Medicare Enrolled

Dr. Shivam Upadhyaya, MD

Orthopedic Surgery · Port Saint Lucie, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
9401 SW DISCOVERY WAY STE 201, Port Saint Lucie, FL 34987
7722882400
In practice since 2016 (9 years)
NPI: 1114374725 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. Upadhyaya 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. Upadhyaya

Dr. Shivam Upadhyaya is an orthopedic surgery in Port Saint Lucie, FL, with 9 years in practice. Based on federal Medicare data, Dr. Upadhyaya performed 3,089 Medicare services across 1,875 unique beneficiaries.

Between the years covered by Open Payments, Dr. Upadhyaya received a total of $65,172 from 24 pharmaceutical and/or device companies across 159 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Upadhyaya 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▲ Top 28% volume in FL$ $65,172 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,089
Medicare services
Top 28% in FL for orthopedic surgery
1,875
Unique beneficiaries
$112
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~343 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
Office visit, established patient (30-39 min)945$102$440
Dexamethasone injection (steroid)450$0$14
X-ray of lower and sacral spine, minimum of 4 views225$38$170
Injection, methylprednisolone acetate, 40 mg220$6$25
Injection of substance into lower spine canal using imaging guidance186$208$1,805
Injection, methylprednisolone acetate, 80 mg184$9$67
Office visit, established patient, complex (40-54 min)138$143$616
New patient office visit (45-59 min)126$110$575
X-ray of lower and sacral spine, 2-3 views106$32$125
X-ray of upper spine, 4-5 views79$40$161
X-ray of upper spine, 2-3 views38$33$120
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level37$208$1,673
Injection of trigger points, 3 or more muscles35$52$180
Ultrasonic guidance for needle placement35$48$200
X-ray of middle spine, 2 views31$24$105
Blood glucose (sugar) test performed by hand-held instrument31$3$50
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment28$665$19,363
Insertion of cage or mesh device to spine bone and disc space during spine fusion24$236$2,188
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment24$192$3,796
Fusion of spine in lower back23$1,429$36,993
Fusion of additional segment of spine19$359$9,347
Hip X-ray, 2-3 views15$32$141
New patient office visit, complex (60-74 min)15$164$760
Joint injection, major joint14$49$237
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level13$100$677
Mri scan of lower spinal canal without contrast13$105$1,000
Treatment of broken lower spine bone with placement of stabilizing device12$4,703$22,000
Placement of stabilizing device to back of 1 spine bone in neck12$693$6,573
Placement of stabilizing device to back, 3-6 spine bone segments11$700$6,563
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.
2.1% high complexity
37.3% medium
60.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$65,172
Total received (2019-2024)
Avg $10,862/year across 6 years
Top 13% in FL for orthopedic surgery
24
Companies
159
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$47,924 (73.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$16,531 (25.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$716 (1.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$28,187
2023
$23,956
2022
$10,157
2021
$2,511
2020
$312
2019
$48

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Cerapedics Inc.
$27,229
Integrity Implants Inc. dba Accelus
$8,410
Carlsmed, Inc.
$7,539
HT Medical, LLC
$6,000
Stryker Corporation
$4,939
Medtronic, Inc.
$3,597
Acuity Surgical Devices, LLC
$3,089
OssDsign Incorporated
$1,586
NuVasive, Inc.
$577
Spineology Inc.
$422
Republic Spine
$233
Alphatec Spine, Inc
$175
KCI USA, Inc.
$164
Integra LifeSciences Corporation
$162
MML US, Inc.
$153
Innovasis Inc
$151
Medtronic USA, Inc.
$139
icotec Medical Inc.
$134
Medical Device Business Services, Inc.
$125
Bioventus LLC
$115
Orthofix Medical, Inc.
$108
Woven Orthopedic Technologies, LLC
$72
Smith+Nephew, Inc.
$31
SI-BONE, Inc.
$22
Top 3 companies account for 66.3% of total payments
Associated products mentioned in payments ›
3M Skin and Nasal Antiseptic · AQUAMANTYS · Adaptix · BIOFIX · CAPRI CORPECTOMY CAGE SYSTEM · CASCADIA INTERBODY SYSTEM · CD HORIZON · CORE · DARK STAR · EVEREST SPINAL SYSTEM · FlareHawk · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · KYPHON EXPRESS II KYPHOPAK TRAY · LIF · LineSider · M6-C · MAZOR X SYSTEM · MONTEREY AL · Mazor X Stealth Edition · OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM · OSTEOCOOL RF ABLATION SYSTEM · OZARK CERVICAL PLATE SYSTEM · OssDsign Catalyst · PREVENA · ReActiv8 · SERRATO · STEALTHSTATION S8 PLATFORM · Solace · Spinal-Stim · Spinal-stim · TRIGEN INTERTAN · TRITANIUM · UNID_PASS · XIA 3 · XLIF · aprevo · icotec Medical BlackArmor Spine Oncology System
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 (74%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Equivalent to $2,110 per 100 Medicare services performed
Looking for a orthopedic surgery in Port Saint Lucie?
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Geographic Context

Orthopedic Surgerys within 10 mi
52
Per 100K population
15.0
County median income
$69,027
Nearest hospital
ST LUCIE MEDICAL CENTER
12.2 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. Upadhyaya is a clinical cardiology specialist, with above-average Medicare volume (top 28% in FL), and high industry engagement (consulting-driven, top 13%).

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. Upadhyaya experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Upadhyaya performed 945 office visit, established patient (30-39 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. Upadhyaya receive payments from pharmaceutical companies?
Yes. Dr. Upadhyaya received a total of $65,172 from 24 companies across 159 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. Upadhyaya's costs compare to other orthopedic surgerys in Port Saint Lucie?
Dr. Upadhyaya's average Medicare payment per service is $112. 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. Upadhyaya) 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 →