Medicare Enrolled

Dr. Matthew Hepinstall, M.D.

Orthopedic Surgery · New York, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
130 E 77TH ST FL 11, New York, NY 10075
2124346880
In practice since 2008 (18 years)
NPI: 1164686002 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. Hepinstall 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. Hepinstall

Dr. Matthew Hepinstall is an orthopedic surgery specialist in New York, NY, with 18 years of NPI registration. Based on federal Medicare data, Dr. Hepinstall performed 1,247 Medicare services across 1,158 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hepinstall received a total of $348,445 from 16 pharmaceutical and/or device companies across 344 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Hepinstall 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 37% volume in NY $348,445 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,247
Medicare services
Top 37% in NY for orthopedic surgery
1,158
Unique beneficiaries
$236
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~69 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 (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.
280 $111 $550
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.
123 $138 $997
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.
100 $74 $375
Total knee replacement 88 $1,218 $16,365
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
83 $148 $745
Computer-assisted surgery for muscle and bone procedure
A surgical procedure involving muscles or bones that utilizes computer technology to assist with planning or execution.
80 $139 $1,785
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
79 $66 $1,092
Negative pressure wound therapy, 50 sq cm or less
A therapy using a special bandage, vacuum pump, and disposable equipment to treat a wound surface area of 50.0 square centimeters or less.
75 $21 $1,519
New patient office visit, complex (60-74 min) 52 $187 $1,065
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
51 $1,236 $16,370
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
50 $8 $21
Computer-assisted surgical navigation
Use of computer technology and fluoroscopic imaging to guide orthopedic surgical procedures with precision.
46 $150 $2,562
Musculoskeletal surgical navigation with imaging guidance
A surgical procedure that uses imaging technology to guide orthopedic operations on the musculoskeletal system.
37 $150 $3,426
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.
31 $86 $560
Hyaluronan gel injection for joint
An injection of hyaluronan gel into a joint to supplement joint fluid. This procedure is administered as a single dose.
31 $406 $2,220
Injection, methylprednisolone acetate, 40 mg 25 $6 $30
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.
16 $53 $270
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.
17.6% high complexity
13.8% medium
68.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$348,445
Total received (2018-2024)
Avg $49,778/year across 7 years
Top 5% in NY for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
344
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$342,750 (98.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,695 (1.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$43,822
2023
$49,343
2022
$24,583
2021
$35,818
2020
$22,615
2019
$99,882
2018
$72,382

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$42,278
Globus Medical, Inc.
$726
EXACTECH, INC.
$262
MEDACTA USA, INC.
$172
Davol Inc.
$151
DePuy Synthes Sales Inc.
$143
Smith+Nephew, Inc.
$90
Top 3 companies account for 98.7% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$307,628
EXACTECH, INC.
$24,311
KCI USA, Inc
$10,665
Exactech, Inc.
$2,548
Smith+Nephew, Inc.
$900
Globus Medical, Inc.
$726
Zimmer Biomet Holdings, Inc.
$312
Davol Inc.
$306
DePuy Synthes Sales Inc.
$183
Medtronic USA, Inc.
$178
MEDACTA USA, INC.
$172
OrthoSensor Inc.
$131
Smith & Nephew, Inc.
$130
Conformis, Inc.
$118
Pacira Therapeutics, Inc.
$96
Medical Device Business Services, Inc.
$42
Top 3 companies account for 98.3% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACTIS · ALTEON · AQUAMANTYS · ARISTA AH FlexiTip · ATTUNE · CORI · Equinoxe · Excelsius3D Imaging System · GMK Sphere Revision System · Journey II BCS · Legion · MAKO · MOTIONSENSE DIGITAL GONIOMETER · MOTO Partial Knee System · NA · NAVIO · NEW PRODUCT DEVELOPMENT · NOVATION HIP · Novation · PELVIS II · PERFORMANCE SOLUTIONS · PREVENA · Proven Gen-Flex PS Knee System · REAL INTELLIGENCE · REUNION · ROSA · ROSA-Knee · STAR · Smith & Nephew Insufflator 500 · T-Fix · T2 ALPHA · TRIATHLON · TRULIANT · Verasense · Zilretta · iTotal CR
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 →

The majority of payments (98%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 5% for orthopedic surgery in NY.

Looking for an orthopedic surgery specialist in New York?
Compare orthopedic surgeons in the New York area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons within 10 mi
987
Per 100K population
60.6
County median income
$104,553
Nearest hospital
LENOX HILL HOSPITAL
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. Hepinstall is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 5% of NY peers, 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. Hepinstall experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hepinstall performed 280 office visit, established patient (30-39 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. Hepinstall receive payments from pharmaceutical companies?
Yes. Dr. Hepinstall received a total of $348,445 from 16 companies across 344 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. Hepinstall's costs compare to other orthopedic surgeons in New York?
Dr. Hepinstall's average Medicare payment per service is $236. 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. Hepinstall) 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 →