Medicare Enrolled
Dr. Charles Lettvin, MD
Orthopedic Surgery · Bannockburn, IL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Lettvin 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. Lettvin
Dr. Charles Lettvin is an orthopedic surgery specialist in Bannockburn, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Lettvin performed 13,310 Medicare services across 3,933 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lettvin received a total of $1,703 from 18 pharmaceutical and/or device companies across 100 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Lettvin is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 3% volume in IL
$1,703 industry payments
Medicare Practice Summary
Medicare Utilization ↗13,310
Medicare services
Top 3% in IL for orthopedic surgery
3,933
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~666 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 |
|---|---|---|---|
| Extended-release steroid injection (Zilretta) An injection of triamcinolone acetonide using a preservative-free, extended-release microsphere formulation. The dosage is measured in milligrams. |
4,480 | $13 | $43 |
| MRI contrast dye injection (gadoterate) Administration of gadoterate meglumine, a contrast agent, in a 0.1 ml dose. |
2,080 | $0 | $1 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
2,032 | $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. |
814 | $70 | $205 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
706 | $54 | $274 |
| 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. |
695 | $97 | $285 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
276 | $38 | $166 |
| 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. |
231 | $115 | $377 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
226 | $32 | $144 |
| Hyaluronan injection (Euflexxa) for joint An injection of hyaluronan or its derivative, specifically Euflexxa, administered directly into a joint space. |
185 | $99 | $325 |
| 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. |
183 | $29 | $147 |
| 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. |
126 | $37 | $159 |
| 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. |
125 | $28 | $122 |
| 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. |
110 | $29 | $132 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
103 | $110 | $1,295 |
| 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. |
101 | $23 | $127 |
| 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. |
81 | $46 | $125 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
71 | $93 | $1,423 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
65 | $29 | $128 |
| 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. |
51 | $82 | $255 |
| X-ray of lower leg, 2 views An X-ray imaging test of the lower leg using two different angles to visualize the bones and surrounding structures. |
49 | $25 | $130 |
| 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. |
40 | $32 | $130 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
40 | $29 | $125 |
| 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. |
37 | $31 | $136 |
| X-ray of toe, minimum of 2 views An X-ray imaging test of the toe using at least two different angles to visualize the bones and surrounding structures. |
33 | $23 | $106 |
| Rib X-ray, 2 views An X-ray imaging test of the ribs on one side of the body using two different angles. |
32 | $29 | $147 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
31 | $28 | $129 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
27 | $41 | $287 |
| X-ray of thigh bone, minimum 2 views An X-ray imaging test of the thigh bone using at least two different angles to visualize the bone structure. |
27 | $29 | $129 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
26 | $112 | $1,276 |
| MRI of leg, without contrast A magnetic resonance imaging scan of the leg performed without the use of contrast dye to visualize internal structures. |
26 | $133 | $1,291 |
| X-ray of finger, minimum of 2 views An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures. |
23 | $31 | $119 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
22 | $42 | $222 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
22 | $26 | $116 |
| X-ray of foot, 2 views An X-ray imaging test of the foot using two different angles to create pictures of the bones and joints. |
21 | $25 | $109 |
| X-ray of upper arm, minimum of 2 views An X-ray imaging test of the upper arm that captures at least two different views to evaluate the bones and surrounding structures. |
19 | $24 | $120 |
| MRI of pelvis, without contrast A magnetic resonance imaging scan of the pelvic area performed without the use of contrast dye. |
17 | $130 | $1,530 |
| Injection, methylprednisolone acetate, 40 mg | 15 | $6 | $19 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
14 | $25 | $150 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
13 | $38 | $198 |
| X-ray of ankle, 2 views An X-ray imaging test of the ankle using two different angles to visualize the bones and joints. |
13 | $29 | $116 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
11 | $98 | $1,389 |
| X-ray of forearm, 2 views An X-ray imaging test of the forearm using two different angles to visualize the bones and surrounding structures. |
11 | $25 | $112 |
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 ↗$1,703
Total received (2018-2024)
Avg $243/year across 7 years
Bottom 39% in IL for orthopedic surgery
18
Companies
100
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
$1,703 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$75
2023
$14
2022
$68
2021
$596
2020
$513
2019
$309
2018
$130
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Pacira Pharmaceuticals Incorporated
$52
DePuy Synthes Sales Inc.
$23
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Pacira Therapeutics, Inc.
$407
Flexion Therapeutics, Inc.
$383
Ferring Pharmaceuticals Inc.
$193
Horizon Therapeutics plc
$174
Bioventus LLC
$113
Pacira Pharmaceuticals Incorporated
$79
Horizon Pharma plc
$70
Orthofix Medical, Inc.
$61
Kerecis Limited
$57
Radius Health, Inc.
$24
DePuy Synthes Sales Inc.
$23
HERAEUS MEDICAL, LLC.
$21
SI-BONE, Inc.
$20
Zimmer Biomet Holdings, Inc.
$19
Abbott Laboratories
$18
Medtronic USA, Inc.
$15
DePuy Synthes Products, Inc.
$14
Ethicon US, LLC
$13
Top 3 companies account for 57.7% of all-time payments
Associated products mentioned in payments ›
Biomet SpinalPak · DUEXIS · Durolane · EUFLEXXA · Exogen · Exparel · FIBERGRAFT BG MORSELS · GELSYN-3 · INTELLIS · Iovera · Kerecis Omega3 Wound · MONOVISC · PALACOS · PENNSAID · Physio-Stim · Physio-Stim Osteogenesis Stimulator · Proclaim IPG · RAYOS · STRATAFIX · Tymlos · Zilretta · iFuse Implant
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Orthopedic surgeons within 10 mi
443
Per 100K population
62.2
County median income
$108,917
Nearest hospital
NORTHWESTERN LAKE FOREST HOSPITAL
4.5 mi
4.5 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Lettvin is a mixed practice specialist, with above-average Medicare volume (top 3% in IL), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Lettvin experienced with extended-release steroid injection (zilretta)?
Based on Medicare claims data, Dr. Lettvin performed 4,480 extended-release steroid injection (zilretta) 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. Lettvin receive payments from pharmaceutical companies?
Yes. Dr. Lettvin received a total of $1,703 from 18 companies across 100 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. Lettvin's costs compare to other orthopedic surgeons in Bannockburn?
Dr. Lettvin's average Medicare payment per service is $27. 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. Lettvin) 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. Data Coverage reflects 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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