Medicare Enrolled
Dr. Spencer Monaco, DPM
Foot & Ankle Surgery Podiatrist · West Chester, PA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed 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. Monaco 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. Monaco
Dr. Spencer Monaco is a foot & ankle surgery podiatrist in West Chester, PA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Monaco performed 1,718 Medicare services across 1,194 unique beneficiaries.
Between the years covered by Open Payments, Dr. Monaco received a total of $249,167 from 34 pharmaceutical and/or device companies across 465 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in foot & ankle surgery podiatrist. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Monaco 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.
✓ 13 years in practice
▲ Top 41% volume in PA
$249,167 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,718
Medicare services
Top 41% in PA for foot & ankle surgery podiatrist
1,194
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~132 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 (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. |
420 | $71 | $261 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
300 | $5 | $20 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
277 | $28 | $109 |
| 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. |
251 | $84 | $330 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
160 | $30 | $116 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
66 | $41 | $178 |
| 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. |
56 | $95 | $371 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
50 | $43 | $173 |
| 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. |
31 | $138 | $500 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
26 | $45 | $182 |
| Closed treatment of broken bone in forefoot or midfoot This procedure involves realigning a broken bone in the front or middle part of the foot without making a surgical incision. |
17 | $176 | $684 |
| Big toe joint fusion with foot Surgical procedure to fuse the big toe joint to the foot. This stabilizes the joint by connecting the bones. |
16 | $471 | $2,371 |
| Removal of deep implant from bone A surgical procedure to extract a deep implant that is embedded within the bone. |
13 | $272 | $1,837 |
| Correction of toe joint deformity A surgical procedure to correct a deformity in a toe joint. This involves realigning the joint structure to restore proper function and appearance. |
12 | $188 | $1,534 |
| 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. |
12 | $47 | $172 |
| Closed treatment of broken outside lower leg bone at ankle Non-surgical setting of a fracture in the lateral lower leg bone at the ankle joint. This procedure involves realigning the broken bone without making an incision. |
11 | $272 | $958 |
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.
0.9% high complexity
25.7% medium
73.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$249,167
Total received (2018-2024)
Avg $35,595/year across 7 years
Top 2% in PA for foot & ankle surgery podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
465
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.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$106,677 (42.8%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$99,979 (40.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$26,719 (10.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$15,792 (6.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$119,194
2023
$61,253
2022
$12,751
2021
$32,985
2020
$1,478
2019
$12,507
2018
$8,998
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
VILEX LLC
$85,322
MedShape, Inc.
$24,973
Arthrex, Inc.
$3,966
International Life Sciences
$2,063
Eclipse Technology Solutions Inc.
$1,544
Trilliant Surgical LLC.
$850
Stryker Corporation
$360
Smith+Nephew, Inc.
$48
Forma Medical
$26
Ipsen Biopharmaceuticals, Inc
$23
Paratek Pharmaceuticals, Inc.
$20
Top 3 companies account for 95.9% of 2024 payments
All-time payments by company (2018-2024) ›
VILEX LLC
$117,041
MedShape, Inc.
$56,408
Arthrex, Inc.
$15,792
Medical Device Business Services, Inc.
$14,867
Synthes USA Products LLC
$9,009
Trilliant Surgical LLC.
$9,005
Wright Medical Technology, Inc.
$5,720
Liberty Surgical, Inc
$5,465
Vilex LLC
$4,690
Eclipse Technology Solutions Inc.
$2,544
ENCORE MEDICAL, LP
$2,081
International Life Sciences
$2,063
Stryker Corporation
$1,980
WRIGHT MEDICAL TECHNOLOGY, INC.
$1,804
OSSIO INC
$125
Aroa Biosurgery Incorporated
$92
Smith+Nephew, Inc.
$86
Medartis Inc.
$55
Kerecis Limited
$41
Zimmer Biomet Holdings, Inc.
$36
Forma Medical
$26
IBSA Pharma Inc.
$25
Ipsen Biopharmaceuticals, Inc
$23
Reapplix Inc.
$23
Musculoskeletal Transplant Foundation Inc.
$22
Heraeus Medical, LLC.
$21
Arthrosurface Incorporated
$20
Paratek Pharmaceuticals, Inc.
$20
DePuy Synthes Sales Inc.
$18
DJO, LLC
$18
Smith & Nephew, Inc.
$13
McKesson Patient Care Solutions Inc.
$11
Pacira Pharmaceuticals Incorporated
$11
Amarin Pharma Inc.
$11
Top 3 companies account for 75.9% of all-time payments
Associated products mentioned in payments ›
15 mm · 22mm x 20mm x 20mm · 3C Patch Kit - Box · 7 X 23MM CITRELOCK IMPLANT · AIR · ALLOMATRIX · ALPHALOK · ALPHALOK Ankle Fusion - R&D · ALPHALOK Recon - R&D · ANCHORAGE · APTUS · AUGMENT · AUGMENT INJECTABLE · Arsenal Ankle 10 Hole 1/3 Tubular Plate · Arsenal Sinus Support Plate · BIOFOAM · BIOskin · CANNULATED SCREWS · CHARLOTTE · CITREFIX · CMF OL1000 · DISTAL EXTREMITIES IMPLANTS FOREFOOT PLATES & SCREWS PLANTAR PLATE · DISTAL EXTREMITIES IMPLANTS HINDFOOT & ANKLE ANKLE FRACTURE · DISTAL EXTREMITIES IMPLANTS IB LIGAMENT AUGMENTATION OTHER · DISTAL EXTREMITIES INSTRUMENTS DEVICE SPECIFIC INSTRUMENTS PLANTAR PLATE · DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE TTC NAIL · DISTAL EXTREMITIES IMPLANTS TRAUMA ANKLE FRACTURE · DYNEX · DynaClip Bone Fixation System · DynaNail · DynaNail Helix · DynaNail Hybrid · DynaNail Mini · Dysport · EVOS · EXPAREL · FLEXBAND · FUSEFORCE · Fibula Nail · HINTERMANN · HOFFMANN · Hammertoe Correction System · INBONE · INFINITY · INVISION · Intramedullary Nails · Kerecis Omega3 Wound · LICART · Lapidus Correction Jig · MICA · Met FX · N/A · NUZYRA · ORTHOLOC · ORTHOLOC 3DI · ORTHOVISC · OptimalAkin · PALACOS · PHALINX · PRIME SERIES · PRO-DENSE · PROPHECY · PROSTEP · PROstep · Panta 2 · Quattro · RD Ankle Fx · RD MIS Distal Bunion · RD Met Fx · REDEMPTION · Right · SALVATION · SONICANCHOR · SPEED · T2 · TENSIX · Taylor Spatial Frame · VA-LCP · VA-LCP PLATES & SCREWS · VALOR · VARIAX · VIAFLOW · VITOSS · Vascepa · Washer
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 2% for foot & ankle surgery podiatrist in PA.
Geographic Context
Foot & ankle surgery podiatrists within 10 mi
175
Per 100K population
32.4
County median income
$123,041
Nearest hospital
CHESTER COUNTY HOSPITAL
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. Monaco is a clinical cardiology specialist, with moderate Medicare volume, with mixed engagement industry engagement in the top 2% of PA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Monaco experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Monaco performed 420 office visit, established patient (20-29 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. Monaco receive payments from pharmaceutical companies?
Yes. Dr. Monaco received a total of $249,167 from 34 companies across 465 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. Monaco's costs compare to other foot & ankle surgery podiatrists in West Chester?
Dr. Monaco's average Medicare payment per service is $58. 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. Monaco) 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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