Medicare Enrolled
Dr. Thomas Rambacher, DPM
Podiatrist · Mission Viejo, 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. Rambacher 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. Rambacher
Dr. Thomas Rambacher is a podiatrist in Mission Viejo, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rambacher performed 10,589 Medicare services across 3,468 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rambacher received a total of $35,090 from 58 pharmaceutical and/or device companies across 591 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in 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. Rambacher 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 2% volume in CA
$35,090 industry payments
Medicare Practice Summary
Medicare Utilization ↗10,589
Medicare services
Top 2% in CA for podiatrist
3,468
Unique beneficiaries
$127
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~557 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. |
1,328 | $74 | $276 |
| Dual layer impax membrane, per square centimeter A medical supply item consisting of a dual-layer impax membrane, billed based on the surface area used. |
854 | $942 | $1,224 |
| Wound tissue removal, 20 sq cm or less This procedure involves the removal of tissue from a wound area measuring 20 square centimeters or less. |
784 | $91 | $327 |
| Complete ultrasound scan of joint An ultrasound exam that uses sound waves to create detailed images of a joint. This procedure allows for the visualization of the joint's internal structures. |
778 | $47 | $204 |
| Trimming of dystrophic nails Trimming of dystrophic nails, any number |
727 | $10 | $77 |
| Toenail/fingernail removal, 1-5 nails This procedure involves the removal of one to five fingernails or toenails. |
715 | $28 | $105 |
| Wound tissue removal, each additional 20 sq cm This procedure involves the removal of tissue from a wound. It is billed for each additional 20 square centimeters of tissue removed beyond the initial amount. |
679 | $40 | $143 |
| 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. |
434 | $31 | $112 |
| 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. |
430 | $201 | $728 |
| 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. |
378 | $33 | $120 |
| Strapping, unna boot | 302 | $33 | $196 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
297 | $13 | $136 |
| 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. |
292 | $83 | $367 |
| Fingernail/toenail separation from nail bed, each additional nail This procedure involves separating an additional fingernail or toenail from the underlying nail bed. |
289 | $29 | $105 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
280 | $1 | $255 |
| Ankle or foot strapping Application of supportive bandages or tape to the ankle or foot to provide stability and protection. |
225 | $13 | $83 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
225 | $57 | $253 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
189 | $25 | $173 |
| Foot nerve injection with anesthetic and/or steroid An injection of an anesthetic and/or steroid medication into a nerve in the foot. |
162 | $35 | $154 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
149 | $52 | $189 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
126 | $75 | $302 |
| 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. |
115 | $90 | $337 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
99 | $30 | $214 |
| Complex or multiple skin abscess drainage A procedure to drain one or more skin abscesses that are complex in nature. This involves opening and cleaning the infected pockets under the skin. |
77 | $104 | $673 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
69 | $90 | $374 |
| Drainage of blood under fingernail or toenail This procedure involves removing a collection of blood that has accumulated beneath a fingernail or toenail. |
68 | $26 | $200 |
| Aspiration or injection of tendon cyst This procedure involves draining fluid from a cyst on a tendon or injecting medication into it. |
63 | $37 | $214 |
| 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. |
59 | $140 | $414 |
| Toe strapping Application of strapping to the toes for support or stabilization. |
53 | $8 | $60 |
| 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. |
52 | $37 | $146 |
| Simple drainage of skin abscess A minor procedure to drain a localized collection of pus from the skin. The abscess is opened to allow the fluid to escape and promote healing. |
46 | $65 | $399 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the trunk, arms, or legs covering 25 square centimeters or less. |
45 | $135 | $438 |
| 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 | $93 | $403 |
| Nerve biopsy A procedure in which a small sample of nerve tissue is removed for examination. |
37 | $97 | $552 |
| Fingernail or toenail biopsy A small sample of tissue is taken from a fingernail or toenail for laboratory examination. |
34 | $85 | $355 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
27 | $34 | $192 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
25 | $34 | $187 |
| Therapy procedure using ultrasound A therapeutic treatment that utilizes ultrasound technology. The specific clinical purpose or condition treated is not defined in the provided description. |
22 | $418 | $903 |
| Home visit, new patient, high complexity A home visit for a new patient involving high-level medical decision making, lasting at least 75 minutes. |
13 | $158 | $690 |
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 ↗$35,090
Total received (2018-2024)
Avg $5,013/year across 7 years
Top 2% in CA for podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
58
Companies
591
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
$32,958 (93.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,132 (6.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$7,186
2023
$6,013
2022
$9,305
2021
$2,766
2020
$1,237
2019
$3,654
2018
$4,929
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$2,188
Integra LifeSciences Corporation
$1,125
Inari Medical, Inc.
