EARL J KILBRIDE JR. MD
NPI 1649262536
Orthopaedic Surgery in Austin, TX

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
63.11/100
CMS Quality Rating
11675 JOLLYVILLE RD, STE 207, AUSTIN, TX 78759(512) 856-1000(512) 856-4040 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2024, Sep 1, 2023, Aug 17, 2023 and 6 more (9 updates tracked since 2016).

About Earl J Kilbride Jr. Md NPPES

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

EARL J KILBRIDE JR. MD (NPI 1649262536) is an individual orthopaedic surgery provider in Austin, Texas, licensed in Texas (K5043) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Northwest Hills Surgical Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1996).

NPPES Registry Identity

NPI1649262536
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameEARL J KILBRIDE JR.Credential: MD
Location Address11675 JOLLYVILLE RD, STE 207Austin, TX 78759-4105
Mailing Address11675 Jollyville Rd, Ste 207Austin, TX 78759-4105 · (512) 856-1000 · Fax (512) 856-4040
Fax(512) 856-4040
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1996
Enumeration DateAugust 17, 2005
Last NPPES UpdateAugust 5, 20249 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
NPI 1649262536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · K5043
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License K5043 (TX)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License K5043 (TX)
11675 JOLLYVILLE RD, Austin, TX 78759

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

Earl J Kilbride Jr. Md 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 ID4082714720
PECOS Enrollment IDI20091230000363
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 26

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
630 services89 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
439 services83 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
285 services78 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
256 services64 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.
167 services115 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.
135 services89 patients

Hospital Affiliations CMS Care Compare 2

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

Northwest Hills Surgical Hospital

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450808
Location6818 Austin Ctr Blvd Suite 100Austin, TX 78731 · Travis County
Emergency services

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

63.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.02
Improvement Activities40
Cost22.34

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers14 claims14 services$45.51 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers14 claims280 services$20.61 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier12 claims12 services$77.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Psychologist
11675 JOLLYVILLE RD, SUITE 111
AUSTIN, TX 78759
Counselor
11675 JOLLYVILLE RD, SUITE 111
AUSTIN, TX 78759
Counselor
11675 JOLLYVILLE RD, SUITE 111
AUSTIN, TX 78759
Psychologist (Clinical)
11675 JOLLYVILLE RD, SUITE 111
AUSTIN, TX 78759
Physical Therapist
11675 JOLLYVILLE RD, SUITE 207
AUSTIN, TX 78759
Physician Assistant (Surgical)
11675 JOLLYVILLE RD, STE 207
AUSTIN, TX 78759
Orthopaedic Surgery (Sports Medicine)
11675 JOLLYVILLE RD, STE 207
AUSTIN, TX 78759

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 Earl Kilbride's NPI number?

The NPI number for Earl Kilbride is 1649262536. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Earl Kilbride located?

Earl Kilbride practices at 11675 Jollyville Rd Ste 207, Austin, TX 78759. The listed phone number is (512) 856-1000.

What is Earl Kilbride's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Earl Kilbride enrolled in Medicare?

Yes. Earl Kilbride 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 Earl Kilbride 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 6 other insurers list Earl Kilbride 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 Earl Kilbride affiliated with any hospitals?

According to CMS data, Earl Kilbride is affiliated with Northwest Hills Surgical Hospital and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Earl Kilbride was last updated on August 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.