Active NPI 1518963834 Individual Practitioner Male Practitioner

Dr. Thomas B Rivers , MD

Orthopaedic Surgery • Sugar Land, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Rivers, MD is a certified Orthopaedic Surgery practicing in Sugar Land, TX. With approximately 30 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 1996, Dr. Rivers delivers high-quality medical care to the local community at 16811 SOUTHWEST FWY.

Dr. Rivers maintains professional affiliations with Tmh Physician Associates Pllc, Houston Methodist Specialty Physicians and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

16811 Southwest Fwy

Sugar Land, TX 77479

Telephone 2816904678

Associated Practice Facility / Clinic

🏢 Tmhpo - Methodist Orthopaedic Specialists Of Texas Facility NPI 1700924172

Medicare Profile & Education

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Sugar Land, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +4.4 yrs vs City Avg

City Avg: 25.6 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

20 Specialists

Practicing in Sugar Land, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivers (30 Years) 30 Yrs

Sugar Land Specialty Average (25.6 Years) 25.6 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
J1010 Injection, methylprednisolone acetate, 1 mg	960	12	$0.30	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	232	$236.00	$121.53
73564 X-ray of knee, 4 or more views	264	187	$88.95	$44.28
73030 X-ray of shoulder, minimum of 2 views	202	147	$68.79	$32.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$363.00	$159.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	78	$316.00	$171.31
73562 X-ray of knee, 3 views	62	51	$85.31	$37.84
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$159.00	$86.68
27447 Replacement of knee joint, both sides of knee	45	43	$3467.00	$1223.79
20610 Aspiration and/or injection of fluid from large joint	22	20	$178.18	$68.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$450.00	$199.97
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$3366.00	$1263.62
20985 Computer-assisted surgery for muscle and bone procedure	12	11	$343.00	$137.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	216	163	$92.12	$44.56
99213 Established patient office or other outpatient visit, typically 15 minutes	177	143	$159.00	$85.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	136	$236.00	$121.65
73030 X-ray of shoulder, minimum of 2 views	144	86	$69.50	$33.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	55	$316.00	$171.87
73562 X-ray of knee, 3 views	54	46	$85.20	$38.89
J1030 Injection, methylprednisolone acetate, 40 mg	51	27	$10.00	$7.48
27447 Replacement of knee joint, both sides of knee	40	38	$3467.00	$1222.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$238.00	$105.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$363.00	$159.78
20610 Aspiration and/or injection of fluid from large joint	23	23	$166.96	$62.49
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$2425.00	$1022.09
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$1449.00	$163.18
20985 Computer-assisted surgery for muscle and bone procedure	12	12	$343.00	$137.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$450.00	$210.71

