Medicare Enrolled

Dr. Jose Toro, M.D

Orthopaedic Trauma Physician · Middletown, NY
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
707 E MAIN ST, Middletown, NY 10940
8453337575
In practice since 2006 (19 years)
NPI: 1154425791 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. Toro 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. Toro

Dr. Jose Toro is an orthopaedic trauma physician in Middletown, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Toro performed 655 Medicare services across 415 unique beneficiaries.

Between the years covered by Open Payments, Dr. Toro received a total of $4,305 from 10 pharmaceutical and/or device companies across 50 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic trauma 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. Toro 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 ▲ Top 36% volume in NY $4,305 industry payments

Medicare Practice Summary

Medicare Utilization ↗
655
Medicare services
Top 36% in NY for orthopaedic trauma physician
415
Unique beneficiaries
$98
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~34 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
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.
78 $36 $70
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.
73 $29 $63
X-ray of thigh bone, minimum 2 views
An X-ray imaging test of the thigh bone using at least two different angles to visualize the bone structure.
70 $30 $56
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.
60 $28 $60
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.
45 $77 $180
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.
39 $34 $69
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
39 $1 $3
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.
35 $28 $64
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.
34 $27 $49
X-ray of upper arm, minimum of 2 views
An X-ray imaging test of the upper arm that captures at least two different views to evaluate the bones and surrounding structures.
32 $26 $49
Pelvis X-ray, 1-2 views
An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints.
29 $23 $63
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.
29 $26 $63
Surgical repair of broken thigh bone with implant
A surgical procedure to fix a fractured femur by using a bone implant to stabilize the broken bone.
28 $1,103 $2,760
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.
24 $46 $145
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.
15 $95 $275
Removal of deep implant from bone
A surgical procedure to extract a deep implant that is embedded within the bone.
14 $329 $2,764
Treatment of broken top of upper arm bone
This procedure involves the medical management of a fracture at the proximal end of the humerus. It focuses on stabilizing the bone to facilitate healing.
11 $749 $1,517
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 ↗
$4,305
Total received (2018-2024)
Avg $615/year across 7 years
Bottom 42% in NY for orthopaedic trauma physician
10
Companies
50
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
$4,305 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$466
2023
$220
2022
$235
2021
$909
2020
$949
2019
$846
2018
$680

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ILLUMINOSS MEDICAL, INC.
$172
Zimmer Biomet Holdings, Inc.
$134
Stryker Corporation
$94
Bioventus LLC
$34
Seapearl East, Inc
$31
Top 3 companies account for 86.1% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$2,476
DePuy Synthes Sales Inc.
$949
Medical Device Business Services, Inc.
$233
ILLUMINOSS MEDICAL, INC.
$172
Mallinckrodt LLC
$137
Zimmer Biomet Holdings, Inc.
$134
SI-BONE, INC.
$111
Bioventus LLC
$34
Seapearl East, Inc
$31
Smith & Nephew, Inc.
$28
Top 3 companies account for 85.0% of all-time payments
Associated products mentioned in payments ›
ADAPT · AXSOS · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · EXOGEN ULTRASOUND BONE HEALING SYSTEM · GAMMA · HOFFMANN · IFUSE IMPLANT · LCP · MAKO · MATRIXRIB · NA · OFIRMEV · PELVIS II · Photodynamic Bone Stabilization Procedure Pack · Q-FIX · T2 · TFN ADVANCED · TFN-Advance · Tapestry · VA-LCP PLATES & SCREWS · VARIAX
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

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

Geographic Context

Orthopaedic trauma physicians within 10 mi
1
Per 100K population
0.2
County median income
$96,497
Nearest hospital
GARNET HEALTH 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. Toro is a mixed practice 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. Toro experienced with hip x-ray, 2-3 views?
Based on Medicare claims data, Dr. Toro performed 78 hip x-ray, 2-3 views 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. Toro receive payments from pharmaceutical companies?
Yes. Dr. Toro received a total of $4,305 from 10 companies across 50 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. Toro's costs compare to other orthopaedic trauma physicians in Middletown?
Dr. Toro's average Medicare payment per service is $98. 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. Toro) 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 →