Active NPI 1073624920 Individual Practitioner Male Practitioner

Dr. Carlos Kugler , MD

Orthopaedic Surgery • Tomball, TX

Professional Overview & Biography Verified Profile Summary

Dr. Carlos Kugler, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Tomball, TX. Practice services are available at 1305 KEEFER RD STE 101 under active NPI credentials.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, removal of muscle and/or tissue, 20.0 sq cm or less, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1305 Keefer Rd Ste 101

Tomball, TX 77375

Telephone 8325348568

Fax 8325348307

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tomball, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.6 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Tomball, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.4% 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
11042 Removal of skin and tissue, 20.0 sq cm or less	515	96	$200.00	$121.85
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	187	36	$300.00	$232.01
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	174	68	$190.00	$89.07
11042 Removal of skin and tissue, 20.0 sq cm or less	91	32	$200.00	$52.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	69	23	$170.00	$68.23
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	54	54	$189.00	$87.78
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	51	21	$63.53	$40.23
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	38	15	$300.00	$144.69
11044 Removal of bone, 20.0 sq cm or less	22	11	$528.00	$305.44
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	20	20	$189.00	$87.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	14	$190.00	$88.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	15	11	$170.00	$68.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	454	118	$200.00	$115.26
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	176	42	$291.48	$228.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	136	55	$190.00	$90.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	118	53	$170.00	$68.12
11042 Removal of skin and tissue, 20.0 sq cm or less	78	34	$200.00	$55.99
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	70	23	$60.00	$41.08
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	54	12	$60.00	$26.38
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	36	18	$190.00	$90.37
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	32	16	$285.94	$152.06
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	30	30	$189.00	$89.96
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	28	11	$127.00	$73.11
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	26	12	$170.00	$68.19
11044 Removal of bone, 20.0 sq cm or less	23	12	$528.00	$311.39
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	20	20	$189.00	$89.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	468	129	$200.00	$105.78
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	299	25	$62.21	$41.44
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	292	24	$127.00	$72.38
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	201	67	$275.00	$218.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	188	89	$190.00	$89.91
11042 Removal of skin and tissue, 20.0 sq cm or less	127	50	$200.00	$51.66
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	67	13	$60.00	$26.15
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	62	22	$275.00	$147.38
11044 Removal of bone, 20.0 sq cm or less	49	23	$528.00	$309.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	47	30	$190.00	$89.95
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	29	$170.00	$67.76
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	38	38	$189.00	$88.50
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	19	19	$189.00	$88.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	428	26	$60.00	$26.00
11042 Removal of skin and tissue, 20.0 sq cm or less	364	106	$200.00	$109.61
11042 Removal of skin and tissue, 20.0 sq cm or less	267	89	$200.00	$56.18
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	247	16	$58.06	$40.17
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	237	79	$190.00	$89.95
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	226	75	$170.00	$68.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	155	77	$170.00	$68.20
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	135	42	$275.00	$219.41
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	125	13	$122.94	$54.80
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	106	38	$275.00	$145.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	94	46	$190.00	$89.64
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	52	13	$124.56	$71.58
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	43	43	$282.00	$127.69
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	35	35	$189.00	$89.88
11044 Removal of bone, 20.0 sq cm or less	24	15	$528.00	$305.65
11044 Removal of bone, 20.0 sq cm or less	22	12	$528.00	$227.09
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$189.00	$90.32
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$282.00	$128.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	417	110	$200.00	$51.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	320	127	$170.00	$63.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	306	91	$190.00	$84.53
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	252	21	$59.76	$24.43
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	161	49	$275.00	$131.16
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	87	17	$124.08	$52.34
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	85	85	$282.00	$121.03
11044 Removal of bone, 20.0 sq cm or less	75	30	$528.00	$216.01

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX M9431

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.

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 14, 2018

Registered at 1305 KEEFER RD STE 101, TOMBALL, TX 77375 (Tel: 8325348568)

📍

Updated Business Mailing Address May 14, 2018

Registered at 1305 KEEFER RD STE 101, TOMBALL, TX 773754255 (Tel: 8325348568)

✅

NPI Profile Active November 26, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location November 26, 2008

Registered at 6020 W PARKER RD, SUITE 200 (2D FLOOR), PLANO, TX 750938171 (Tel: 9726085000)

📍

Updated Business Mailing Address November 26, 2008

Registered at 6020 W PARKER RD, SUITE 200 (2D FLOOR), PLANO, TX 750938171 (Tel: 9726085000)

👤

Provider Name / Credentials Updated November 26, 2008

Recorded as CARLOS KUGLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2008

Orthopaedic Surgery (License #M9431 in TX)

🟢

Initial NPI Registration & Enumeration August 31, 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: 1073624920

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: May 14, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1305 Keefer Rd Ste 101

Tomball, TX 773754255

Phone: 8325348568

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.