Active NPI 1891797429 Individual Practitioner Male Practitioner

Dr. Mark Richard Robbins , MD

Surgery - Vascular Surgery • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Robbins, MD is a certified Surgery - Vascular Surgery practicing in Tyler, TX. With approximately 31 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 1995, Dr. Robbins delivers high-quality medical care to the local community at 1040 S FLEISHEL AVE.

Dr. Robbins is affiliated with Etmc Physician Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound of both sides of head and neck blood flow, ultrasound study of arm and leg arteries. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1040 S Fleishel Ave

Tyler, TX 757012031

Telephone 9035338702

Fax 9035338720

Associated Practice Facility / Clinic

🏢 Texas Health Care Group Of Longview, Llc Facility NPI 1265544605

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +0.2 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Tyler, TX (377 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Robbins (31 Years) 31 Yrs

Tyler Specialty Average (30.8 Years) 30.8 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	799	497	$259.63	$125.10
93880 Ultrasound of both sides of head and neck blood flow	311	272	$480.10	$176.47
93922 Ultrasound study of arm and leg arteries	294	195	$250.44	$72.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	194	194	$263.46	$163.01
93990 Ultrasound of dialysis access	172	79	$380.12	$124.02
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	144	66	$30.00	$11.13
93926 Ultrasound of one leg arteries or artery grafts	141	78	$362.09	$121.45
93925 Ultrasound of leg arteries or artery grafts	124	94	$615.00	$230.42
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	122	89	$475.00	$157.14
93970 Ultrasound study of arm or leg veins with compression and maneuvers	114	85	$469.21	$177.81
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	102	66	$315.78	$113.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	52	$200.76	$76.10
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	86	71	$130.00	$48.49
80047 Blood test, basic group of blood chemicals (calcium, ionized)	81	68	$50.00	$13.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	55	$338.88	$124.76
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	60	48	$150.00	$56.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	50	$350.00	$174.82
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	57	48	$370.00	$143.12
99213 Established patient office or other outpatient visit, typically 15 minutes	54	46	$180.00	$89.00
36140 Insertion of needle or catheter into an artery of arm or leg	51	39	$1278.73	$240.93
75774 Radiological supervision and interpretation of imaging of artery	40	31	$240.00	$93.78
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	38	25	$2500.00	$671.16
75625 Radiological supervision and interpretation X-ray of abdominal aorta	37	33	$320.00	$118.74
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	35	29	$3517.43	$784.51
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	29	19	$3750.00	$1288.76
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	27	23	$30.38	$14.47
76998 Ultrasonic guidance during surgery	26	23	$91.73	$43.81
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	25	18	$675.00	$254.15
36471 Injection of chemical agent into multiple incompetent veins of leg	23	15	$425.00	$142.85
99443 Telephone medical discussion with physician, 21-30 minutes	23	23	$316.75	$126.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	19	$495.33	$170.59
93931 Ultrasound of one arm arteries or artery grafts	22	16	$310.00	$110.23
76937 Ultrasonic guidance for blood vessel access	22	21	$20.55	$13.61
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	22	21	$2515.23	$956.05
36005 Injection for X-ray imaging procedure on veins of arm or leg	22	21	$309.55	$22.99
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	17	16	$11937.04	$1934.77
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	17	16	$3000.00	$940.17
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	16	15	$172.19	$75.66
75625 Radiological supervision and interpretation X-ray of abdominal aorta	16	16	$97.34	$65.97
36820 Relocation of forearm vein with connection to arm artery for hemodialysis	15	15	$1888.67	$702.44
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$56.67	$29.63
36140 Insertion of needle or catheter into an artery of arm or leg	12	12	$215.00	$43.03
36215 Insertion of catheter into chest or arm artery	12	11	$2600.00	$652.94
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$136.93	$55.27
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	11	11	$651.43	$236.47

