Active NPI 1881689560 Individual Practitioner Male Practitioner

Dr. Robert Daniel Phelps , DPM

Podiatrist • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Phelps, DPM is a certified Podiatrist practicing in Tyler, TX. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Phelps delivers high-quality medical care to the local community at 1828 E SOUTHEAST LOOP 323 STE 111.

Dr. Phelps accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, removal of fingernails or toenails, 1-5 nails, removal of noncancer thickened skin growth, 2-4 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1828 E Southeast Loop 323 Ste 111

Tyler, TX 757018314

Telephone 9035930987

Fax 9035923309

Associated Practice Facility / Clinic

🏢 Foot Clinic Of East Texas Pc Facility NPI 1184688566

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +0.1 yrs vs City Avg

City Avg: 24.9 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Tyler, TX (627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phelps (25 Years) 25 Yrs

Tyler Specialty Average (24.9 Years) 24.9 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
11721 Removal of fingernails or toenails, 6 or more nails	1,019	521	$48.07	$42.32
11720 Removal of fingernails or toenails, 1-5 nails	629	360	$35.67	$31.15
11056 Removal of noncancer thickened skin growth, 2-4 growths	384	215	$87.05	$74.31
11721 Removal of fingernails or toenails, 6 or more nails	307	162	$48.06	$22.56
73630 X-ray of foot, minimum of 3 views	205	105	$35.43	$32.08
11720 Removal of fingernails or toenails, 1-5 nails	196	117	$36.56	$13.52
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	168	126	$44.69	$38.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	165	119	$81.13	$70.83
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	161	111	$48.37	$43.40
99213 Established patient office or other outpatient visit, typically 15 minutes	140	99	$96.78	$86.65
11765 Removal of skin of fingernail or toenail	136	82	$177.07	$136.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	85	$135.37	$122.29
11055 Removal of single thickened skin growth	127	97	$73.40	$63.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	123	78	$79.93	$70.85
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	99	67	$44.85	$38.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	59	$59.52	$53.76
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	86	71	$84.87	$73.13
20600 Aspiration and/or injection of fluid from small joint	71	20	$71.01	$34.44
11057 Removal of noncancer thickened skin growth, more than 4 growths	71	42	$95.89	$81.26
17110 Destruction of up to 14 skin growths	68	27	$117.30	$104.04
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	68	68	$145.64	$127.04
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	61	61	$89.12	$76.43
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	56	56	$144.96	$126.95
11056 Removal of noncancer thickened skin growth, 2-4 growths	48	33	$87.53	$20.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$176.32	$159.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$116.33	$106.30
20551 Injection into tendon at attachment to bone or muscle	45	14	$61.93	$42.00
20605 Aspiration and/or injection of medium joint or joint capsule	43	17	$69.44	$39.68
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	42	41	$83.61	$76.37
11055 Removal of single thickened skin growth	38	32	$73.03	$14.00
20550 Injection into tendon or ligament	36	17	$69.45	$49.81
99341 New patient home visit, typically 20 minutes	30	30	$56.48	$47.33
11042 Removal of skin and tissue, 20.0 sq cm or less	28	13	$133.89	$115.71
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	21	21	$81.98	$74.91
11765 Removal of skin of fingernail or toenail	17	11	$186.53	$82.90
28234 Incision to release foot tendon	13	12	$422.71	$282.64
28232 Incision to lengthen toe tendon	13	12	$388.71	$177.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	809	492	$48.47	$42.47
11056 Removal of noncancer thickened skin growth, 2-4 growths	288	164	$88.59	$75.54
73630 X-ray of foot, minimum of 3 views	194	89	$36.82	$32.80
11720 Removal of fingernails or toenails, 1-5 nails	152	106	$35.67	$31.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	89	$137.14	$122.11
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	128	128	$45.77	$37.97
99213 Established patient office or other outpatient visit, typically 15 minutes	115	81	$98.78	$86.46
11765 Removal of skin of fingernail or toenail	105	70	$180.17	$139.03
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	99	99	$48.86	$43.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	61	$60.88	$54.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	85	85	$84.04	$71.22
11055 Removal of single thickened skin growth	83	68	$76.44	$65.59
11721 Removal of fingernails or toenails, 6 or more nails	55	55	$48.66	$22.82
20600 Aspiration and/or injection of fluid from small joint	49	19	$69.25	$36.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$178.80	$159.41
20551 Injection into tendon at attachment to bone or muscle	37	17	$61.53	$45.71
11057 Removal of noncancer thickened skin growth, more than 4 growths	37	26	$99.83	$82.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$121.27	$107.21
20605 Aspiration and/or injection of medium joint or joint capsule	34	11	$67.19	$40.88
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	34	34	$89.74	$77.19
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	33	33	$83.32	$71.22
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	32	32	$43.95	$37.97
17110 Destruction of up to 14 skin growths	32	13	$124.77	$107.10
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	26	26	$81.30	$73.27
11720 Removal of fingernails or toenails, 1-5 nails	18	18	$36.62	$13.90
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$84.99	$69.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$149.23	$127.83
99341 New patient home visit, typically 20 minutes	11	11	$52.21	$47.03
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	11	11	$84.89	$75.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	443	184	$47.50	$42.85
11056 Removal of noncancer thickened skin growth, 2-4 growths	174	86	$89.66	$75.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	87	$137.34	$124.26
73630 X-ray of foot, minimum of 3 views	124	66	$37.20	$33.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	59	$60.51	$54.53
99213 Established patient office or other outpatient visit, typically 15 minutes	74	51	$96.95	$87.81
11765 Removal of skin of fingernail or toenail	67	39	$179.40	$148.03
11720 Removal of fingernails or toenails, 1-5 nails	56	25	$35.19	$31.43
11055 Removal of single thickened skin growth	48	32	$78.03	$65.56
17110 Destruction of up to 14 skin growths	33	18	$124.12	$108.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$177.97	$161.14
11057 Removal of noncancer thickened skin growth, more than 4 growths	24	11	$101.87	$88.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$119.13	$108.25
11042 Removal of skin and tissue, 20.0 sq cm or less	23	11	$147.62	$121.48
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$77.59	$70.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	445	212	$44.77	$43.65
11056 Removal of noncancer thickened skin growth, 2-4 growths	177	87	$72.43	$69.42
73630 X-ray of foot, minimum of 3 views	142	72	$34.29	$32.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	89	$109.11	$109.11
99213 Established patient office or other outpatient visit, typically 15 minutes	98	80	$74.13	$74.13
11720 Removal of fingernails or toenails, 1-5 nails	74	37	$33.98	$32.14
11765 Removal of skin of fingernail or toenail	72	42	$166.47	$142.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	53	$44.28	$44.28
11055 Removal of single thickened skin growth	68	45	$61.29	$58.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$169.48	$163.02
17110 Destruction of up to 14 skin growths	34	15	$114.91	$110.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$114.09	$107.65
11057 Removal of noncancer thickened skin growth, more than 4 growths	23	12	$79.77	$79.77
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	18	18	$44.64	$42.53
20600 Aspiration and/or injection of fluid from small joint	18	11	$60.48	$32.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	13	13	$70.37	$66.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	773	340	$70.10	$42.01
99213 Established patient office or other outpatient visit, typically 15 minutes	432	264	$98.32	$69.02
11056 Removal of noncancer thickened skin growth, 2-4 growths	330	174	$81.00	$66.99
73630 X-ray of foot, minimum of 3 views	223	119	$87.50	$30.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg	171	20	$10.00	$0.13
11720 Removal of fingernails or toenails, 1-5 nails	154	71	$55.77	$30.29
11721 Removal of fingernails or toenails, 6 or more nails	110	39	$74.10	$24.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	92	$57.00	$41.15
11055 Removal of single thickened skin growth	104	77	$63.98	$56.79
11765 Removal of skin of fingernail or toenail	103	62	$160.25	$135.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$160.96	$100.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	53	20	$30.00	$1.46
11057 Removal of noncancer thickened skin growth, more than 4 growths	51	29	$174.46	$74.28
99324 New patient assisted living visit, typically 20 minutes	49	49	$86.96	$52.07
20605 Aspiration and/or injection of medium joint or joint capsule	45	20	$118.10	$40.79
17110 Destruction of up to 14 skin growths	43	21	$194.23	$101.64
20550 Injection into tendon or ligament	40	19	$142.05	$46.60
11042 Removal of skin and tissue, 20.0 sq cm or less	40	22	$198.13	$101.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	33	$147.09	$101.41
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	38	36	$116.45	$83.84
20600 Aspiration and/or injection of fluid from small joint	37	19	$135.28	$28.89
20551 Injection into tendon at attachment to bone or muscle	36	15	$96.79	$45.03
93923 Complete ultrasound study of arm and leg arteries	22	19	$338.91	$119.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	16	$61.25	$58.02
28232 Incision to lengthen toe tendon	14	13	$691.42	$196.20
28234 Incision to release foot tendon	13	12	$722.00	$294.24
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$87.07	$70.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	931	368	$97.00	$43.95
99213 Established patient office or other outpatient visit, typically 15 minutes	603	339	$120.00	$71.31
11056 Removal of noncancer thickened skin growth, 2-4 growths	385	204	$84.00	$61.04
73630 X-ray of foot, minimum of 3 views	348	183	$108.89	$29.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	147	$90.00	$43.18
11720 Removal of fingernails or toenails, 1-5 nails	141	66	$75.00	$31.89
11055 Removal of single thickened skin growth	129	91	$65.00	$51.56
11765 Removal of skin of fingernail or toenail	128	75	$175.70	$143.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$225.00	$104.03
11057 Removal of noncancer thickened skin growth, more than 4 growths	81	39	$140.31	$70.63
11042 Removal of skin and tissue, 20.0 sq cm or less	80	28	$300.00	$113.12
17110 Destruction of up to 14 skin growths	78	38	$250.00	$100.56
20600 Aspiration and/or injection of fluid from small joint	60	39	$223.33	$36.83
20550 Injection into tendon or ligament	49	25	$219.90	$49.88
29580 Strapping, unna boot	48	13	$279.58	$78.23
93923 Complete ultrasound study of arm and leg arteries	45	45	$360.00	$126.48
