Medicare Enrolled
Dr. Joshua Epstein, DPM
Foot & Ankle Surgery Podiatrist · Gainesville, 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. Epstein 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. Epstein?
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What this data tells you about Dr. Epstein
Dr. Joshua Epstein is a foot & ankle surgery podiatrist in Gainesville, FL, with 8 years of NPI registration. Based on federal Medicare data, Dr. Epstein performed 3,682 Medicare services across 1,968 unique beneficiaries.
Between the years covered by Open Payments, Dr. Epstein received a total of $15,135 from 31 pharmaceutical and/or device companies across 157 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. Epstein 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.
✓ 8 years in practice
▲ Top 16% volume in FL
$15,135 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 |
|---|---|---|---|---|
| Podiatric Physician | 4181 | 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 ↗3,682
Medicare services
Top 16% in FL for foot & ankle surgery podiatrist
1,968
Unique beneficiaries
$93
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~460 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 (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. |
1,080 | $70 | $180 |
| 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. |
567 | $34 | $88 |
| 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. |
383 | $26 | $67 |
| 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. |
297 | $93 | $255 |
| 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. |
283 | $87 | $225 |
| 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. |
139 | $98 | $249 |
| Novachor implant, per square centimeter This code represents the supply of Novachor, a biologic implant material, measured by each square centimeter used during a procedure. |
135 | $808 | $1,500 |
| 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. |
111 | $49 | $140 |
| 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. |
98 | $43 | $112 |
| 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. |
77 | $61 | $161 |
| 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. |
63 | $28 | $73 |
| 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. |
55 | $63 | $160 |
| 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. |
47 | $103 | $264 |
| Toenail/fingernail removal, 1-5 nails This procedure involves the removal of one to five fingernails or toenails. |
43 | $26 | $66 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes. The wound area covered is 25.0 square centimeters or less. |
43 | $117 | $319 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
33 | $66 | $170 |
| 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. |
31 | $83 | $228 |
| Permanent removal fingernail or toenail | 31 | $121 | $315 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the trunk, arms, or legs covering 25 square centimeters or less. |
26 | $106 | $310 |
| Correction of toe joint deformity A surgical procedure to correct a deformity in a toe joint. This involves realigning the joint structure to restore proper function and appearance. |
23 | $158 | $1,063 |
| Big toe joint fusion with foot Surgical procedure to fuse the big toe joint to the foot. This stabilizes the joint by connecting the bones. |
20 | $431 | $1,562 |
| Injection, methylprednisolone acetate, 40 mg | 19 | $6 | $14 |
| Fingernail or toenail biopsy A small sample of tissue is taken from a fingernail or toenail for laboratory examination. |
18 | $84 | $243 |
| 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. |
17 | $131 | $334 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
15 | $53 | $144 |
| Amputation of toe at the metatarsophalangeal joint Surgical removal of a toe at the joint connecting the toe to the foot. |
14 | $138 | $596 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
14 | $40 | $102 |
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.
0.5% high complexity
1.0% medium
98.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,135
Total received (2018-2024)
Avg $2,162/year across 7 years
Top 13% in FL for foot & ankle surgery podiatrist
31
Companies
157
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
$10,966 (72.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,170 (27.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,457
2023
$1,660
2022
$1,944
2021
$2,264
2020
$882
2019
$5,483
2018
$1,444
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$3,545
SOUTHERN EDGE ORTHOPAEDICS, INC.
$3,538
Paragon 28, Inc.
$3,123
Wright Medical Technology, Inc.
$695
Medical Device Business Services, Inc.
$632
Zimmer Biomet Holdings, Inc.
$554
International Life Sciences
$538
Amniox Medical, Inc.
$425
Integra LifeSciences Corporation
$387
Organogenesis Inc.
$244
Sanara MedTech Inc.
$205
Kerecis Limited
$199
In2Bones USA, LLC
$170
AngioDynamics, Inc.
$124
Bard Peripheral Vascular, Inc.
$124
Smith+Nephew, Inc.
$123
TREACE MEDICAL CONCEPTS, INC.
$90
Anika Therapeutics, Inc.
$79
ACELL, INC.
$72
KCI USA, Inc
$42
ORGANOGENESIS INC.
$33
Novastep Inc.
$28
Horizon Therapeutics plc
$27
Bioventus LLC
$26
WRIGHT MEDICAL TECHNOLOGY, INC.
$23
ConvaTec Inc.
$19
KCI USA, Inc.
$16
MIMEDX Group, Inc.
$15
Boston Scientific Corporation
$15
Stimwave Technologies Incorporated
$12
CROSSROADS EXTREMITY SYSTEMS, LLC
$12
Top 3 companies account for 67.4% of total payments
Associated products mentioned in payments ›
3M Cavilon · AFFINITY · ALLOWRAP · ANCHORAGE · APEX · AUGMENT · AUGMENT INJECTABLE · AURYON LASER SYSTEM 100-120 VAC · AccuFill · BILAYER WOUND MATRIX (BWM) · CENTROLOCK MIS Bunion Correction · CITREFIX · COLLAGENASE SANTYL · CROSSCHECK · CellerateRx · CoLink · EX-FIX · FLEXBAND · FUSEFORCE · Foot and Ankle · GRAFIX PL · Gamma-BSM-Knee Creations · INFINITY · INFINITY ADAPTIS · INNOVAMATRIX AC · Integra · Intramedullary Nails · KRYSTEXXA · Kerecis Omega3 SurgiClose · Kerecis Omega3 Wound · LAPIPLASTY SYSTEM · Lapidus Plate · MICA · MIS Instrumentation · MTP · NEOX · Nextremity MSP · Nextremity ReLine · ORTHOLOC · PRODUCT PORTFOLIO · PROPHECY · PROSTEP · PROTOE · Phantom Hindfoot · Product Portfolio · Puraply · Puraply Antimicrobial · Quantum Total Ankle · RENASYS GO v2 HOME · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Stratum Foot Plating System · Subchondroplasty · T2 · Tactoset · VAC ULTA · VARIAX · Venovo · WaveWriter Alpha Prime 16
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 (72%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $411 per 100 Medicare services performed
Geographic Context
Foot & ankle surgery podiatrists within 10 mi
7
Per 100K population
2.5
County median income
$59,659
Nearest hospital
HCA FLORIDA NORTH FLORIDA HOSPITAL
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. Epstein is a clinical cardiology specialist, with above-average Medicare volume (top 16% in FL), with low-engagement industry engagement in the top 13% of FL peers.
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. Epstein experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Epstein performed 1,080 office visit, established patient (20-29 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. Epstein receive payments from pharmaceutical companies?
Yes. Dr. Epstein received a total of $15,135 from 31 companies across 157 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. Epstein's costs compare to other foot & ankle surgery podiatrists in Gainesville?
Dr. Epstein's average Medicare payment per service is $93. 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. Epstein) 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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By company
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By company
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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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