Medicare Enrolled
Dr. Nathanael Smith, D.P.M
Foot & Ankle Surgery Podiatrist · Lakewood, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Smith 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. Smith
Dr. Nathanael Smith is a foot & ankle surgery podiatrist in Lakewood, CA, with 9 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 1,648 Medicare services across 1,146 unique beneficiaries.
Between the years covered by Open Payments, Dr. Smith received a total of $15,108 from 44 pharmaceutical and/or device companies across 188 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in foot & ankle surgery podiatrist. 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. Smith 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.
✓ 9 years in practice
▲ Top 42% volume in CA
$15,108 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,648
Medicare services
Top 42% in CA for foot & ankle surgery podiatrist
1,146
Unique beneficiaries
$79
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~183 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. |
308 | $68 | $203 |
| Toenail/fingernail removal, 6+ nails Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session. |
299 | $36 | $101 |
| 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. |
244 | $88 | $249 |
| Skin and tissue removal, 20 sq cm or less This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller. |
129 | $111 | $300 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes. The wound area covered is 25.0 square centimeters or less. |
81 | $139 | $473 |
| Removal of thickened skin growths, 2-4 This procedure involves the removal of two to four benign, thickened skin growths. It is a minor surgical intervention to eliminate non-cancerous skin lesions. |
80 | $65 | $187 |
| 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. |
77 | $108 | $287 |
| 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. |
74 | $27 | $80 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
42 | $104 | $291 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
39 | $106 | $286 |
| Removal of noncancer thickened skin growth, 1 growth This procedure involves the removal of a single benign, thickened skin growth. It is a minor surgical intervention to eliminate the lesion. |
36 | $57 | $164 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
36 | $40 | $82 |
| Toenail/fingernail removal, 1-5 nails This procedure involves the removal of one to five fingernails or toenails. |
33 | $27 | $76 |
| Permanent removal fingernail or toenail | 26 | $126 | $373 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
26 | $36 | $125 |
| Muscle or tissue removal, 20 sq cm or less This procedure involves the surgical removal of muscle or other tissue from the body. The total area of the removed tissue is 20.0 square centimeters or less. |
25 | $195 | $530 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
22 | $100 | $311 |
| Removal of fingernail or toenail skin This procedure involves the removal of the skin associated with a fingernail or toenail. |
20 | $111 | $400 |
| Simple separation of fingernail or toenail from nail bed, first nail A procedure to separate the first fingernail or toenail from the underlying nail bed. |
18 | $83 | $269 |
| Skin graft site preparation, face or scalp, 100 sq cm or less Preparation of the skin area on the face, scalp, or other specified body parts to receive a skin graft in infants and children. The area prepared is 100 square centimeters or 1% of the body surface area, whichever is less. |
17 | $341 | $900 |
| 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. |
16 | $111 | $370 |
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 ↗$15,108
Total received (2019-2024)
Avg $2,518/year across 6 years
Top 8% in CA for foot & ankle surgery podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
44
Companies
188
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
$8,288 (54.9%)
Other
Charitable contributions, space rental, and other categories
$3,520 (23.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$3,300 (21.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,371
2023
$1,550
2022
$4,765
2021
$6,486
2020
$679
2019
$256
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
MIMEDX Group, Inc.
$550
Amgen Inc.
$122
Fusion Orthopedics USA, LLC
$112
BIOTISSUE HOLDINGS INC.
$96
Smith+Nephew, Inc.
$82
ABBVIE INC.
$73
Averitas Pharma Inc.
$62
DePuy Synthes Sales Inc.
$51
Bioventus LLC
$51
Paratek Pharmaceuticals, Inc.
$48
Organogenesis Inc.
$37
Solventum Corporation
$34
Abbott Laboratories
$21
TREACE MEDICAL CONCEPTS, INC.
$17
Bone Support Inc.
$15
Top 3 companies account for 57.1% of 2024 payments
All-time payments by company (2019-2024) ›
Acera Surgical, Inc.
$3,640
DNE LLC
$3,300
Paragon 28, Inc.
