Medicare Enrolled

Dr. Michael Fracchia, MD

Orthopedic Surgery · Port Jefferson, NY
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Consulting-driven
635 BELLE TERRE RD, Port Jefferson, NY 11777
6314740008
In practice since 2006 (19 years)
NPI: 1447260070 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. Fracchia 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. Fracchia

Dr. Michael Fracchia is an orthopedic surgery specialist in Port Jefferson, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Fracchia performed 38,650 Medicare services across 2,345 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fracchia received a total of $44,270 from 24 pharmaceutical and/or device companies across 152 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. Fracchia 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 0% volume in NY $44,270 industry payments

Medicare Practice Summary

Medicare Utilization ↗
38,650
Medicare services
Top 0% in NY for orthopedic surgery
2,345
Unique beneficiaries
$8
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~2,034 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
Joint lubricant injection (Gel-Syn)
An injection of hyaluronan or its derivative into a joint space to supplement joint fluid.
35,617 $1 $3
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.
609 $80 $879
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
550 $5 $23
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
414 $65 $751
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.
277 $42 $406
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.
272 $113 $1,227
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.
206 $41 $397
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.
175 $95 $1,106
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.
116 $34 $332
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.
86 $142 $1,630
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.
60 $156 $1,740
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.
51 $144 $1,311
Total knee replacement 49 $1,278 $14,132
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
38 $1,283 $13,111
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.
38 $35 $383
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.
36 $27 $324
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.
27 $108 $1,105
Hip X-ray, minimum 4 views
An X-ray imaging test of the hip joint using at least four different angles to visualize the bones and surrounding structures.
17 $55 $499
Removal of both knee cartilages using an endoscope 12 $562 $6,227
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.
0.4% high complexity
94.7% medium
4.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$44,270
Total received (2018-2024)
Avg $6,324/year across 7 years
Top 17% in NY for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
152
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
$38,747 (87.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,523 (12.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$720
2023
$586
2022
$3,326
2021
$10,175
2020
$2,017
2019
$1,413
2018
$26,032

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Zimmer Biomet Holdings, Inc.
$530
Stryker Corporation
$144
DJO, LLC
$46
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Aesculap Implant Systems, LLC
$38,559
Zimmer Biomet Holdings, Inc.
$3,278
Aesculap, Inc.
$500
DePuy Synthes Sales Inc.
$415
Smith+Nephew, Inc.
$389
Stryker Corporation
$379
Bioventus LLC
$106
NuVasive, Inc.
$99
ConvaTec Inc.
$55
Orthofix Medical, Inc.
$48
Flexion Therapeutics, Inc.
$47
DJO, LLC
$46
Wright Medical Technology, Inc.
$42
Medtronic USA, Inc.
$37
SI-BONE, Inc.
$36
Ultragenyx Pharmaceutical Inc.
$34
180 Medical, Inc.
$31
Pacira Therapeutics, Inc.
$30
ERMI Inc.
$30
Ferring Pharmaceuticals Inc.
$26
BAXTER HEALTHCARE
$25
HERAEUS MEDICAL, LLC.
$24
SANOFI-AVENTIS U.S. LLC
$19
KCI USA, Inc
$17
Top 3 companies account for 95.6% of all-time payments
Associated products mentioned in payments ›
ACTIFUSE · AQUACEL AG · AQUAMANTYS · AS COLUMBUS CR · AS VEGA SYSTEM PS · AVELLE · Avenir · CAP-FIX · CMF · COLUMBUS · COLUMBUS AS · COLUMBUS CR · COREHIP PRIMARY · Connected Health-MyMobility · Cryvista · EUFLEXXA · G7 · GELSYN-3 · Gel One · INFINITY · Journey II BCS · LENS 4K · MAKO · METHA SHORT HIP STEM · MONOVISC · N/A · Nextremity Nextra Hammertoe · O-ARM-Spine · ORTHOLOC · ORTHOPILOT · ORTHOVISC · PALACOS · PREVENA · PRO-DENSE · Persona · Physio-Stim Osteogenesis Stimulator · ROSA · ROSA-Knee · SYNVISC-ONE · TLIF · TRIATHLON · VEGA SYSTEM · VISCO-3 · XLIF · Zilretta · iFuse Implant · mymobility Platform
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 (88%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Looking for an orthopedic surgery specialist in Port Jefferson?
Compare orthopedic surgeons in the Port Jefferson area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
192
Per 100K population
12.6
County median income
$128,329
Nearest hospital
JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
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. Fracchia is a mixed practice specialist, with above-average Medicare volume (top 0% in NY), with consulting-driven industry engagement in the top 17% of NY peers, 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. Fracchia experienced with joint lubricant injection (gel-syn)?
Based on Medicare claims data, Dr. Fracchia performed 35,617 joint lubricant injection (gel-syn) 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. Fracchia receive payments from pharmaceutical companies?
Yes. Dr. Fracchia received a total of $44,270 from 24 companies across 152 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. Fracchia's costs compare to other orthopedic surgeons in Port Jefferson?
Dr. Fracchia's average Medicare payment per service is $8. 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. Fracchia) 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.

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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 →