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

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: August 30, 2026.

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

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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

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
Quality77.45
Promoting Interoperability95
Improvement Activities40

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.

Physician Assistant
7401 S. MAIN
HOUSTON, TX 77030
Physician Assistant (Surgical)
7401 S. MAIN
HOUSTON, TX 77030
Registered Nurse
7401 S. MAIN
HOUSTON, TX 77030
Physical Therapist
7401 S. MAIN
HOUSTON, TX 77030
Specialist/Technologist, Other (Surgical Assistant)
7401 S. MAIN
HOUSTON, TX 77030
Physician Assistant (Surgical)
7401 S. MAIN, FONDREN ORTHOPEDIC GROUP LLP
HOUSTON, TX 77030
Physician Assistant (Surgical)
7401 S. MAIN, FONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON, TX 77030
Orthopaedic Surgery (Sports Medicine)
7401 S. MAIN
HOUSTON, TX 77030

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.

What insurance does Robin Goytia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma 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 23 months 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.