Medicare Enrolled

Dr. Gavin Pereira, MBBS, FRCS

Adult Reconstructive Orthopaedic Surgery Physician · Sacramento, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
4860 Y ST STE 1700, Sacramento, CA 95817
9167342700
In practice since 2011 (15 years)
NPI: 1699070508 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. Pereira 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. Pereira

Dr. Gavin Pereira is an adult reconstructive orthopaedic surgery physician in Sacramento, CA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Pereira performed 512 Medicare services across 480 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pereira received a total of $77,129 from 20 pharmaceutical and/or device companies across 194 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive orthopaedic surgery physician. 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. Pereira 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.

✓ 15 years in practice ▲ 512 Medicare services $77,129 industry payments

Medicare Practice Summary

Medicare Utilization ↗
512
Medicare services
Bottom 28% in CA for adult reconstructive orthopaedic surgery physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
480
Unique beneficiaries
$278
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~34 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.
132 $49 $354
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 $78 $502
Computer-assisted surgery for muscle and bone procedure
A surgical procedure involving muscles or bones that utilizes computer technology to assist with planning or execution.
75 $118 $566
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
54 $1,061 $5,663
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.
44 $103 $646
Total knee replacement 33 $1,092 $6,193
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
28 $32 $313
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.
24 $60 $434
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.
18 $25 $220
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.
14 $119 $699
Revision of thigh and lower leg bone components of total knee joint prosthesis
This procedure involves replacing the bone components of a total knee replacement that connect to the thigh and lower leg bones. It is performed to update or fix parts of the existing knee joint prosthesis.
13 $1,450 $6,692
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.
31.6% high complexity
5.5% medium
62.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$77,129
Total received (2018-2024)
Avg $11,018/year across 7 years
Top 21% in CA for adult reconstructive orthopaedic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
194
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
$50,805 (65.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$24,323 (31.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,000 (2.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$5,753
2023
$35,348
2022
$10,280
2021
$3,821
2020
$3,308
2019
$3,946
2018
$14,672

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$4,796
Zimmer Biomet Holdings, Inc.
$252
restor3d, inc.
$206
Bioventus LLC
$186
Bone Support Inc.
$144
Next Science LLC
$121
Smith+Nephew, Inc.
$48
Top 3 companies account for 91.3% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$48,966
Zimmer Biomet Holdings, Inc.
$6,109
Musculoskeletal Transplant Foundation Inc.
$6,103
Medacta USA, Inc.
$5,400
Avitus Orthopaedics, Inc.
$4,350
Corin USA
$1,725
OrthoSensor Inc.
$1,239
OMNIlife science, Inc
$920
KCI USA, Inc.
$850
Next Science LLC
$305
Smith+Nephew, Inc.
$238
Bone Support Inc.
$208
restor3d, inc.
$206
Bioventus LLC
$186
Onkos Surgical, Inc.
$117
Avanos Medical
$97
Kinamed, Inc.
$42
MEDACTA USA, INC.
$33
Lima USA, Inc.
$18
DePuy Synthes Sales Inc.
$17
Top 3 companies account for 79.3% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ANATO · Arcos · CERAMENTBONE VOID FILLER · DUROLANE · ELEOS LIMB SALVAGE SYSTEM · EXETER · GMK SPHERE · GMK Sphere · GMRS · Hips Product Portfolio · INSIGNIA · MAKO · MOBILE BEARING HIP SYSTEM · Master SL · ON-Q* PUMP AND ACCESSORIES · PICO · PREVENA · Persona · REAL INTELLIGENCE · RESTORATION · ROSA-One-CMFT · SurgX · TRIATHLON · TRIDENT · TRITANIUM · Velys · Verasense · Xperience · mymobility Platform
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 (66%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Looking for an adult reconstructive orthopaedic surgery physician in Sacramento?
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Geographic Context

Adult reconstructive orthopaedic surgery physicians within 10 mi
8
Per 100K population
0.5
County median income
$88,724
Nearest hospital
UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER
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. Pereira is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement, with 15 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. Pereira experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Pereira performed 132 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. Pereira receive payments from pharmaceutical companies?
Yes. Dr. Pereira received a total of $77,129 from 20 companies across 194 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. Pereira's costs compare to other adult reconstructive orthopaedic surgery physicians in Sacramento?
Dr. Pereira's average Medicare payment per service is $278. 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. Pereira) 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 →