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	302	229	$236.00	$122.94
73564 X-ray of knee, 4 or more views	248	185	$93.26	$44.97
J1030 Injection, methylprednisolone acetate, 40 mg	198	87	$10.00	$6.86
20610 Aspiration and/or injection of fluid from large joint	113	102	$172.74	$67.11
73030 X-ray of shoulder, minimum of 2 views	109	87	$69.36	$33.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$363.00	$161.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	73	$316.00	$174.80
99213 Established patient office or other outpatient visit, typically 15 minutes	60	54	$159.00	$88.01
73562 X-ray of knee, 3 views	52	41	$85.17	$39.90
27447 Replacement of knee joint, both sides of knee	37	33	$3467.00	$1193.49
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	24	17	$2224.00	$746.94
29827 Repair of shoulder rotator cuff using an endoscope	22	22	$2425.00	$980.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$238.00	$108.58
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$1449.00	$163.61
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1413.00	$118.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,248	21	$42.48	$17.17
J1030 Injection, methylprednisolone acetate, 40 mg	252	99	$10.00	$5.65
20610 Aspiration and/or injection of fluid from large joint	229	162	$181.66	$69.01
73564 X-ray of knee, 4 or more views	210	160	$94.75	$44.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	129	$236.00	$126.01
99213 Established patient office or other outpatient visit, typically 15 minutes	130	107	$159.00	$89.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$238.00	$109.20
73030 X-ray of shoulder, minimum of 2 views	79	62	$70.18	$33.35
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	71	48	$2224.00	$748.60
73562 X-ray of knee, 3 views	44	32	$86.00	$39.34
J1040 Injection, methylprednisolone acetate, 80 mg	42	34	$18.00	$10.67
27447 Replacement of knee joint, both sides of knee	33	29	$3467.00	$1241.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$363.00	$163.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$316.00	$176.62
73110 X-ray of wrist, minimum of 3 views	14	11	$86.00	$39.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	280	112	$10.00	$6.01
73564 X-ray of knee, 4 or more views	190	134	$89.57	$42.09
20610 Aspiration and/or injection of fluid from large joint	186	132	$178.92	$68.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	135	$236.01	$106.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$238.00	$105.15
99213 Established patient office or other outpatient visit, typically 15 minutes	107	90	$159.00	$73.74
73030 X-ray of shoulder, minimum of 2 views	87	72	$68.69	$32.25
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	56	38	$2224.00	$747.69
73562 X-ray of knee, 3 views	19	18	$86.00	$38.07
27447 Replacement of knee joint, both sides of knee	19	16	$3467.00	$1352.36
73130 X-ray of hand, minimum of 3 views	15	12	$70.00	$33.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	296	113	$10.00	$6.30
73564 X-ray of knee, 4 or more views	206	150	$89.97	$39.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	149	$236.00	$103.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$238.00	$103.93
20610 Aspiration and/or injection of fluid from large joint	146	118	$181.37	$65.85
99213 Established patient office or other outpatient visit, typically 15 minutes	131	102	$159.00	$71.72
73030 X-ray of shoulder, minimum of 2 views	112	84	$68.79	$28.44
73562 X-ray of knee, 3 views	46	36	$82.26	$35.53
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	36	22	$2224.00	$787.12
27447 Replacement of knee joint, both sides of knee	27	26	$3467.00	$1336.32
73110 X-ray of wrist, minimum of 3 views	27	14	$86.00	$34.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	342	132	$10.76	$6.56
99213 Established patient office or other outpatient visit, typically 15 minutes	256	176	$147.27	$69.96
20610 Aspiration and/or injection of fluid from large joint	190	140	$221.39	$63.65
73564 X-ray of knee, 4 or more views	162	116	$121.88	$37.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	123	$225.64	$102.00
73562 X-ray of knee, 3 views	99	66	$125.37	$33.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	65	$234.84	$103.86
73030 X-ray of shoulder, minimum of 2 views	76	61	$115.75	$27.94
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	22	15	$2032.36	$806.03
27447 Replacement of knee joint, both sides of knee	19	17	$6271.58	$1325.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	386	232	$147.51	$69.86
J1030 Injection, methylprednisolone acetate, 40 mg	291	109	$11.00	$5.81
20610 Aspiration and/or injection of fluid from large joint	190	142	$239.85	$63.84
73562 X-ray of knee, 3 views	160	108	$134.00	$33.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$217.00	$103.40
73030 X-ray of shoulder, minimum of 2 views	76	62	$151.00	$27.07
73564 X-ray of knee, 4 or more views	51	36	$159.00	$37.26
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	29	22	$1976.00	$859.55
J1020 Injection, methylprednisolone acetate, 20 mg	27	15	$11.00	$5.00
27447 Replacement of knee joint, both sides of knee	25	23	$7566.00	$1317.35
73100 X-ray of wrist, 2 views	20	12	$111.00	$27.24
J1040 Injection, methylprednisolone acetate, 80 mg	20	20	$20.00	$10.69
73130 X-ray of hand, minimum of 3 views	15	12	$126.00	$29.07

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX K2782

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

127640406 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P01034616 (TX)

Commercial Insurance / Payer ID Amerigroup Number

190714 (TX)

Commercial Insurance / Payer ID Bc/bs Provider Number

8G9742 (TX)

Commercial Insurance / Payer ID Aetna Ppo Number

7050494 (TX)

Commercial Insurance / Payer ID State License Number

K2782 (TX)

Commercial Insurance / Payer ID Aetna Hmo Number

3285310 (TX)

Hospital & Practice Group Affiliations

Tmh Physician Associates Pllc

16811 Southwest Fwy, Sugar Land, TX 774794728

Phone: 2816904678

Houston Methodist Specialty Physicians

16811 Southwest Fwy, Sugar Land, TX 774794728

Phone: 2816904678

Secondary Practice Locations

1517 Thompson Rd

Richmond, TX 774694932

Phone: 2813441715

Practice Associates & Co-Workers

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

40 Associated Practitioners

Christina Placker , PA-C

Physician Assistant

NPI 1053668061

Physician Assistant (Certified)

Dr. Gia Luat Vo , PT, DPT

Physical Therapist

NPI 1083532931

Physical Therapist, Doctor of Physical Therapy

Dr. Timothy Sitter , MD

Orthopaedic Surgery - Sports Medicine

NPI 1104813252

Doctor of Medicine (M.D.)

Roy Rodriguez , APRN, FNP-C

Nurse Practitioner - Family

NPI 1124688288

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Madison Edmonds , PA

Physician Assistant

NPI 1134881360

Physician Assistant

Regina Bautista , PT

Physical Therapist

NPI 1164458378

Physical Therapist

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 20, 2018

Registered at 16811 SOUTHWEST FWY, SUGAR LAND, TX 77479 (Tel: 2816904678)

📍

Updated Business Mailing Address September 20, 2018

Registered at 16811 SOUTHWEST FWY, SUGAR LAND, TX 774794728 (Tel: 2816904678)

✅

NPI Profile Active June 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2012

Registered at 1517 THOMPSON RD, RICHMOND, TX 774694932 (Tel: 2813441715)

📍

Updated Business Mailing Address June 28, 2012

Registered at 909 FROSTWOOD DR, SUITE 1.100, HOUSTON, TX 770242301 (Tel: 2813441715)

👤

Provider Name / Credentials Updated June 28, 2012

Recorded as THOMAS RIVERS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2012

Orthopaedic Surgery (License #K2782 in TX)

🟢

Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518963834

Entity Type:

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

Enumeration Date: June 22, 2005

Last Update: September 20, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16811 Southwest Fwy

Sugar Land, TX 774794728

Phone: 2816904678

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.