Medicare Enrolled
Dr. Paul Fortin, M.D.
Orthopedic Surgery · Royal Oak, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Fortin 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. Fortin
Dr. Paul Fortin is an orthopedic surgery specialist in Royal Oak, MI, with 21 years of NPI registration. Based on federal Medicare data, Dr. Fortin performed 2,086 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Fortin received a total of $458,104 from 18 pharmaceutical and/or device companies across 266 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. Fortin 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.
✓ 21 years of NPI registration
▲ Top 19% volume in MI
$458,104 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,086
Medicare services
Top 19% in MI for orthopedic surgery
Not available
Unique patients (not deduplicated)
$61
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 |
|---|---|---|---|
| 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. |
550 | $25 | $74 |
| X-ray of ankle, 2 views An X-ray imaging test of the ankle using two different angles to visualize the bones and joints. |
259 | $24 | $76 |
| 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. |
241 | $64 | $172 |
| 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. |
197 | $24 | $72 |
| 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. |
191 | $27 | $78 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
128 | $1 | $7 |
| 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. |
74 | $80 | $254 |
| Short leg cast application Application of a cast to the lower leg to immobilize and support the area during healing. |
62 | $66 | $214 |
| 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. |
61 | $97 | $252 |
| Adult fiberglass short leg cast supplies Materials used to apply a fiberglass cast to the lower leg for an adult patient. |
56 | $38 | $74 |
| 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. |
48 | $42 | $105 |
| 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. |
32 | $123 | $385 |
| 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. |
26 | $21 | $66 |
| Ultrasound-guided joint aspiration or injection Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement. |
21 | $67 | $283 |
| Lengthening of calf muscle | 20 | $188 | $1,650 |
| Ankle joint reconstruction with prosthesis Surgical procedure to reconstruct the ankle joint by replacing it with a prosthetic device. |
19 | $613 | $2,597 |
| Fusion of multiple foot joints | 19 | $446 | $2,200 |
| Heel bone incision or partial removal A surgical procedure involving an incision into the heel bone or the partial removal of a portion of the heel bone. |
17 | $304 | $2,425 |
| Placement of stabilizing device for shin bone A procedure to insert a device to stabilize the tibia (shin bone). This may involve surgical fixation to support bone alignment and healing. |
15 | $340 | $2,036 |
| Extensive foot defect repair with tendon lengthening A surgical procedure to repair a significant defect in the foot. The surgery includes lengthening tendons to relieve tension in the foot. |
14 | $888 | $3,943 |
| Online digital E/M service, established patient, 11-20 min An online digital evaluation and management service for an established patient. The service involves a total time of 11 to 20 minutes over a period of up to 7 days. |
14 | $22 | $60 |
| Deep tendon transfer with muscle rerouting, foot A surgical procedure that moves a deep tendon in the foot to a new location by rerouting the attached muscle to improve function or alignment. |
11 | $560 | $2,001 |
| Removal of ankle implant This procedure involves the surgical removal of an implant from the ankle joint. |
11 | $282 | $1,435 |
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.
0.9% high complexity
7.1% medium
91.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$458,104
Total received (2018-2024)
Avg $65,443/year across 7 years
Top 2% in MI for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
18
Companies
266
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
$132,571
2023
$106,322
2022
$77,353
2021
$72,428
2020
$17,968
2019
$23,207
2018
$28,256
Payments by company (2024)
Paragon 28, Inc.
$112,937
VILEX LLC
$11,054
Orthofix Medical, Inc.
$6,886
Globus Medical, Inc.
$1,112
Stryker Corporation
$362
Integra LifeSciences Corporation
$139
DePuy Synthes Sales Inc.
$81
Top 3 companies account for 98.7% of 2024 payments
All-time payments by company (2018-2024) ›
Paragon 28, Inc.
$367,762
NuVasive Specialized Orthopedics, Inc.
$17,585
Smith+Nephew, Inc.
$14,829
Extremity Medical
$14,627
VILEX LLC
$11,054
Smith & Nephew, Inc.
$8,118
Orthofix Medical, Inc.
$6,886
Stryker Corporation
$4,951
Avanos Medical
$3,824
Pinnacle, Inc
$3,548
Wright Medical Technology, Inc.
$2,860
Globus Medical, Inc.
$1,112
WRIGHT MEDICAL TECHNOLOGY, INC.
$363
Exactech, Inc.
$178
Integra LifeSciences Corporation
$153
Zimmer Biomet Holdings, Inc.
$146
DePuy Synthes Sales Inc.
$81
TREACE MEDICAL CONCEPTS, INC.
$29
Top 3 companies account for 87.4% of all-time payments
Associated products mentioned in payments ›
7 X 23MM CITRELOCK IMPLANT · ALL PRODUCTS · AO · APEX 3D · APEX 3D AND MAVEN · AUGMENT INJECTABLE · AXS INFINITY LS · Apex 3D · Evos Mini · Foot System · Foot and Ankle Implants · HINTERMANN · HOMEPUMP PUMP AND ACCESSORIES · ILIZAROV · INFINITY · INFINITY ADAPTIS · IO FiX · Ilizarov System · Integra · LAPIPLASTY SYSTEM · MOTOBAND · Monkey Rings · Next Gen Ankle - R&D · PRECICE · PRECICE Intramedullary Limb Lengthening System · PRODUCT PORTFOLIO · Portfolio · Product Portfolio · SALTO TALARIS TOTAL ANKLE PROSTHESIS · SALVATION · SPATIAL FRAME · TL-HEX TRUELOK HEXAPOD SYSTEM · Taperloc · Taylor Spatial Frame · TrueLok · Truelok System · VALOR · Vantage
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 →
Geographic Context
Orthopedic surgeons in nearby ZIP areas
377
County median income
$95,296
Nearest hospital to ZIP centroid (approximate)
BEAUMONT HOSPITAL ROYAL OAK
0.0 mi
0.0 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. Fortin is a clinical cardiology specialist, with above-average Medicare volume (top 19% in MI), with 21 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. Fortin experienced with foot x-ray, 3+ views?
Based on Medicare claims data, Dr. Fortin performed 550 foot x-ray, 3+ views 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. Fortin receive payments from pharmaceutical companies?
Yes. Dr. Fortin received a total of $458,104 from 18 companies across 266 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. Fortin's costs compare to other orthopedic surgeons in Royal Oak?
Dr. Fortin's average Medicare payment per service is $61. 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. Fortin) 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 →
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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.
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