Active NPI 1003897000 Individual Practitioner Male Practitioner

Dr. Thomas J Cartwright , MD

Orthopaedic Surgery • Shenandoah, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Cartwright, MD is a certified Orthopaedic Surgery practicing in Shenandoah, TX. With approximately 36 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1990, Dr. Cartwright delivers high-quality medical care to the local community at 9200 PINECROFT DR STE 280.

Dr. Cartwright accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9200 Pinecroft Dr Ste 280

Shenandoah, TX 773803281

Telephone 2818243624

Fax 2814196788

Associated Practice Facility / Clinic

🏢 Total Trauma Care, Pllc Facility NPI 1790235083

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Shenandoah, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +6.4 yrs vs City Avg

City Avg: 29.6 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Shenandoah, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cartwright (36 Years) 36 Yrs

Shenandoah Specialty Average (29.6 Years) 29.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	79	$247.91	$121.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$323.81	$159.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$349.17	$172.16

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	155	88	$248.52	$120.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$323.49	$159.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$348.38	$166.59

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	139	91	$250.76	$121.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$325.82	$159.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$352.98	$174.76
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	16	$433.70	$196.12
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	17	$2300.44	$854.55

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	114	89	$254.68	$127.25
72100 X-ray of lower and sacral spine, 2-3 views	64	57	$82.06	$41.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$330.92	$165.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$228.10	$111.61
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$183.56	$94.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$355.52	$177.74
72040 X-ray of upper spine, 2-3 views	17	16	$81.12	$38.80

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	287	209	$245.17	$111.75
72100 X-ray of lower and sacral spine, 2-3 views	229	190	$87.79	$39.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$240.93	$111.36
72040 X-ray of upper spine, 2-3 views	70	67	$87.01	$38.86
99213 Established patient office or other outpatient visit, typically 15 minutes	63	45	$160.61	$77.62
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	16	$478.04	$222.03
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$2921.14	$909.82
72070 X-ray of middle spine, 2 views	21	11	$71.86	$32.77
72148 MRI scan of lower spinal canal	21	21	$1354.81	$147.44

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	439	301	$384.53	$110.67
72100 X-ray of lower and sacral spine, 2-3 views	365	316	$140.00	$37.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$355.77	$110.56
72040 X-ray of upper spine, 2-3 views	107	103	$128.77	$37.00
99213 Established patient office or other outpatient visit, typically 15 minutes	98	72	$243.40	$75.31
72148 MRI scan of lower spinal canal	47	47	$1405.96	$148.82
72070 X-ray of middle spine, 2 views	31	21	$137.00	$34.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$530.17	$167.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$484.52	$148.78
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$6516.00	$1014.34
63048 Partial removal of spine bone with release of spinal cord and/or nerves	16	13	$1271.00	$221.62

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	348	264	$211.42	$105.73
72100 X-ray of lower and sacral spine, 2-3 views	313	282	$140.00	$34.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$180.00	$105.17
72040 X-ray of upper spine, 2-3 views	88	87	$129.25	$32.35
99213 Established patient office or other outpatient visit, typically 15 minutes	64	49	$125.00	$71.90
72148 MRI scan of lower spinal canal	43	43	$1465.12	$147.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$265.00	$162.31
63048 Partial removal of spine bone with release of spinal cord and/or nerves	22	11	$1271.07	$213.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$233.33	$142.92
72070 X-ray of middle spine, 2 views	18	14	$137.00	$33.45
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$6516.00	$946.98

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	405	311	$174.51	$102.89
72100 X-ray of lower and sacral spine, 2-3 views	377	306	$140.00	$33.32
99213 Established patient office or other outpatient visit, typically 15 minutes	131	93	$125.00	$70.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$180.00	$103.43
72040 X-ray of upper spine, 2-3 views	87	85	$128.48	$31.25
63048 Partial removal of spine bone with release of spinal cord and/or nerves	42	21	$1271.00	$208.33
72148 MRI scan of lower spinal canal	32	32	$1452.50	$141.69
72070 X-ray of middle spine, 2 views	27	15	$135.30	$32.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$265.00	$157.70
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$6516.00	$873.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$230.00	$138.80

Medical Specialties & State Licenses

CMS Verified: 2021-05-04

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX H9500

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 H9500

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

125728901 (TX)

Commercial Insurance / Payer ID Texas License

H9500 (TX)

Commercial Insurance / Payer ID Dps

R0097252 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. James Graham , MD, PhD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1750312989

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Orthopaedic Surgery (License #H9500 in TX)

📍

Updated Practice Location May 04, 2021

Registered at 9200 PINECROFT DR STE 280, SHENANDOAH, TX 773803281 (Tel: 2818243624)

📍

Updated Business Mailing Address May 04, 2021

Registered at 330 RAYFORD RD STE 397, SPRING, TX 773861980 (Tel: 2818243624)

✅

NPI Profile Active March 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2011

Registered at 17270 RED OAK DR, STE 200, HOUSTON, TX 770902632 (Tel: 2814406960)

📍

Updated Business Mailing Address March 15, 2011

Registered at PO BOX 4356, DEPT 665, HOUSTON, TX 772104356 (Tel: 2814406960)

👤

Provider Name / Credentials Updated March 15, 2011

Recorded as THOMAS CARTWRIGHT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2011

Orthopaedic Surgery (License #H9500 in TX)

🟢

Initial NPI Registration & Enumeration November 08, 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: 1003897000

Entity Type:

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

Enumeration Date: November 08, 2005

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

330 Rayford Rd Ste 397

Spring, TX 773861980

Phone: 2818243624

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.