Robert Nathan Royalty, MD
NPI 1558527903ActiveIndividual· Orthopaedic Surgery· Prestonsburg, KY
Orthopaedic Surgery (MD) in Prestonsburg, Kentucky, trained at University of Kentucky College of Medicine (class of 2005). 216 Medicare patients in 2024, $109,635 paid; nearly all of their 409 Part D prescriptions were generic (98%). Depuy Synthes Sales Inc. reported $77.07 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1558527903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 5, 2008 |
| Last updated in NPPES | Aug 4, 2026 |
| Certified by provider | Aug 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 44218 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 216 |
|---|---|
| Services billed | 492 across 84 procedure codes |
| Paid by Medicare | $109,635 |
Part D prescriptions in 2024
| Prescriptions (claims) | 409 · 410 30-day fills |
|---|---|
| Patients | 271 |
| Total drug cost | $19,971 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Kentucky College of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Arh Tug Valley Health Services IncMooresville, NC · 128 clinicians
Hospital affiliations
- Hazard Arh Regional Medical CenterHazard, KY
- Highlands Arh Regional Medical CenterPrestonsburg, KY
- King's Daughters' Medical CenterAshland, KY
- Whitesburg Arh HospitalWhitesburg, KY
Other facilities
- Hazard Arh HhaHome health agency · Hazard, KY
- Highlands Arh Home HealthHome health agency · Prestonsburg, KY
- Whitesburg Arh HhaHome health agency · Whitesburg, KY
Industry payments (Open Payments)
- 2025$77.07 · 2 payments from 1 company
- 2024$1,508 · 14 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Depuy Synthes Sales Inc. | $77.07 | 2 |
What the 2025 payments were for
- Food and Beverage$77.07 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Orthopaedic Surgery providers in Prestonsburg
- 1518293711
- 1790737690