Active NPI 1215984356 Individual Practitioner Male Practitioner

Dr. Roy Guse , MD

Orthopaedic Surgery • Lufkin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Roy Guse, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Lufkin, TX. Practice services are available at 208 GASLIGHT BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, 1-2 views, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

208 Gaslight Blvd

Lufkin, TX 759043166

Telephone 9366348800

Associated Practice Facility / Clinic

🏢 Jackson D. Wagnon, M.d.p.a. Facility NPI 1679793350

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Lufkin, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.3 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Lufkin, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.7% 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 (2022)

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	121	92	$275.00	$124.17
73560 X-ray of knee, 1-2 views	100	54	$96.00	$32.48
99213 Established patient office or other outpatient visit, typically 15 minutes	68	58	$180.00	$88.05
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	62	24	$19.00	$6.74
20610 Aspiration and/or injection of fluid from large joint	44	37	$281.45	$65.74
20610 Aspiration and/or injection of fluid from large joint	40	38	$258.00	$22.24
73030 X-ray of shoulder, minimum of 2 views	33	21	$150.00	$33.16
73502 X-ray of hip, 2-3 views	33	20	$115.00	$42.76
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	29	27	$150.00	$51.32
73564 X-ray of knee, 4 or more views	23	22	$150.00	$45.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$250.00	$108.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$420.00	$189.65
27447 Replacement of knee joint, both sides of knee	15	15	$6812.00	$1228.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	480	13	$31.25	$17.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	200	$275.00	$125.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg	151	26	$19.00	$0.15
73560 X-ray of knee, 1-2 views	122	67	$96.00	$32.68
20610 Aspiration and/or injection of fluid from large joint	109	82	$312.44	$67.62
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	105	48	$19.00	$6.59
73564 X-ray of knee, 4 or more views	80	64	$150.00	$43.73
73502 X-ray of hip, 2-3 views	78	45	$115.00	$40.58
99213 Established patient office or other outpatient visit, typically 15 minutes	74	69	$173.78	$87.31
20610 Aspiration and/or injection of fluid from large joint	72	69	$265.17	$22.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$250.00	$109.28
73030 X-ray of shoulder, minimum of 2 views	61	39	$150.00	$31.28
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	42	41	$150.00	$50.32
73522 X-ray of both hips, 3-4 views	39	37	$116.00	$50.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	33	$420.00	$189.15
27447 Replacement of knee joint, both sides of knee	31	29	$6812.00	$1210.27
77002 Fluoroscopic guidance for needle placement	30	30	$225.00	$27.02
27393 Lengthening of hamstring tendon	25	23	$1377.00	$237.47
27360 Partial removal of bone of thigh and/or lower leg bones	23	21	$2925.00	$437.02
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$6620.00	$1244.52
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$116.00	$36.19
72190 X-ray of pelvis, minimum of 3 views	12	11	$150.00	$40.83
20550 Injection into tendon or ligament	11	11	$200.00	$47.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	912	11	$38.00	$30.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	292	199	$274.91	$104.64
J1040 Injection, methylprednisolone acetate, 80 mg	156	62	$30.19	$11.04
20610 Aspiration and/or injection of fluid from large joint	145	94	$350.50	$67.59
73560 X-ray of knee, 1-2 views	135	75	$96.00	$31.36
99213 Established patient office or other outpatient visit, typically 15 minutes	110	83	$159.91	$72.55
73564 X-ray of knee, 4 or more views	94	72	$150.00	$41.34
20610 Aspiration and/or injection of fluid from large joint	87	81	$260.97	$24.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$250.00	$104.24
73502 X-ray of hip, 2-3 views	81	50	$115.00	$42.01
73030 X-ray of shoulder, minimum of 2 views	65	44	$150.00	$31.72
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	60	25	$19.00	$7.05
77002 Fluoroscopic guidance for needle placement	36	36	$225.00	$27.73
27447 Replacement of knee joint, both sides of knee	28	27	$6812.00	$1344.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$300.00	$135.52
73110 X-ray of wrist, minimum of 3 views	25	15	$103.00	$33.45
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	23	22	$150.00	$52.10
73522 X-ray of both hips, 3-4 views	22	20	$116.00	$50.31
27393 Lengthening of hamstring tendon	22	21	$1377.00	$255.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$420.00	$200.27
73610 X-ray of ankle, minimum of 3 views	21	11	$114.00	$28.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$85.00	$38.60
27360 Partial removal of bone of thigh and/or lower leg bones	17	17	$2925.00	$458.58
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$3882.21	$1105.18
20605 Aspiration and/or injection of medium joint or joint capsule	13	13	$190.62	$20.81
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$6620.00	$1361.62

