Medicare Enrolled
Dr. Richard Tosti, M.D.
Orthopedic Surgery · Bryn Mawr, PA
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. Tosti 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. Tosti?
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What this data tells you about Dr. Tosti
Dr. Richard Tosti is an orthopedic surgery specialist in Bryn Mawr, PA, with 16 years of NPI registration. Based on federal Medicare data, Dr. Tosti performed 1,765 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Tosti received a total of $103,724 from 36 pharmaceutical and/or device companies across 191 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. Tosti 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.
✓ 16 years of NPI registration
▲ Top 39% volume in PA
$103,724 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,765
Medicare services
Top 39% in PA for orthopedic surgery
Not available
Unique patients (not deduplicated)
$75
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 |
|---|---|---|---|
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
329 | $5 | $15 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
303 | $30 | $199 |
| 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. |
222 | $82 | $602 |
| 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. |
192 | $72 | $489 |
| 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. |
123 | $32 | $222 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
88 | $48 | $334 |
| 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. |
88 | $127 | $898 |
| 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. |
88 | $100 | $693 |
| Endoscopic release of wrist ligament A minimally invasive procedure using a small camera to cut and release ligaments in the wrist. |
48 | $418 | $2,805 |
| 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. |
48 | $32 | $205 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
32 | $207 | $3,284 |
| 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. |
32 | $28 | $188 |
| Tendon injection at attachment site A procedure involving the injection of medication into a tendon where it attaches to bone or muscle. |
31 | $43 | $312 |
| 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. |
30 | $27 | $177 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
23 | $43 | $296 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
20 | $42 | $304 |
| Removal of hand or finger muscle growth, less than 1.5 cm This procedure involves the surgical removal of a growth located in the muscle of the hand or finger that measures less than 1.5 centimeters. |
16 | $307 | $2,884 |
| 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. |
15 | $305 | $1,998 |
| Open treatment of distal radius fracture with internal fixation Surgical repair of a broken wrist bone involving three or more fragments on the thumb side, stabilized with an internal device. |
14 | $864 | $5,755 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
12 | $51 | $338 |
| Skin graft repair, 10 sq cm or less A surgical procedure to repair a wound by transferring a small piece of skin to the affected area. The graft covers wounds on the face, neck, hands, feet, or other specified body parts. |
11 | $506 | $4,113 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$103,724
Total received (2018-2024)
Avg $14,818/year across 7 years
Top 7% in PA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
191
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
$18,956
2023
$19,366
2022
$3,298
2021
$21,698
2020
$229
2019
$27,531
2018
$12,646
Payments by company (2024)
Trimed, Inc.
$15,615
Smith+Nephew, Inc.
$2,124
ACUMED LLC
$546
Paladin Technology Solutions
$153
Zimmer Biomet Holdings, Inc.
$144
AXOGEN
$143
Alafair Biosciences, Inc.
$97
Biocircuit Technologies Inc
$81
CONMED Corporation
$27
Stryker Corporation
$26
Top 3 companies account for 96.5% of 2024 payments
All-time payments by company (2018-2024) ›
Medical Device Business Services, Inc.
$24,200
AXOGEN
$22,362
Smith+Nephew, Inc.
$19,573
Trimed, Inc.
$15,615
TriMed, Inc.
$14,361
ACUMED LLC
$1,594
Liberty Surgical Inc.
$1,200
Zimmer Biomet Holdings, Inc.
$855
Stryker Corporation
$581
Integra LifeSciences Corporation
$479
Anika Therapeutics, Inc.
$340
Extremity Medical
$335
Paladin Technology Solutions
$295
Flower Orthopedics Coporation
$245
Aptis Medical, LLC
$243
Arthrosurface Incorporated
$238
Endo Pharmaceuticals Inc.
$177
TRICE MEDICAL, INC.
$167
Wright Medical Technology, Inc.
$161
DePuy Synthes Sales Inc.
$108
Alafair Biosciences, Inc.
$97
Skeletal Dynamics Inc
$82
Biocircuit Technologies Inc
$81
Novus Surgical Solutions LLC
$44
Smith & Nephew, Inc.
$38
ExsoMed Corporation
$31
Globus Medical, Inc.
$30
BAXTER HEALTHCARE
$29
Electronic Waveform Lab, Inc.
$27
CONMED Corporation
$27
Radius Health, Inc.
$22
Medartis Inc.
$21
Sonex Health, Inc.
$20
ERMI LLC
$20
Bioventus LLC
$14
Orthofix Medical, Inc.
$8
Top 3 companies account for 63.8% of all-time payments
Associated products mentioned in payments ›
A.L.P.S. · ACUMED · APTUS · ASNIS · AVANCE NERVE GRAFT · AXSOS · Acu-Loc Wrist Plating System · Acutrak Headless Compression Screw System · Alps Plates and Instruments · Anatomic Radial Head System · Aptis DRUJ · Arc Wrist Tower · Ascension · Avance Nerve Graft · AxoGuard Nerve Connector · AxoGuard Nerve Protector · BILAYER WOUND MATRIX (BWM) · C/M Elbow · CADENCE · CONEXTIONS TR TENDON REPAIR SYSTEM-IMPLANT MECHANISM · Comprehensive SRS · DVR Anatomic Kickstand · DVR Crosslock Plates/Screws/Pegs · EVOLVE · Elbow Plating System · Evos Mini · Exogen · Extremities Product Portfolio · FAST-FIX · FREEDOM WRIST · FREEDOM Wrist · Foot and Ankle · GRAFIX · GRAFIX PL · Geminus · Hand Fracture System · HemiCAP Wrist · INTEGRA MESHED BILAYER WOUND MATRIX · IO FiX · InFrame Implant · Integra · IntegraTi6 · Katalyst Bipolar Radial Head System · LCP PLATES & SCREWS · Midshaft Forearm Plating System · NA · NEURAGEN · No Related Product · Osteotomy System · Panta 2 · Physio-Stim · Proximal Humerus Strut · STRAVIX · SWANSON · SpeedSpiral · TENOGLIDE · TENOGLIDE TENDON PROTECTOR SHEET · TFCC Fast Fix · Tools - AFS · Tools - WFS · Tymlos · ULTRAGUIDECTR · VA-LCP PLATES & SCREWS · VARIAX · VISICLEAR · VersaWrap · WristMotion · Wristmotion · XIAFLEX
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
477
County median income
$88,576
Nearest hospital to ZIP centroid (approximate)
BRYN MAWR 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. Tosti is a clinical cardiology specialist, with moderate Medicare volume, with 16 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. Tosti experienced with betamethasone steroid injection?
Based on Medicare claims data, Dr. Tosti performed 329 betamethasone steroid injection 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. Tosti receive payments from pharmaceutical companies?
Yes. Dr. Tosti received a total of $103,724 from 36 companies across 191 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. Tosti's costs compare to other orthopedic surgeons in Bryn Mawr?
Dr. Tosti's average Medicare payment per service is $75. 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. Tosti) 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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