Dr. Robert Orell , DO
Orthopaedic Surgery • Troy, MO
1173 E Cherry St
Troy, MO 633791520
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Robert Orell is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on June 15, 2005; this date does not establish years in practice.
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Published CMS data list 938 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 368 service units.
- 99212 — Established patient outpatient office visit: 157 service units.
- J0702 — Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg: 136 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 106 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tramadol Hcl — 74 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 17 prescription fills, including refills.
- Acetaminophen-Codeine (Acetaminophen With Codeine) — 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Missouri (2024, 278 clinicians with data). Median for this group: 1,210. Middle half: 405 to 3,120.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 3,510 in 2020 to 938 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1173 E Cherry St
Troy, MO 633791520
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
97 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $25,321 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $16,571 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
106 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$421 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $125.27 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Troy and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Orthopaedic Surgery in Missouri (2024, 278 clinicians with data). Median for this group: 1,210. Middle half: 405 to 3,120.
Too few clinicians listed under Orthopaedic Surgery in Troy have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Orthopaedic Surgery in Missouri (2024, 278 clinicians with data). Median for this group: $77,533. Middle half: $30,087 to $165,289.
Too few clinicians listed under Orthopaedic Surgery in Troy have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 80% of clinicians listed under Orthopaedic Surgery in Missouri (2024, 278 clinicians with data). Median for this group: $57,918. Middle half: $21,847 to $124,941.
Too few clinicians listed under Orthopaedic Surgery in Troy have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 65% of clinicians listed under Orthopaedic Surgery in Missouri (2024, 316 clinicians with data). Median for this group: 276. Middle half: 85 to 632.
Too few clinicians listed under Orthopaedic Surgery in Troy have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Orthopaedic Surgery in Missouri (2024, 316 clinicians with data). Median for this group: $1,930. Middle half: $530 to $5,474.
Too few clinicians listed under Orthopaedic Surgery in Troy have Medicare Part D data for 2024 to compare.
1 active clinicians are listed under Orthopaedic Surgery with a practice address in Troy, MO (514 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 73% from 3,510 in 2020 to 938 in 2024.
- 2020: 3,510
- 2021: 2,894
- 2022: 3,293
- 2023: 1,554
- 2024: 938
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Medicare-allowed amount
Medicare-allowed amount decreased 73% from $94,749 in 2020 to $25,321 in 2024.
- 2020: $94,749
- 2021: $75,235
- 2022: $81,165
- 2023: $44,254
- 2024: $25,321
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Paid by Medicare
Paid by Medicare decreased 76% from $69,043 in 2020 to $16,571 in 2024.
- 2020: $69,043
- 2021: $54,693
- 2022: $58,470
- 2023: $31,077
- 2024: $16,571
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 49% from 209 in 2020 to 106 in 2024.
- 2020: 209
- 2021: 192
- 2022: 229
- 2023: 262
- 2024: 106
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30-day fills
30-day fills decreased 52% from 222 in 2020 to 106 in 2024.
- 2020: 222
- 2021: 194
- 2022: 229
- 2023: 270
- 2024: 106
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Part D drug cost
Part D drug cost decreased 59% from $1,023 in 2020 to $421 in 2024.
- 2020: $1,023
- 2021: $987
- 2022: $1,570
- 2023: $1,844
- 2024: $421
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $157.05 in 2019 to $125.27 in 2024.
- 2019: $157.05
- 2020: $144.62
- 2021: $50.91
- 2023: $219.80
- 2024: $125.27
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $125.27.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
VOQUEZNA | General | $125.27 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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368 | 87 | $7.50 | $0.99 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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157 | 85 | $80.00 | $50.91 |
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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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136 | 44 | $15.00 | $6.74 |
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20610
Aspiration and/or injection of fluid from large joint
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128 | 42 | $190.00 | $58.48 |
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96372
Injection of drug or substance under skin or into muscle
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53 | 43 | $40.00 | $12.73 |
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J7324
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose
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42 | 13 | $450.00 | $129.19 |
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73560
X-ray of knee, 1-2 views
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24 | 16 | $100.00 | $23.66 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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19 | 18 | $100.00 | $82.87 |
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73565
X-ray of both knees while standing
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11 | 11 | $95.00 | $28.98 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 74 | 518 | $178.29 | 25 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 17 | 102 | $100.04 | 14 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 15 | 108 | $142.52 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Career & Practice History
NPI enumerated June 15, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
Po Box 337
Troy, MO 633790337
Phone: 6365284626