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	538	380	$275.00	$102.28
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	380	111	$19.00	$6.71
20610 Aspiration and/or injection of fluid from large joint	238	162	$304.61	$61.99
73560 X-ray of knee, 1-2 views	221	115	$96.00	$29.89
73030 X-ray of shoulder, minimum of 2 views	148	98	$150.00	$27.94
73564 X-ray of knee, 4 or more views	148	124	$150.00	$38.60
99213 Established patient office or other outpatient visit, typically 15 minutes	134	109	$160.00	$71.52
J1040 Injection, methylprednisolone acetate, 80 mg	128	64	$30.00	$12.12
20610 Aspiration and/or injection of fluid from large joint	117	110	$262.41	$23.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$350.00	$151.53
73502 X-ray of hip, 2-3 views	99	64	$115.00	$34.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$250.00	$103.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg	92	11	$19.00	$0.11
27447 Replacement of knee joint, both sides of knee	53	48	$6715.60	$1312.59
J1885 Injection, ketorolac tromethamine, per 15 mg	47	13	$20.00	$0.58
73610 X-ray of ankle, minimum of 3 views	46	32	$114.00	$30.19
73522 X-ray of both hips, 3-4 views	45	45	$116.00	$44.55
73110 X-ray of wrist, minimum of 3 views	42	30	$103.00	$33.90
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	39	37	$150.00	$51.27
27393 Lengthening of hamstring tendon	37	34	$1377.00	$268.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$300.00	$133.35
73562 X-ray of knee, 3 views	28	27	$100.00	$33.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	19	$63.89	$15.45
73130 X-ray of hand, minimum of 3 views	26	18	$115.00	$28.92
27360 Partial removal of bone of thigh and/or lower leg bones	24	21	$2925.00	$419.27
73630 X-ray of foot, minimum of 3 views	23	22	$104.00	$28.67
72190 X-ray of pelvis, minimum of 3 views	22	21	$150.00	$36.50
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$6383.57	$1292.85
72110 X-ray of lower and sacral spine, minimum of 4 views	17	17	$192.00	$47.07
20550 Injection into tendon or ligament	17	16	$211.76	$49.63
72170 X-ray of pelvis, 1-2 views	16	12	$110.00	$26.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$420.00	$197.05
23430 Anchoring of biceps tendon	14	14	$2929.00	$388.61
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$5439.29	$1262.77
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$116.00	$32.02
20605 Aspiration and/or injection of medium joint or joint capsule	12	11	$191.75	$41.24
73080 X-ray of elbow, minimum of 3 views	12	11	$113.00	$27.77
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$177.00	$18.36
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$4238.00	$1214.33
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$4102.00	$1126.91

