Medicare Enrolled

Dr. Michael Nakashian, MD

Orthopaedic Hand Surgery Physician · Brick, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
457 JACK MARTIN BLVD STE 265, Brick, NJ 08724
7328407500
In practice since 2008 (18 years)
NPI: 1629239645 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. Nakashian 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 →
Are you Dr. Nakashian? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Nakashian

Dr. Michael Nakashian is an orthopaedic hand surgery physician in Brick, NJ, with 18 years of NPI registration. Based on federal Medicare data, Dr. Nakashian performed 2,650 Medicare services across 1,536 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nakashian received a total of $1,382 from 17 pharmaceutical and/or device companies across 28 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic hand surgery physician. 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. Nakashian 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 13% volume in NJ $1,382 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,650
Medicare services
Top 13% in NJ for orthopaedic hand surgery physician
1,536
Unique beneficiaries
$41
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~147 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
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
1,067 $1 $10
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.
234 $69 $255
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.
221 $26 $154
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.
182 $100 $368
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
143 $54 $382
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.
134 $32 $180
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.
125 $85 $365
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.
124 $122 $553
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
109 $49 $257
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.
90 $31 $164
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
53 $45 $334
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.
28 $28 $145
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.
28 $28 $213
Injection of carpal tunnel 19 $84 $466
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
18 $42 $298
Closed treatment of broken forearm bone at wrist without manipulation
This procedure involves setting a broken forearm bone near the wrist without moving the bone fragments out of place. It is performed without manipulation to align the fracture.
17 $291 $3,894
Endoscopic release of wrist ligament
A minimally invasive procedure using a small camera to cut and release ligaments in the wrist.
17 $444 $6,047
Elbow X-ray, 2 views
An X-ray imaging test of the elbow joint using two different angles to visualize the bones and surrounding structures.
15 $21 $133
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.
15 $29 $168
Closed treatment of broken top of upper arm bone
Non-surgical setting of a fracture at the upper end of the humerus. The bone is realigned without an incision.
11 $271 $3,852
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 ↗
$1,382
Total received (2018-2024)
Avg $197/year across 7 years
Bottom 32% in NJ for orthopaedic hand surgery physician
17
Companies
28
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
$731 (52.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$651 (47.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$98
2023
$88
2022
$143
2021
$38
2020
$712
2019
$146
2018
$159

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
REVANCE THERAPEUTICS, INC.
$50
Pacira Pharmaceuticals Incorporated
$16
Fidia Pharma USA Inc.
$16
Abbott Laboratories
$15
Top 3 companies account for 84.3% of 2024 payments
All-time payments by company (2018-2024) ›
SeaPearl Inc
$682
AXOGEN
$126
Skeletal Dynamics Inc
$91
Stryker Corporation
$88
REVANCE THERAPEUTICS, INC.
$50
Zimmer Biomet Holdings, Inc.
$49
Endo Pharmaceuticals Inc.
$43
Bioventus LLC
$41
DePuy Synthes Sales Inc.
$40
Allergan, Inc.
$38
Smith+Nephew, Inc.
$28
ACUMED LLC
$27
Linvatec Corporation
$19
Pacira Pharmaceuticals Incorporated
$16
Fidia Pharma USA Inc.
$16
Abbott Laboratories
$15
SANOFI-AVENTIS U.S. LLC
$13
Top 3 companies account for 65.1% of all-time payments
Associated products mentioned in payments ›
AEQUALIS ASCEND FLEX · AVANCE NERVE GRAFT · Affixus · AxoGuard Nerve Connector · BIOBRACE 23MM · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · BOTOX · Clavicle Plating System · DAXXIFY · Durolane · Exparel · GAMMA · GELSYN 3 · Geminus · HYMOVIS · MONOVISC · ORTHOVISC · PICO 7 Single Use Negative Pressure Wound Therapy · PICO Single Use Negative Pressure Wound Therapy · PROCLAIM · SYNVISC-ONE · XIAFLEX
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 (53%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an orthopaedic hand surgery physician in Brick?
Compare orthopaedic hand surgery physicians in the Brick area by procedure volume, costs, and industry payment transparency.
Browse orthopaedic hand surgery physicians nearby

Geographic Context

Orthopaedic hand surgery physicians within 10 mi
12
Per 100K population
1.9
County median income
$86,411
Nearest hospital
OCEAN MEDICAL CENTER
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. Nakashian is a clinical cardiology specialist, with above-average Medicare volume (top 13% in NJ), 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. Nakashian experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Nakashian performed 1,067 steroid injection (triamcinolone) 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. Nakashian receive payments from pharmaceutical companies?
Yes. Dr. Nakashian received a total of $1,382 from 17 companies across 28 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. Nakashian's costs compare to other orthopaedic hand surgery physicians in Brick?
Dr. Nakashian's average Medicare payment per service is $41. 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. Nakashian) 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 →
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.

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. Payments from industry are legal and do not indicate wrongdoing. 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 →