Medicare Enrolled

Dr. James Lee, M.D

Sports Medicine (Orthopaedic Surgery) Physician · West Orange, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
81 NORTHFIELD AVE STE 304, West Orange, NJ 07052
9736722214
In practice since 2007 (19 years)
NPI: 1952509820 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. Lee 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. Lee

Dr. James Lee is a sports medicine physician in West Orange, NJ, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lee performed 1,020 Medicare services across 624 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lee received a total of $7,563 from 32 pharmaceutical and/or device companies across 84 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (orthopaedic 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. Lee 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.

✓ 19 years in practice ▲ 1,020 Medicare services $7,563 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,020
Medicare services
Bottom 36% in NJ for sports medicine (orthopaedic surgery) physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
624
Unique beneficiaries
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~54 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 (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.
238 $77 $480
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
187 $59 $684
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.
157 $93 $720
Injection, methylprednisolone acetate, 40 mg 129 $6 $30
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.
67 $36 $300
Viscosupplementation injection for joint
An injection of hyaluronic acid or a derivative into a joint to provide lubrication and cushioning.
50 $58 $600
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.
41 $116 $1,080
Hip X-ray, 1 view
An X-ray image of the hip joint taken from a single angle to visualize the bones and surrounding structures.
37 $30 $240
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
34 $5 $40
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.
32 $95 $720
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.
19 $33 $240
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.
15 $32 $300
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
14 $1,078 $31,800
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.
1.4% high complexity
39.2% medium
59.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$7,563
Total received (2018-2024)
Avg $1,080/year across 7 years
Top 32% in NJ for sports medicine (orthopaedic surgery) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
84
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
$6,659 (88.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$903 (11.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,477
2023
$430
2022
$327
2021
$477
2020
$58
2019
$4,176
2018
$618

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$1,041
Kerecis Limited
$280
Orthofix Medical, Inc.
$110
Bone Support Inc.
$45
Top 3 companies account for 97.0% of 2024 payments
All-time payments by company (2018-2024) ›
MEDACTA USA, INC.
$2,518
Stryker Corporation
$1,224
SeaPearl Inc
$766
DePuy Synthes Sales Inc.
$331
Kerecis Limited
$280
Horizon Therapeutics plc
$276
Medacta USA, Inc.
$258
Allergan Inc.
$245
Smith+Nephew, Inc.
$237
Rapid Medical Ltd
$189
Wright Medical Technology, Inc.
$170
Lima USA, Inc.
$150
Medical Device Business Services, Inc.
$143
Skeletal Dynamics Inc
$128
ACELL, INC.
$125
Orthofix Medical, Inc.
$110
Horizon Pharma plc
$52
Bone Support Inc.
$45
SeaPearl East, Inc
$43
Novo Nordisk Inc
$38
Kowa Pharmaceuticals America, Inc.
$31
ERMI Inc.
$28
Avanos Medical
$28
Orthogenrx Inc.
$22
Vericel Corporation
$21
Innocoll Incorporated
$20
FIDIA PHARMA USA INC.
$17
PFIZER INC.
$15
Assertio Therapeutics, Inc.
$15
Pacira Pharmaceuticals Incorporated
$14
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$12
Flexion Therapeutics, Inc.
$11
Top 3 companies account for 59.6% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · AMISTEM · ATTUNE · AVYCAZ · BLUEPRINT PSI SYSTEM · CERAMENTBONE VOID FILLER · DALVANCE · DUEXIS · ELIQUIS · Exparel · GMK SPHERE · GMK Sphere · Geminus · HYALGAN · INSPACE · Kerecis Omega3 SurgiClose · Kincise · MACI · MAKO · NO_PRODUCT · ORTHOVISC · Ozempic · PENNSAID · PICO · PRIMARY SHOULDER · REAL INTELLIGENCE · RELISTOR ORAL · Reverse Shoulder · SEGLENTIS · SMR · Seglentis · Spinal-Stim · TIGERTRIEVER 17 REVASCULARIZATION DEVICE · TRITANIUM · TRIVISC SODIUM HYALURONATE · TriVisc sodium hyaluronate · VARIAX · XARACOLL · ZIPSOR · Zilretta
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 (88%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a sports medicine physician in West Orange?
Compare sports medicine physicians in the West Orange area by procedure volume, costs, and industry payment transparency.
Browse sports medicine physicians nearby

Geographic Context

Sports medicine physicians within 10 mi
142
Per 100K population
16.6
County median income
$76,712
Nearest hospital
HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL
3.1 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. Lee is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 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. Lee experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Lee performed 238 office visit, established patient (20-29 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. Lee receive payments from pharmaceutical companies?
Yes. Dr. Lee received a total of $7,563 from 32 companies across 84 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. Lee's costs compare to other sports medicine physicians in West Orange?
Dr. Lee's average Medicare payment per service is $74. 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. Lee) 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 →