Medicare Enrolled

Dr. Michael Vanmanen, DO

Orthopedic Surgery · Twentynine Palms, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
BLDG 1145 STURGIS RD, Twentynine Palms, CA 92278
7608302229
In practice since 2008 (17 years)
NPI: 1962666776 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. Vanmanen 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. Vanmanen

Dr. Michael Vanmanen is an orthopedic surgery specialist in Twentynine Palms, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Vanmanen performed 1,667 Medicare services across 881 unique beneficiaries.

Between the years covered by Open Payments, Dr. Vanmanen received a total of $13,301 from 26 pharmaceutical and/or device companies across 124 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. Vanmanen 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.

✓ 17 years in practice ▲ Top 33% volume in CA $13,301 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,667
Medicare services
Top 33% in CA for orthopedic surgery
881
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~98 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
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
459 $1 $7
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
203 $62 $226
Hyaluronan injection (Euflexxa) for joint
An injection of hyaluronan or its derivative, specifically Euflexxa, administered directly into a joint space.
162 $100 $355
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.
154 $101 $333
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.
127 $32 $116
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
114 $34 $112
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.
106 $24 $91
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.
60 $125 $477
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.
46 $119 $497
Chest X-ray, 2 views
An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall.
39 $14 $66
Hyaluronan gel injection for joint
An injection of hyaluronan gel into a joint to supplement joint fluid. This procedure is administered as a single dose.
33 $404 $1,400
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.
31 $19 $72
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.
28 $58 $239
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.
26 $19 $87
Ankle X-ray, minimum 3 views
An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints.
21 $21 $81
New patient office visit, complex (60-74 min) 21 $153 $601
Knee X-ray, 1-2 views
An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures.
14 $18 $74
X-ray of both knees, standing
An X-ray image of both knees taken while the patient is standing to assess bone alignment and joint space under weight-bearing conditions.
12 $22 $91
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
11 $95 $346
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 ↗
$13,301
Total received (2018-2024)
Avg $1,900/year across 7 years
Top 26% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
124
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
$10,335 (77.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,966 (22.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,344
2023
$351
2022
$1,578
2021
$291
2020
$1,280
2019
$2,928
2018
$4,527

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$1,608
Smith+Nephew, Inc.
$721
DePuy Synthes Sales Inc.
$15
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$3,957
ENCORE MEDICAL, LP
$3,849
GEMINI MOUNTAIN MEDICAL, LLC
$1,325
Smith+Nephew, Inc.
$1,148
Arthrex, Inc.
$1,081
Gemini Mountain Medical, LLC
$560
Ferring Pharmaceuticals Inc.
$174
DePuy Synthes Sales Inc.
$156
ORTHALIGN INC
$125
Medical Device Business Services, Inc.
$121
Innovation Technologies Inc
$121
Flexion Therapeutics, Inc.
$118
Aesculap Implant Systems, LLC
$98
Radius Health, Inc.
$97
Orthofix Medical, Inc.
$94
Bioventus LLC
$63
Arthrosurface Incorporated
$43
Medacta USA, Inc.
$34
Avanos Medical
$24
Boston Scientific Corporation
$23
Paragon 28, Inc.
$20
Smith & Nephew, Inc.
$18
Janssen Pharmaceuticals, Inc
$14
FIDIA PHARMA USA INC.
$14
Abbott Laboratories
$13
Organogenesis Inc.
$11
Top 3 companies account for 68.7% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ATTUNE · Axium INS DRG IPG · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Bone Anchors with Arthroscopic Delivery System · DJO Surgical AltiVate Anatomic System · DJO Surgical AltiVate Reverse · DJO Surgical Empowr Knee System · DJO Surgical Exprt Revision Hip · DJO Surgical Revelation Hip System · DJO Surgical TaperFill Hip System · Durolane · ENDURO AS · EUFLEXXA · Exogen · Exogen Ultrasound Bone Healing System · HYALGAN · HemiCAP Patella-Femoral · Irrisept · JOURNEY II · JOURNEY II CR · Journey II CR · Journey PFJ · Legion Revision · MAKO · MONOVISC · MTP Fusion Plates · Mpact · Navio Surgical System · ON-Q* PUMP AND ACCESSORIES · ORTHALIGN PLUS · Physio-Stim · Puraply · REAL INTELLIGENCE · Regeneten · TRIATHLON · Tymlos · VA-LCP PLATES & SCREWS · VARIAX · VISIONAIRE Cutting Guides · Velys · WaveWriter Alpha Prime 16 · XARELTO · Zilretta
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 (78%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

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

Orthopedic surgeons within 10 mi
6
Per 100K population
0.3
County median income
$82,184
Nearest hospital
NH Twentynine Palms
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. Vanmanen is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 17 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. Vanmanen experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Vanmanen performed 459 steroid injection (triamcinolone) 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. Vanmanen receive payments from pharmaceutical companies?
Yes. Dr. Vanmanen received a total of $13,301 from 26 companies across 124 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. Vanmanen's costs compare to other orthopedic surgeons in Twentynine Palms?
Dr. Vanmanen's average Medicare payment per service is $54. 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. Vanmanen) 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 →