Medicare Enrolled
Dr. Nathaniel Osborn, D.O.
Adult Reconstructive Orthopaedic Surgery Physician · Daytona Beach, FL
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. Osborn 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. Osborn?
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What this data tells you about Dr. Osborn
Dr. Nathaniel Osborn is an adult reconstructive orthopaedic surgery physician in Daytona Beach, FL, with 9 years of NPI registration. Based on federal Medicare data, Dr. Osborn performed 1,724 Medicare services across 1,289 unique beneficiaries.
Between the years covered by Open Payments, Dr. Osborn received a total of $6,711 from 15 pharmaceutical and/or device companies across 135 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive orthopaedic surgery physician. 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. Osborn is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 9 years in practice
▲ 1,724 Medicare services
$6,711 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Osteopathic Physician | 17563 | Clear | March 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗1,724
Medicare services
Bottom 45% in FL for adult reconstructive orthopaedic surgery physician
1,289
Unique beneficiaries
$105
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~192 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. |
279 | $1 | $3 |
| 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. |
192 | $70 | $270 |
| 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. |
183 | $115 | $498 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
159 | $21 | $83 |
| 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. |
144 | $82 | $337 |
| 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. |
133 | $95 | $381 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
94 | $34 | $137 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
93 | $51 | $205 |
| 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. |
86 | $137 | $525 |
| 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. |
45 | $27 | $102 |
| 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. |
35 | $96 | $395 |
| Total hip replacement Surgical procedure to replace the thigh bone and hip joint with artificial components. |
31 | $1,012 | $3,990 |
| 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. |
30 | $138 | $535 |
| 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. |
29 | $30 | $119 |
| 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. |
28 | $28 | $109 |
| 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. |
26 | $25 | $120 |
| Surgical repair of broken thigh bone with implant A surgical procedure to fix a fractured femur by using a bone implant to stabilize the broken bone. |
24 | $983 | $3,877 |
| New patient office visit, complex (60-74 min) | 23 | $170 | $661 |
| 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. |
18 | $25 | $136 |
| Closed treatment of broken forearm bone at wrist without manipulation This procedure involves setting a broken forearm bone near the wrist without moving the bone fragments out of place. It is performed without manipulation to align the fracture. |
17 | $272 | $1,043 |
| Surgical repair of broken thigh bone with stabilization or replacement This procedure involves surgically treating the upper part of a fractured femur by inserting a device to stabilize the bone or replacing it with a prosthetic implant. |
16 | $896 | $3,695 |
| Closed treatment of broken upper arm bone with manipulation This procedure involves setting a broken upper arm bone without surgery. The doctor manually moves the bone fragments back into their correct position. |
15 | $368 | $1,459 |
| Closed treatment of broken or dislocated pelvis or sacrum Non-surgical realignment and stabilization of a fractured or dislocated pelvis or sacrum. |
12 | $102 | $410 |
| Closed treatment of broken outside lower leg bone at ankle Non-surgical setting of a fracture in the lateral lower leg bone at the ankle joint. This procedure involves realigning the broken bone without making an incision. |
12 | $236 | $968 |
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.
2.7% high complexity
21.6% medium
75.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,711
Total received (2018-2024)
Avg $959/year across 7 years
Bottom 44% in FL for adult reconstructive orthopaedic surgery physician
15
Companies
135
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
$5,846 (87.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$865 (12.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$254
2023
$649
2022
$1,260
2021
$1,084
2020
$346
2019
$1,872
2018
$1,246
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Zimmer Biomet Holdings, Inc.
$3,262
Stryker Corporation
$1,322
Medical Device Business Services, Inc.
$865
DePuy Synthes Sales Inc.
$527
Smith+Nephew, Inc.
$345
Bioventus LLC
$97
Heron Therapeutics, Inc.
$91
PFIZER INC.
$48
Orthofix Medical, Inc.
$31
KCI USA, Inc
$29
Heraeus Medical, LLC.
$25
Vericel Corporation
$24
Davol Inc.
$16
Medtronic, Inc.
$15
ConvaTec Inc.
$13
Top 3 companies account for 81.2% of total payments
Associated products mentioned in payments ›
ACCOLADE · ACTIS · AQUACEL AG+ EXTRA · ARISTA AH FlexiTip · Affixus · Avenir · Bioinductive Implant with Arthroscopic Delivery System - Medium · COMPREHENSIVE · CORAIL · CORI · Comprehensive · Comprehensive Shoulder · DHS · ELIQUIS · EX NAILS · Echo · Exogen · GAMMA · Hips Product Portfolio · INSIGNIA · INSTRUMENTS · Juggerknotless Soft Anchor · Knees Product Portfolio · LCP PLATES & SCREWS · LEGION · MACI · MAKO · MULTILOC HUMERAL NAIL · NA · NEW PRODUCT DEVELOPMENT · ORTHOPEDIC CABLE / PERIPROSTHETIC SYSTEM · ORTHOVISC · Oxford · PALACOS · PREVENA · Persona · Phoenix · Physio-Stim · R Biomet Bone Cement · REAL INTELLIGENCE · SPATIAL FRAME · T2 · TFN ADVANCED · TRIGEN INTERTAN · TRITANIUM · Taperloc · Trauma Product Portfolio · V-LOC 180 · VA-LCP PLATES & SCREWS · VAPR · ZYNRELEF · 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 →
Most payments (87%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $389 per 100 Medicare services performed
Geographic Context
Adult reconstructive orthopaedic surgery physicians within 10 mi
1
Per 100K population
0.2
County median income
$66,581
Nearest hospital
ADVENTHEALTH DAYTONA BEACH
0.0 mi
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Osborn is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Osborn experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Osborn performed 279 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. Osborn receive payments from pharmaceutical companies?
Yes. Dr. Osborn received a total of $6,711 from 15 companies across 135 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. Osborn's costs compare to other adult reconstructive orthopaedic surgery physicians in Daytona Beach?
Dr. Osborn'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. Osborn) 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. The Transparency Score measures 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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