Deactivated NPI 1447331665 Deactivated / Inactive NPI Male Practitioner

Dr. Larry M Kjeldgaard , DO

Orthopaedic Surgery • Hurst, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Kjeldgaard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2006

NPI Deactivation Date June 08, 2022

Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Kjeldgaard, DO was a registered Orthopaedic Surgery practicing in Hurst, TX. Throughout an active medical career spanning 16 years, Dr. Kjeldgaard provided care at the practice location at 809 W HARWOOD RD until profile deactivation on 2022-06-08.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

809 W Harwood Rd
Suite 101

Hurst, TX 760543289

Telephone 8172835252

Fax 8172835283

Associated Practice Facility / Clinic

🏢 Trinity Orthopedics, Pa Facility NPI 1851472005

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hurst, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 38.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Hurst, TX (1627 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.7% 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
99213 Established patient office or other outpatient visit, typically 15 minutes	101	76	$356.00	$90.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	71	$506.00	$126.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$437.00	$110.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg	46	37	$20.00	$0.15
20610 Aspiration and/or injection of fluid from large joint	43	32	$295.12	$69.71
J1030 Injection, methylprednisolone acetate, 40 mg	43	34	$20.00	$5.71
72100 X-ray of lower and sacral spine, 2-3 views	39	22	$155.00	$40.12
72110 X-ray of lower and sacral spine, minimum of 4 views	37	37	$198.00	$48.67
73564 X-ray of knee, 4 or more views	27	21	$172.37	$46.37
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	11	$975.00	$247.09
73030 X-ray of shoulder, minimum of 2 views	19	18	$133.00	$34.53
72050 X-ray of upper spine, 4 or 5 views	19	18	$206.00	$53.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$654.00	$167.33
72114 X-ray lower and sacral spine, minimum of 6 views	14	14	$242.00	$62.74
73502 X-ray of hip, 2-3 views	11	11	$182.00	$47.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	320	163	$182.34	$74.90
72100 X-ray of lower and sacral spine, 2-3 views	93	43	$169.00	$38.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$292.00	$105.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg	66	48	$20.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	57	47	$329.56	$66.24
72110 X-ray of lower and sacral spine, minimum of 4 views	40	40	$243.00	$46.31
73030 X-ray of shoulder, minimum of 2 views	38	35	$153.97	$33.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	28	$115.00	$44.51
73564 X-ray of knee, 4 or more views	35	30	$190.89	$43.94
73560 X-ray of knee, 1-2 views	32	14	$131.00	$33.54
72040 X-ray of upper spine, 2-3 views	25	13	$159.00	$38.23
J1885 Injection, ketorolac tromethamine, per 15 mg	22	19	$20.00	$0.55
J1030 Injection, methylprednisolone acetate, 40 mg	20	20	$20.00	$6.04
72050 X-ray of upper spine, 4 or 5 views	18	17	$233.00	$50.88
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$4220.00	$173.25
29823 Removal of extensive shoulder joint tissue using an endoscope	13	13	$4254.00	$263.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$283.54	$109.10
15769 Self soft tissue graft	12	12	$1500.00	$238.06
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	11	$8911.00	$652.64
72114 X-ray lower and sacral spine, minimum of 6 views	11	11	$339.00	$60.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	413	201	$182.27	$73.25
72100 X-ray of lower and sacral spine, 2-3 views	173	67	$169.00	$35.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg	156	55	$20.00	$0.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$292.00	$106.68
J1885 Injection, ketorolac tromethamine, per 15 mg	56	26	$20.00	$0.56
72110 X-ray of lower and sacral spine, minimum of 4 views	56	56	$243.00	$50.63
20926 Tissue graft	46	42	$1499.98	$218.33
73560 X-ray of knee, 1-2 views	46	17	$130.96	$31.97
20610 Aspiration and/or injection of fluid from large joint	46	38	$322.70	$61.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	37	$115.00	$43.85
72040 X-ray of upper spine, 2-3 views	35	19	$159.00	$36.23
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	35	23	$14999.60	$255.59
73564 X-ray of knee, 4 or more views	35	30	$190.89	$41.17
73030 X-ray of shoulder, minimum of 2 views	30	25	$148.83	$29.86
J1030 Injection, methylprednisolone acetate, 40 mg	29	21	$20.00	$5.61
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	23	$8911.00	$676.28
72050 X-ray of upper spine, 4 or 5 views	25	24	$233.00	$49.93
73501 X-ray of hip with pelvis, 1 view	25	17	$150.00	$30.58
20939 Harvest of bone marrow for spine surgery graft	23	23	$3600.00	$66.00
63048 Partial removal of spine bone with release of spinal cord and/or nerves	22	17	$3318.68	$208.86
72170 X-ray of pelvis, 1-2 views	16	12	$152.00	$32.69
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	13	$7020.93	$751.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$270.00	$108.12
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$12828.00	$1804.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	816	11	$38.00	$11.73
99213 Established patient office or other outpatient visit, typically 15 minutes	368	194	$182.30	$69.45
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	177	17	$97.00	$23.88
72100 X-ray of lower and sacral spine, 2-3 views	134	64	$169.00	$32.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg	107	33	$20.00	$0.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$292.00	$101.79
72110 X-ray of lower and sacral spine, minimum of 4 views	79	79	$243.00	$44.66
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	48	25	$14999.40	$235.99
20610 Aspiration and/or injection of fluid from large joint	46	28	$302.98	$57.48
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	31	31	$8911.00	$589.21
20926 Tissue graft	30	28	$1499.93	$215.58
72040 X-ray of upper spine, 2-3 views	28	16	$159.00	$30.98
J1885 Injection, ketorolac tromethamine, per 15 mg	28	18	$20.00	$0.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$115.00	$40.97
63048 Partial removal of spine bone with release of spinal cord and/or nerves	27	20	$3318.70	$201.95
72050 X-ray of upper spine, 4 or 5 views	26	26	$233.00	$43.52
73564 X-ray of knee, 4 or more views	23	20	$190.87	$38.09
J1030 Injection, methylprednisolone acetate, 40 mg	23	18	$20.00	$6.71
22633 Fusion of spine in lower back with partial removal of spine bone and disc	22	22	$12828.00	$1700.76
73501 X-ray of hip with pelvis, 1 view	21	16	$149.95	$28.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$270.00	$103.81
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	20	16	$3541.85	$473.94
20939 Harvest of bone marrow for spine surgery graft	19	19	$2995.74	$61.71
22842 Placement of stabilizing device to back, 3-6 spine bone segments	18	18	$7939.00	$729.41
72070 X-ray of middle spine, 2 views	13	11	$162.00	$32.59
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$190.00	$67.21
17999 Skin, mucus membrane and beneath the skin procedure	12	12	$1500.00	$214.45
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$7021.00	$677.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	576	11	$38.00	$12.43
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	388	51	$97.00	$25.38
99213 Established patient office or other outpatient visit, typically 15 minutes	264	146	$172.69	$68.32
72100 X-ray of lower and sacral spine, 2-3 views	83	42	$165.29	$33.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$268.23	$101.40
72110 X-ray of lower and sacral spine, minimum of 4 views	40	38	$232.93	$46.59
72040 X-ray of upper spine, 2-3 views	38	19	$154.37	$30.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg	35	28	$19.97	$0.11
73560 X-ray of knee, 1-2 views	28	14	$129.64	$29.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$226.19	$99.01
J1885 Injection, ketorolac tromethamine, per 15 mg	27	17	$20.00	$0.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$116.73	$41.45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	15	$12813.50	$246.66
20610 Aspiration and/or injection of fluid from large joint	24	21	$291.83	$57.51
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$7853.67	$648.18
J1030 Injection, methylprednisolone acetate, 40 mg	20	16	$19.95	$5.67
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	20	11	$133.80	$8.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	15	$75.00	$23.36
73564 X-ray of knee, 4 or more views	17	13	$184.53	$37.89
97162 Evaluation for physical therapy, typically 30 minutes	17	17	$240.00	$77.57
72050 X-ray of upper spine, 4 or 5 views	15	15	$222.20	$43.24
72114 X-ray lower and sacral spine, minimum of 6 views	15	14	$339.00	$58.99
15777 Implantation of biologic implant to soft tissue	14	14	$1134.00	$203.20
73030 X-ray of shoulder, minimum of 2 views	14	12	$153.93	$27.60
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$11476.55	$1741.06

