Active NPI 1992909576 Individual Practitioner Male Practitioner

Dr. Paul Albert Rath , MD

Orthopaedic Surgery • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Rath, MD is a certified Orthopaedic Surgery practicing in Tyler, TX. With approximately 22 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2004, Dr. Rath delivers high-quality medical care to the local community at 1327 TROUP HWY.

Dr. Rath is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, aspiration and/or injection of medium joint or joint capsule. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1327 Troup Hwy

Tyler, TX 757014443

Telephone 9035108840

Associated Practice Facility / Clinic

🏢 Trinity Clinic Facility NPI 1013185529

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -6.7 yrs vs City Avg

City Avg: 28.7 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

22 Specialists

Practicing in Tyler, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rath (22 Years) 22 Yrs

Tyler Specialty Average (28.7 Years) 28.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	170	120	$204.00	$64.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	93	$289.00	$93.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$375.00	$130.69
20605 Aspiration and/or injection of medium joint or joint capsule	53	42	$196.83	$38.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	37	$406.00	$138.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$251.00	$80.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$441.00	$170.26
20610 Aspiration and/or injection of fluid from large joint	19	13	$256.37	$52.65
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	$496.00	$165.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$300.00	$128.35

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	221	166	$289.00	$94.55
20605 Aspiration and/or injection of medium joint or joint capsule	78	49	$203.87	$39.92
99213 Established patient office or other outpatient visit, typically 15 minutes	74	64	$204.00	$64.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$375.00	$130.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	29	$406.00	$136.92
20610 Aspiration and/or injection of fluid from large joint	32	21	$251.00	$48.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$441.00	$169.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$496.00	$176.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$300.00	$127.22

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	324	200	$263.97	$95.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$364.85	$129.05
20605 Aspiration and/or injection of medium joint or joint capsule	84	51	$193.62	$38.91
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$181.89	$63.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	34	$384.82	$137.98
20610 Aspiration and/or injection of fluid from large joint	26	15	$248.00	$50.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$300.00	$129.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$442.18	$190.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$488.77	$176.94

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	220	142	$236.00	$98.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	102	$236.00	$96.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$357.00	$132.59
20605 Aspiration and/or injection of medium joint or joint capsule	41	29	$180.37	$38.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$357.00	$133.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$316.00	$136.79
20605 Aspiration and/or injection of medium joint or joint capsule	27	25	$179.44	$38.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$300.00	$132.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$443.00	$195.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$449.00	$181.38
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$161.00	$66.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$316.00	$133.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	331	214	$164.30	$50.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$217.96	$75.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	64	$223.39	$78.83
20605 Aspiration and/or injection of medium joint or joint capsule	54	40	$202.07	$41.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$292.03	$136.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$340.90	$126.88
20610 Aspiration and/or injection of fluid from large joint	20	15	$274.35	$52.63
29405 Application of short leg cast	11	11	$266.00	$58.72
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3927.27	$1266.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	391	243	$168.00	$49.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$198.00	$74.45
20605 Aspiration and/or injection of medium joint or joint capsule	61	43	$217.00	$39.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$206.00	$76.55
20610 Aspiration and/or injection of fluid from large joint	33	26	$267.67	$50.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$311.00	$123.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$83.00	$24.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$279.00	$134.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	373	221	$168.00	$49.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$198.00	$74.61
20605 Aspiration and/or injection of medium joint or joint capsule	88	59	$213.11	$38.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	59	$206.00	$73.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	39	$83.00	$24.27
20610 Aspiration and/or injection of fluid from large joint	42	30	$310.05	$52.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$279.00	$133.34
20902 Harvest of graft from large bone	14	14	$1579.00	$139.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$311.00	$125.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	408	223	$168.00	$49.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$198.00	$74.25
20605 Aspiration and/or injection of medium joint or joint capsule	97	65	$197.21	$36.68
20610 Aspiration and/or injection of fluid from large joint	52	36	$288.69	$50.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	49	$206.00	$76.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$279.00	$132.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$83.00	$24.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$311.00	$125.73
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3725.00	$1194.92

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX N5354

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

NUCC Taxonomy Code: 207X00000X

State License TX BP2-0026303

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

283631401 (TX)

Medicaid State Provider ID

283631402 (TX)

Commercial Insurance / Payer ID Bcbs

8CS675 (TX)

Commercial Insurance / Payer ID Myutmb 3819141142-Commercial Number

3819141142

Commercial Insurance / Payer ID Tricare

752616977021 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

3203 S Main St, Lindale, TX 757717727

Phone: 9032664000

Christus Trinity Clinic

1302 N Pacific St, Mineola, TX 757731022

Phone: 9035695383

Christus Trinity Clinic

8389 S Broadway Ave, Tyler, TX 757035408

Phone: 9036066500

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Christus Trinity Clinic

8591 S Broadway Ave, Tyler, TX 757035470

Phone: 9036068840

Christus Trinity Clinic

800 E Dawson St, Tyler, TX 757012036

Phone: 9035101186

Christus Trinity Clinic

2026 S Jackson St, Jacksonville, TX 757665822

Phone: 9035414613

Christus Trinity Clinic

18780 Interstate 20, Canton, TX 751033593

Phone: 9035674841

Christus Trinity Clinic

2026 S Jackson St, Jacksonville, TX 757665822

Phone: 9035414599

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. William Hobbs , MD

Orthopaedic Surgery

NPI 1063486462

Doctor of Medicine (M.D.)

Dr. Thomas Volatile , MD

Orthopaedic Surgery

NPI 1093709776

Doctor of Medicine (M.D.)

Jacob Chaney , PA

Physician Assistant

NPI 1114969060

Physician Assistant

Wesley Castle , PA-C

Physician Assistant

NPI 1114971058

Physician Assistant (Certified)

Dr. Roger Mccown , DO

Orthopaedic Surgery

NPI 1154395432

Doctor of Osteopathic Medicine (D.O.)

Dr. Catherine Fieseler , MD

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1225002819

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 October 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2014

Registered at 1327 TROUP HWY, TYLER, TX 757014443 (Tel: 9035108840)

📍

Updated Business Mailing Address October 13, 2014

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)

👤

Provider Name / Credentials Updated October 13, 2014

Recorded as PAUL RATH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2014

Orthopaedic Surgery (License #N5354 in TX)

🟢

Initial NPI Registration & Enumeration June 14, 2007

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: 1992909576

Entity Type:

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

Enumeration Date: June 14, 2007

Last Update: October 13, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246450

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.