Medicare Enrolled

Dr. Thomas McDonald, M.D.

Orthopedic Surgery · Sonora, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
680 GUZZI LANE, Sonora, CA 95370
2095320126
In practice since 2005 (20 years)
NPI: 1073504320 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. McDonald 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. McDonald

Dr. Thomas McDonald is an orthopedic surgery specialist in Sonora, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. McDonald performed 1,130 Medicare services across 1,039 unique beneficiaries.

Between the years covered by Open Payments, Dr. McDonald received a total of $3,240 from 11 pharmaceutical and/or device companies across 46 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. McDonald 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.

✓ 20 years in practice ▲ Top 44% volume in CA $3,240 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,130
Medicare services
Top 44% in CA for orthopedic surgery
1,039
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~56 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
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.
277 $58 $190
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.
153 $27 $74
Hand nerve release or relocation
A surgical procedure to release or reposition a nerve in the hand.
106 $306 $1,139
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.
100 $49 $93
X-ray of finger, minimum of 2 views
An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures.
88 $5 $30
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
68 $6 $35
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
67 $27 $110
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
51 $197 $1,169
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
44 $29 $155
Intraoperative ultrasound guidance
Use of ultrasound imaging during a surgical procedure to help guide the surgeon's actions.
37 $48 $247
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.
22 $93 $271
Medication injection into palm
A procedure involving the injection of medication into the palm of the hand.
21 $46 $191
Finger manipulation for connective tissue release
A procedure involving the manipulation of a finger to release connective tissue after an enzyme injection has been administered.
20 $63 $247
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
20 $7 $38
Wrist to finger joint removal
Surgical removal of the bones forming the joints between the wrist and the fingers.
15 $670 $2,154
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.
15 $105 $274
Tendon relocation of forearm or wrist
A surgical procedure to reposition a tendon in the forearm or wrist to restore proper function or alignment.
14 $257 $1,615
Removal of tendon growth, finger or hand
A procedure to remove a growth from a tendon in the finger or hand.
12 $231 $1,079
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 ↗
$3,240
Total received (2018-2024)
Avg $540/year across 6 years
Top 49% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
11
Companies
46
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
$3,038 (93.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$202 (6.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$691
2023
$454
2022
$1,542
2021
$19
2019
$100
2018
$434

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novastep Inc.
$293
AXOGEN
$140
Smith+Nephew, Inc.
$124
Heron Therapeutics, Inc.
$80
Endo USA, Inc.
$40
Endo Pharmaceuticals Inc.
$14
Top 3 companies account for 80.6% of 2024 payments
All-time payments by company (2018-2024) ›
Sonex Health, Inc.
$1,446
AXOGEN
$443
Novastep Inc.
$395
Endo Pharmaceuticals Inc.
$325
Integra LifeSciences Corporation
$213
Smith+Nephew, Inc.
$124
DePuy Synthes Sales Inc.
$102
Heron Therapeutics, Inc.
$80
Myoscience Inc.
$47
Endo USA, Inc.
$40
Orthofix Medical, Inc.
$25
Top 3 companies account for 70.5% of all-time payments
Associated products mentioned in payments ›
Avance Nerve Graft · AxoGuard Nerve Connector · Bone Anchors with Arthroscopic Delivery System · NEURAGEN · NEXIS · PECA Bunion Correction System · Physio-Stim · SX-ONE MICROKNIFE · TENOGLIDE · TFN ADVANCED · ULTRAGUIDECTR · XIAFLEX · ZYNRELEF
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.

Looking for an orthopedic surgery specialist in Sonora?
Compare orthopedic surgeons in the Sonora area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons within 10 mi
8
Per 100K population
14.6
County median income
$72,259
Nearest hospital
ADVENTIST HEALTH SONORA
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. McDonald is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 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. McDonald experienced with new patient office visit (30-44 min)?
Based on Medicare claims data, Dr. McDonald performed 277 new patient office visit (30-44 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. McDonald receive payments from pharmaceutical companies?
Yes. Dr. McDonald received a total of $3,240 from 11 companies across 46 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. McDonald's costs compare to other orthopedic surgeons in Sonora?
Dr. McDonald's average Medicare payment per service is $85. 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. McDonald) 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 →