Medicare Enrolled
Dr. Robert Kayal, MD
Orthopedic Surgery · Franklin Lakes, NJ
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Kayal 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. Kayal
Dr. Robert Kayal is an orthopedic surgery specialist in Franklin Lakes, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Kayal performed 26,603 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Kayal received a total of $14,810 from 57 pharmaceutical and/or device companies across 285 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. Kayal 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 1% volume in NJ
$14,810 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗26,603
Medicare services
Top 1% in NJ for orthopedic surgery
Not available
Unique patients (not deduplicated)
$22
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 |
|---|---|---|---|
| Romosozumab injection (Evenity) for osteoporosis | 10,292 | $7 | $13 |
| Hymovis intra-articular injection An injection of Hymovis, a hyaluronan derivative, administered directly into a joint space. |
8,016 | $13 | $38 |
| Denosumab injection (Prolia/Xgeva) | 1,800 | $18 | $90 |
| Hyaluronan joint injection, 1 mg An injection of hyaluronan or a derivative into a joint space to supplement joint fluid. |
1,000 | $27 | $52 |
| 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. |
870 | $76 | $400 |
| Injection, methylprednisolone acetate, 40 mg | 660 | $6 | $50 |
| 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. |
618 | $36 | $752 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
564 | $100 | $2,774 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
508 | $44 | $746 |
| 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. |
268 | $46 | $300 |
| 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. |
151 | $37 | $375 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
149 | $60 | $1,838 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
147 | $43 | $1,000 |
| 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. |
140 | $93 | $400 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
106 | $52 | $2,200 |
| 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. |
100 | $31 | $400 |
| 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. |
97 | $138 | $550 |
| 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. |
95 | $104 | $500 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
94 | $172 | $2,000 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
84 | $11 | $500 |
| 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. |
74 | $42 | $400 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
72 | $9 | $80 |
| 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. |
68 | $35 | $400 |
| Bone density scan (DEXA) of forearm, finger, hand, or foot A DEXA scan measures bone mineral density in the forearm, finger, hand, or foot. This test helps assess bone strength and risk of fracture. |
68 | $36 | $300 |
| 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. |
51 | $34 | $275 |
| X-ray of both hips, 2 views An X-ray imaging test that captures two views of both hip joints to evaluate bone structure and alignment. |
50 | $36 | $385 |
| Orthopedic device training, 15 minutes Training on how to use an orthopedic device for the arm, leg, or trunk. The session lasts for 15 minutes. |
44 | $42 | $342 |
| Radiologist review of hip joint image A radiologist examines and interprets an image of the hip joint to assess its condition. |
43 | $122 | $3,200 |
| Hip joint contrast injection for imaging A contrast dye is injected into the hip joint to enhance visibility during medical imaging procedures. |
42 | $214 | $2,252 |
| 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. |
41 | $37 | $375 |
| 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. |
37 | $34 | $375 |
| 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. |
37 | $32 | $425 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
27 | $108 | $2,750 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
26 | $48 | $725 |
| X-ray of both hips, 3-4 views An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures. |
25 | $46 | $510 |
| Total knee replacement | 24 | $1,121 | $50,000 |
| 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. |
24 | $30 | $375 |
| X-ray for bone length assessment An X-ray image is taken to measure and evaluate the length of bones. |
23 | $41 | $600 |
| 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. |
20 | $30 | $300 |
| X-ray of lower and sacral spine, 2-3 views with bending An X-ray imaging test of the lower back and sacrum using 2 to 3 views, including bending positions. |
18 | $38 | $400 |
| Ultrasound-guided joint aspiration or injection Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement. |
17 | $61 | $1,900 |
| 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. |
13 | $35 | $275 |
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.
0.1% high complexity
86.7% medium
13.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$14,810
Total received (2018-2024)
Avg $2,116/year across 7 years
Top 22% in NJ for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
57
Companies
285
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
$726
2023
$7,653
2022
$1,765
2021
$1,396
2020
$709
2019
$1,356
2018
$1,203
Payments by company (2024)
Arthrex, Inc.
$350
Stryker Corporation
$73
DePuy Synthes Sales Inc.
$72
Nalu Medical, Inc.
$60
Orthofix Medical, Inc.
$54
Fidia Pharma USA Inc.
$41
Vertos Medical, Inc.
$25
Cumberland Pharmaceuticals, Inc.
$17
Ferring Pharmaceuticals Inc.
$17
Amgen Inc.
$16
Top 3 companies account for 68.3% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$7,121
SeaPearl Inc
$1,219
DePuy Synthes Sales Inc.
$735
Amgen Inc.
