Medicare Enrolled

Dr. Nicholas Dutcheshen, MD

Orthopedic Surgery · Troy, MI
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
1350 KIRTS BLVD, Troy, MI 48084
2482449426
Registered in NPPES since 2006
NPI: 1568420305 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. Dutcheshen 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. Dutcheshen

Dr. Nicholas Dutcheshen is an orthopedic surgery specialist in Troy, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Dutcheshen performed 3,769 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Dutcheshen received a total of $3,452 from 20 pharmaceutical and/or device companies across 59 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. Dutcheshen 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 8% volume in MI $3,452 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,769
Medicare services
Top 8% in MI for orthopedic surgery
Not available
Unique patients (not deduplicated)
$23
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
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
2,764 $1 $7
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
278 $53 $202
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.
145 $26 $89
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.
141 $64 $172
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.
106 $91 $252
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.
97 $29 $91
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.
79 $77 $254
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.
57 $23 $71
Hyaluronan intra-articular injection
An injection of hyaluronan or a derivative into a joint to provide lubrication and cushioning.
28 $547 $2,000
Arthroscopic shoulder surgery for bone shaving and ligament repair
A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament.
22 $128 $2,200
Arthroscopic shoulder debridement
A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions.
20 $152 $2,200
Arthroscopic rotator cuff repair
A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions.
18 $823 $2,832
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.
14 $108 $385
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.
0.6% high complexity
81.5% medium
18.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,452
Total received (2018-2024)
Avg $493/year across 7 years
Top 48% in MI for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
59
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
$152
2023
$849
2022
$138
2021
$328
2020
$483
2019
$1,060
2018
$443

Payments by company (2024)

Smith+Nephew, Inc.
$48
DePuy Synthes Sales Inc.
$46
Arthrex, Inc.
$22
Kuros Biosciences USA, Inc
$20
Radius Health, Inc.
$16
Top 3 companies account for 76.4% of 2024 payments
All-time payments by company (2018-2024) ›
Smith+Nephew, Inc.
$1,195
Zimmer Biomet Holdings, Inc.
$864
Vericel Corporation
$268
Pinnacle, Inc
$212
Stryker Corporation
$163
Flexion Therapeutics, Inc.
$162
Smith & Nephew, Inc.
$106
Medacta USA, Inc.
$104
Wright Medical Technology, Inc.
$95
DePuy Synthes Sales Inc.
$72
AXOGEN
$36
SANOFI-AVENTIS U.S. LLC
$31
Arthrex, Inc.
$22
Cerapedics Inc.
$21
Kuros Biosciences USA, Inc
$20
FIDIA PHARMA USA INC.
$19
Biocomposites Inc
$18
Radius Health, Inc.
$16
Medtronic, Inc.
$14
Endo Pharmaceuticals Inc.
$13
Top 3 companies account for 67.4% of all-time payments
Associated products mentioned in payments ›
AQUAMANTYS(TM) · AxoGuard Nerve Connector · BIORAPTOR · Biocue · Bioinductive Implant with Arthroscopic Delivery System - Medium · Choice Instruments · Comprehensive Primary Stem · Comprehensive Shoulder System · EVOS · HEALICOIL · HEALICOIL Suture Anchor · Hymovis · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · LENS 4K · MACI · MACI _ PEAK Study · MAGNETOS · MICRORAPTOR · MICRORAPTOR Knotless Anchor · MICRORAPTOR Knotless Shoulder · MONOVISC · ORTHOVISC · PERFORM GLENOID · PROLAYER · REGENESORB · Regeneten · Reverse Shoulder · SYNVISC-ONE · Stimulan · TRITANIUM · Tymlos · WEREWOLF · XIAFLEX · Zilretta
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 Troy?
Compare orthopedic surgeons in the Troy area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons in nearby ZIP areas
377
County median income
$95,296
Nearest hospital to ZIP centroid (approximate)
BEAUMONT HOSPITAL ROYAL OAK
2.9 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. Dutcheshen is a mixed practice specialist, with above-average Medicare volume (top 8% in MI), 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. Dutcheshen experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Dutcheshen performed 2,764 steroid injection (triamcinolone) 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. Dutcheshen receive payments from pharmaceutical companies?
Yes. Dr. Dutcheshen received a total of $3,452 from 20 companies across 59 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. Dutcheshen's costs compare to other orthopedic surgeons in Troy?
Dr. Dutcheshen's average Medicare payment per service is $23. 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. Dutcheshen) 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 →