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Edit this profileRobert N. Royalty, MD practices orthopaedic surgery in Prestonsburg, KY. Robert is a 2005 graduate of University of Kentucky College of Medicine. Medicare claims data shows Robert provided 283 services to 253 patients. The services billed most often include aspiration and/or injection of fluid from large joint, initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes, and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more. The provider's National Provider Identifier (NPI) is 1558527903.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
5000 KY ROUTE 321 STE 2127 SUITE 4139
Prestonsburg, KY 41653
Within Orthopedic Surgery generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Pain
Pediatric and tumor
Spine
Most searched conditions
Elbow, hand, and wrist
Foot and ankle
Hip
Shoulder
Sports and soft tissue
Trauma and bone
Foot & Ankle
Ankle surgery
Evaluation and nonsurgical
Foot & Ankle
Foot and ankle
Hand and upper extremity
Joint replacement
Nerves & spine
Orthopedics
Post-Op Care
Spine
Spine & Orthopedics
Trauma and fixation
Tumor and pediatric
Most searched procedures
Arthroscopy
Hand & Wrist
Injections & Non-Surgical
Injections & pain relief
Knee
Shoulder surgery
Trauma & Fractures
283 services · 253 patients · 11 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Aspiration and/or injection of fluid from large joint | Procedure | 20610 |
52 | Less often than most peers in Orthopaedic Surgery |
| Replacement of knee joint, both sides of knee | Procedure | 27447 |
14 | Less often than most peers in Orthopaedic Surgery |
| Treatment of broken neck of thigh bone with bone implant | Procedure | 27245 |
12 | Less often than most peers in Orthopaedic Surgery |
| Fluoroscopic guidance for needle placement | Imaging | 77002 |
19 | Less often than most peers in Orthopaedic Surgery |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
43 | More often than most peers in Orthopaedic Surgery |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
35 | Less often than most peers in Orthopaedic Surgery |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
34 | Less often than most peers in Orthopaedic Surgery |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
22 | As often as other peers in Orthopaedic Surgery |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
21 | As often as other peers in Orthopaedic Surgery |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
19 | As often as other peers in Orthopaedic Surgery |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Royalty is an orthopaedic surgeon in Prestonsburg, KY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Orthopaedic Surgery”.
NPI registry
Dr. Royalty is listed at 5000 Ky Route 321 Ste 2127 Suite 4139, Prestonsburg, KY 41653. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (606) 889-6255. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Royalty's National Provider Identifier is 1558527903. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Royalty attended University of Kentucky College of Medicine, graduating in 2005. This comes from the CMS National Downloadable File.
CMS public data
Dr. Royalty has 21 years experience. Calculated from a graduation year of 2005, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Royalty performs procedures including aspiration and/or injection of fluid from large joint, replacement of knee joint, both sides of knee and treatment of broken neck of thigh bone with bone implant; reads or performs imaging such as fluoroscopic guidance for needle placement, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Royalty. If this is you, claiming it is free.
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