Dr. Tristan Altbuch, M.D.
What this data tells you about Dr. Altbuch
Dr. Tristan Altbuch is an orthopedic surgery in Gainesville, FL, with 18 years in practice. Based on federal Medicare data, Dr. Altbuch performed 6,084 Medicare services across 2,190 unique beneficiaries.
Between the years covered by Open Payments, Dr. Altbuch received a total of $8,038 from 17 pharmaceutical and/or device companies across 50 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Altbuch 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Extended-release steroid injection (Zilretta) | 1,472 | $13 | $57 |
| Joint lubricant injection (TriVisc) | 1,425 | $7 | $32 |
| Office visit, established patient (20-29 min) | 646 | $64 | $220 |
| Injection, methylprednisolone acetate, 40 mg | 337 | $6 | $21 |
| Shoulder X-ray, 2+ views | 297 | $24 | $107 |
| Physical therapy exercise, per 15 min | 294 | $16 | $93 |
| X-ray of knee, 4 or more views | 284 | $33 | $137 |
| Joint injection, major joint | 207 | $51 | $372 |
| Office visit, established patient (30-39 min) | 193 | $87 | $325 |
| Hip X-ray, 2-3 views | 191 | $34 | $123 |
| Manual therapy (hands-on treatment), per 15 min | 162 | $13 | $84 |
| Knee X-ray, 3 views | 115 | $29 | $106 |
| New patient office visit (30-44 min) | 90 | $65 | $328 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 63 | $76 | $293 |
| Total knee replacement | 52 | $1,037 | $6,221 |
| New patient office visit (45-59 min) | 39 | $106 | $501 |
| Total hip replacement | 37 | $1,037 | $6,068 |
| Injection, methylprednisolone acetate, 80 mg | 36 | $9 | $40 |
| Prosthetic repair of shoulder joint, total shoulder | 28 | $1,163 | $5,611 |
| Hospital follow-up visit, high complexity | 24 | $82 | $320 |
| Shaving of part of shoulder bone and repair of ligament using an endoscope | 23 | $140 | $980 |
| Repair of shoulder rotator cuff using an endoscope | 23 | $866 | $4,600 |
| Removal of extensive shoulder joint tissue using an endoscope | 17 | $145 | $3,051 |
| X-ray of both hips, 2 views | 16 | $28 | $111 |
| X-ray of elbow, minimum of 3 views | 13 | $22 | $97 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (68%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopedic surgery and does not inherently indicate bias, but patients may wish to be aware.
Geographic Context
3.5 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. Altbuch is a clinical cardiology specialist, with above-average Medicare volume (top 12% in FL), and speaking/promotional industry engagement, with 18 years of practice experience.
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. Altbuch experienced with extended-release steroid injection (zilretta)?
Does Dr. Altbuch receive payments from pharmaceutical companies?
How do Dr. Altbuch's costs compare to other orthopedic surgerys in Gainesville?
What does Data Coverage mean?
Is this data up to date?
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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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