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	567	386	$275.13	$97.08
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	476	162	$19.00	$7.08
20610 Aspiration and/or injection of fluid from large joint	322	226	$290.85	$57.71
73560 X-ray of knee, 1-2 views	286	141	$96.00	$26.72
99213 Established patient office or other outpatient visit, typically 15 minutes	217	175	$160.00	$66.20
J1040 Injection, methylprednisolone acetate, 80 mg	151	67	$30.00	$12.87
20610 Aspiration and/or injection of fluid from large joint	144	127	$270.54	$22.77
73030 X-ray of shoulder, minimum of 2 views	142	92	$150.00	$26.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$350.00	$149.30
73564 X-ray of knee, 4 or more views	128	109	$150.00	$35.35
73502 X-ray of hip, 2-3 views	115	77	$115.00	$34.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$250.00	$98.27
27447 Replacement of knee joint, both sides of knee	69	56	$6441.74	$1129.81
J1885 Injection, ketorolac tromethamine, per 15 mg	66	17	$20.00	$0.57
73610 X-ray of ankle, minimum of 3 views	52	37	$114.00	$27.78
73562 X-ray of knee, 3 views	51	44	$100.00	$31.50
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	45	14	$625.00	$124.34
73522 X-ray of both hips, 3-4 views	41	40	$116.00	$43.02
73630 X-ray of foot, minimum of 3 views	38	27	$104.00	$24.89
27393 Lengthening of hamstring tendon	35	33	$1357.34	$211.36
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	33	32	$150.00	$48.78
73130 X-ray of hand, minimum of 3 views	30	24	$115.00	$28.50
73110 X-ray of wrist, minimum of 3 views	30	21	$103.00	$31.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	22	$58.67	$18.48
27130 Replacement of thigh bone and hip joint with prosthesis	26	22	$5622.50	$1021.32
20550 Injection into tendon or ligament	23	20	$226.09	$43.28
72110 X-ray of lower and sacral spine, minimum of 4 views	23	23	$192.00	$40.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$400.95	$186.69
73080 X-ray of elbow, minimum of 3 views	21	12	$113.00	$28.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$300.00	$125.67
20605 Aspiration and/or injection of medium joint or joint capsule	14	14	$189.64	$18.06
23472 Prosthetic repair of shoulder joint, total shoulder	13	12	$6326.31	$1314.98
72170 X-ray of pelvis, 1-2 views	13	12	$110.00	$28.46
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$116.00	$31.44
23430 Anchoring of biceps tendon	13	12	$3041.69	$357.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$110.00	$39.69
A4565 Slings	11	11	$24.00	$8.52
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$4238.00	$1133.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	648	192	$19.00	$6.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	382	$274.55	$99.53
99213 Established patient office or other outpatient visit, typically 15 minutes	457	315	$151.16	$67.46
20610 Aspiration and/or injection of fluid from large joint	413	266	$301.10	$60.42
73560 X-ray of knee, 1-2 views	289	154	$96.00	$27.62
73564 X-ray of knee, 4 or more views	219	171	$150.00	$35.84
73502 X-ray of hip, 2-3 views	195	122	$117.70	$36.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	188	188	$350.00	$156.10
73030 X-ray of shoulder, minimum of 2 views	175	120	$150.00	$26.46
20610 Aspiration and/or injection of fluid from large joint	137	128	$265.53	$22.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$250.00	$99.40
J1040 Injection, methylprednisolone acetate, 80 mg	115	80	$30.00	$10.86
73562 X-ray of knee, 3 views	76	62	$100.00	$33.45
27447 Replacement of knee joint, both sides of knee	68	49	$6735.26	$968.41
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	58	13	$625.00	$148.16
73110 X-ray of wrist, minimum of 3 views	45	26	$103.00	$32.38
73522 X-ray of both hips, 3-4 views	43	41	$116.00	$44.00
27393 Lengthening of hamstring tendon	40	29	$1350.36	$186.73
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	39	39	$144.87	$49.72
73610 X-ray of ankle, minimum of 3 views	37	27	$114.00	$27.03
73130 X-ray of hand, minimum of 3 views	37	31	$115.00	$28.33
27130 Replacement of thigh bone and hip joint with prosthesis	34	22	$6425.29	$922.53
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	30	$50.00	$18.45
73630 X-ray of foot, minimum of 3 views	29	23	$104.00	$26.18
72110 X-ray of lower and sacral spine, minimum of 4 views	27	27	$192.00	$45.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$400.00	$189.44
20605 Aspiration and/or injection of medium joint or joint capsule	23	22	$177.00	$17.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$300.00	$127.89
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$116.00	$31.88
23430 Anchoring of biceps tendon	17	15	$2874.35	$315.19
72170 X-ray of pelvis, 1-2 views	15	13	$110.00	$26.18
73552 X-ray of thigh bone, minimum 2 views	15	11	$104.00	$28.25
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	$500.00	$197.57
23472 Prosthetic repair of shoulder joint, total shoulder	13	11	$6008.00	$1095.92
20550 Injection into tendon or ligament	13	11	$215.38	$50.92
29515 Application of short leg splint from calf to foot	12	12	$155.00	$63.28

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX G8605

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

141629901 (TX)

Practice Associates & Co-Workers

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

9 Associated Practitioners

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Dr. Peter Ross , MD

Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Dr. Johnathan Williams , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1326304049

Doctor of Medicine (M.D.)

Dr. Daniel Fuentes , DO

Orthopaedic Surgery

NPI 1336189562

Doctor of Osteopathic Medicine (D.O.)

Dr. John Carter , MD

Orthopaedic Surgery

NPI 1376629154

Doctor of Medicine (M.D.)

Dr. Jackson Wagnon , MD

Orthopaedic Surgery

NPI 1386684645

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 15, 2008

Registered at 208 GASLIGHT BLVD, LUFKIN, TX 759043166 (Tel: 9366348800)

📍

Updated Business Mailing Address May 15, 2008

Registered at 208 GASLIGHT BLVD, LUFKIN, TX 759043166 (Tel: 9366348800)

👤

Provider Name / Credentials Updated May 15, 2008

Recorded as ROY GUSE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2008

Orthopaedic Surgery (License #G8605 in TX)

🟢

Initial NPI Registration & Enumeration May 27, 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: 1215984356

Entity Type:

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

Enumeration Date: May 27, 2006

Last Update: May 15, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

208 Gaslight Blvd

Lufkin, TX 759043166

Phone: 9366348800

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.