Medicare Enrolled
Dr. Robert Coale, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · Middleburg Heights, OH
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Coale 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. Coale
Dr. Robert Coale is a sports medicine physician in Middleburg Heights, OH, with 19 years of NPI registration. Based on federal Medicare data, Dr. Coale performed 30,424 Medicare services across 2,256 unique beneficiaries.
Between the years covered by Open Payments, Dr. Coale received a total of $3,897 from 16 pharmaceutical and/or device companies across 78 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. Coale 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 1% volume in OH
$3,897 industry payments
Medicare Practice Summary
Medicare Utilization ↗30,424
Medicare services
Top 1% in OH for sports medicine (orthopaedic surgery) physician
2,256
Unique beneficiaries
$7
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,601 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. |
24,360 | $1 | $3 |
| Hyaluronan joint injection, 1 mg An injection of hyaluronan or a derivative into a joint space to supplement joint fluid. |
1,620 | $14 | $40 |
| Hymovis intra-articular injection An injection of Hymovis, a hyaluronan derivative, administered directly into a joint space. |
1,056 | $14 | $50 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
916 | $5 | $20 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
632 | $51 | $123 |
| 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. |
287 | $24 | $57 |
| 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. |
285 | $24 | $58 |
| 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. |
268 | $83 | $213 |
| 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. |
212 | $72 | $211 |
| 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. |
181 | $59 | $144 |
| X-ray of both knees, standing An X-ray image of both knees taken while the patient is standing to assess bone alignment and joint space under weight-bearing conditions. |
126 | $28 | $68 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
65 | $129 | $402 |
| X-ray of hand, 2 views An X-ray imaging test of the hand using two different angles to visualize the bones and joints. |
56 | $22 | $51 |
| Wrist X-ray, 2 views An X-ray imaging test of the wrist using two different angles to visualize the bones and joints. |
50 | $24 | $55 |
| 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. |
35 | $20 | $60 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
33 | $30 | $94 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
23 | $40 | $104 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
22 | $39 | $104 |
| X-ray of ankle, 2 views An X-ray imaging test of the ankle using two different angles to visualize the bones and joints. |
22 | $21 | $64 |
| Elbow X-ray, 2 views An X-ray imaging test of the elbow joint using two different angles to visualize the bones and surrounding structures. |
19 | $21 | $52 |
| X-ray of finger, minimum of 2 views An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures. |
18 | $28 | $60 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
17 | $40 | $99 |
| Anchoring of biceps tendon | 17 | $292 | $1,482 |
| Total shoulder joint prosthetic repair Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function. |
16 | $1,129 | $2,921 |
| Total knee replacement | 16 | $1,006 | $2,721 |
| Hand nerve release or relocation A surgical procedure to release or reposition a nerve in the hand. |
14 | $329 | $846 |
| Adult fiberglass gauntlet cast Application of a fiberglass cast covering the lower forearm and hand for patients aged 11 and older. |
13 | $16 | $25 |
| Orthopedic device training, 15 minutes Training on how to use an orthopedic device for the arm, leg, or trunk. The session lasts for 15 minutes. |
12 | $37 | $74 |
| Closed treatment of broken top of upper arm bone Non-surgical setting of a fracture at the upper end of the humerus. The bone is realigned without an incision. |
11 | $244 | $632 |
| Closed treatment of broken forearm bone at wrist without manipulation This procedure involves setting a broken forearm bone near the wrist without moving the bone fragments out of place. It is performed without manipulation to align the fracture. |
11 | $258 | $633 |
| X-ray of foot, 2 views An X-ray imaging test of the foot using two different angles to create pictures of the bones and joints. |
11 | $20 | $54 |
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.
0.1% high complexity
94.2% medium
5.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$3,897
Total received (2018-2024)
Avg $557/year across 7 years
Bottom 35% in OH for sports medicine (orthopaedic surgery) physician
16
Companies
78
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
$2,438 (62.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,459 (37.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,384
2023
$150
2022
$116
2021
$321
2020
$1,619
2019
$147
2018
$159
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Shoulder Innovations, Inc.
$1,384
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
ROCK MEDICAL ORTHOPEDICS, INC.
$1,459
Shoulder Innovations, Inc.
$1,384
Horizon Therapeutics plc
$486
Zimmer Biomet Holdings, Inc.
$115
Ferring Pharmaceuticals Inc.
$60
Horizon Pharma plc
$58
Bioventus LLC
$57
Stryker Corporation
$56
Medline Industries, Inc.
$39
DePuy Synthes Sales Inc.
$38
Rock Medical Orthopedics, Inc.
$35
Ethicon US, LLC
$34
Medical Device Business Services, Inc.
$23
Smith+Nephew, Inc.
$22
ORGANOGENESIS INC.
$20
Arthrosurface Incorporated
$11
Top 3 companies account for 85.4% of all-time payments
Associated products mentioned in payments ›
ANTHOLOGY · DERMABOND Portfolio · DUEXIS · DYNACORD · Durolane · EUFLEXXA · GELSYN-3 · HemiCAP Shoulder · InSet System · KRYSTEXXA · MAKO · NO_PRODUCT · ORTHOVISC · PENNSAID · Puraply · ROSA · STRATAFIX · T2
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 (63%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Sports medicine physicians within 10 mi
12
Per 100K population
1.0
County median income
$62,823
Nearest hospital
SOUTHWEST GENERAL HEALTH CENTER
0.0 mi
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. Coale is a mixed practice specialist, with above-average Medicare volume (top 1% in OH), 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. Coale experienced with joint lubricant injection (gel-syn)?
Based on Medicare claims data, Dr. Coale performed 24,360 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. Coale receive payments from pharmaceutical companies?
Yes. Dr. Coale received a total of $3,897 from 16 companies across 78 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. Coale's costs compare to other sports medicine physicians in Middleburg Heights?
Dr. Coale's average Medicare payment per service is $7. 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. Coale) 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 →
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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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