Medicare Enrolled

Dr. Timothy Costales, MD

Adult Reconstructive Orthopaedic Surgery Physician · Philadelphia, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
3737 MARKET ST, Philadelphia, PA 19104
2407534797
In practice since 2016 (10 years)
NPI: 1497118756 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. Costales 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. Costales

Dr. Timothy Costales is an adult reconstructive orthopaedic surgery physician in Philadelphia, PA, with 10 years of NPI registration. Based on federal Medicare data, Dr. Costales performed 93 Medicare services across 73 unique beneficiaries.

Between the years covered by Open Payments, Dr. Costales received a total of $9,473 from 9 pharmaceutical and/or device companies across 99 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive 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. Costales 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.

✓ 10 years in practice ▲ 93 Medicare services $9,473 industry payments

Medicare Practice Summary

Medicare Utilization ↗
93
Medicare services
Bottom 5% in PA for adult reconstructive orthopaedic surgery physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
73
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~9 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
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.
32 $24 $32
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
26 $35 $142
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.
22 $77 $167
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.
13 $141 $499
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$9,473
Total received (2021-2024)
Avg $2,368/year across 4 years
Top 46% in PA for adult reconstructive orthopaedic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
9
Companies
99
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
$9,473 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,836
2023
$1,720
2022
$4,584
2021
$333

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$2,218
DePuy Synthes Sales Inc.
$146
Zimmer Biomet Holdings, Inc.
$139
HERAEUS MEDICAL, LLC.
$123
Globus Medical, Inc.
$109
Peter Brasseler Holdings, LLC
$102
Top 3 companies account for 88.2% of 2024 payments
All-time payments by company (2021-2024) ›
Stryker Corporation
$7,497
Smith+Nephew, Inc.
$744
Zimmer Biomet Holdings, Inc.
$512
ORTHALIGN INC
$169
DePuy Synthes Sales Inc.
$146
HERAEUS MEDICAL, LLC.
$123
Globus Medical, Inc.
$109
Peter Brasseler Holdings, LLC
$102
Medical Device Business Services, Inc.
$72
Top 3 companies account for 92.4% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACTIS · CONDUIT · EVOS · INSIGNIA · JOURNEY II · MAKO · OR3O Dual Mobility · ORTHALIGN PLUS · PALACOS · Persona · REAL INTELLIGENCE · RESTORATION · ROSA · SALVATION · T2 ALPHA · TRIATHLON · TRIDENT · Troch Nail
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an adult reconstructive orthopaedic surgery physician in Philadelphia?
Compare adult reconstructive orthopaedic surgery physicians in the Philadelphia area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Adult reconstructive orthopaedic surgery physicians within 10 mi
29
Per 100K population
1.8
County median income
$60,698
Nearest hospital
PHILADELPHIA VA MEDICAL CENTER
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. Costales is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Costales experienced with office visit, established patient (10-19 min)?
Based on Medicare claims data, Dr. Costales performed 32 office visit, established patient (10-19 min) 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. Costales receive payments from pharmaceutical companies?
Yes. Dr. Costales received a total of $9,473 from 9 companies across 99 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. Costales's costs compare to other adult reconstructive orthopaedic surgery physicians in Philadelphia?
Dr. Costales's average Medicare payment per service is $56. 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. Costales) 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

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 →