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX H3398

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners

Kevin Walters , PT

Physical Therapist - Sports

NPI 1134124985

Physical Therapist

Dr. Patricia Cates , DC

Chiropractor

NPI 1174534457

Doctor of Chiropractic

Grace Jung

Physician Assistant

NPI 1487460671

Kayla Calle , PTA

Physical Therapy Assistant

NPI 1740694975

Physical Therapist Assistant

Richard Smith , PA-C

Physician Assistant

NPI 1912088147

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated June 08, 2022

Record deactivated on June 08, 2022

✅

NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2013

Registered at 809 W HARWOOD RD, SUITE 101, HURST, TX 760543289 (Tel: 8172835252)

📍

Updated Business Mailing Address July 11, 2013

Registered at 809 W HARWOOD RD, SUITE 101, HURST, TX 760543289 (Tel: 8172835252)

👤

Provider Name / Credentials Updated July 11, 2013

Recorded as LARRY KJELDGAARD, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Orthopaedic Surgery (License #H3398 in TX)

🟢

Initial NPI Registration & Enumeration October 17, 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: 1447331665

Entity Type:

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

Enumeration Date: October 17, 2006

Last Update: July 11, 2013

Deactivation Date: June 08, 2022

Update or Correct Profile

Mailing Address

809 W Harwood Rd, Suite 101

Hurst, TX 760543289

Phone: 8172835252

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.