Medicare Enrolled

Dr. Mitchell Fagelman, M.D.

Orthopedic Surgery · Carrollton, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
4780 N JOSEY LN, Carrollton, TX 75010
9724921334
In practice since 2006 (19 years)
NPI: 1801985643 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. Fagelman 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. Fagelman

Dr. Mitchell Fagelman is an orthopedic surgery in Carrollton, TX, with 19 years in practice. Based on federal Medicare data, Dr. Fagelman performed 3,211 Medicare services across 1,661 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fagelman received a total of $1,384 from 9 pharmaceutical and/or device companies across 20 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Fagelman is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ Top 17% volume in TX$ $1,384 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,211
Medicare services
Top 17% in TX for orthopedic surgery
1,661
Unique beneficiaries
$62
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~169 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.

ProcedureVolumeAvg. paidAvg. submitted
Dexamethasone injection (steroid)1,188$0$10
Shoulder X-ray, 2+ views647$25$74
Office visit, established patient (20-29 min)356$65$200
Office visit, established patient (30-39 min)318$84$300
Joint injection, major joint251$49$239
New patient office visit (45-59 min)176$116$450
Prosthetic repair of shoulder joint, total shoulder50$1,107$7,126
X-ray of elbow, minimum of 3 views44$24$80
Removal of extensive shoulder joint tissue using an endoscope29$99$2,125
Shaving of part of shoulder bone and repair of ligament using an endoscope29$130$1,388
Anchoring of biceps tendon26$285$2,534
Repair of shoulder rotator cuff using an endoscope26$815$5,157
Partial removal of collar bone at shoulder using an endoscope22$208$3,245
Aspiration and/or injection of fluid from medium joint21$36$169
New patient office visit (30-44 min)16$75$300
Removal of deep implant from bone12$213$2,066
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 ↗
$1,384
Total received (2018-2024)
Avg $198/year across 7 years
Bottom 27% in TX for orthopedic surgery
9
Companies
20
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$833 (60.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$551 (39.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$267
2023
$62
2022
$14
2021
$70
2020
$34
2019
$14
2018
$924

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Pylant Medical
$882
Shoulder Innovations, Inc.
$175
Nuvectra Corporation
$92
DePuy Synthes Sales Inc.
$76
Pacira Pharmaceuticals Incorporated
$63
Stryker Corporation
$43
Nalu Medical, Inc.
$27
Orthofix Medical, Inc.
$14
Bioventus LLC
$13
Top 3 companies account for 82.9% of total payments
Associated products mentioned in payments ›
Algovita · Exogen Ultrasound Bone Healing System · Exparel · HEADLESS COMPRESSION SCREWS · INSPACE · InSet System · Nalu Neurostimulation System · Physio-Stim Osteogenesis Stimulator · TFN-ADVANCE
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 →

The majority of payments (60%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopedic surgery and does not inherently indicate bias, but patients may wish to be aware.

Equivalent to $43 per 100 Medicare services performed
Looking for a orthopedic surgery in Carrollton?
Compare orthopedic surgerys in the Carrollton area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic Surgerys within 10 mi
306
Per 100K population
32.4
County median income
$108,185
Nearest hospital
CARROLLTON REGIONAL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Fagelman is a clinical cardiology specialist, with above-average Medicare volume (top 17% in TX), and speaking/promotional industry engagement, with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Fagelman experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Fagelman performed 1,188 dexamethasone injection (steroid) 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. Fagelman receive payments from pharmaceutical companies?
Yes. Dr. Fagelman received a total of $1,384 from 9 companies across 20 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. Fagelman's costs compare to other orthopedic surgerys in Carrollton?
Dr. Fagelman's average Medicare payment per service is $62. 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. Fagelman) 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. The Transparency Score measures 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 →