Medicare Enrolled

Dr. Robert Girling, M.D.

Adult Reconstructive Orthopaedic Surgery Physician · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
21 SPURS LN STE 300, San Antonio, TX 78240
2106998326
In practice since 2010 (15 years)
NPI: 1356661904 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Girling from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Girling

Dr. Robert Girling is an adult reconstructive orthopaedic surgery physician in San Antonio, TX, with 15 years in practice. Based on federal Medicare data, Dr. Girling performed 1,824 Medicare services across 1,309 unique beneficiaries.

Between the years covered by Open Payments, Dr. Girling received a total of $65,867 from 15 pharmaceutical and/or device companies across 95 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive orthopaedic surgery physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Girling is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 15 years in practice▲ Top 47% volume in TX$ $65,867 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,824
Medicare services
Top 47% in TX for adult reconstructive orthopaedic surgery physician
1,309
Unique beneficiaries
$139
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~122 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Steroid injection (triamcinolone)399$1$11
Office visit, established patient (30-39 min)202$88$251
Office visit, established patient (20-29 min)193$60$177
Office visit, established patient, complex (40-54 min)155$127$353
X-ray of knee, 4 or more views142$34$137
Knee X-ray, 3 views124$29$121
Total knee replacement106$977$3,747
Hip X-ray, 2-3 views90$32$139
Joint injection, major joint80$49$206
Computer-assisted surgery for muscle and bone procedure74$109$416
New patient office visit (45-59 min)71$117$326
New patient office visit, complex (60-74 min)50$155$431
Total hip replacement35$956$3,733
Aspiration and/or injection of fluid large joint using ultrasound guidance31$83$330
New patient office visit (30-44 min)20$80$218
Shoulder X-ray, 2+ views18$24$102
Initial hospital admission, high complexity18$126$575
Revision of thigh and lower leg bone components of total knee joint prosthesis16$1,345$5,132
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
11.8% high complexity
28.0% medium
60.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$65,867
Total received (2018-2024)
Avg $9,410/year across 7 years
Top 22% in TX for adult reconstructive orthopaedic surgery physician
15
Companies
95
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$62,169 (94.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,498 (3.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,200 (1.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$23,029
2023
$343
2022
$1,352
2021
$1,317
2020
$255
2019
$30,224
2018
$9,347

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ORTHO DEVELOPMENT CORPORATION
$31,780
Corentec America,Inc.
$23,009
Ortho Development Corporation
$7,946
Stryker Corporation
$1,242
Medinc of Texas
$1,225
Corin USA
$232
Flexion Therapeutics, Inc.
$134
DePuy Synthes Sales Inc.
$99
Sanara MedTech Inc.
$84
Bioventus LLC
$26
SANOFI-AVENTIS U.S. LLC
$25
Mallinckrodt Enterprises LLC
$23
Pacira Pharmaceuticals Incorporated
$20
Ferring Pharmaceuticals Inc.
$13
Orthofix Medical, Inc.
$11
Top 3 companies account for 95.2% of total payments
Associated products mentioned in payments ›
ASNIS · AXSOS · BKS Revision · BKS Revision II · BKS TriMax · BKS Uni · Balance Knee Revision System · CellerateRx · Corentec · Durolane · EUFLEXXA · EX-FIX · Entrada · Exparel · GAMMA · MONOVISC · OFIRMEV · Ovation · Ovation Tribute · Physio-Stim Osteogenesis Stimulator · SYNVISC-ONE · T2 · TRAUMA · VARIAX · Zilretta
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (94%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Equivalent to $3,611 per 100 Medicare services performed
Looking for a adult reconstructive orthopaedic surgery physician in San Antonio?
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Geographic Context

Adult Reconstructive Orthopaedic Surgery Physicians within 10 mi
9
Per 100K population
0.4
County median income
$70,571
Nearest hospital
SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Girling is a clinical cardiology specialist, with moderate Medicare volume, and consulting-driven industry engagement, with 15 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Girling experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Girling performed 399 steroid injection (triamcinolone) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Girling receive payments from pharmaceutical companies?
Yes. Dr. Girling received a total of $65,867 from 15 companies across 95 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Girling's costs compare to other adult reconstructive orthopaedic surgery physicians in San Antonio?
Dr. Girling's average Medicare payment per service is $139. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Girling) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →