Medicare Enrolled
Dr. Trent Brookshier, DPM
Foot & Ankle Surgery Podiatrist · San Diego, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Brookshier 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. Brookshier
Dr. Trent Brookshier is a foot & ankle surgery podiatrist in San Diego, CA, with 7 years of NPI registration. Based on federal Medicare data, Dr. Brookshier performed 1,940 Medicare services across 1,004 unique beneficiaries.
Between the years covered by Open Payments, Dr. Brookshier received a total of $15,588 from 31 pharmaceutical and/or device companies across 148 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in foot & ankle surgery 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. Brookshier 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.
✓ 7 years in practice
▲ Top 36% volume in CA
$15,588 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,940
Medicare services
Top 36% in CA for foot & ankle surgery podiatrist
1,004
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~277 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 |
|---|---|---|---|
| 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. |
421 | $37 | $67 |
| 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. |
378 | $73 | $118 |
| Removal of thickened skin growths, 2-4 This procedure involves the removal of two to four benign, thickened skin growths. It is a minor surgical intervention to eliminate non-cancerous skin lesions. |
260 | $67 | $124 |
| Removal of more than 4 noncancerous thickened skin growths This procedure involves the removal of more than four noncancerous thickened skin growths. It is a surgical intervention to eliminate benign skin lesions. |
199 | $72 | $138 |
| 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. |
114 | $83 | $167 |
| 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. |
81 | $70 | $136 |
| Skin and tissue removal, 20 sq cm or less This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller. |
64 | $113 | $176 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
64 | $65 | $209 |
| 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. |
56 | $29 | $90 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
49 | $1 | $5 |
| Removal of noncancer thickened skin growth, 1 growth This procedure involves the removal of a single benign, thickened skin growth. It is a minor surgical intervention to eliminate the lesion. |
45 | $57 | $111 |
| Fingernail or toenail biopsy A small sample of tissue is taken from a fingernail or toenail for laboratory examination. |
37 | $99 | $203 |
| 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. |
32 | $103 | $215 |
| 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. |
27 | $86 | $198 |
| 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. |
24 | $89 | $188 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
23 | $107 | $390 |
| 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. |
19 | $88 | $221 |
| Permanent removal fingernail or toenail | 19 | $114 | $286 |
| Removal of fingernail or toenail skin This procedure involves the removal of the skin associated with a fingernail or toenail. |
17 | $86 | $171 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
11 | $79 | $168 |
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 ↗$15,588
Total received (2020-2024)
Avg $3,118/year across 5 years
Top 7% in CA for foot & ankle surgery podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
148
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
$12,386 (79.5%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,912 (12.3%)
Other
Charitable contributions, space rental, and other categories
$1,290 (8.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$10,102
2023
$1,986
2022
$3,337
2021
$125
2020
$39
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
BIOTISSUE HOLDINGS INC.
$2,498
HARTMANN USA, INC.
$1,912
MIMEDX Group, Inc.
$1,523
Musculoskeletal Transplant Foundation Inc.
$1,437
Integra LifeSciences Corporation
$1,127
Paragon 28, Inc.
$858
Stryker Corporation
$191
Avita Medical Americas, Llc
$82
Aroa Biosurgery Incorporated
$71
Curonix LLC
$68
Acera Surgical, Inc.
$67
TREACE MEDICAL CONCEPTS, INC.
$67
Smith+Nephew, Inc.
$42
Organogenesis Inc.
$42
Trimed, Inc.
$35
Elevate Surgical CO
$33
Reprise Biomedical, Inc.
$31
DePuy Synthes Sales Inc.
$17
Top 3 companies account for 58.7% of 2024 payments
All-time payments by company (2020-2024) ›
Stryker Corporation
$3,358
BIOTISSUE HOLDINGS INC.
$2,498
HARTMANN USA, INC.
$2,180
MIMEDX Group, Inc.
$1,523
Musculoskeletal Transplant Foundation Inc.
$1,437
Integra LifeSciences Corporation
$1,318
Paragon 28, Inc.
$900
Arthrex, Inc.
$483
Acera Surgical, Inc.
$269
BIOTISSUE HOLDINGS, INC.
$204
Organogenesis Inc.
$201
TREACE MEDICAL CONCEPTS, INC.
$194
Smith+Nephew, Inc.
$183
Horizon Therapeutics plc
$125
Nevro Corp.
$112
Aroa Biosurgery Incorporated
$93
Reprise Biomedical, Inc.
$91
Avita Medical Americas, Llc
$82
Curonix LLC
$68
DePuy Synthes Sales Inc.
$38
Trimed, Inc.
$35
Elevate Surgical CO
$33
Urgo Medical North America, LLC
$31
MEDLINE INDUSTRIES LP
$26
BioTissue Holdings, Inc.
$18
KCI USA, Inc.
$17
Bioventus LLC
$16
Elevate Surgical Co
$16
Ortho Dermatologics, a division of Bausch Health US, LLC
$16
Kerecis Limited
$13
Advanced Oxygen Therapy Inc.
$11
Top 3 companies account for 51.6% of all-time payments
Associated products mentioned in payments ›
ACell · Bone Anchors with Arthroscopic Delivery System · COLLAGENASE SANTYL · DuraGen · EASYFUSE · Exogen Ultrasound Bone Healing System · HEALICOIL Suture Anchor · INC. · Integra · JUBLIA · KRYSTEXXA · Kerecis Omega3 SurgiClose · LAPIPLASTY SYSTEM · MEDLINE INDUSTRIES · MOTOBAND · Miro3D · Monkey Rings · NEOX · OMEGA · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROMOGRAN PRISMA · PROPHECY · PROSTEP · PROSTEP MICA · Panta 2 · Puraply · Puraply Antimicrobial · Recell · Restrata Wound Matrix · SALVATION · SPY-PHI SYSTEM · Senza · TCC-EZ · Tools - WFS · Topical wound oxygen · VA-LCP · VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP · ZETUVIT PLUS 10X10 P10 · Zetuvit Plus
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 (80%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for foot & ankle surgery podiatrist in CA.
Geographic Context
Foot & ankle surgery podiatrists within 10 mi
69
Per 100K population
2.1
County median income
$102,285
Nearest hospital
NMC San Diego
1.6 mi
1.6 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. Brookshier is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 7% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Brookshier experienced with toenail/fingernail removal, 6+ nails?
Based on Medicare claims data, Dr. Brookshier performed 421 toenail/fingernail removal, 6+ nails 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. Brookshier receive payments from pharmaceutical companies?
Yes. Dr. Brookshier received a total of $15,588 from 31 companies across 148 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. Brookshier's costs compare to other foot & ankle surgery podiatrists in San Diego?
Dr. Brookshier's average Medicare payment per service is $65. 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. Brookshier) 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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