$971
Medical Device Business Services, Inc.
$796
Amgen Inc.
$388
Nvision Biomedical Technologies, Inc.
$337
TREACE MEDICAL CONCEPTS, INC.
$311
BIOTISSUE HOLDINGS INC.
$236
Smith+Nephew, Inc.
$171
Trilliant Surgical LLC.
$157
Advanced Oxygen Therapy Inc.
$144
Avita Medical Americas, Llc
$68
Paratek Pharmaceuticals, Inc.
$58
MedShape, Inc.
$46
Medtronic, Inc.
$38
Reprise Biomedical, Inc.
$31
DePuy Synthes Sales Inc.
$28
Bioventus LLC
$28
ABBVIE INC.
$25
PolyNovo North America LLC
$20
Zimmer Biomet Holdings, Inc.
$19
Top 3 companies account for 59.6% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$10,706
Integra LifeSciences Corporation
$2,540
Medical Device Business Services, Inc.
$2,410
Micromed Inc
$2,132
Novastep Inc.
$2,010
Inari Medical, Inc.
$1,488
VILEX LLC
$1,486
Smith+Nephew, Inc.
$1,414
BioTissue Holdings, Inc.
$1,031
Paragon 28, Inc.
$873
Wright Medical Technology, Inc.
$857
Zimmer Biomet Holdings, Inc.
$827
Paratek Pharmaceuticals, Inc.
$766
Abbott Laboratories
$456
TREACE MEDICAL CONCEPTS, INC.
$436
Horizon Therapeutics plc
$416
Amgen Inc.
$388
Organogenesis Inc.
$374
Nvision Biomedical Technologies, Inc.
$337
Cardiovascular Systems Inc.
$331
Horizon Pharma plc
$307
BIOTISSUE HOLDINGS, INC.
$267
Melinta Therapeutics, Inc.
$261
BIOTISSUE HOLDINGS INC.
$236
DePuy Synthes Sales Inc.
$227
Boston Scientific Corporation
$224
Medtronic, Inc.
$198
ORGANOGENESIS INC.
$197
Smith & Nephew, Inc.
$160
Trilliant Surgical LLC.
$157
Nevro Corp.
$152
Treace Medical Concepts, Inc.
$145
Advanced Oxygen Therapy Inc.
$144
Kowa Pharmaceuticals America, Inc.
$141
Vaporox, Inc.
$93
Bone Support Inc.
$92
AngioDynamics, Inc.
$86
Avita Medical Americas, Llc
$68
PFIZER INC.
$54
Derma Sciences, Inc.
$49
TEI Medical Inc.
$48
MedShape, Inc.
$46
Medline Industries, Inc.
$45
Electronic Waveform Lab, Inc.
$43
Bioventus LLC
$42
Arthrosurface Incorporated
$40
Nabriva Therapeutics, plc
$38
Linvatec Corporation
$33
Reprise Biomedical, Inc.
$31
MEDLINE INDUSTRIES LP
$27
Osiris Therapeutics Inc.
$27
OSSIO INC
$25
ABBVIE INC.
$25
PolyNovo North America LLC
$20
CROSSROADS EXTREMITY SYSTEMS, LLC
$19
WRIGHT MEDICAL TECHNOLOGY, INC.
$17
Musculoskeletal Transplant Foundation Inc.
$16
Medartis Inc.
$11
Top 3 companies account for 44.6% of all-time payments
Associated products mentioned in payments ›
15 mm · ABRE · ACTISHIELD · ACell · ALLEVYN LIFE L 15.4X15.4 CTN10 · ALLOGRAFT · AMNIOEXCEL · ANCHORAGE · APTUS · ASNIS · AUGMENT · AUGMENT INJECTABLE · AURYON LASER SYSTEM 100-120 VAC · Amnio Repair · Arsenal Ankle 10 Hole 1/3 Tubular Plate · Arsenal Sinus Support Plate · BILAYER WOUND MATRIX (BWM) · BIOBRACE 23MM · BIOSKIN · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Baxdela · Biomet Orthopak · CARTIVA · CARTIVA SYNTHETIC CARTILAGE IMPLANT · CERAMENTBONE VOID FILLER · CITREFIX · CLAW II · COLLAGENASE SANTYL · CREED Ortholocent Implants · DALVANCE · DART-FIRE · DRG IPGs · DUEXIS · DynaNail Helix · EBI Bone Healing System · ETERNA · EUCRISA · EXTERNAL FIXATION · Exogen Ultrasound Bone Healing System · FIXOS · FLOWTRIEVER CATHETER · Foot and Ankle · Foot&Ankle-Subchondroplasty · GENERAL ATHERECTOMY · GENERAL - VASCULAR INTERVENTION · GENERAL METALLIC STENTS · GRAFIX · GRAFIX PL · GRAFIX XC · GRAFIX/GRAFIXPL/STRAVIX · Grafix PL PRIME · GrafixPL · HAMMERLOCK · HINTERMANN · HOFFMANN · HemiCAP MTP Resurfacing · Hyalomatrix Wound Device · INBONE · INC. · INFINITY · INTEGRA MESHED BILAYER WOUND MATRIX · INTELLIS ADAPTIVESTIM · Integra · KRYSTEXXA · LAPIPLASTY SYSTEM · LMH · Lapiplasty System · MEDLINE INDUSTRIES · MICA · Miro3D · NA · NEOX · NEUROFLEX · NEW PRODUCT DEVELOPMENT · NOVOSORB BTM · NUZYRA · Natural Nail · Nextremity ArcusTM · Nextremity MSP · ORTHOLOC 2 LAPIFUSE · ORTHOLOC 3DI · Omnia · Orbactiv · PECA Bunion Correction System · PECA-C Compressive Implants · PHALINX · PICO 7 · PICO7 · PRIMARY CARE - DISEASE STATE · PRIMATRIX · PRIME SERIES · PROPHECY · PROSTEP · PROSTEP MICA · PROstep · Panta 2 · Portfolio · Puraply · Puraply Antimicrobial · RENASYS GO · RENASYS GO v2 HOME · Recell · Regranex · S · SEGLENTIS · SONICANCHOR · STRAVIX · Santyl · Silicone Toe · Sivextro · SpiralUP · Stratum Foot Plating System · Stravix · T2 · Tactoset · Tapestry · Topical Oxygen Chamber for extremities · Trigon · VA-LCP PLATES & SCREWS · VARIAX · VHT-200 Wound Treatment System · VIAFLOW · VITOSS · Washer
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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for podiatrist in CA.
Geographic Context
Podiatrists within 10 mi
74
Per 100K population
2.3
County median income
$113,702
Nearest hospital
PROVIDENCE MISSION HOSPITAL
1.5 mi
1.5 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. Rambacher is a mixed practice specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 2% 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. Rambacher experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Rambacher performed 1,328 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. Rambacher receive payments from pharmaceutical companies?
Yes. Dr. Rambacher received a total of $35,090 from 58 companies across 591 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. Rambacher's costs compare to other podiatrists in Mission Viejo?
Dr. Rambacher's average Medicare payment per service is $127. 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. Rambacher) 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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