Medicare Enrolled

Dr. Mark Elzik, M.D.

Orthopaedic Hand Surgery Physician · Mission Viejo, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Speaking/Promotional
26730 CROWN VALLEY PKWY, Mission Viejo, CA 92691
9493642154
In practice since 2007 (18 years)
NPI: 1093904302 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. Elzik 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. Elzik? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Elzik

Dr. Mark Elzik is an orthopaedic hand surgery physician in Mission Viejo, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Elzik performed 4,923 Medicare services across 1,381 unique beneficiaries.

Between the years covered by Open Payments, Dr. Elzik received a total of $204,184 from 40 pharmaceutical and/or device companies across 409 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic hand surgery physician. 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. Elzik 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.

✓ 18 years in practice ▲ Top 7% volume in CA $204,184 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,923
Medicare services
Top 7% in CA for orthopaedic hand surgery physician
1,381
Unique beneficiaries
$51
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~274 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
Collagenase injection, 0.01 mg
An injection of collagenase enzyme to break down collagen tissue. The dose specified is 0.01 milligrams.
2,372 $51 $114
Physical therapy exercise, per 15 min
A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately.
537 $22 $100
Manual therapy (hands-on treatment), per 15 min 322 $18 $76
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
306 $5 $13
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.
294 $103 $310
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.
213 $128 $479
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.
163 $33 $107
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
138 $44 $172
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.
111 $37 $121
X-ray of finger, minimum of 2 views
An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures.
100 $33 $99
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
62 $41 $188
Elbow X-ray, minimum 3 views
An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures.
49 $29 $117
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.
44 $78 $208
Hand nerve release or relocation
A surgical procedure to release or reposition a nerve in the hand.
27 $370 $1,260
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
24 $44 $179
Adult short arm fiberglass cast supplies
Materials used to apply a short arm cast made of fiberglass for patients aged 11 and older.
24 $18 $48
Evaluation for occupational therapy, typically 30 minutes 23 $88 $239
Medication injection into palm
A procedure involving the injection of medication into the palm of the hand.
17 $68 $230
Injection of carpal tunnel 16 $74 $225
Finger manipulation for connective tissue release
A procedure involving the manipulation of a finger to release connective tissue after an enzyme injection has been administered.
16 $98 $328
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.
16 $87 $316
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
13 $220 $1,710
Removal of tendon growth, finger or hand
A procedure to remove a growth from a tendon in the finger or hand.
13 $252 $1,479
Stress imaging of joint
A physician applies stress to a joint while performing imaging to evaluate its stability or function.
12 $49 $144
Injection of anesthetic agent and/or steroid into other nerve or branch 11 $46 $309
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 ↗
$204,184
Total received (2018-2024)
Avg $29,169/year across 7 years
Top 5% in CA for orthopaedic hand surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
409
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
$153,259 (75.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$43,690 (21.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,235 (3.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$31,291
2023
$42,029
2022
$32,641
2021
$27,652
2020
$34,205
2019
$20,427
2018
$15,939