$2,122
Organogenesis Inc.
$966
Integra LifeSciences Corporation
$655
Smith+Nephew, Inc.
$607
MIMEDX Group, Inc.
$550
Zimmer Biomet Holdings, Inc.
$527
Treace Medical Concepts, Inc.
$262
Horizon Therapeutics plc
$206
DePuy Synthes Sales Inc.
$189
TISSUETECH, INC.
$153
Amgen Inc.
$122
BOSTON SCIENTIFIC CORPORATION
$114
BioTissue Holdings, Inc.
$114
Fusion Orthopedics USA, LLC
$112
Paratek Pharmaceuticals, Inc.
$111
Arthrex, Inc.
$108
Musculoskeletal Transplant Foundation Inc.
$103
BIOTISSUE HOLDINGS INC.
$96
Globus Medical, Inc.
$91
Averitas Pharma Inc.
$86
Stryker Corporation
$86
ABBVIE INC.
$85
Boston Scientific Corporation
$75
Bioventus LLC
$75
Abbott Laboratories
$62
TREACE MEDICAL CONCEPTS, INC.
$58
Reprise Biomedical, Inc.
$55
AbbVie Inc.
$48
MEDLINE INDUSTRIES LP
$47
ORGANOGENESIS INC.
$44
Nevro Corp.
$36
Solventum Corporation
$34
Micromed Inc
$25
Merck Sharp & Dohme Corporation
$25
Pacira Pharmaceuticals Incorporated
$20
Novo Nordisk Inc
$19
Orpyx Medical Technologies US Inc.
$18
Bone Support Inc.
$15
Avanos Medical
$15
Merck Sharp & Dohme LLC
$14
KCI USA, Inc.
$13
Medline Industries LP
$5
Top 3 companies account for 60.0% of all-time payments
Associated products mentioned in payments ›
ACTIV.A.C. · ALLOWRAP · AccuFill · Ankle Fracture System · BILAYER WOUND MATRIX (BWM) · BIOLOGICS CONSUMABLES BONE REPAIR CELLULAR BONE GRAFTING KIT · CERAMENTBONE VOID FILLER · CLARIX · CROSSTIE · DALVANCE · ETERNA · EXOGEN ULTRASOUND BONE HEALING SYSTEM · EXPAREL · Exogen · Foot & Ankle Product Portfolio · GARDASIL 9 · GENERAL ATHERECTOMY · GENERAL - VASCULAR INTERVENTION · GRAFIX · GRAFIX PL · Grafix PL PRIME · HOFFMANN · Hammertoe · INC. · INTEGRA MESHED BILAYER WOUND MATRIX · Integra · JANUVIA · KRYSTEXXA · LAPIPLASTY SYSTEM · Lapidus Plate · Lapiplasty System · MEDLINE INDUSTRIES · Mini Fragment System · Miro3D · NA · NEOX · NEURAGEN · NUZYRA · Nextremity MSP · ON-Q* PUMP AND ACCESSORIES · Omnia · Orpyx SI · Ozempic · PICO7 · PROCLAIM · PRODUCT PORTFOLIO · PURAPLY AM · Pico 14 · Product Portfolio · Puraply · Puraply Antimicrobial · QUTENZA · RENASYS · RENASYS GO · RENASYS GO v2 HOME · RENASYS TOUCH · Restrata Wound Matrix · SEAL · SNAP · STRAVIX · Senza · Stratum Foot Plating System · Stravix · TEFLARO · V.A.C. VERAFLO
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 (55%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 8% for foot & ankle surgery podiatrist in CA.
Geographic Context
Foot & ankle surgery podiatrists within 10 mi
321
Per 100K population
3.3
County median income
$87,760
Nearest hospital
UCI HEALTH-LAKEWOOD
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. Smith is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 8% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Smith experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Smith performed 308 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. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $15,108 from 44 companies across 188 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. Smith's costs compare to other foot & ankle surgery podiatrists in Lakewood?
Dr. Smith's average Medicare payment per service is $79. 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. Smith) 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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