ROBIN NESTOR GOYTIA M.D.
NPI 1538284534
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Houston, TX

Q: What is Robin Goytia's NPI number?

The NPI number for Robin Goytia is 1538284534. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Robin Goytia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Robin Goytia was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment

86.1/100

CMS Quality Rating

7401 S. MAIN, HOUSTON, TX 77030(713) 799-2300(713) 794-3380 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2024, May 28, 2020 (2 updates tracked since 2020).

On this page

About Robin Nestor Goytia M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBIN NESTOR GOYTIA M.D. (NPI 1538284534) is an individual adult reconstructive orthopaedic surgery provider in Houston, Texas, licensed in Texas (M1719) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1538284534

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameROBIN NESTOR GOYTIACredential: M.D.

Location Address7401 S. MAINHouston, TX 77030

Mailing Address7401 S. MainHouston, TX 77030 · (713) 799-2300 · Fax (713) 794-3380

Phone(713) 799-2300

Fax(713) 794-3380

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2002

Enumeration DateMarch 20, 2007

Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1538284534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in TX · M1719

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License D65588 (MD)

7401 S. MAIN, Houston, TX 77030

Open in Google Maps ↗

Secondary Practice Location 1

Location 18731 Katy Fwy Ste 420Houston, TX 77024-1736 · Phone (832) 516-6997 · Fax (833) 520-1440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robin Nestor Goytia M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406956259

PECOS Enrollment IDI20080724000498

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Robin Goytia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ortholonestar, PLLC

Same address

Orthopaedic Surgery

7401 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
327 clinicians in this Medicare group

NPI 1942860176 (713) 799-2300

Fondren Orthopedic Group L.L.P.

0.1 mi

Orthopaedic Surgery

7401 SOUTH MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Fondren Orthopedic Group LLP
51 clinicians in this Medicare group

NPI 1609830595 (713) 799-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

484 services324 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

444 services351 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

353 services277 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

232 services193 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

168 services168 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

152 services39 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

125 services86 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

86 services82 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

67 services67 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

39 services31 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

33 services33 patients

Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation 0054T

This is a high-tech procedure where a computer aids in navigating surgical instruments, using real-time images. It enhances precision during orthopedic operations, helping to protect surrounding tissues and improve outcomes. It's like GPS for surgery!

31 services31 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

31 services23 patients

Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm 11406

This procedure involves the removal of a noncancerous skin growth larger than 4.0 cm, located on the body, arms, or legs. It's performed by a medical professional who numbs the area, then carefully removes the growth. This helps maintain skin health.

17 services14 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Oakbend Medical Center

Acute Care Hospitals · Richmond, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450330

Location1705 Jackson StRichmond, TX 77469 · Fort Bend County

Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450610

Location921 GessnerHouston, TX 77024 · Harris County

Emergency services Birthing friendly

Texas Orthopedic Hospital

Acute Care Hospitals · Houston, TX

OwnershipVoluntary non-profit - Other

CMS Certification Number450804

Location7401 South Main StreetHouston, TX 77030 · Harris County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

77.45

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

79%1,073 patients4/55-star benchmark: 100%

Breast Cancer Screening

63%614 patients3/55-star benchmark: 93%

Cervical Cancer Screening

45%301 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

54%468 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

50%1,166 patients3/55-star benchmark: 88%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

62%29 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

93%2,173 patients4/55-star benchmark: 100%

e-Prescribing

100%436 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

85%1,042 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 79% · 1,194 patients

Patients screened: 86% · 1,194 patients

7%87 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

79%674 patients4/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.02%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

55%615 patients3/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%72 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,094 patients

Patients totalRate: 3% · 1,094 patients

3%1,094 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIETTE A. ZUMWALT P.A.

Physician Assistant

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

KAREN ANN GUNTER P.A.

Physician Assistant (Surgical)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

BABAK SHERKAT R.N.

Registered Nurse

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

ALISHA SMITH PTA

Physical Therapist

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

BRANDON THOMPSON LSA

Specialist/Technologist, Other (Surgical Assistant)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

MRS. CHRISTINA KARIAN DONAHUE PA-C

Physician Assistant (Surgical)

7401 S. MAIN, FONDREN ORTHOPEDIC GROUP LLP
HOUSTON, TX 77030

Harris County (281) 799-2300

DARREN DOWNING GORE PA

Physician Assistant (Surgical)

7401 S. MAIN, FONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON, TX 77030

Harris County (713) 799-2300

HUSSEIN A ELKOUSY M.D.

Orthopaedic Surgery (Sports Medicine)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robin Goytia's NPI number?

The NPI number for Robin Goytia is 1538284534. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Robin Goytia located?

Robin Goytia practices at 7401 S. Main, Houston, TX 77030. The listed phone number is (713) 799-2300.

What is Robin Goytia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Robin Goytia enrolled in Medicare?

Yes. Robin Goytia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robin Goytia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robin Goytia reassigns Medicare benefits to 2 organizations: Ortholonestar, PLLC (Houston, TX) and Fondren Orthopedic Group L.L.P. (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robin Goytia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robin Goytia accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Robin Goytia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robin Goytia affiliated with any hospitals?

According to CMS data, Robin Goytia is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Oakbend Medical Center, Memorial Hermann Memorial City Hospital and Texas Orthopedic Hospital.

When was this NPI record last updated?

The NPPES record for Robin Goytia was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.