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Endo USA, Inc.
$18,043
Endo Pharmaceuticals Inc.
$12,260
Stryker Corporation
$477
Sonex Health, Inc.
$231
Skeletal Dynamics Inc
$119
Smith+Nephew, Inc.
$39
Pacira Pharmaceuticals Incorporated
$30
Zimmer Biomet Holdings, Inc.
$28
Bioventus LLC
$23
Medtronic, Inc.
$21
Molnlycke Health Care US, LLC
$20
Top 3 companies account for 98.4% of 2024 payments
All-time payments by company (2018-2024) ›
Endo Pharmaceuticals Inc.
$178,906
Endo USA, Inc.
$18,043
Stryker Corporation
$2,612
Advanced Orthopaedic Solutions, Inc.
$1,387
Horizon Pharma plc
$262
DJO, LLC
$255
Saxum Surgical, Inc.
$247
Smith+Nephew, Inc.
$241
Medline Industries, Inc.
$233
Sonex Health, Inc.
$231
Bioventus LLC
$222
Zimmer Biomet Holdings, Inc.
$202
Horizon Therapeutics plc
$194
DePuy Synthes Sales Inc.
$156
Skeletal Dynamics Inc
$119
Integra LifeSciences Corporation
$106
Linvatec Corporation
$102
ExsoMed Corporation
$78
Arthrosurface Incorporated
$60
Davol Inc.
$54
Globus Medical, Inc.
$50
Aroa Biosurgery Incorporated
$36
ACUMED LLC
$34
BIOTISSUE HOLDINGS, INC.
$30
Pacira Pharmaceuticals Incorporated
$30
Flexion Therapeutics, Inc.
$29
FIDIA PHARMA USA INC.
$25
Inari Medical, Inc.
$24
Heron Therapeutics, Inc.
$22
ConvaTec Inc.
$21
Medtronic, Inc.
$21
Avanos Medical
$21
Molnlycke Health Care US, LLC
$20
Heraeus Medical, LLC.
$20
Fidia Pharma USA Inc.
$18
AXOGEN
$17
Nevro Corp.
$16
Medartis Inc.
$15
Smith & Nephew, Inc.
$13
ACELL, INC.
$13
Top 3 companies account for 97.7% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACUMED · AIRCAST Bracing & Supports · AOS PRODUCTS · APTUS · AQUACEL AG · ARISTA AH FLEXITIP · AXSOS · Avance · AxoGuard Nerve Connector · BILAYER WOUND MATRIX (BWM) · BIOBRACE 23MM · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Biomet Orthopak · CMF · Comprehensive Shoulder System · DISTAL FEMUR PLATE · DUEXIS · Durolane · EXOGEN ULTRASOUND BONE HEALING SYSTEM · Exogen · Exparel · FLOWTRIEVER CATHETER · GAMMA · GELSYN 3 · GELSYN-3 · Geminus · HALL POWER · HOFFMANN · HYMOVIS · HemiCAP Shoulder · HemiCAP Wrist · Hyalomatrix Wound Device · Hymovis · ICONIX · INTEGRA MESHED BILAYER WOUND MATRIX · INTELLIS ADAPTIVESTIM · Integra · LINVATEC EXTREMITIES · LINVATEC SHOULDER ARTHROSCOPY · MAKO · NCB Instruments/Plates/Screws · NEOX · NO_PRODUCT · ORTHOVISC · PALACOS · PENNSAID · PICO · PRIME SERIES · PluroGel Burn & Wound Dressings · RAYOS · RENASYS GO v2 HOME · RENASYS TOUCH · S · STRAVIX · STRAVIX MESH · SX-ONE MICROKNIFE · Senza Spinal Cord Stimulation System · Stravix · TRIVISC SODIUM HYALURONATE · VARIAX · VIMOVO · XIAFLEX · Zilretta · Zynrelef
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 (75%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopaedic hand surgery physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for orthopaedic hand surgery physician in CA.

Looking for an orthopaedic hand surgery physician in Mission Viejo?
Compare orthopaedic hand surgery physicians in the Mission Viejo area by procedure volume, costs, and industry payment transparency.
Browse orthopaedic hand surgery physicians nearby

Geographic Context

Orthopaedic hand surgery physicians within 10 mi
19
Per 100K population
0.6
County median income
$113,702
Nearest hospital
PROVIDENCE MISSION HOSPITAL
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. Elzik is a mixed practice specialist, with above-average Medicare volume (top 7% in CA), with speaking/promotional industry engagement in the top 5% of CA peers, with 18 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. Elzik experienced with collagenase injection, 0.01 mg?
Based on Medicare claims data, Dr. Elzik performed 2,372 collagenase injection, 0.01 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. Elzik receive payments from pharmaceutical companies?
Yes. Dr. Elzik received a total of $204,184 from 40 companies across 409 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. Elzik's costs compare to other orthopaedic hand surgery physicians in Mission Viejo?
Dr. Elzik's average Medicare payment per service is $51. 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. Elzik) 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 →