Medicare Enrolled
Dr. Louis Keppler, MD
Orthopedic Surgery · Mayfield Heights, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Keppler 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 →
Are you Dr. Keppler?
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What this data tells you about Dr. Keppler
Dr. Louis Keppler is an orthopedic surgery specialist in Mayfield Heights, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Keppler performed 2,235 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Keppler received a total of $176,891 from 45 pharmaceutical and/or device companies across 118 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. Keppler 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 21% volume in OH
$176,891 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,235
Medicare services
Top 21% in OH for orthopedic surgery
Not available
Unique patients (not deduplicated)
$82
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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
396 | $0 | $3 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
320 | $1 | $10 |
| 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. |
297 | $93 | $240 |
| 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. |
203 | $59 | $160 |
| 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. |
200 | $23 | $164 |
| 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. |
143 | $27 | $195 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
96 | $47 | $241 |
| 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. |
83 | $31 | $225 |
| 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. |
65 | $117 | $310 |
| Total knee replacement | 61 | $959 | $4,328 |
| 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. |
38 | $24 | $160 |
| 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. |
34 | $27 | $120 |
| 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 | $72 | $205 |
| Total hip replacement Surgical procedure to replace the thigh bone and hip joint with artificial components. |
29 | $992 | $3,523 |
| Injection, methylprednisolone acetate, 40 mg | 27 | $5 | $20 |
| 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. |
24 | $17 | $135 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
23 | $100 | $980 |
| 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. |
21 | $130 | $330 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
17 | $201 | $670 |
| Aspiration of bone marrow for spine bone graft | 16 | $55 | $200 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
16 | $164 | $550 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
15 | $834 | $2,800 |
| 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. |
15 | $20 | $160 |
| Viscosupplementation injection for joint An injection of hyaluronic acid or a derivative into a joint to provide lubrication and cushioning. |
15 | $59 | $260 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
13 | $36 | $240 |
| Graft of donor bone to spine | 13 | $86 | $290 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
13 | $59 | $498 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
11 | $21 | $520 |
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.
4.8% high complexity
40.4% medium
54.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$176,891
Total received (2018-2024)
Avg $25,270/year across 7 years
Top 5% in OH for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
118
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
$454
2023
$1,480
2022
$743
2021
$1,537
2020
$152,633
2019
$16,584
2018
$3,458
Payments by company (2024)
Medtronic, Inc.
$192
ABBVIE INC.
$98
E.R. Squibb & Sons, L.L.C.
$35
Otsuka America Pharmaceutical, Inc.
$26
Lundbeck LLC
$25
Abbott Laboratories
$23
SK Life Science, Inc.
$19
Biogen, Inc.
$18
Nevro Corp.
$18
Top 3 companies account for 71.4% of 2024 payments
All-time payments by company (2018-2024) ›
WishBone Medical Inc.
$148,089
MEDACTA USA, INC.
$13,714
Back 2 Basics Direct, LLC
$4,412
Arteriocyte Medical Systems, Inc.
$3,132
Innovasis Inc
$2,879
Arthrex, Inc.
$1,216
Aesculap Implant Systems, LLC
$1,161
Horizon Therapeutics plc
$462
Medacta USA, Inc.
$208
Medtronic, Inc.
$192
ABBVIE INC.
$171
Orthofix Medical, Inc.
$139
MicroPort Orthopedics Inc
$132
Amniox Medical, Inc.
$81
Avanos Medical
$73
SK Life Science, Inc.
$69
Otsuka America Pharmaceutical, Inc.
$49
Harmony Biosciences LLC
$47
Novo Nordisk Inc
$47
Xeris Pharmaceuticals, Inc.
$47
Lundbeck LLC
$45
Abbott Laboratories
$43
DePuy Synthes Sales Inc.
$38
E.R. Squibb & Sons, L.L.C.
$35
Antares Pharma, Inc.
$31
Amgen Inc.
$29
Currax Pharmaceuticals LLC
$27
Zimmer Biomet Holdings, Inc.
$25
BAXTER HEALTHCARE
$24
Smith+Nephew, Inc.
$23
FIDIA PHARMA USA INC.
$22
Hikma Pharmaceuticals USA
$21
Paratek Pharmaceuticals, Inc.
$20
Ethicon US, LLC
$20
Biogen, Inc.
$18
AbbVie Inc.
$18
Exact Sciences Corporation
$18
Nevro Corp.
$18
Trevena, Inc.
$15
Ultragenyx Pharmaceutical Inc.
$14
JAZZ PHARMACEUTICALS INC.
$14
Mallinckrodt LLC
$13
Ferring Pharmaceuticals Inc.
$13
Philips Electronics North America Corporation
$13
Horizon Pharma plc
$13
Top 3 companies account for 94.0% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · ACTIVL · AMISTEM · AMIStem · Aimovig · CAMZYOS · CONFIDENCE · CONTRAVE · Cologuard Collection Kit · DERMABOND · DUEXIS · EUFLEXXA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GMK SPHERE · GMK Sphere · GVOKE HYPOPEN · Gel One · Hymovis · INTELLIS ADAPTIVESTIM · KEVEYIS · KRYSTEXXA · Kloxxado · M6-C · MONOVISC · MPO Medial Pivot Knee · MYSPINE · Magellan · NEOX · NOCDURNA · NUZYRA · OFIRMEV · ON-Q PUMP AND ACCESSORIES · ON-Q* PUMP AND ACCESSORIES · ONZETRA XSAIL · Olinvyk · Ozempic · PENNSAID · PERI-STRIPS DRY · QULIPTA · REXULTI · SPINRAZA · SUNOSI · Senza · TRIGEN InterTAN · UBRELVY · VRAYLAR · WAKIX
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
151
County median income
$62,823
Nearest hospital to ZIP centroid (approximate)
HILLCREST HOSPITAL
0.0 mi
0.0 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. Keppler is a clinical cardiology specialist, with above-average Medicare volume (top 21% in OH), 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. Keppler experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Keppler performed 396 dexamethasone injection (steroid) 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. Keppler receive payments from pharmaceutical companies?
Yes. Dr. Keppler received a total of $176,891 from 45 companies across 118 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. Keppler's costs compare to other orthopedic surgeons in Mayfield Heights?
Dr. Keppler's average Medicare payment per service is $82. 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. Keppler) 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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