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	1,012	604	$258.50	$123.38
93880 Ultrasound of both sides of head and neck blood flow	404	328	$481.15	$176.61
93922 Ultrasound study of arm and leg arteries	334	222	$251.53	$72.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	226	226	$277.84	$161.84
93926 Ultrasound of one leg arteries or artery grafts	176	104	$362.37	$119.02
93990 Ultrasound of dialysis access	171	108	$369.21	$122.81
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	154	76	$30.00	$10.52
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	135	107	$475.00	$155.82
93970 Ultrasound study of arm or leg veins with compression and maneuvers	131	106	$467.94	$181.62
93925 Ultrasound of leg arteries or artery grafts	129	105	$615.00	$229.68
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	113	75	$316.42	$114.28
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	103	89	$130.00	$48.57
80047 Blood test, basic group of blood chemicals (calcium, ionized)	94	83	$50.00	$13.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	89	84	$339.70	$127.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	45	$202.58	$77.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	63	$347.57	$173.34
99213 Established patient office or other outpatient visit, typically 15 minutes	63	61	$177.70	$88.01
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	62	55	$370.00	$146.08
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	59	39	$2500.00	$638.08
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	53	37	$3750.00	$1376.89
36140 Insertion of needle or catheter into an artery of arm or leg	52	45	$1300.00	$252.63
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	45	37	$150.00	$56.96
75774 Radiological supervision and interpretation of imaging of artery	39	34	$240.00	$95.03
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	38	33	$3600.00	$928.57
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	37	29	$675.00	$258.56
75625 Radiological supervision and interpretation X-ray of abdominal aorta	35	34	$320.00	$122.71
76775 Limited ultrasound scan behind abdominal cavity	35	26	$140.00	$57.78
76937 Ultrasonic guidance for blood vessel access	29	28	$17.86	$13.42
36005 Injection for X-ray imaging procedure on veins of arm or leg	27	25	$372.59	$22.43
76998 Ultrasonic guidance during surgery	27	27	$81.89	$59.14
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	26	21	$3000.00	$1085.27
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	25	23	$2515.23	$921.61
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	22	$30.77	$14.48
36471 Injection of chemical agent into multiple incompetent veins of leg	22	15	$425.00	$127.63
93931 Ultrasound of one arm arteries or artery grafts	18	13	$328.22	$110.39
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	18	18	$651.43	$240.38
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	16	$124.41	$65.11
99441 Telephone medical discussion with physician, 5-10 minutes	17	17	$136.93	$35.33
36820 Relocation of forearm vein with connection to arm artery for hemodialysis	16	16	$1965.22	$678.57
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	15	14	$186.00	$79.95
36215 Insertion of catheter into chest or arm artery	14	13	$2600.00	$647.27
76937 Ultrasonic guidance for blood vessel access	13	12	$77.00	$38.33
36140 Insertion of needle or catheter into an artery of arm or leg	12	11	$215.00	$42.31
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$54.55	$29.92

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	1,055	625	$258.39	$122.94
93922 Ultrasound study of arm and leg arteries	330	233	$250.78	$65.06
93880 Ultrasound of both sides of head and neck blood flow	324	276	$480.19	$179.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	263	263	$277.46	$160.94
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	207	83	$30.00	$10.11
93926 Ultrasound of one leg arteries or artery grafts	185	104	$362.00	$123.85
93990 Ultrasound of dialysis access	183	98	$378.11	$126.15
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	139	102	$130.00	$48.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	134	84	$315.90	$113.38
93970 Ultrasound study of arm or leg veins with compression and maneuvers	115	93	$469.48	$185.60
93925 Ultrasound of leg arteries or artery grafts	110	95	$615.00	$238.05
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	91	73	$475.00	$159.48
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	83	61	$373.28	$145.88
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	81	62	$168.37	$56.97
99213 Established patient office or other outpatient visit, typically 15 minutes	80	69	$176.32	$88.23
36140 Insertion of needle or catheter into an artery of arm or leg	76	56	$1262.17	$263.68
84132 Blood potassium level	74	63	$15.75	$4.68
84295 Blood sodium level	74	63	$16.50	$4.73
82565 Blood creatinine level	74	63	$17.50	$5.03
85014 Red blood cell concentration measurement	73	62	$6.00	$2.33
85018 Blood count, hemoglobin	72	62	$8.00	$2.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	70	$339.47	$129.62
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	68	49	$3457.35	$725.10
99441 Telephone medical discussion with physician, 5-10 minutes	63	60	$136.93	$42.30
75625 Radiological supervision and interpretation X-ray of abdominal aorta	55	45	$321.62	$120.38
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	54	37	$3921.30	$1476.27
75774 Radiological supervision and interpretation of imaging of artery	53	39	$233.67	$94.50
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	53	40	$3626.61	$848.79
80047 Blood test, basic group of blood chemicals (calcium, ionized)	49	44	$50.00	$13.19
82947 Blood glucose (sugar) level	48	40	$13.50	$3.85
76998 Ultrasonic guidance during surgery	47	41	$102.90	$58.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	28	$202.74	$68.49
36471 Injection of chemical agent into multiple incompetent veins of leg	36	30	$425.00	$119.49
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	35	28	$30.91	$14.49
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	33	27	$2983.03	$940.84
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	32	29	$300.00	$99.42
37246 Balloon dilation of artery with review by radiologist, initial artery	31	20	$4719.65	$1622.43
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	28	28	$651.43	$242.75
36820 Relocation of forearm vein with connection to arm artery for hemodialysis	27	26	$1824.07	$670.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$350.00	$175.42
93931 Ultrasound of one arm arteries or artery grafts	21	14	$310.00	$107.59
36830 Connection of tube graft to vein and artery for dialysis	20	20	$1714.22	$595.71
37225 Removal of plaque in arteries of leg	18	18	$23821.64	$8330.66
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	18	18	$2486.03	$925.31
36200 Insertion of catheter into aorta	17	14	$1505.88	$565.56
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	15	$127.23	$65.44
36215 Insertion of catheter into chest or arm artery	17	14	$2611.76	$648.60
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	16	16	$540.00	$190.14
76937 Ultrasonic guidance for blood vessel access	16	16	$19.24	$13.28
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	15	13	$219.96	$80.07
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$223.15	$76.10
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	14	14	$1668.86	$588.03
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$89.14	$30.25
36005 Injection for X-ray imaging procedure on veins of arm or leg	14	14	$267.86	$22.54
76775 Limited ultrasound scan behind abdominal cavity	12	11	$140.00	$57.34
35301 Removal of blood clot and portion of artery of neck	11	11	$2847.18	$1061.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	733	441	$179.28	$88.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	683	515	$259.78	$126.25
93922 Ultrasound study of arm and leg arteries	505	357	$250.00	$80.46
93880 Ultrasound of both sides of head and neck blood flow	436	368	$480.00	$190.20
G2065 Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following ele	417	91	$96.83	$37.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	353	353	$274.28	$161.99
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	260	161	$315.31	$117.59
93926 Ultrasound of one leg arteries or artery grafts	234	137	$362.00	$125.27
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	229	113	$30.00	$10.13
93990 Ultrasound of dialysis access	212	117	$384.72	$126.44
93970 Ultrasound study of arm or leg veins with compression and maneuvers	210	137	$470.00	$190.82
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	169	131	$475.00	$173.59
93925 Ultrasound of leg arteries or artery grafts	164	131	$615.00	$247.71
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	140	121	$130.00	$49.91
36471 Injection of chemical agent into multiple incompetent veins of leg	134	85	$425.00	$122.22
82565 Blood creatinine level	127	111	$17.50	$5.09
85018 Blood count, hemoglobin	127	111	$8.00	$2.36
85014 Red blood cell concentration measurement	127	111	$6.00	$2.36
84295 Blood sodium level	127	111	$16.50	$4.78
84132 Blood potassium level	127	111	$15.75	$4.73
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	115	80	$5600.00	$1028.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	112	108	$338.92	$128.56
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	108	93	$260.07	$56.72
82947 Blood glucose (sugar) level	102	89	$13.50	$3.90
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	93	81	$388.13	$149.28
36140 Insertion of needle or catheter into an artery of arm or leg	82	66	$1038.60	$263.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	51	$198.39	$67.79
