Medicare Enrolled

Dr. Nathan Hoekzema, M.D.

Orthopedic Surgery · Clovis, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
604 N MAGNOLIA AVE STE 100, Clovis, CA 93611
5593200531
In practice since 2006 (20 years)
NPI: 1205815164 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. Hoekzema 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. Hoekzema

Dr. Nathan Hoekzema is an orthopedic surgery specialist in Clovis, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Hoekzema performed 531 Medicare services across 384 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hoekzema received a total of $323,421 from 18 pharmaceutical and/or device companies across 260 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Hoekzema is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ 531 Medicare services $323,421 industry payments

Medicare Practice Summary

Medicare Utilization ↗
531
Medicare services
Bottom 37% in CA for orthopedic surgery
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
384
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~27 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.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
136 $70 $134
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
71 $5 $15
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
70 $31 $73
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
59 $88 $242
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
50 $30 $74
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
42 $104 $209
Elbow X-ray, 2 views
An X-ray imaging test of the elbow joint using two different angles to visualize the bones and surrounding structures.
33 $25 $72
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
21 $145 $1,204
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
20 $126 $343
Endoscopic release of wrist ligament
A minimally invasive procedure using a small camera to cut and release ligaments in the wrist.
17 $365 $939
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
12 $42 $134
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$323,421
Total received (2018-2024)
Avg $46,203/year across 7 years
Top 5% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
18
Companies
260
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$321,569 (99.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,852 (0.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$46,497
2023
$65,973
2022
$38,893
2021
$125,840
2020
$14,100
2019
$20,822
2018
$11,297

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Skeletal Dynamics Inc
$45,980
AXOGEN
$337
Stryker Corporation
$161
Cornerstone Medical Associates, Inc.
$19
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Skeletal Dynamics Inc
$310,346
Skeletal Dynamics LLC
$10,802
AXOGEN
$904
Stryker Corporation
$426
Sequoia Surgical, Inc.
$420
Cerapedics Inc.
$169
Cornerstone Medical Associates, Inc.
$80
DePuy Synthes Sales Inc.
$48
Smith & Nephew, Inc.
$40
Smith+Nephew, Inc.
$37
Ethicon US, LLC
$32
Paragon 28, Inc.
$25
Merck Sharp & Dohme LLC
$19
Avanos Medical
$18
Endo Pharmaceuticals Inc.
$18
Bioventus LLC
$14
Orthofix Medical, Inc.
$13
Checkpoint Surgical, Inc
$9
Top 3 companies account for 99.6% of all-time payments
Associated products mentioned in payments ›
AEQUALIS PERFORM REVERSED · AUGMENT INJECTABLE · AXSOS · Avance Nerve Graft · AxoGuard Nerve Connector · BABY GORILLA · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · BRIDION · Checkpoint Stimulators · DERMABOND PRINEO · EXPEDIUM · Exogen Ultrasound Bone Healing System · Geminus · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · ON-Q* PUMP AND ACCESSORIES · PICO · PICO 7 · PICO 7 Single Use Negative Pressure Wound Therapy · PRIME SERIES · Physio-Stim · T2 · VARIAX · XIAFLEX
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 (99%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopedic surgery and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for orthopedic surgery in CA.

Looking for an orthopedic surgery specialist in Clovis?
Compare orthopedic surgeons in the Clovis area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
53
Per 100K population
5.2
County median income
$71,434
Nearest hospital
CLOVIS COMMUNITY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Hoekzema is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 5% of CA peers, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Hoekzema experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Hoekzema performed 136 office visit, established patient (20-29 min) 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. Hoekzema receive payments from pharmaceutical companies?
Yes. Dr. Hoekzema received a total of $323,421 from 18 companies across 260 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. Hoekzema's costs compare to other orthopedic surgeons in Clovis?
Dr. Hoekzema's average Medicare payment per service is $68. 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. Hoekzema) 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. Data Coverage reflects 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 →