Medicare Enrolled
Dr. Lorenzo Pacelli, M.D.
Orthopedic Surgery · La Jolla, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed 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. Pacelli 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 →
Are you Dr. Pacelli?
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What this data tells you about Dr. Pacelli
Dr. Lorenzo Pacelli is an orthopedic surgery specialist in La Jolla, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Pacelli performed 3,087 Medicare services across 2,051 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pacelli received a total of $58,570 from 24 pharmaceutical and/or device companies across 146 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Pacelli 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 19% volume in CA
$58,570 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,087
Medicare services
Top 19% in CA for orthopedic surgery
2,051
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~162 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 |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
900 | $1 | $8 |
| 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. |
500 | $72 | $248 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
211 | $44 | $231 |
| Injection, methylprednisolone acetate, 40 mg | 208 | $6 | $26 |
| 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. |
198 | $103 | $350 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
194 | $40 | $230 |
| 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. |
187 | $88 | $305 |
| 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. |
129 | $136 | $453 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
94 | $5 | $25 |
| Injection of carpal tunnel | 68 | $78 | $415 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
67 | $44 | $218 |
| Endoscopic release of wrist ligament A minimally invasive procedure using a small camera to cut and release ligaments in the wrist. |
44 | $379 | $1,962 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
36 | $173 | $2,436 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
26 | $13 | $80 |
| Adult short arm fiberglass cast supplies Materials used to apply a short arm cast made of fiberglass for patients aged 11 and older. |
25 | $18 | $48 |
| Wrist to finger joint removal Surgical removal of the bones forming the joints between the wrist and the fingers. |
24 | $517 | $3,167 |
| Wrist joint lining removal A procedure to remove the lining of the wrist joint. |
23 | $203 | $1,813 |
| Elbow to finger cast application Application of a cast extending from the elbow to the fingers to immobilize the arm. |
21 | $75 | $336 |
| Adult fiberglass short arm splint supplies Materials for creating a fiberglass splint for an adult's short arm. |
18 | $10 | $30 |
| Nonremovable forearm to hand splint application A healthcare provider applies a rigid splint that extends from the forearm to the hand to immobilize and support the area. |
17 | $53 | $256 |
| Removal of tendon growth, finger or hand A procedure to remove a growth from a tendon in the finger or hand. |
16 | $134 | $2,527 |
| Wrist bone removal Surgical removal of one or more bones from the wrist joint. |
15 | $213 | $1,899 |
| Finger joint incision for drainage or foreign body removal A surgical procedure involving an incision into a finger joint to explore the area, drain fluid, or remove a foreign object. |
14 | $324 | $1,552 |
| Tendon transfer to back of hand with graft A surgical procedure to move a tendon to the back of the hand using a graft to restore function. |
14 | $771 | $3,476 |
| Methylprednisolone acetate injection, 20 mg A 20 mg injection of methylprednisolone acetate, a corticosteroid medication. This code specifies the drug and dosage administered. |
14 | $5 | $8 |
| Upper and lower arm splint application Application of a splint to support and immobilize the upper and lower arms. |
12 | $72 | $315 |
| Elbow nerve release or relocation A surgical procedure to free or reposition a nerve in the elbow area. This is done to relieve pressure or irritation on the nerve. |
12 | $489 | $2,307 |
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 ↗$58,570
Total received (2018-2024)
Avg $8,367/year across 7 years
Top 12% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
146
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
$21,875 (37.3%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$19,632 (33.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$8,893 (15.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,169 (13.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,204
2023
$4,132
2022
$6,014
2021
$10,881
2020
$7,042
2019
$15,215
2018
$14,082
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Linvatec Corporation
$557
Smith+Nephew, Inc.
$145
DePuy Synthes Sales Inc.
$138
Skeletal Dynamics Inc
$131
Ensemble Orthopedics, Inc
$83
Stryker Corporation
$65
Sonex Health, Inc.
$63
Elevate Surgical CO
$21
Top 3 companies account for 69.8% of 2024 payments
All-time payments by company (2018-2024) ›
Integra LifeSciences Corporation
$29,661
In2Bones USA, LLC
$10,100
Ensemble Orthopedics, Inc
$5,920
ImpactOrtho, Inc.
$4,057
Smith+Nephew, Inc.
$2,608
Linvatec Corporation
$2,481
Arthrex, Inc.
$1,617
Stryker Corporation
$423
Endo Pharmaceuticals Inc.
$420
DePuy Synthes Sales Inc.
$387
IlluminOss Medical, Inc.
$171
Skeletal Dynamics Inc
$169
Acera Surgical, Inc.
$130
Anika Therapeutics, Inc.
$106
Sonex Health, Inc.
$63
DJO, LLC
$47
Medartis Inc.
$46
AXOGEN
$38
ACUMED LLC
$34
Zimmer Biomet Holdings, Inc.
$23
Elevate Surgical CO
$21
Amniox Medical, Inc.
$18
Trevena, Inc.
$17
Wright Medical Technology, Inc.
$13
Top 3 companies account for 78.0% of all-time payments
Associated products mentioned in payments ›
4FUSION · ACUMED · ALLOAID · ALLOGRAFT TISSUE · APTUS · ATTUNE · AlignMATE · AlloAid Allograft · AxoGuard Nerve Connector · Biomet Orthopak · CANNULATE SCREW SYSTEM · CMF OL1000 · CoLag · CoLink · DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE DYNANITE STAPLES · Ensemble CMC · Evos Mini · FREEDOM WRIST · GAMMA · Geminus · HAT-TRICK · HEALIX KNOTLESS PEEK · INFINITY · INSTRUMENTS-ORTHOPEDIC · Katalyst Bipolar Radial Head System · LATITUDE AND LATITUDE EV · MCP · MILAGRO · NEOX · NEURAGEN · NUGRIP · OLINVYK · PANGEA · PROPHECY · Photodynamic Bone Stabilization Procedure Pack · Quickanchor Ethibond · RIGIDLOOP · Restrata Wound Matrix · SALTO TALARIS TOTAL ANKLE PROSTHESIS · SX-ONE MICROKNIFE · Safeguard · TRIGEN META-NAIL · TSS · VA-LCP PLATES & SCREWS · 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 (37%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.
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. Pacelli is a clinical cardiology specialist, with above-average Medicare volume (top 19% in CA), with mixed engagement industry engagement in the top 12% of CA peers, 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. Pacelli experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Pacelli performed 900 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. Pacelli receive payments from pharmaceutical companies?
Yes. Dr. Pacelli received a total of $58,570 from 24 companies across 146 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. Pacelli's costs compare to other orthopedic surgeons in La Jolla?
Dr. Pacelli's average Medicare payment per service is $61. 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. Pacelli) 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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