Medicare Enrolled
Dr. Nicholas Papakonstantinou, M.D.
Orthopedic Surgery · Rochester Hills, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Papakonstantinou 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. Papakonstantinou
Dr. Nicholas Papakonstantinou is an orthopedic surgery specialist in Rochester Hills, MI, with 18 years of NPI registration. Based on federal Medicare data, Dr. Papakonstantinou performed 1,143 Medicare services across 953 unique beneficiaries.
Between the years covered by Open Payments, Dr. Papakonstantinou received a total of $15,773 from 24 pharmaceutical and/or device companies across 587 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. Papakonstantinou 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.
✓ 18 years in practice
▲ Top 34% volume in MI
$15,773 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,143
Medicare services
Top 34% in MI for orthopedic surgery
953
Unique beneficiaries
$170
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~64 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 |
|---|---|---|---|
| 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. |
238 | $98 | $180 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
164 | $105 | $200 |
| 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. |
105 | $29 | $75 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
74 | $180 | $554 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
71 | $39 | $107 |
| 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. |
67 | $127 | $250 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
61 | $344 | $880 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
30 | $39 | $120 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
29 | $41 | $125 |
| Aspiration of bone marrow for spine bone graft | 26 | $61 | $156 |
| Fusion of spine in lower back | 25 | $1,321 | $3,368 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
25 | $542 | $2,470 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
23 | $652 | $1,718 |
| 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. |
23 | $25 | $75 |
| Spinal fracture stabilization with imaging guidance A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment. |
21 | $420 | $1,100 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
19 | $392 | $950 |
| 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. |
19 | $31 | $90 |
| 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. |
19 | $21 | $70 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
18 | $64 | $97 |
| X-ray of middle and lower spine, 2 views An X-ray imaging test that captures two views of the middle and lower sections of the spine to visualize the bones and joints. |
17 | $28 | $75 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
17 | $42 | $105 |
| Surgical repair of broken thigh bone with implant A surgical procedure to fix a fractured femur by using a bone implant to stabilize the broken bone. |
14 | $1,030 | $2,600 |
| 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. |
14 | $68 | $176 |
| Closed treatment of broken spine bone with cast or brace Non-surgical treatment of a spinal fracture using a cast or brace to stabilize the bone and promote healing. |
12 | $262 | $672 |
| 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. |
12 | $57 | $140 |
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.
7.5% high complexity
1.8% medium
90.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,773
Total received (2018-2024)
Avg $2,253/year across 7 years
Top 22% in MI for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
587
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
$15,773 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,507
2023
$4,016
2022
$1,093
2021
$922
2020
$596
2019
$3,314
2018
$3,326
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,843
Pinnacle, Inc
$487
Globus Medical, Inc.
$63
Stryker Corporation
$41
SI-BONE, INC.
$34
LivaNova USA, Inc.
$23
Boston Scientific Corporation
$15
Top 3 companies account for 95.5% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$7,510
Medtronic USA, Inc.
$4,954
Vertiflex, Inc.
$1,960
Pinnacle, Inc
$487
Stryker Corporation
$269
Nevro Corp.
$80
SI-BONE, INC.
$69
Globus Medical, Inc.
$63
BAXTER HEALTHCARE
$49
Spineology Inc.
$47
Smith & Nephew, Inc.
$33
Kuros Biosciences USA, Inc
$31
ConvaTec Inc.
$29
Baxter Healthcare
$27
Abbott Laboratories
$25
LivaNova USA, Inc.
$23
Providence Medical Technology, Inc.
$19
SI-BONE, Inc.
$19
Smith+Nephew, Inc.
$17
Boston Scientific Corporation
$15
Endo Pharmaceuticals Inc.
$13
DJO, LLC
$13
Zimmer Biomet Holdings, Inc.
$12
Orthofix Medical, Inc.
$9
Top 3 companies account for 91.4% of all-time payments
Associated products mentioned in payments ›
ADAPTIX INTERBODY SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY · ANATOMIC PEEK PTC CERVICAL FUSION SYSTEM · AQUACEL AG · ATLANTIS ANTERIOR CERVICAL PLATE SYSTEM · Biomet SpinalPak · CATALYFT PL EXPANDABLE INTERBODY SYSTEM · CD HORIZON · CD HORIZON SPINAL SYSTEM · CLYDESDALE · CLYDESDALE PTC SPINAL SYSTEM · CMF SPINALOGIC · Cervical-Stim Osteogenesis Stimulator · DIVERGENCE · Distal Femur Plate System · ELEVATE · EVEREST SPINAL SYSTEM · FLOSEAL · FiberCel · GAMMA · GRAFTON · GRAFTONAND GRAFTON PLUSDEMINERALIZED BONE MATRIX (DBM) · HEALICOIL · HOFFMANN · IFUSE IMPLANT · INFINITY OCT System · INSIGNIA · INTELLIS · INTELLIS ADAPTIVESTIM · IVS - VERTEBRAL AUGMENTATION PRODUCTS · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · MAZOR X SYSTEM · MEDTRONIC REUSABLE INSTRUMENTS · METRx · Mazor X Stealth Edition · MazorX - Renaissance · O-ARM · O-ARM-Spine · OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM · OSTENE · OSTEOCOOL RF ABLATION · OSTEOCOOL RF ABLATION SYSTEM · Omnia · PICO 7 · PIVOX Oblique Lateral Spinal System · PROCLAIM · RIALTO · RIALTO SI FUSION SYSTEM · SOVEREIGN · SPINEJACK · STEALTHSTATION S8 PLATFORM · Senza · Senza Spinal Cord Stimulation System · Superion ISS · T2 ALTITUDE · TISSEEL · UNID_PASS · VESUVIUS · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · WaveWriter Alpha Prime 16 · XIAFLEX · ZEVO ANTERIOR CERVICAL PLATE SYSTEM · 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
326
Per 100K population
25.6
County median income
$95,296
Nearest hospital
ASCENSION PROVIDENCE ROCHESTER HOSPITAL
0.0 mi
0.0 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. Papakonstantinou is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 18 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. Papakonstantinou experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Papakonstantinou performed 238 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. Papakonstantinou receive payments from pharmaceutical companies?
Yes. Dr. Papakonstantinou received a total of $15,773 from 24 companies across 587 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. Papakonstantinou's costs compare to other orthopedic surgeons in Rochester Hills?
Dr. Papakonstantinou's average Medicare payment per service is $170. 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. Papakonstantinou) 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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