75774 Radiological supervision and interpretation of imaging of artery	72	60	$206.45	$101.59
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	68	58	$3741.05	$968.52
75625 Radiological supervision and interpretation X-ray of abdominal aorta	68	62	$328.93	$115.92
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	55	41	$30.38	$14.84
76998 Ultrasonic guidance during surgery	47	45	$152.35	$59.48
35301 Removal of blood clot and portion of artery of neck	35	32	$2866.90	$1065.81
93931 Ultrasound of one arm arteries or artery grafts	29	21	$310.00	$125.84
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	27	25	$2888.00	$1127.90
36820 Relocation of forearm vein with connection to arm artery for hemodialysis	26	26	$1919.53	$673.70
37225 Removal of plaque in arteries of leg	24	22	$25924.92	$9796.65
93930 Ultrasound study of arteries and arterial grafts of both arms	22	22	$496.36	$196.57
36830 Connection of tube graft to vein and artery for dialysis	22	20	$1735.55	$616.45
76775 Limited ultrasound scan behind abdominal cavity	21	16	$140.00	$57.58
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	20	17	$675.00	$271.39
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	19	16	$5600.00	$1644.00
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	18	18	$540.00	$196.36
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	18	16	$300.00	$106.88
49324 Insertion of abdominal cavity catheter using an endoscope	17	17	$964.00	$299.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$350.00	$176.62
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	13	13	$390.00	$137.48
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	11	11	$170.28	$81.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	924	516	$180.09	$69.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	668	480	$260.00	$101.58
93922 Ultrasound study of arm and leg arteries	593	390	$250.00	$77.43
93880 Ultrasound of both sides of head and neck blood flow	455	379	$480.00	$183.63
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	297	182	$315.00	$111.33
93990 Ultrasound of dialysis access	294	146	$385.00	$122.91
93926 Ultrasound of one leg arteries or artery grafts	294	155	$362.00	$122.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	275	275	$260.00	$152.94
93970 Ultrasound study of arm or leg veins with compression and maneuvers	205	142	$470.00	$180.22
93925 Ultrasound of leg arteries or artery grafts	202	150	$615.00	$235.25
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	163	120	$475.00	$173.42
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	121	81	$5559.51	$901.23
36471 Injection of chemical agent into multiple incompetent veins of leg	115	75	$423.47	$108.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	115	109	$339.73	$127.84
84295 Blood sodium level	111	89	$16.50	$4.77
82565 Blood creatinine level	111	89	$17.50	$5.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	111	88	$273.57	$53.72
85018 Blood count, hemoglobin	111	89	$8.00	$2.35
84132 Blood potassium level	111	89	$15.75	$4.72
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	99	78	$388.13	$150.21
85014 Red blood cell concentration measurement	95	78	$6.00	$2.36
36140 Insertion of needle or catheter into an artery of arm or leg	89	70	$1050.27	$232.92
82947 Blood glucose (sugar) level	84	69	$13.50	$3.91
75774 Radiological supervision and interpretation of imaging of artery	76	59	$206.45	$100.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	47	$201.76	$67.47
75625 Radiological supervision and interpretation X-ray of abdominal aorta	70	57	$328.93	$116.91
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	64	52	$3799.50	$833.06
76998 Ultrasonic guidance during surgery	47	42	$160.36	$59.08
93931 Ultrasound of one arm arteries or artery grafts	47	37	$310.00	$118.71
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	41	21	$30.00	$9.75
37225 Removal of plaque in arteries of leg	40	33	$25924.92	$9030.93
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	35	24	$675.00	$257.86
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	35	28	$5600.00	$1505.54
35301 Removal of blood clot and portion of artery of neck	34	32	$2866.90	$1060.14
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	31	26	$2888.00	$1093.78
76775 Limited ultrasound scan behind abdominal cavity	27	19	$140.00	$54.88
93930 Ultrasound study of arteries and arterial grafts of both arms	26	25	$495.00	$190.75
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	24	24	$130.00	$47.20
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	21	$30.38	$14.10
36820 Relocation of forearm vein with connection to arm artery for hemodialysis	24	23	$1846.43	$664.75
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	21	21	$540.00	$191.95
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	19	17	$223.72	$81.03
36830 Connection of tube graft to vein and artery for dialysis	19	18	$1688.90	$593.26
35011 Repair of diseased or bulging (aneurysm) artery of arm	18	15	$2536.65	$922.27
37229 Removal of plaque in artery of leg, initial vessel	18	13	$25568.65	$10532.54
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	13	11	$1362.00	$620.31
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$102.16	$30.27
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	12	$201.61	$65.81
93924 Ultrasound study of arteries of both legs at rest and exercise	12	12	$410.00	$151.87
36140 Insertion of needle or catheter into an artery of arm or leg	11	11	$258.75	$42.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	942	543	$180.00	$68.51
93922 Ultrasound study of arm and leg arteries	642	430	$250.00	$77.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	548	445	$260.00	$100.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	403	403	$260.68	$152.90
93880 Ultrasound of both sides of head and neck blood flow	401	330	$480.00	$183.83
93926 Ultrasound of one leg arteries or artery grafts	333	174	$362.00	$122.44
93990 Ultrasound of dialysis access	217	124	$385.00	$123.22
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	197	142	$315.00	$109.42
93925 Ultrasound of leg arteries or artery grafts	183	142	$615.00	$233.85
93970 Ultrasound study of arm or leg veins with compression and maneuvers	179	149	$470.00	$177.14
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	159	124	$475.00	$172.04
82565 Blood creatinine level	136	111	$17.50	$5.48
82435 Blood chloride level	135	110	$15.75	$4.95
84520 Urea nitrogen level to assess kidney function	135	110	$13.50	$4.25
84295 Blood sodium level	135	110	$16.50	$5.17
84132 Blood potassium level	135	110	$15.75	$4.94
85018 Blood count, hemoglobin	134	110	$8.00	$2.53
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	124	102	$292.55	$52.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	112	$339.68	$128.01
36140 Insertion of needle or catheter into an artery of arm or leg	105	83	$1031.17	$206.07
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	95	77	$388.13	$153.38
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	74	58	$3701.31	$750.45
75774 Radiological supervision and interpretation of imaging of artery	74	57	$206.45	$75.60
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	69	47	$5600.00	$794.77
75625 Radiological supervision and interpretation X-ray of abdominal aorta	69	57	$328.93	$120.70
76998 Ultrasonic guidance during surgery	60	54	$155.73	$58.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	34	$201.61	$68.49
36471 Injection of chemical agent into multiple incompetent veins of leg	47	34	$425.00	$96.98
37225 Removal of plaque in arteries of leg	38	32	$25283.87	$9443.47
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	38	33	$675.00	$251.45
35301 Removal of blood clot and portion of artery of neck	36	33	$2866.90	$1062.92
36820 Relocation of forearm vein with connection to arm artery for hemodialysis	34	33	$1846.43	$694.19
93930 Ultrasound study of arteries and arterial grafts of both arms	30	29	$495.00	$188.94
76775 Limited ultrasound scan behind abdominal cavity	29	23	$140.00	$54.18
82962 Blood glucose (sugar) test performed by hand-held instrument	28	23	$7.50	$3.21
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	27	19	$5600.00	$1480.64
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	26	26	$30.38	$13.76
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	22	16	$300.00	$105.20
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	21	19	$2888.00	$1002.21
93931 Ultrasound of one arm arteries or artery grafts	20	18	$310.00	$108.90
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	20	17	$9050.80	$2357.68
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	19	19	$176.74	$78.05
36830 Connection of tube graft to vein and artery for dialysis	19	19	$1688.90	$624.13
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$82.68	$30.59
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	16	16	$540.00	$187.64
75625 Radiological supervision and interpretation X-ray of abdominal aorta	16	15	$149.89	$52.62
37246 Balloon dilation of artery with review by radiologist, initial artery	16	14	$5083.00	$1568.27
35011 Repair of diseased or bulging (aneurysm) artery of arm	15	15	$2536.65	$954.20
36140 Insertion of needle or catheter into an artery of arm or leg	15	15	$258.75	$51.82
37229 Removal of plaque in artery of leg, initial vessel	14	13	$25568.65	$10743.08
36200 Insertion of catheter into aorta	13	11	$560.00	$94.95
82947 Blood glucose (sugar) level	13	12	$13.50	$4.28
75774 Radiological supervision and interpretation of imaging of artery	12	12	$43.50	$15.44
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	11	11	$35004.82	$14342.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,033	531	$180.00	$69.62
93922 Ultrasound study of arm and leg arteries	610	384	$250.00	$83.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	491	405	$260.00	$103.52
93880 Ultrasound of both sides of head and neck blood flow	398	334	$480.00	$193.20
93926 Ultrasound of one leg arteries or artery grafts	334	170	$362.00	$129.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	323	323	$260.00	$156.23
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	236	129	$315.00	$112.68
93925 Ultrasound of leg arteries or artery grafts	223	167	$615.00	$247.55
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	204	140	$475.00	$181.99
93990 Ultrasound of dialysis access	195	111	$385.00	$129.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	188	146	$470.00	$186.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	173	166	$339.88	$133.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	140	112	$275.69	$57.76
82435 Blood chloride level	123	99	$15.75	$5.57
82565 Blood creatinine level	123	99	$17.50	$6.20
84132 Blood potassium level	123	99	$15.75	$5.57
84520 Urea nitrogen level to assess kidney function	123	99	$13.50	$4.78
84295 Blood sodium level	122	99	$16.50	$5.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	120	70	$203.41	$71.01
85018 Blood count, hemoglobin	108	86	$8.00	$2.87
36140 Insertion of needle or catheter into an artery of arm or leg	92	74	$1038.60	$215.62
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	91	72	$388.13	$164.55
36471 Injection of chemical agent into multiple incompetent veins of leg	85	56	$425.00	$114.67
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	75	58	$3741.05	$861.82
75774 Radiological supervision and interpretation of imaging of artery	75	58	$206.45	$82.00
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	62	46	$30.38	$13.99
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	62	49	$5600.00	$1134.75
75625 Radiological supervision and interpretation X-ray of abdominal aorta	61	55	$328.93	$130.68
37225 Removal of plaque in arteries of leg	52	39	$25924.92	$9507.86
76998 Ultrasonic guidance during surgery	45	42	$156.54	$60.30
93922 Ultrasound study of arm and leg arteries	35	35	$56.69	$12.36
82962 Blood glucose (sugar) test performed by hand-held instrument	33	29	$7.50	$3.21
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	32	21	$675.00	$264.56
35301 Removal of blood clot and portion of artery of neck	31	29	$2866.90	$1105.98
76775 Limited ultrasound scan behind abdominal cavity	31	22	$140.00	$55.90
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	29	26	$163.25	$84.19
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	24	$85.21	$31.89
36140 Insertion of needle or catheter into an artery of arm or leg	24	21	$258.75	$52.21
