Medicare Enrolled

Dr. Joshua Hackel, MD

Sports Medicine (Family Medicine) Physician · Gulf Breeze, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
1040 GULF BREEZE PKWY, Gulf Breeze, FL 32561
8509163700
In practice since 2005 (20 years)
NPI: 1225020936 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. Hackel 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. Hackel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Hackel

Dr. Joshua Hackel is a sports medicine (family medicine) physician in Gulf Breeze, FL, with 20 years in practice. Based on federal Medicare data, Dr. Hackel performed 40,249 Medicare services across 4,097 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hackel received a total of $16,748 from 16 pharmaceutical and/or device companies across 96 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (family medicine) physician. 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. Hackel 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.

✓ 20 years in practice▲ Top 1% volume in FL$ $16,748 industry payments

Medicare Practice Summary

Medicare Utilization ↗
40,249
Medicare services
Top 1% in FL for sports medicine (family medicine) physician
4,097
Unique beneficiaries
$13
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~2,012 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.

ProcedureVolumeAvg. paidAvg. submitted
Joint lubricant injection (Durolane)31,200$5$50
Dexamethasone injection (steroid)3,730$0$10
Office visit, established patient (30-39 min)1,735$90$310
Aspiration and/or injection of fluid large joint using ultrasound guidance699$77$318
Joint lubricant injection (TriVisc)645$7$31
Joint injection, major joint490$56$286
New patient office visit (45-59 min)314$115$483
X-ray of knee, 4 or more views309$42$150
X-ray of shoulder blade147$19$102
Shoulder X-ray, 2+ views147$27$97
Hip X-ray, 2-3 views125$34$127
Office visit, established patient (20-29 min)122$65$210
Destruction of nerve branches of knee using imaging guidance97$132$599
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance86$188$856
Complete ultrasound scan of joint75$40$361
Ultrasonic guidance for needle placement62$44$603
Injection of anesthetic agent and/or steroid into other nerve or branch35$50$386
Aspiration of abscess, blood, or cyst34$89$382
Limited ultrasound scan of joint or other extremity structure except blood vessels32$31$104
Foot X-ray, 3+ views28$25$99
Injection of trigger points, 1-2 muscles26$41$161
Aspiration and/or injection of fluid from medium joint using ultrasound guidance24$60$263
Hyaluronan or derivative, gel-one, for intra-articular injection, per dose20$395$3,032
Aspiration and/or injection of fluid from small joint using ultrasound guidance17$49$232
X-ray of hand, minimum of 3 views15$31$110
Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)12$120$492
X-ray of ankle, minimum of 3 views12$26$99
X-ray lower and sacral spine, minimum of 6 views11$47$183
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 ↗
$16,748
Total received (2018-2024)
Avg $2,393/year across 7 years
Top 3% in FL for sports medicine (family medicine) physician
16
Companies
96
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$11,774 (70.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,123 (18.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,852 (11.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$663
2023
$990
2022
$2,006
2021
$3,484
2020
$341
2019
$1,116
2018
$8,147

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Avanos Medical
$4,458
Tenex Health Inc.
$4,187
FIDIA PHARMA USA INC.
$3,241
TRICE MEDICAL, INC.
$2,195
Curonix LLC
$773
Ferring Pharmaceuticals Inc.
$573
BIONESS INC
$447
FUJIFILM SonoSite, Inc.
$186
DePuy Synthes Sales Inc.
$156
Cgg Medical Inc
$149
Bioventus LLC
$113
CGG Medical Inc
$88
Flexion Therapeutics, Inc.
$83
DJO, LLC
$39
SI-BONE, INC.
$31
SPR Therapeutics, Inc
$29
Top 3 companies account for 71.0% of total payments
Associated products mentioned in payments ›
AIRCAST · COOLIEF COOLED RADIOFREQUENCY · COOLIEF* COOLED RADIOFREQUENCY · DUROLANE · EUFLEXXA · EXOGEN ULTRASOUND BONE HEALING SYSTEM · Exogen · Exogen Ultrasound Bone Healing System · GELSYN 3 · HYALGAN · Hymovis · Janus Clamshell Ultrasound System · MONOVISC · MOTOBAND · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · SPRINT PNS System · Stimrouter for Pain · Stimrouter for pain · X-Porte Ultrasound System · 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 →

The majority of payments (70%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in sports medicine (family medicine) physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for sports medicine (family medicine) physician in FL.

Equivalent to $42 per 100 Medicare services performed
Looking for a sports medicine (family medicine) physician in Gulf Breeze?
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Geographic Context

Sports Medicine (Family Medicine) Physicians within 10 mi
9
Per 100K population
2.8
County median income
$65,715
Nearest hospital
GULF BREEZE HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Hackel is a mixed practice specialist, with above-average Medicare volume (top 1% in FL), and high industry engagement (speaking/promotional, top 3%), with 20 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. Hackel experienced with joint lubricant injection (durolane)?
Based on Medicare claims data, Dr. Hackel performed 31,200 joint lubricant injection (durolane) 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. Hackel receive payments from pharmaceutical companies?
Yes. Dr. Hackel received a total of $16,748 from 16 companies across 96 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. Hackel's costs compare to other sports medicine (family medicine) physicians in Gulf Breeze?
Dr. Hackel's average Medicare payment per service is $13. 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. Hackel) 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. 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.

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 →