In 2023, Dr. Robert Nathan Royalty, MD performed more fracture surgery, joint reconstruction, lower extremity surgery, pertrochanteric hip fracture surgery, and total knee replacement procedures for Medicare patients than 95% of providers in related specialties within Kentucky.

Top 25%

By Volume:

inpatient hospital care

By Affordability:

hospital care

inpatient care

inpatient hospital care

In 2012, among providers in related specialties within Kentucky, Dr. Robert Nathan Royalty, MD performed more inpatient hospital care (for patient admitted to hospital) procedures for Medicare patients than 75% of them and he also had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2012 were rehabilitation, X-rays, aspiration and musculoskeletal imaging.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	95
doctor visit	290
hip imaging	64
hospital care	31
injections	95
inpatient care	31
manual therapy	47
musculoskeletal imaging	95
pelvic imaging	24
rehabilitation	194
X-rays	160

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2013 were injections, aspiration, hospital care and inpatient care.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	292
doctor visit	649
hospital care	22
injections	306
inpatient care	22

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	157
Female	238

**Age**
From 65 to 74	130
From 75 to 84	68
85 and over	21
Less than 65	176

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2013

Hypertension	75
High Cholesterol	64
Stroke	5
Ischemic Heart Disease	38
Depression	33
Chronic Kidney Disease	15
Asthma	10
Osteoperosis	9
Atrial Fibrilation	7
Heart Failure	15
Chronic Obstructive Pulmonary Disease	32
Diabetes	42
Dementia	9
Cancer	6

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2014 were injections, aspiration, hospital care and inpatient care.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	487
doctor visit	866
hospital care	28
injections	551
inpatient care	28

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	211
Female	314

**Ethnicity**
Non-Hispanic White	512
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	175
From 75 to 84	95
85 and over	27
Less than 65	228

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2014

Hypertension	75
High Cholesterol	65
Stroke	4
Ischemic Heart Disease	41
Depression	30
Chronic Kidney Disease	20
Asthma	12
Osteoperosis	7
Atrial Fibrilation	7
Heart Failure	17
Chronic Obstructive Pulmonary Disease	31
Diabetes	40
Dementia	9
Cancer	6

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2015 were injections, aspiration, joint surgery and minimally invasive procedures.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	643
decompression surgery	18
doctor visit	1218
hospital care	17
injections	756
inpatient care	17
joint surgery	34
lower extremity surgery	16
minimally invasive procedures	18
reconstructive surgery	16
upper extremity surgery	18

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	528
Female	710

**Age**
From 65 to 74	444
From 75 to 84	206
85 and over	42
Less than 65	546

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2015

Hypertension	75
High Cholesterol	67
Stroke	5
Ischemic Heart Disease	39
Depression	30
Chronic Kidney Disease	20
Asthma	20
Osteoperosis	6
Atrial Fibrilation	7
Heart Failure	16
Chronic Obstructive Pulmonary Disease	32
Diabetes	40
Dementia	5
Cancer	6

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2016 were injections, aspiration, reconstructive surgery and joint surgery.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	859
closed (non-surgical) treatment of fracture	24
decompression surgery	16
doctor visit	1379
hospital care	17
injections	914
inpatient care	17
joint surgery	25
lower extremity surgery	25
nerve procedures	16
open surgery	16
reconstructive surgery	25
upper extremity surgery	16

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	290
Female	452

**Age**
From 65 to 74	286
From 75 to 84	148
85 and over	44
Less than 65	264

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2016

Hypertension	75
High Cholesterol	68
Stroke	5
Ischemic Heart Disease	38
Depression	30
Chronic Kidney Disease	24
Asthma	32
Osteoperosis	7
Atrial Fibrilation	9
Heart Failure	17
Chronic Obstructive Pulmonary Disease	31
Diabetes	39
Dementia	7
Cancer	6

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2017 were injections, aspiration, hospital care and inpatient care.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	942
closed (non-surgical) treatment of fracture	31
doctor visit	1545
hospital care	37
immobilization	24
injections	1308
inpatient care	37
joint surgery	28
lower extremity surgery	28
pain management	13
reconstructive surgery	28

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	310
Female	566

**Ethnicity**
Non-Hispanic White	865
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	353
From 75 to 84	168
85 and over	43
Less than 65	312

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2017

Hypertension	75
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	40
Depression	33
Chronic Kidney Disease	27
Asthma	10
Osteoperosis	8
Atrial Fibrilation	8
Heart Failure	20
Chronic Obstructive Pulmonary Disease	29
Diabetes	37
Dementia	7
Cancer	7

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2018 were injections, aspiration, lower extremity surgery and joint surgery.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	755
doctor visit	1345
fracture surgery	12
hospital care	24
immobilization	13
implant removal	11
injections	1519
inpatient care	24
joint surgery	61
lower extremity surgery	73
minimally invasive procedures	13
pain management	48
reconstructive surgery	48

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	334
Female	539

**Ethnicity**
Non-Hispanic White	861
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	340
From 75 to 84	177
85 and over	47
Less than 65	309

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2018

Hypertension	75
High Cholesterol	70
Stroke	5
Ischemic Heart Disease	38
Depression	32
Chronic Kidney Disease	28
Asthma	8
Osteoperosis	7
Atrial Fibrilation	9
Heart Failure	20
Chronic Obstructive Pulmonary Disease	29
Diabetes	37
Dementia	9
Cancer	8

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2019 were injections, aspiration, inpatient care and hospital care.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	879
closed (non-surgical) treatment of fracture	19
decompression surgery	12
doctor visit	1405
hospital care	68
immobilization	14
injections	1454
inpatient care	68
joint surgery	47
lower extremity surgery	35
minimally invasive procedures	12
pain management	35
reconstructive surgery	35
upper extremity surgery	12

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	350
Female	579

**Ethnicity**
Non-Hispanic White	912
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	375
From 75 to 84	200
85 and over	48
Less than 65	306

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2019

Hypertension	75
High Cholesterol	69
Stroke	5
Ischemic Heart Disease	43
Depression	35
Chronic Kidney Disease	29
Asthma	8
Osteoperosis	7
Atrial Fibrilation	9
Heart Failure	24
Chronic Obstructive Pulmonary Disease	30
Diabetes	39
Dementia	9
Cancer	8

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2020 were injections, aspiration, hospital care and inpatient care.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	584
debridement (removal of unhealthy tissue)	15
doctor visit	891
excision	15
fracture surgery	15
hospital care	61
injections	901
inpatient care	61
joint surgery	25
lower extremity surgery	40
pain management	35
reconstructive surgery	25

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	288
Female	399

**Ethnicity**
Non-Hispanic White	676
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	308
From 75 to 84	153
85 and over	36
Less than 65	190

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2020

Hypertension	75
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	41
Depression	28
Chronic Kidney Disease	32
Asthma	6
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	20
Chronic Obstructive Pulmonary Disease	25
Diabetes	37
Dementia	9
Cancer	7

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2021 were injections, aspiration, hospital care and inpatient care.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	595
doctor visit	876
fracture surgery	30
hospital care	71
immobilization	17
injections	830
inpatient care	71
joint surgery	37
lower extremity surgery	48
open surgery	19
pain management	24
reconstructive surgery	37

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	278
Female	425

**Age**
From 65 to 74	314
From 75 to 84	160
85 and over	54
Less than 65	175

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2021

Hypertension	75
High Cholesterol	71
Stroke	4
Ischemic Heart Disease	40
Depression	32
Chronic Kidney Disease	31
Asthma	6
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	20
Chronic Obstructive Pulmonary Disease	26
Diabetes	39
Dementia	12
Cancer	7

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY during 2022 were injections, aspiration, lower extremity surgery and hospital care.

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

aspiration	198
doctor visit	266
fracture surgery	30
hospital care	50
injections	302
inpatient care	50
joint surgery	36
lower extremity surgery	51
open surgery	15
pain management	12
reconstructive surgery	36

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	148
Female	207

**Age**
From 65 to 74	154
From 75 to 84	91
85 and over	35
Less than 65	75

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	31
Depression	29
Chronic Kidney Disease	19
Asthma	8
Osteoperosis	12
Atrial Fibrilation	19
Heart Failure	19
Chronic Obstructive Pulmonary Disease	32
Diabetes	41
Dementia	10
Cancer	14

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Robert Nathan Royalty, MD for Medicare patients.

The highest averages for the top procedures that Dr. Robert Nathan Royalty, MD treated as a general practitioner in Prestonsburg, KY were injections, aspiration, rehabilitation and X-rays.

aspiration	575
closed (non-surgical) treatment of fracture	24
debridement (removal of unhealthy tissue)	15
decompression surgery	15
doctor visit	975
excision	15
fracture surgery	21
hip imaging	64
hospital care	38
immobilization	17
implant removal	11
injections	812
inpatient care	38
joint surgery	36
lower extremity surgery	39
manual therapy	47
minimally invasive procedures	14
musculoskeletal imaging	95
nerve procedures	16
open surgery	16
pain management	27
pelvic imaging	24
reconstructive surgery	31
rehabilitation	194
upper extremity surgery	15
X-rays	160

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Robert Nathan Royalty, MD.

**Gender**
Male	263
Female	402

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	347
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	133
85 and over	36
Less than 65	234
65 to 74	261

Average of Total of Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Robert Nathan Royalty, MD treated were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension	68
High Cholesterol	61
Stroke	4
Ischemic Heart Disease	35
Depression	28
Chronic Kidney Disease	22
Asthma	10
Osteoporosis	7
Heart Failure	17
Chronic Obstructive Pulmonary Disease	27
Diabetes	35
Atrial Fibrillation	8
Dementia	7
Cancer	6

Education & Training

He has a state license in Kentucky.

Licensed In: Kentucky

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Robert Nathan Royalty, MD appears to accept the following insurance providers: Sentara Healthcare (Optima Health), Corvel, Wellcare, United Healthcare, Aetna, UniCare, Medicare, Medicaid, Humana, Railroad Medicare, Anthem Blue Cross Blue Shield, Virginia Premier, Multiplan/PHCS, Passport/Molina, Zelis (Stratose), PEIA/UMR, UMWA, CareSource Marketplace and The Health Plan.

Insurance Accepted by Provider includes:

According to our sources, Dr. Robert Nathan Royalty, MD accepts the following insurance providers:

Sentara Healthcare (Optima Health)

Corvel

Wellcare

United Healthcare

Aetna

UniCare

Medicare

Medicaid

Humana

Railroad Medicare

Anthem Blue Cross Blue Shield

Virginia Premier

Multiplan/PHCS

Passport/Molina

Zelis (Stratose)

PEIA/UMR

UMWA

CareSource Marketplace

The Health Plan

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Robert Nathan Royalty, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Medical Device Business Services, Inc.	$4,348 ATTUNE $4,333	$15
DePuy Synthes Sales Inc.	$1,088 ACTIS $929	MONOVISC $137	NA $22
Zimmer Biomet Holdings, Inc.	$560 Comprehensive Shoulder System $482	Persona $30	CrossFix II $27	Sports Medicine $21
Stryker Corporation	$158 KNEES $104	INSPACE $53
Heron Therapeutics, Inc.	$91 Zynrelef $91
Other	$538 EUFLEXXA $82	SYNVISC-ONE $82	HYMOVIS $57	Zilretta $44	XIAFLEX $41	Other $232

**Types of Payments**
Travel and Lodging	$5,176
Food and Beverage	$1,124
Education	$482

Biography

Dr. Robert Royalty's specialties are general practice and orthopedics/orthopedic surgery. He studied medicine at the University of Kentucky College of Medicine. Dr. Royalty seems to honor Anthem, Blue California, CorVel, and more. According to Yext, he is currently accepting new patients at his office in Prestonsburg, KY.

Select Year:

Dr. Robert Nathan Royalty, MD

Office Locations

Noteworthy Medicare Patient Procedures Performed by Dr. Robert Nathan Royalty, MD in 2023

By Volume:

By Volume:

By Affordability:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Average Medicare Patient Data From 2012 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. Robert Nathan Royalty, MD From 2012 - 2022

Education & Training

Insurance Information

Ratings & Reviews

General Payments

Biography

General Practitioners in Nearby Locations

Other Providers in Prestonsburg, KY