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	24	21	$9050.80	$2412.18
93931 Ultrasound of one arm arteries or artery grafts	24	17	$310.00	$121.01
37229 Removal of plaque in artery of leg, initial vessel	23	19	$25568.65	$6617.29
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	22	22	$540.00	$186.15
93926 Ultrasound of one leg arteries or artery grafts	21	21	$59.97	$23.77
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	19	19	$468.27	$117.64
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	18	16	$300.00	$115.92
75774 Radiological supervision and interpretation of imaging of artery	16	15	$43.50	$16.92
93930 Ultrasound study of arteries and arterial grafts of both arms	16	16	$495.00	$199.99
93925 Ultrasound of leg arteries or artery grafts	16	16	$97.43	$38.96
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	16	15	$800.33	$179.68
36820 Relocation of forearm vein with connection to arm artery for hemodialysis	16	16	$1846.43	$671.97
75625 Radiological supervision and interpretation X-ray of abdominal aorta	16	16	$149.89	$54.63
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	15	13	$2888.00	$984.57
49324 Insertion of abdominal cavity catheter using an endoscope	14	14	$964.00	$361.47
37246 Balloon dilation of artery with review by radiologist, initial artery	14	13	$5083.00	$1951.62
36830 Connection of tube graft to vein and artery for dialysis	13	12	$1688.90	$649.16
36200 Insertion of catheter into aorta	13	13	$560.00	$95.56
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	13	11	$390.00	$144.67
49422 Removal of abdominal cavity catheter	12	12	$940.90	$289.13
37607 Tying or banding of a passage between an artery and vein	12	12	$943.72	$277.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$180.00	$103.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	901	512	$179.91	$69.15
93922 Ultrasound study of arm and leg arteries	629	424	$250.10	$82.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	426	380	$259.91	$102.37
93880 Ultrasound of both sides of head and neck blood flow	411	360	$480.08	$187.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	300	300	$260.00	$155.64
93926 Ultrasound of one leg arteries or artery grafts	268	143	$362.00	$126.26
93925 Ultrasound of leg arteries or artery grafts	259	197	$615.00	$241.58
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	250	156	$314.20	$111.14
93970 Ultrasound study of arm or leg veins with compression and maneuvers	240	197	$469.94	$182.82
93990 Ultrasound of dialysis access	215	117	$384.72	$126.27
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	190	134	$475.00	$177.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	148	142	$340.70	$132.64
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	134	116	$280.46	$57.29
84132 Blood potassium level	130	106	$15.75	$2.10
82435 Blood chloride level	130	106	$15.75	$2.10
84295 Blood sodium level	130	106	$16.50	$2.20
84520 Urea nitrogen level to assess kidney function	130	106	$13.50	$1.78
82565 Blood creatinine level	128	104	$17.50	$2.32
36471 Injection of chemical agent into multiple incompetent veins of leg	115	73	$425.00	$94.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	68	$204.34	$70.04
85018 Blood count, hemoglobin	105	86	$8.00	$3.16
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	101	67	$5600.00	$1117.17
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	76	63	$388.13	$152.48
75625 Radiological supervision and interpretation X-ray of abdominal aorta	67	59	$328.93	$129.55
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	66	53	$3741.05	$765.47
75774 Radiological supervision and interpretation of imaging of artery	66	50	$206.45	$80.79
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	61	43	$675.00	$263.05
76998 Ultrasonic guidance during surgery	55	34	$192.00	$174.66
37225 Removal of plaque in arteries of leg	50	34	$25924.92	$8713.41
76775 Limited ultrasound scan behind abdominal cavity	49	37	$140.00	$55.76
76998 Ultrasonic guidance during surgery	48	43	$155.73	$61.48
36140 Insertion of needle or catheter into an artery of arm or leg	44	41	$1038.60	$202.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	33	$50.00	$19.14
93922 Ultrasound study of arm and leg arteries	36	34	$62.06	$12.31
35301 Removal of blood clot and portion of artery of neck	33	30	$2866.90	$1105.03
93930 Ultrasound study of arteries and arterial grafts of both arms	33	33	$495.00	$194.81
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	30	25	$300.00	$111.51
93925 Ultrasound of leg arteries or artery grafts	26	25	$97.43	$38.49
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	25	25	$540.00	$210.12
82962 Blood glucose (sugar) test performed by hand-held instrument	23	23	$7.50	$3.15
36820 Relocation of forearm vein with connection to arm artery for hemodialysis	22	22	$1846.43	$707.13
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	22	20	$162.69	$54.80
93926 Ultrasound of one leg arteries or artery grafts	22	21	$73.70	$23.67
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	21	14	$9050.80	$2393.61
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	19	$30.38	$13.92
36830 Connection of tube graft to vein and artery for dialysis	20	20	$1688.90	$622.66
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	19	15	$2888.00	$1046.83
93931 Ultrasound of one arm arteries or artery grafts	18	17	$310.00	$120.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	14	$82.68	$31.73
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	16	16	$468.27	$114.95
37246 Balloon dilation of artery with review by radiologist, initial artery	15	13	$5083.00	$1400.41
36200 Insertion of catheter into aorta	15	15	$597.33	$87.80
75625 Radiological supervision and interpretation X-ray of abdominal aorta	15	14	$137.95	$54.47
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	14	14	$800.33	$226.27
75774 Radiological supervision and interpretation of imaging of artery	13	12	$43.50	$17.18
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	12	11	$35004.82	$13722.70
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	12	11	$55.57	$21.67
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$964.00	$348.32
35011 Repair of diseased or bulging (aneurysm) artery of arm	11	11	$2536.65	$995.42

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License TX L1987

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX L1987

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

149737202 (TX)

Commercial Insurance / Payer ID Fein

208617186 (TX)

Commercial Insurance / Payer ID Fein

752605101 (TX)

Commercial Insurance / Payer ID Bluelink

4243569 (TX)

Hospital & Practice Group Affiliations

Etmc Physician Group, Inc.

1000 S Beckham Ave, Tyler, TX 757011908

Phone: 9035905611

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. David Kerns , MD

Surgery - Vascular Surgery

NPI 1073515565

Doctor of Medicine (M.D.)

Rebecca Macaluso , NP

Nurse Practitioner

NPI 1235005158

Nurse Practitioner

Erica Stegall , CST, CSFA

Surgery - Vascular Surgery

NPI 1235667650

Tonya Langley , CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1316308554

Leslie Kerns , CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1417682667

Angela Harden , PA

Physician Assistant

NPI 1760680953

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2014

Registered at 1040 S FLEISHEL AVE, TYLER, TX 757012031 (Tel: 9035338702)

📍

Updated Business Mailing Address January 08, 2014

Registered at 1040 S FLEISHEL AVE, TYLER, TX 757012031 (Tel: 9035338702)

👤

Provider Name / Credentials Updated January 08, 2014

Recorded as MARK ROBBINS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2014

Surgery (License #L1987 in TX)

🟢

Initial NPI Registration & Enumeration August 12, 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: 1891797429

Entity Type:

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

Enumeration Date: August 12, 2005

Last Update: January 08, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1040 S Fleishel Ave

Tyler, TX 757012031

Phone: 9035338702

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.