Medicare Enrolled

Dr. Mark Lawler, MD

Sports Medicine (Orthopaedic Surgery) Physician · Novato, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Speaking/Promotional
7100 REDWOOD BLVD, Novato, CA 94945
4154921600
In practice since 2006 (19 years)
NPI: 1235238130 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. Lawler 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. Lawler? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lawler

Dr. Mark Lawler is a sports medicine physician in Novato, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lawler performed 6,510 Medicare services across 1,508 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lawler received a total of $16,018 from 8 pharmaceutical and/or device companies across 78 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (orthopaedic 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. Lawler 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 12% volume in CA $16,018 industry payments

Medicare Practice Summary

Medicare Utilization ↗
6,510
Medicare services
Top 12% in CA for sports medicine (orthopaedic surgery) physician
1,508
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~343 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
Joint lubricant injection (Synvisc) 2,880 $7 $24
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
2,136 $1 $4
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.
322 $112 $248
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
239 $99 $245
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.
171 $43 $90
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.
142 $77 $170
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
116 $48 $102
MRI of leg joint, without contrast
A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye.
94 $153 $1,320
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.
74 $146 $373
MRI of lower spine, without contrast
A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine.
66 $141 $1,176
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.
48 $92 $248
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
45 $42 $86
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.
30 $150 $1,321
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.
28 $34 $69
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
22 $149 $332
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
16 $57 $155
MRI of upper spine without contrast
An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine.
16 $139 $1,176
X-ray of both hips, 3-4 views
An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures.
14 $57 $120
Arthroscopic removal of loose or foreign body from hip joint
A minimally invasive procedure using a small camera and instruments to remove loose fragments or foreign objects from the hip joint.
13 $58 $1,637
Hip arthroscopy with cartilage shaving
A minimally invasive surgical procedure using a small camera to remove or shave damaged cartilage from the hip joint socket.
13 $734 $1,837
Hip joint lining removal using endoscope
A minimally invasive procedure to remove the lining of the hip joint using a small camera and surgical instruments inserted through a tiny incision.
13 $145 $1,834
Knee arthroscopy for removal of loose body or cartilage shaving
A surgical knee arthroscopy procedure to remove loose bodies or foreign objects, or to shave damaged articular cartilage. This is performed in a different compartment of the knee during another surgical knee arthroscopy.
12 $79 $208
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 ↗
$16,018
Total received (2018-2024)
Avg $2,288/year across 7 years
Top 31% in CA for sports medicine (orthopaedic surgery) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
8
Companies
78
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
$8,104 (50.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,913 (49.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,955
2023
$1,949
2022
$1,026
2021
$1,231
2020
$1,192
2019
$2,800
2018
$5,865

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$1,083
Evolution Surgical, Inc
$849
Arthrex, Inc.
$23
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
EVOLUTION SURGICAL, INC
$5,701
Arthrex, Inc.
$4,689
Evolution Surgical, Inc
$3,395
Stryker Corporation
$2,032
DePuy Synthes Sales Inc.
$125
Esaote North America, Inc.
$37
Bardy Diagnostics, Inc.
$20
Orthofix Medical, Inc.
$18
Top 3 companies account for 86.1% of all-time payments
Associated products mentioned in payments ›
ATTUNE · AXSOS · Carnation Ambulatory Monitor · HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET · PIVOT PORTAL ENTRY KIT · Physio-Stim · SALVATION · VARIAX
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 (51%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in sports medicine (orthopaedic surgery) physician and does not inherently indicate bias, but patients may wish to be aware.

Looking for a sports medicine physician in Novato?
Compare sports medicine physicians in the Novato area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Sports medicine physicians within 10 mi
13
Per 100K population
5.0
County median income
$142,785
Nearest hospital
NOVATO COMMUNITY 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. Lawler is a mixed practice specialist, with above-average Medicare volume (top 12% in CA), with speaking/promotional 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. Lawler experienced with joint lubricant injection (synvisc)?
Based on Medicare claims data, Dr. Lawler performed 2,880 joint lubricant injection (synvisc) 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. Lawler receive payments from pharmaceutical companies?
Yes. Dr. Lawler received a total of $16,018 from 8 companies across 78 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. Lawler's costs compare to other sports medicine physicians in Novato?
Dr. Lawler's average Medicare payment per service is $27. 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. Lawler) 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 →