Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERT U HARTZLER M.D.
NPI 1780849372
Orthopaedic Surgery in San Antonio, TX

Active since July 23, 2008PECOS Enrolled
76.06/100
CMS Quality Rating
19138 US HIGHWAY 281 N STE 200, SAN ANTONIO, TX 78258(210) 804-5630 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Jul 1, 2021, Jul 13, 2017 and 1 more (4 updates tracked since 2016).

About Robert U Hartzler M.d. NPPES

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

ROBERT U HARTZLER M.D. (NPI 1780849372) is an individual orthopaedic surgery provider in San Antonio, Texas, licensed in Texas (P7925) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1780849372
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameROBERT U HARTZLERCredential: M.D.
Location Address19138 US HIGHWAY 281 N STE 200San Antonio, TX 78258-4988
Mailing Address400 Concord Plaza Dr Ste 300San Antonio, TX 78216-6991 · (210) 804-5400
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2008
Enumeration DateJuly 23, 2008
Last NPPES UpdateOctober 28, 20264 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1780849372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TX · P7925✔ Licensed in MN · 51930✔ Licensed in FL · ME115054
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.
19138 US HIGHWAY 281 N STE 200, San Antonio, TX 78258

Secondary Practice Location 1

Location 1400 Concord Plaza Dr, Suite 300San Antonio, TX 78216-6905 · Phone (210) 804-5630 · Fax (210) 804-5633

Accepted 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

Robert U Hartzler 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 ID4082769054
PECOS Enrollment IDI20140328001612
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 Reassignment

Medicare enrollment records show Robert Hartzler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
400 CONCORD PLAZA DR, STE 300
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 163 clinicians in this Medicare group

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 16

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.
1,726 services160 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
546 services382 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.
321 services250 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.
205 services173 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.
197 services155 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.
95 services95 patients

Hospital Affiliations CMS Care Compare 5

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450370
Location110 Shult DrColumbus, TX 78934 · Colorado County
Emergency services Birthing friendly

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

76.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.29
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Advance Care Plan
11%737 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
57%407 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
0%916 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
45%38 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
95%22 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,055 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%721 patients1/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
19%27 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%1,309 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,340 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%1,797 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 47% · 1,006 patients
Patients screened: 50% · 1,006 patients
9%35 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 1% · 490 patients
1%490 patients
Provide Patients Electronic Access to Their Health Information
76%568 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%55 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 750 patients
Patients totalRate: 3% · 751 patients
2%751 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.

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.

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$71.70 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
3 suppliers51 claims51 services$89.59 avg. paid by Medicare
Upper extremity addition, excursion amplifier, pulley type L6641
DME-Orthotic Devices · category DF000N
3 suppliers60 claims60 services$153.27 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 15

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

Surgery (Surgery of the Hand)
19138 US HIGHWAY 281 N STE 200
SAN ANTONIO, TX 78258
Occupational Therapist
19138 US HIGHWAY 281 N STE 200
SAN ANTONIO, TX 78258
Physical Therapy Assistant
19138 US HIGHWAY 281 N STE 200
SAN ANTONIO, TX 78258
Anesthesiology (Pain Medicine)
19138 US HIGHWAY 281 N STE 200
SAN ANTONIO, TX 78258
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
19138 US HIGHWAY 281 N STE 200
SAN ANTONIO, TX 78258
Physician Assistant
19138 US HIGHWAY 281 N STE 200
SAN ANTONIO, TX 78258
Physical Therapist
19138 US HIGHWAY 281 N STE 200
SAN ANTONIO, TX 78258
Orthopaedic Surgery (Sports Medicine)
19138 US HIGHWAY 281 N STE 200
SAN ANTONIO, TX 78258

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 Robert Hartzler's NPI number?

The NPI number for Robert Hartzler is 1780849372. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Where is Robert Hartzler located?

Robert Hartzler practices at 19138 Us Highway 281 N Ste 200, San Antonio, TX 78258. The listed phone number is (210) 804-5630.

What is Robert Hartzler's specialty?

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

Is Robert Hartzler enrolled in Medicare?

Yes. Robert Hartzler 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 organization bills Medicare for Robert Hartzler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Hartzler reassigns Medicare benefits to The San Antonio Orthopaedic Group, LLP (San Antonio, TX). The 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 Robert Hartzler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Hartzler accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Robert Hartzler 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 Robert Hartzler affiliated with any hospitals?

According to CMS data, Robert Hartzler is affiliated with Peterson Regional Medical Center, Baptist Medical Center, Guadalupe Regional Medical Center, Columbus Community Hospital and Uvalde Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Hartzler was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.