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	41	12	$445.12	$222.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	23	$50.00	$21.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$195.00	$104.71
20605 Aspiration and/or injection of medium joint or joint capsule	30	19	$192.67	$44.16
20551 Injection into tendon at attachment to bone or muscle	28	16	$130.00	$49.39
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$160.00	$73.26
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	22	21	$42.24	$36.80
64450 Injection of anesthetic agent, other peripheral nerve or branch	19	13	$218.42	$61.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	17	$275.00	$158.52
11750 Permanent removal fingernail or toenail	17	14	$385.00	$140.91
11755 Biopsy of fingernail or toenail	14	14	$200.00	$117.76
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	13	13	$75.00	$48.60
28124 Partial removal of toe bone	12	12	$1300.00	$390.97
97597 Removal of tissue from wound, 20.0 sq cm or less	11	11	$120.00	$84.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	605	307	$97.00	$41.38
99213 Established patient office or other outpatient visit, typically 15 minutes	439	285	$120.00	$66.13
73630 X-ray of foot, minimum of 3 views	266	142	$110.00	$26.26
11056 Removal of noncancer thickened skin growth, 2-4 growths	228	142	$96.20	$49.47
11720 Removal of fingernails or toenails, 1-5 nails	132	63	$75.00	$30.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	107	$105.48	$39.70
11055 Removal of single thickened skin growth	105	72	$87.71	$41.71
11765 Removal of skin of fingernail or toenail	97	63	$245.88	$132.55
17110 Destruction of up to 14 skin growths	76	35	$250.00	$95.51
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	75	73	$49.01	$39.33
11042 Removal of skin and tissue, 20.0 sq cm or less	73	29	$300.00	$98.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$225.00	$98.07
11057 Removal of noncancer thickened skin growth, more than 4 growths	54	33	$120.00	$58.11
64450 Injection of anesthetic agent, other peripheral nerve or branch	52	46	$154.81	$38.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	42	$195.00	$97.89
20600 Aspiration and/or injection of fluid from small joint	48	33	$200.00	$33.70
29580 Strapping, unna boot	44	21	$150.00	$63.55
93923 Complete ultrasound study of arm and leg arteries	39	39	$360.00	$122.54
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	37	37	$75.00	$43.84
20550 Injection into tendon or ligament	36	20	$203.47	$46.75
73620 X-ray of foot, 2 views	30	16	$90.00	$23.54
20605 Aspiration and/or injection of medium joint or joint capsule	30	24	$181.33	$39.28
28272 Incision of toe joint capsule	22	20	$800.00	$181.55
29550 Placement of strapping to toes	22	20	$65.00	$8.69
28270 Incision of joint capsule of foot and toe	21	20	$1300.00	$444.55
29540 Placement of strapping to ankle or foot	21	19	$95.00	$24.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$275.00	$150.20
97597 Removal of tissue from wound, 20.0 sq cm or less	15	11	$156.00	$75.23
11755 Biopsy of fingernail or toenail	15	15	$220.00	$119.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$50.00	$19.43
28234 Incision to release foot tendon	13	13	$1005.00	$201.74
28232 Incision to lengthen toe tendon	12	12	$1010.00	$178.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	687	291	$97.00	$40.18
99213 Established patient office or other outpatient visit, typically 15 minutes	535	309	$120.00	$65.37
11056 Removal of noncancer thickened skin growth, 2-4 growths	242	138	$110.00	$49.43
73620 X-ray of foot, 2 views	209	106	$90.00	$22.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	179	131	$130.00	$38.81
11720 Removal of fingernails or toenails, 1-5 nails	130	74	$75.00	$28.68
11055 Removal of single thickened skin growth	129	89	$86.63	$39.65
73630 X-ray of foot, minimum of 3 views	110	79	$110.00	$25.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$225.00	$96.72
11765 Removal of skin of fingernail or toenail	80	53	$300.00	$135.98
17110 Destruction of up to 14 skin growths	75	35	$250.00	$94.09
64450 Injection of anesthetic agent, other peripheral nerve or branch	73	63	$164.04	$43.12
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	67	66	$60.00	$34.16
29580 Strapping, unna boot	61	23	$150.00	$63.21
20605 Aspiration and/or injection of medium joint or joint capsule	54	32	$170.00	$41.03
20550 Injection into tendon or ligament	54	36	$200.00	$48.17
97762 Evaluation of orthotic or prosthetic use, each 15 minutes	43	40	$75.00	$42.35
93923 Complete ultrasound study of arm and leg arteries	42	42	$360.00	$120.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$195.00	$96.10
20600 Aspiration and/or injection of fluid from small joint	38	29	$200.00	$29.70
11042 Removal of skin and tissue, 20.0 sq cm or less	34	18	$300.00	$100.15
20551 Injection into tendon at attachment to bone or muscle	32	22	$200.00	$50.04
11057 Removal of noncancer thickened skin growth, more than 4 growths	28	17	$120.00	$57.10
73610 X-ray of ankle, minimum of 3 views	27	16	$150.00	$27.63
28272 Incision of toe joint capsule	20	18	$800.00	$187.90
11755 Biopsy of fingernail or toenail	19	18	$250.00	$115.39
28270 Incision of joint capsule of foot and toe	19	17	$1300.00	$434.76
64455 Injection of anesthetic and/or steroid drug into foot nerve	19	11	$150.00	$40.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$275.00	$147.11
97597 Removal of tissue from wound, 20.0 sq cm or less	18	12	$180.00	$66.72
28124 Partial removal of toe bone	17	17	$1300.00	$369.78
29550 Placement of strapping to toes	14	14	$65.00	$8.54
29540 Placement of strapping to ankle or foot	14	14	$95.00	$23.50
28234 Incision to release foot tendon	12	11	$1005.00	$199.97
11750 Permanent removal fingernail or toenail	12	12	$385.00	$131.04

Medical Specialties & State Licenses

CMS Verified: 2024-05-13

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License TX 1636

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

156579802 (TX)

Commercial Insurance / Payer ID License

1636 (TX)

Commercial Insurance / Payer ID Medicare Railroad

P00040744 (TX)

Secondary Practice Locations

1108 S Buffalo St

Canton, TX 751032304

Phone: 9035930987

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Kati Waters , DPM

Podiatrist

NPI 1437693330

Doctor of Podiatric Medicine

Dr. Daniel Phelps , DPM

Podiatrist

NPI 1942293139

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location May 13, 2024

Registered at 1828 E SOUTHEAST LOOP 323 STE 111, TYLER, TX 757018314 (Tel: 9035930987)

📍

Updated Business Mailing Address May 13, 2024

Registered at 1828 E SOUTHEAST LOOP 323 STE 111, TYLER, TX 757018314 (Tel: 9035930987)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2024

Podiatrist (License #1636 in TX)

📍

Updated Practice Location September 18, 2023

Registered at 1828 E SE LOOP 323 STE 111, TYLER, TX 757018314 (Tel: 9035930987)

📍

Updated Business Mailing Address September 18, 2023

Registered at 1828 E SE LOOP 323 STE 111, TYLER, TX 757018314 (Tel: 9035930987)

📍

Updated Practice Location December 03, 2020

Registered at 1761 TROUP HWY, TYLER, TX 757015869 (Tel: 9035930987)

📍

Updated Business Mailing Address December 03, 2020

Registered at 1761 TROUP HWY, TYLER, TX 757015869 (Tel: 9035930987)

✅

NPI Profile Active October 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2013

Registered at 321 S FANNIN AVE, TYLER, TX 757027321 (Tel: 9035930987)

📍

Updated Business Mailing Address October 30, 2013

Registered at 321 S FANNIN AVE, TYLER, TX 757027321 (Tel: 9035930987)

👤

Provider Name / Credentials Updated October 30, 2013

Recorded as ROBERT PHELPS, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2013

Podiatrist (License #L1636 in TX)

🟢

Initial NPI Registration & Enumeration September 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1881689560

Entity Type:

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

Enumeration Date: September 19, 2005

Last Update: May 13, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1828 E Southeast Loop 323 Ste 111

Tyler, TX 757018314

Phone: 9035930987

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.