Medicare Enrolled
Dr. David Hackley, M.D.
Orthopedic Surgery · La Jolla, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Hackley 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. Hackley
Dr. David Hackley is an orthopedic surgery specialist in La Jolla, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Hackley performed 7,930 Medicare services across 2,030 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hackley received a total of $3,102 from 25 pharmaceutical and/or device companies across 85 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Hackley 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.
✓ 19 years in practice
▲ Top 5% volume in CA
$3,102 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,930
Medicare services
Top 5% in CA for orthopedic surgery
2,030
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~417 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 |
|---|---|---|---|
| Bupivacaine injection, 0.5 mg An injection of bupivacaine, a local anesthetic, administered in a dose of 0.5 mg. |
2,565 | $0 | $13 |
| Joint lubricant injection (Synvisc) | 1,693 | $7 | $25 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
1,540 | $1 | $15 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
421 | $58 | $229 |
| 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. |
404 | $100 | $225 |
| 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. |
383 | $72 | $155 |
| 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. |
157 | $125 | $340 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
144 | $30 | $140 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
112 | $34 | $106 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
96 | $128 | $450 |
| Orthovisc intra-articular injection An injection of hyaluronan or its derivative into a joint space to provide lubrication and cushioning. |
56 | $97 | $300 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
46 | $179 | $1,283 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
42 | $31 | $90 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
36 | $32 | $95 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
29 | $12 | $286 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
26 | $29 | $95 |
| X-ray of both knees, standing An X-ray image of both knees taken while the patient is standing to assess bone alignment and joint space under weight-bearing conditions. |
25 | $34 | $96 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
23 | $179 | $1,326 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
23 | $64 | $411 |
| X-ray of upper arm, minimum of 2 views An X-ray imaging test of the upper arm that captures at least two different views to evaluate the bones and surrounding structures. |
21 | $28 | $110 |
| Surgical repair of broken thigh bone with implant A surgical procedure to fix a fractured femur by using a bone implant to stabilize the broken bone. |
18 | $968 | $5,400 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
17 | $40 | $130 |
| X-ray of both hips, 2 views An X-ray imaging test that captures two views of both hip joints to evaluate bone structure and alignment. |
15 | $33 | $111 |
| Arthroscopic shoulder debridement A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions. |
14 | $140 | $2,500 |
| Removal of both knee cartilages using an endoscope | 13 | $413 | $3,516 |
| Arthroscopic rotator cuff repair A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions. |
11 | $872 | $3,230 |
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 ↗$3,102
Total received (2018-2024)
Avg $443/year across 7 years
Top 50% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
85
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,880 (92.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$221 (7.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$71
2023
$753
2022
$85
2021
$110
2020
$129
2019
$989
2018
$965
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$54
Smith+Nephew, Inc.
$17
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$517
DePuy Synthes Sales Inc.
$449
Flexion Therapeutics, Inc.
$368
Zimmer Biomet Holdings, Inc.
$270
Smith+Nephew, Inc.
$248
Stryker Corporation
$214
ORTHALIGN INC
$150
SportsTek Medical, Inc
$124
Smith & Nephew, Inc.
$101
Biocomposites Inc
$96
Endo Pharmaceuticals Inc.
$81
Globus Medical, Inc.
$64
Pacira Therapeutics, Inc.
$59
ACUMED LLC
$51
Bioventus LLC
$43
Lilly USA, LLC
$43
FIDIA PHARMA USA INC.
$35
SANOFI-AVENTIS U.S. LLC
$33
Wright Medical Technology, Inc.
$31
Horizon Pharma plc
$31
ASSERTIO THERAPEUTICS, Inc.
$29
Integra LifeSciences Corporation
$21
Trevena, Inc.
$17
ConvaTec Inc.
$13
Ferring Pharmaceuticals Inc.
$12
Top 3 companies account for 43.0% of all-time payments
Associated products mentioned in payments ›
1688 · ACTIS · ACUMED · AQUACEL AG · ATTUNE · Biomet Orthopak · Bone Healing Product Portfolio · CREO 5.5 · Durolane · EBI Bone Healing System · EUFLEXXA · Exogen · FIBERGRAFT · FORTEO · FREEDOM WRIST · Fast-Fix 360 · HEALIX KNOTLESS PEEK · Hymovis · IM NAILS · Katalyst Bipolar Radial Head System · OLINVYK · ORTHALIGN PLUS · ORTHOVISC · PENNSAID · PICO · PRO-DENSE · QUARTEX · SPEEDTRAP · SYNVISC-ONE · Stimulan · T-Fix · T2 · TRIATHLON · VA-LCP PLATES & SCREWS · VARIAX · XIAFLEX · Zilretta · Zipsor
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 →
Most payments (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Orthopedic surgeons within 10 mi
275
Per 100K population
8.4
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
0.0 mi
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. Hackley is a mixed practice specialist, with above-average Medicare volume (top 5% in CA), with low-engagement industry engagement, with 19 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. Hackley experienced with bupivacaine injection, 0.5 mg?
Based on Medicare claims data, Dr. Hackley performed 2,565 bupivacaine injection, 0.5 mg 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. Hackley receive payments from pharmaceutical companies?
Yes. Dr. Hackley received a total of $3,102 from 25 companies across 85 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. Hackley's costs compare to other orthopedic surgeons in La Jolla?
Dr. Hackley's average Medicare payment per service is $26. 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. Hackley) 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 →
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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.
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