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Deactivated NPI 1053392688 Deactivated / Inactive NPI Male Practitioner

Dr. Robert N Grant , MD

Surgery • San Angelo, TX

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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. Robert Grant has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2005
NPI Deactivation Date July 07, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Grant, MD was a registered Surgery practicing in San Angelo, TX. Throughout an active medical career spanning 17 years, Dr. Grant provided care at the practice location at 120 E BEAUREGARD AVE until profile deactivation on 2022-07-07.

Historical Medicare Part B clinical services included established patient outpatient office visit, management and supervision of oxygen chamber therapy per session, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

120 E Beauregard Ave

San Angelo, TX 769035919

Telephone 3256581511
Associated Practice Facility / Clinic
🏢 Shannon Clinic Facility NPI 1770587149

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
12 Specialists

Practicing in San Angelo, TX (2342 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.9% 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 (2017)
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
1,167 254 $49.42 $24.60
99183 Management and supervision of oxygen chamber therapy per session
379 35 $137.71 $101.86
99213 Established patient office or other outpatient visit, typically 15 minutes
95 83 $82.50 $48.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
69 69 $109.11 $74.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
55 42 $83.00 $24.66
11042 Removal of skin and tissue, 20.0 sq cm or less
22 18 $172.52 $60.10
97597 Removal of tissue from wound, 20.0 sq cm or less
21 18 $72.23 $22.85
99202 New patient office or other outpatient visit, typically 20 minutes
13 13 $137.57 $48.90

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX D7589

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Maegin Carlile , FNP

Nurse Practitioner

NPI 1003168055

Family Nurse Practitioner

Dr. Irvin Zeitler , DO

Family Medicine

NPI 1003856451

Doctor of Osteopathic Medicine (D.O.)

NPI 1003919994

Doctor of Medicine (M.D.)

Dr. Robert Carsner , MD

Internal Medicine

NPI 1013901032

Doctor of Medicine (M.D.)

NPI 1023095783

Doctor of Podiatric Medicine

Dr. Leslie Hutchins , MD

Neurological Surgery

NPI 1023278660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 07, 2022

Record deactivated on July 07, 2022

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 120 E BEAUREGARD AVE, SAN ANGELO, TX 769035919 (Tel: 3256581511)

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Updated Business Mailing Address July 09, 2007

Registered at PO BOX 22000, SAN ANGELO, TX 769027200 (Tel: 3256581511)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ROBERT GRANT, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Surgery (License #D7589 in TX)

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Initial NPI Registration & Enumeration November 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: 1053392688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2005
Last Update: July 09, 2007
Deactivation Date: July 07, 2022

Mailing Address

Po Box 22000

San Angelo, TX 769027200

Phone: 3256581511

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.