Medicare Enrolled

Dr. James Bates, M.D.

Orthopedic Surgery · San Diego, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Mixed engagement
5555 RESERVOIR DR STE 104, San Diego, CA 92120
6192869480
In practice since 2006 (19 years)
NPI: 1174692206 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. Bates 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. Bates? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Bates

Dr. James Bates is an orthopedic surgery specialist in San Diego, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Bates performed 1,479 Medicare services across 983 unique beneficiaries.

Between the years covered by Open Payments, Dr. Bates received a total of $78,547 from 33 pharmaceutical and/or device companies across 79 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Bates 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 36% volume in CA $78,547 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,479
Medicare services
Top 36% in CA for orthopedic surgery
983
Unique beneficiaries
$105
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~78 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 (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.
284 $102 $350
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
228 $59 $250
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.
171 $69 $250
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
153 $42 $126
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
135 $5 $16
Viscosupplementation injection for joint
An injection of hyaluronic acid or a derivative into a joint to provide lubrication and cushioning.
117 $58 $336
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.
81 $86 $350
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.
76 $42 $135
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.
40 $129 $450
Total knee replacement 28 $1,068 $5,107
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.
27 $119 $450
Hamstring tendon lengthening
A surgical procedure to lengthen the hamstring tendon to improve flexibility and range of motion in the leg.
25 $219 $1,515
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.
24 $31 $155
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
20 $1,048 $5,430
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
20 $131 $425
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.
18 $34 $115
Removal of both knee cartilages using an endoscope 16 $454 $1,750
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.
16 $70 $270
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.
5.1% high complexity
32.5% medium
62.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$78,547
Total received (2018-2024)
Avg $11,221/year across 7 years
Top 10% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
79
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.

Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$73,835 (94.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,741 (3.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,971 (2.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$291
2023
$277
2022
$95
2021
$228
2020
$19,073
2019
$25,786
2018
$32,797

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
MEDACTA USA, INC.
$144
Stryker Corporation
$69
Fidia Pharma USA Inc.
$17
Bioventus LLC
$17
DePuy Synthes Sales Inc.
$16
Becton, Dickinson and Company
$14
ACUMED LLC
$13
Top 3 companies account for 79.4% of 2024 payments
All-time payments by company (2018-2024) ›
OMNIlife science, Inc
$73,835
ENCORE MEDICAL, LP
$1,997
SportsTek Medical, Inc
$794
Stryker Corporation
$654
DePuy Synthes Sales Inc.
$275
MEDACTA USA, INC.
$144
EXACTECH, INC.
$93
Globus Medical, Inc.
$86
Baudax Bio Inc.
$50
Flexion Therapeutics, Inc.
$50
Bioventus LLC
$48
Heron Therapeutics, Inc.
$45
Smith+Nephew, Inc.
$40
Integra LifeSciences Corporation
$35
ConvaTec Inc.
$35
Nevro Corp.
$32
Avanos Medical
$30
Boston Scientific Corporation
$28
AbbVie Inc.
$24
DJO, LLC
$23
Glaukos Corporation
$22
Acera Surgical, Inc.
$22
Pacira Therapeutics, Inc.
$21
Kerecis Limited
$19
Pacira Pharmaceuticals Incorporated
$19
Kowa Pharmaceuticals America, Inc.
$19
Medtronic USA, Inc.
$17
Fidia Pharma USA Inc.
$17
Arthrosurface Incorporated
$16
Endo Pharmaceuticals Inc.
$16
Becton, Dickinson and Company
$14
ACUMED LLC
$13
ERMI Inc.
$13
Top 3 companies account for 97.6% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACUMED · ALTEON · ANATO · ANJESO · AQUACEL AG · AQUACEL AG+ EXTRA · AQUAMANTYS · Apex Knee System · CMF OL1000 · Clavicular Fracture Fixation · DALVANCE · DJO Surgical 3DKnee System · DJO Surgical Empowr Knee System · DJO Surgical Exprt Revision Hip · DJO Surgical FMP Acetabular System · DJO Surgical TaperFill Hip System · DUROLANE · Durolane · EVOS MINI · EVOS SMALL · EXPAREL · GAMMA · GENERAL - PAIN MANAGEMENT · GMK Sphere Revision System · HYMOVIS · Kerecis Omega3 SurgiClose · LCP PLATES & SCREWS · MAKO · MOBILE BEARING HIP SYSTEM · OMNIBotics System · ON-Q* PUMP AND ACCESSORIES · ORTHOVISC · Omnia · PNB AND ACCESSORIES · Proximal Humerus Strut · Restrata Wound Matrix · Seglentis · SpeedSpiral · T2 · TENOGLIDE TENDON PROTECTOR SHEET · TFN · TFN ADVANCED · TRIATHLON · TRIDENT · TRITANIUM · VITOSS · XIAFLEX · Zilretta · Zynrelef · iStent inject W
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 →

Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 10% for orthopedic surgery in CA.

Looking for an orthopedic surgery specialist in San Diego?
Compare orthopedic surgeons in the San Diego area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
259
Per 100K population
7.9
County median income
$102,285
Nearest hospital
KAISER FOUNDATION HOSPITAL - SAN DIEGO
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. Bates is a clinical cardiology specialist, with moderate Medicare volume, with mixed engagement industry engagement in the top 10% 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. Bates experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Bates performed 284 office visit, established patient (30-39 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. Bates receive payments from pharmaceutical companies?
Yes. Dr. Bates received a total of $78,547 from 33 companies across 79 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. Bates's costs compare to other orthopedic surgeons in San Diego?
Dr. Bates's average Medicare payment per service is $105. 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. Bates) 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 →