Medicare Enrolled
Dr. Marc Effron, M.D.
Physical Medicine & Rehabilitation · King Of Prussia, PA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Effron 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. Effron?
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What this data tells you about Dr. Effron
Dr. Marc Effron is a physical medicine & rehabilitation specialist in King Of Prussia, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Effron performed 15,557 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Effron received a total of $1,556 from 20 pharmaceutical and/or device companies across 64 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. Effron 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 of NPI registration
▲ Top 3% volume in PA
$1,556 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗15,557
Medicare services
Top 3% in PA for physical medicine & rehabilitation
Not available
Unique patients (not deduplicated)
$16
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 |
|---|---|---|---|
| Joint lubricant injection (Gel-Syn) An injection of hyaluronan or its derivative into a joint space to supplement joint fluid. |
8,067 | $1 | $4 |
| Rimabotulinumtoxinb injection, 100 units An injection of rimabotulinumtoxinb administered in a dose of 100 units. |
3,300 | $10 | $20 |
| 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. |
923 | $72 | $133 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
714 | $20 | $60 |
| 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. |
413 | $9 | $75 |
| Manual therapy (hands-on treatment), per 15 min | 338 | $18 | $50 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
305 | $22 | $50 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
274 | $31 | $65 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
245 | $106 | $526 |
| 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. |
139 | $88 | $279 |
| 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. |
127 | $99 | $170 |
| 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. |
103 | $93 | $590 |
| 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. |
98 | $52 | $438 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
68 | $60 | $285 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
62 | $63 | $421 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
61 | $205 | $811 |
| Chemical nerve block for neck muscles Injection of a chemical agent to paralyze specific muscles on the side of the neck, excluding the voice box. |
41 | $152 | $429 |
| Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 41 | $66 | $100 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
39 | $41 | $156 |
| Self-care/home management training, per 15 min Instruction provided to help patients manage their own care or daily activities at home. The service is billed in 15-minute increments. |
32 | $21 | $50 |
| X-ray of sacroiliac joint, 1-2 views An X-ray imaging test of the joint connecting the lower spine to the hip bone, using one to two images. |
26 | $7 | $75 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
24 | $43 | $275 |
| Evaluation for physical therapy, typically 30 minutes | 24 | $71 | $130 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
24 | $1 | $10 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
20 | $12 | $25 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
19 | $71 | $374 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
15 | $5 | $10 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
15 | $6 | $10 |
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 ↗$1,556
Total received (2018-2024)
Avg $222/year across 7 years
Top 20% in PA for physical medicine & rehabilitation
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
64
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
$381
2023
$294
2022
$194
2021
$119
2020
$136
2019
$315
2018
$118
Payments by company (2024)
PAINTEQ LLC
$152
Abbott Laboratories
$94
Nalu Medical, Inc.
$68
Providence Medical Technology, Inc.
$60
SPR Therapeutics, Inc
$7
Top 3 companies account for 82.4% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$559
PAINTEQ LLC
$152
Vertiflex, Inc.
$119
Nalu Medical, Inc.
$89
Medtronic Vascular, Inc.
$88
Nevro Corp.
$86
AbbVie Inc.
$68
Providence Medical Technology, Inc.
$60
Vertos Medical, Inc.
$59
Relievant Medsystems, Inc.
$47
SI-BONE, Inc.
$35
SPR Therapeutics, Inc
$32
Kowa Pharmaceuticals America, Inc.
$31
DePuy Synthes Sales Inc.
$30
Arbor Pharmaceuticals, Inc.
$24
Collegium Pharmaceutical, Inc.
$18
Stimwave Technologies Incorporated
$18
Allergan, Inc.
$14
Boston Scientific Corporation
$14
ARBOR PHARMACEUTICALS, INC.
$13
Top 3 companies account for 53.4% of all-time payments
Associated products mentioned in payments ›
BOTOX · Cinch Epiducer SCS · ClosureFast · ETERNA · GENERAL PAIN MANAGEMENT · Horizant · Intracept · Lamitrode SCS Leads · MONOVISC · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OCTRODE · ORTHOVISC · Octrode SCS Leads · Omnia · PAINTEQ · PROCLAIM · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · QULIPTA · Quattrode Leads SCS Leads · SEGLENTIS · SPRINT PNS System · Seglentis · Senza · Senza Spinal Cord Stimulation System · Spinal Cord Stimulation Accessories · StimQ Peripheral Nerve StimulatorSystem · Superion ISS · Swift-Lock SCS · UBRELVY · XTAMPZA · mild Device Kit
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
Physical medicine & rehabilitations in nearby ZIP areas
348
County median income
$111,521
Nearest hospital to ZIP centroid (approximate)
VALLEY FORGE MEDICAL CENTER
3.7 mi
3.7 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. Effron is a mixed practice specialist, with above-average Medicare volume (top 3% in PA), 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. Effron experienced with joint lubricant injection (gel-syn)?
Based on Medicare claims data, Dr. Effron performed 8,067 joint lubricant injection (gel-syn) 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. Effron receive payments from pharmaceutical companies?
Yes. Dr. Effron received a total of $1,556 from 20 companies across 64 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. Effron's costs compare to other physical medicine & rehabilitations in King Of Prussia?
Dr. Effron's average Medicare payment per service is $16. 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. Effron) 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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