$675
Stryker Corporation
$642
Horizon Therapeutics plc
$627
Radius Health, Inc.
$382
Orthofix Medical, Inc.
$291
SeaPearl East, Inc
$272
FIDIA PHARMA USA INC.
$209
Zimmer Biomet Holdings, Inc.
$192
Fidia Pharma USA Inc.
$176
Flexion Therapeutics, Inc.
$123
Horizon Pharma plc
$122
Vertos Medical, Inc.
$121
Vertiflex, Inc.
$115
PFIZER INC.
$100
Paragon 28, Inc.
$98
Nalu Medical, Inc.
$95
Smith+Nephew, Inc.
$90
Pacira Therapeutics, Inc.
$88
Spine Wave, Inc.
$80
AXOGEN
$74
Globus Medical, Inc.
$73
DJO, LLC
$71
GE HealthCare
$67
SANOFI-AVENTIS U.S. LLC
$65
Ferring Pharmaceuticals Inc.
$62
Medacta USA, Inc.
$62
Zyla Life Sciences
$57
Avanos Medical
$56
Heron Therapeutics, Inc.
$51
Heraeus Medical, LLC.
$50
Arthrosurface Incorporated
$50
Ultragenyx Pharmaceutical Inc.
$48
Zyla Life Sciences, Inc.
$43
HERAEUS MEDICAL, LLC.
$39
OssDsign Incorporated
$35
Kowa Pharmaceuticals America, Inc.
$28
ConvaTec Inc.
$26
Ethicon Inc.
$26
BOSTON SCIENTIFIC CORPORATION
$24
Invuity, Inc.
$22
Integra LifeSciences Corporation
$22
Alvogen Inc
$19
AstraZeneca Pharmaceuticals LP
$18
Cumberland Pharmaceuticals, Inc.
$17
KCI USA, Inc.
$16
Sanara MedTech Inc.
$15
Lilly USA, LLC
$15
SI-BONE, Inc.
$15
Alexion Pharmaceuticals, Inc.
$14
Orthogenrx Inc.
$14
ERMI Inc.
$13
SOBI, INC
$11
Smith & Nephew, Inc.
$11
Sonex Health, Inc.
$7
Top 3 companies account for 61.3% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACTICOAT · ANCHORAGE · ANTHEM · AVELLE · Allevyn · Ankle Fracture System · Ankle Fx · Ankle fracture plates · AxoGuard Nerve Connector · Biomet SpinalPak · CALDOLOR · CMF · CMF OL1000 · CellerateRx · Connected Health-MyMobility · Crysvita · Cryvista · DUEXIS · ELIQUIS · EUFLEXXA · EVENITY · EVICEL · FLECTOR PATCH · FORTEO · GenVisc 850 · HYALGAN · HYMOVIS · HemiCAP Shoulder · Hymovis · INFINITY · KINERET · KRYSTEXXA · MAKO · MONOVISC · MyKnee · NO_PRODUCT · Nalu Neurostimulation System · ON-Q PUMP AND ACCESSORIES · ORTHOVISC · PALACOS · PEAK · PENNSAID · PICO Single Use Negative Pressure Wound Therapy · PICO7 · PREVENA · Photonblade · Physio-Stim · Prolia · RAYOS · REGENETEN Shoulder · REYVOW · SALTO TALARIS TOTAL ANKLE PROSTHESIS · SEGLENTIS · SPECTRA WAVEWRITER · SPRIX · SYNVISC-ONE · Spinal Implants · Spinal-Stim · Strensiq · Superion ISS · T2 · TERIPARATIDE · TRAUMA · TRIVISC SODIUM HYALURONATE · TRUESPAN · Trinity Elite · Tymlos · ULTRAGUIDECTR · VIMOVO · Zilretta · Zynrelef · iFuse Implant · mild Device Kit · mymobility Platform
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
747
County median income
$123,715
Nearest hospital to ZIP centroid (approximate)
RAMAPO RIDGE BEHAVIORAL HEALTH HOSPITAL
2.0 mi
2.0 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. Kayal is a mixed practice specialist, with above-average Medicare volume (top 1% in NJ), 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. Kayal experienced with romosozumab injection (evenity) for osteoporosis?
Based on Medicare claims data, Dr. Kayal performed 10,292 romosozumab injection (evenity) for osteoporosis 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. Kayal receive payments from pharmaceutical companies?
Yes. Dr. Kayal received a total of $14,810 from 57 companies across 285 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. Kayal's costs compare to other orthopedic surgeons in Franklin Lakes?
Dr. Kayal's average Medicare payment per service is $22. 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. Kayal) 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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