Medicare Enrolled

Dr. Juan Giugale, M.D.

Orthopaedic Hand Surgery Physician · Pittsburgh, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
5820 CENTRE AVE, Pittsburgh, PA 15206
4126615500
Registered in NPPES since 2012
NPI: 1073876835 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. Giugale 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. Giugale

Dr. Juan Giugale is an orthopaedic hand surgery physician in Pittsburgh, PA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Giugale performed 2,794 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Giugale received a total of $1,725 from 20 pharmaceutical and/or device companies across 44 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. Giugale 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.

✓ 14 years of NPI registration ▲ Top 22% volume in PA $1,725 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
2,794
Medicare services
Top 22% in PA for orthopaedic hand surgery physician
Not available
Unique patients (not deduplicated)
$29
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
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
1,507 $1 $3
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.
291 $86 $140
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.
163 $25 $85
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
103 $39 $139
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.
94 $60 $95
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.
90 $26 $65
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
84 $46 $155
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.
80 $30 $85
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.
70 $115 $215
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.
59 $25 $90
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
56 $51 $172
X-ray of shoulder blade
An X-ray image of the shoulder blade (scapula) to visualize its structure and check for abnormalities.
53 $17 $80
Hand nerve release or relocation
A surgical procedure to release or reposition a nerve in the hand.
29 $253 $1,350
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.
28 $23 $90
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.
27 $128 $210
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
18 $131 $930
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.
15 $70 $135
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.
14 $260 $600
Limited ultrasound of joint or extremity
A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels.
13 $28 $110
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 ↗
$1,725
Total received (2018-2024)
Avg $246/year across 7 years
Bottom 47% in PA for orthopaedic hand surgery physician
20
Companies
44
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
$204
2023
$359
2022
$237
2021
$226
2020
$68
2019
$499
2018
$133

Payments by company (2024)

Medartis Inc.
$100
Bioventus LLC
$47
Stryker Corporation
$27
Endo Pharmaceuticals Inc.
$16
Endo USA, Inc.
$13
Top 3 companies account for 85.6% of 2024 payments
All-time payments by company (2018-2024) ›
Medartis Inc.
$583
Mid-Atlantic Surgical Systems, LLC
$437
Stryker Corporation
$140
Bioventus LLC
$102
Endo Pharmaceuticals Inc.
$82
DePuy Synthes Sales Inc.
$53
Cumberland Pharmaceuticals, Inc.
$42
AXOGEN
$42
ZIMVIE INC.
$41
Checkpoint Surgical, Inc
$27
Smith+Nephew, Inc.
$24
Pacira Therapeutics, Inc.
$22
LeMaitre Vascular, Inc.
$20
ACUMED LLC
$19
Electronic Waveform Lab, Inc.
$18
Pacira Pharmaceuticals Incorporated
$17
ConvaTec Inc.
$16
Zimmer Biomet Holdings, Inc.
$15
Endo USA, Inc.
$13
Horizon Therapeutics plc
$12
Top 3 companies account for 67.2% of all-time payments
Associated products mentioned in payments ›
A.L.P.S. · ACUMED · ANASTOCLIP GC 8CM (MEDIUM) · APTUS · AQUACEL AG+ · AXSOS · Aptus · Avance Nerve Graft · AxoGuard Nerve Protector · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Biomet EBI Bone Healing System · CALDOLOR · Checkpoint Stimulators · DUROLANE · EVOS · EXOGEN ULTRASOUND BONE HEALING SYSTEM · Exogen Ultrasound Bone Healing System · Exparel · GELSYN-3 · INSPACE · KRYSTEXXA · NA · SWANSON · T2 · XIAFLEX · Zilretta
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 →
Looking for an orthopaedic hand surgery physician in Pittsburgh?
Compare orthopaedic hand surgery physicians in the Pittsburgh area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopaedic hand surgery physicians in nearby ZIP areas
13
County median income
$76,393
Nearest hospital to ZIP centroid (approximate)
WEST PENN HOSPITAL
1.8 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. Giugale is a clinical cardiology specialist, with above-average Medicare volume (top 22% in PA).

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

Frequently Asked Questions

Is Dr. Giugale experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Giugale performed 1,507 steroid injection (triamcinolone) 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. Giugale receive payments from pharmaceutical companies?
Yes. Dr. Giugale received a total of $1,725 from 20 companies across 44 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. Giugale's costs compare to other orthopaedic hand surgery physicians in Pittsburgh?
Dr. Giugale's average Medicare payment per service is $29. 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. Giugale) 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 →
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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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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →