Medicare Enrolled

Dr. James Nairus, MD

Orthopedic Surgery · Waltham, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
71 BORDER RD STE 300, Waltham, MA 02451
7818902133
Registered in NPPES since 2005
NPI: 1306828249 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. Nairus 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. Nairus

Dr. James Nairus is an orthopedic surgery specialist in Waltham, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Nairus performed 3,075 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Nairus received a total of $3,166 from 18 pharmaceutical and/or device companies across 49 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Nairus 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 of NPI registration ▲ Top 14% volume in MA $3,166 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,075
Medicare services
Top 14% in MA for orthopedic surgery
Not available
Unique patients (not deduplicated)
$111
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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.
896 $13 $47
Joint lubricant injection (Durolane)
An injection of hyaluronan or its derivative, specifically Durolane, administered directly into a joint space.
840 $5 $39
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.
371 $68 $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.
248 $99 $325
Total knee replacement 171 $1,070 $20,035
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
163 $1 $40
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
105 $58 $339
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.
71 $129 $700
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.
65 $90 $575
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
61 $1,091 $20,000
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
59 $39 $150
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.
25 $40 $129
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. These counts do not measure clinical quality or years of experience.
7.5% high complexity
65.2% medium
27.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,166
Total received (2018-2024)
Avg $452/year across 7 years
Top 49% in MA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
18
Companies
49
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$758
2023
$826
2022
$562
2021
$178
2020
$304
2019
$260
2018
$278

Payments by company (2024)

Zimmer Biomet Holdings, Inc.
$255
Osteoremedies, LLC
$175
Stryker Corporation
$170
ORTHALIGN INC
$159
Top 3 companies account for 79.1% of 2024 payments
All-time payments by company (2018-2024) ›
Zimmer Biomet Holdings, Inc.
$739
Stryker Corporation
$494
Medacta USA, Inc.
$361
Smith+Nephew, Inc.
$329
DePuy Synthes Sales Inc.
$275
Flexion Therapeutics, Inc.
$182
Osteoremedies, LLC
$175
ORTHALIGN INC
$159
MEDACTA USA, INC.
$111
Heron Therapeutics, Inc.
$72
FIDIA PHARMA USA INC.
$70
Pacira Therapeutics, Inc.
$38
Fidia Pharma USA Inc.
$34
ConvaTec Inc.
$31
SANOFI-AVENTIS U.S. LLC
$30
Ethicon US, LLC
$25
Pacira Pharmaceuticals Incorporated
$24
Bioventus LLC
$18
Top 3 companies account for 50.3% of all-time payments
Associated products mentioned in payments ›
ATTUNE · AVELLE · Durolane · EXETER · Exparel · G7 · GMK Efficiency · GMK SPHERE · GMK Sphere · HYM/HYN · HYMOVIS · Hymovis · MAKO · MONOVISC · MyKnee · N/A · ORTHALIGN PLUS · OSS Orthopedic Salvage System · Persona · Persona Revision · REAL INTELLIGENCE · REDAPT · Remedy Spacer · STRATAFIX · SYNVISC-ONE · TRIATHLON · Zilretta · Zynrelef
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an orthopedic surgery specialist in Waltham?
Compare orthopedic surgeons in the Waltham area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons in nearby ZIP areas
480
County median income
$126,779
Nearest hospital to ZIP centroid (approximate)
MCLEAN HOSPITAL CORPORATION
3.7 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Nairus is a clinical cardiology specialist, with above-average Medicare volume (top 14% in MA), 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. Nairus experienced with extended-release steroid injection (zilretta)?
Based on Medicare claims data, Dr. Nairus performed 896 extended-release steroid injection (zilretta) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Nairus receive payments from pharmaceutical companies?
Yes. Dr. Nairus received a total of $3,166 from 18 companies across 49 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Nairus's costs compare to other orthopedic surgeons in Waltham?
Dr. Nairus's average Medicare payment per service is $111. 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. Nairus) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →