93.01
20610 Aspiration and/or injection of fluid from large joint	200	167	$225.00	$69.02
J1040 Injection, methylprednisolone acetate, 80 mg	179	145	$31.12	$10.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$334.00	$115.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	63	$338.00	$130.08
23472 Prosthetic repair of shoulder joint, total shoulder	55	54	$4604.00	$1483.90
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	36	35	$15.14	$6.74
23405 Incision of shoulder tendon	28	27	$1963.00	$320.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$141.00	$58.12
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$3391.00	$1066.71
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$553.00	$170.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$510.00	$171.42
29828 Release of shoulder biceps tendon using an endoscope	11	11	$2909.00	$431.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	594	377	$220.06	$94.53
73030 X-ray of shoulder, minimum of 2 views	555	406	$96.09	$35.46
J1040 Injection, methylprednisolone acetate, 80 mg	287	204	$34.00	$10.46
20610 Aspiration and/or injection of fluid from large joint	262	203	$238.75	$69.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$320.91	$115.01
23472 Prosthetic repair of shoulder joint, total shoulder	53	53	$4466.39	$1579.45
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	42	42	$483.67	$177.50
29827 Repair of shoulder rotator cuff using an endoscope	40	40	$2902.75	$1094.78
29828 Release of shoulder biceps tendon using an endoscope	30	30	$2504.20	$489.64
29823 Removal of extensive shoulder joint tissue using an endoscope	26	26	$1660.58	$125.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$321.64	$134.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	599	402	$188.00	$76.96
73030 X-ray of shoulder, minimum of 2 views	574	450	$76.00	$33.81
J1040 Injection, methylprednisolone acetate, 80 mg	231	171	$34.00	$11.55
20610 Aspiration and/or injection of fluid from large joint	211	170	$172.63	$67.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$278.00	$111.08
23472 Prosthetic repair of shoulder joint, total shoulder	65	64	$4092.72	$1546.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	54	$278.00	$110.36
29827 Repair of shoulder rotator cuff using an endoscope	32	31	$2761.00	$1096.99
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	32	31	$462.00	$179.00
29828 Release of shoulder biceps tendon using an endoscope	24	23	$2381.00	$456.06
29823 Removal of extensive shoulder joint tissue using an endoscope	20	19	$1618.00	$158.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$113.00	$47.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	666	451	$76.00	$30.38
99213 Established patient office or other outpatient visit, typically 15 minutes	567	347	$188.00	$75.08
J1040 Injection, methylprednisolone acetate, 80 mg	307	197	$34.00	$12.18
20610 Aspiration and/or injection of fluid from large joint	274	196	$178.77	$65.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$278.00	$109.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	118	$278.00	$109.88
23472 Prosthetic repair of shoulder joint, total shoulder	69	68	$4104.20	$1553.99
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	40	40	$462.00	$176.71
29827 Repair of shoulder rotator cuff using an endoscope	35	35	$2761.00	$1056.18
29828 Release of shoulder biceps tendon using an endoscope	25	25	$2381.00	$452.19
29823 Removal of extensive shoulder joint tissue using an endoscope	20	20	$1618.00	$248.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	820	525	$66.86	$28.81
99213 Established patient office or other outpatient visit, typically 15 minutes	802	463	$128.98	$71.78
J1040 Injection, methylprednisolone acetate, 80 mg	297	200	$39.03	$12.96
20610 Aspiration and/or injection of fluid from large joint	293	205	$141.06	$63.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$197.84	$105.93
23020 Release of tendon of shoulder joint	61	59	$2098.93	$459.11
23472 Prosthetic repair of shoulder joint, total shoulder	52	52	$6955.27	$1463.88
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	39	38	$2674.62	$177.85
29827 Repair of shoulder rotator cuff using an endoscope	36	36	$2966.81	$1062.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$221.82	$106.95
29823 Removal of extensive shoulder joint tissue using an endoscope	33	32	$2640.73	$191.21
29828 Release of shoulder biceps tendon using an endoscope	29	29	$2052.55	$458.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$72.00	$43.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	934	588	$69.95	$28.38
99213 Established patient office or other outpatient visit, typically 15 minutes	738	476	$119.00	$71.64
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	347	235	$18.10	$6.72
20610 Aspiration and/or injection of fluid from large joint	318	237	$136.60	$64.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	184	166	$72.00	$43.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	166	166	$177.00	$106.54
23020 Release of tendon of shoulder joint	91	86	$2109.00	$371.01
23472 Prosthetic repair of shoulder joint, total shoulder	74	73	$7196.99	$1559.80
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	44	42	$3000.00	$175.58
29827 Repair of shoulder rotator cuff using an endoscope	43	41	$3017.44	$1042.99
29828 Release of shoulder biceps tendon using an endoscope	31	30	$2000.00	$429.16
29823 Removal of extensive shoulder joint tissue using an endoscope	26	24	$2868.00	$166.95
73060 X-ray of upper arm, minimum of 2 views	15	11	$75.00	$27.46

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX L6367

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

160555901 (TX)

Hospital & Practice Group Affiliations

Ortholonestar Pllc

7401 Main St, Houston, TX 770304509

Phone: 7137992300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Juliette Zumwalt , PA

Physician Assistant

NPI 1003000738

Physician Assistant

David Loncarich

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1003804428

Karen Gunter , PA

Physician Assistant - Surgical

NPI 1013021534

Physician Assistant

Cuong Phan

Clinical Nurse Specialist

NPI 1013610757

Angela Nguyen , PA-C

Physician Assistant - Surgical

NPI 1013857754

Physician Assistant (Certified)

Susan Ball , RN

Registered Nurse

NPI 1013907278

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 02, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2011

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

📍

Updated Business Mailing Address March 02, 2011

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

👤

Provider Name / Credentials Updated March 02, 2011

Recorded as THOMAS EDWARDS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2011

Orthopaedic Surgery (License #L6367 in TX)

🟢

Initial NPI Registration & Enumeration October 10, 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: 1528056033

Entity Type:

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

Enumeration Date: October 10, 2005

Last Update: March 02, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7401 South 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.