Medicare Enrolled
Dr. Stephen Tolhurst, M.D.
Orthopaedic Surgery of the Spine Physician · Flower Mound, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Tolhurst 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. Tolhurst
Dr. Stephen Tolhurst is an orthopaedic surgery of the spine physician in Flower Mound, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Tolhurst performed 1,839 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Tolhurst received a total of $1,051,198 from 33 pharmaceutical and/or device companies across 283 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. Tolhurst 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 5% volume in TX
$1,051,198 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,839
Medicare services
Top 5% in TX for orthopaedic surgery of the spine physician
Not available
Unique patients (not deduplicated)
$193
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 |
|---|---|---|---|
| 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. |
323 | $28 | $124 |
| 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. |
295 | $64 | $139 |
| 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. |
164 | $92 | $206 |
| 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. |
162 | $118 | $320 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
129 | $189 | $826 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
118 | $28 | $119 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
95 | $273 | $1,228 |
| 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. |
87 | $108 | $321 |
| Fusion of spine in lower back | 68 | $1,123 | $4,880 |
| Spinal stabilization device placement, 2-3 segments Surgical placement of a device to stabilize the front of two to three spinal segments. |
55 | $535 | $2,311 |
| Anterior lumbar interbody fusion with partial disc removal A surgical procedure to fuse the lower spine bones by accessing the area through the abdomen and partially removing a spinal disc. |
53 | $550 | $4,710 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
49 | $157 | $666 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
42 | $559 | $2,449 |
| Aspiration of bone marrow for spine bone graft | 38 | $53 | $212 |
| Spinal fusion exploration A surgical procedure to examine the site of a previous spinal fusion. The surgeon inspects the area to assess the status of the fusion and surrounding structures. |
34 | $315 | $2,457 |
| Anterior spinal fusion with partial disc removal, each additional disc This procedure involves fusing spine bones together through an incision in the front of the body, with partial removal of the disc, for each additional disc treated. |
28 | $206 | $1,055 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
27 | $567 | $2,392 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
21 | $539 | $3,698 |
| 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. |
19 | $43 | $84 |
| 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. |
18 | $37 | $161 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
14 | $1,237 | $5,330 |
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.
22.9% high complexity
5.7% medium
71.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,051,198
Total received (2018-2024)
Avg $150,171/year across 7 years
Top 2% in TX for orthopaedic surgery of the spine physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
283
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
$202,852
2023
$149,291
2022
$147,518
2021
$54,502
2020
$103,088
2019
$202,138
2018
$191,809
Payments by company (2024)
Curiteva, Inc.
$71,986
MEDACTA USA, INC.
$51,268
Innovasis Inc
$46,188
Alphatec Spine, Inc
$23,532
Clariance, Inc.
$6,767
OsteoCentric Technologies, Inc.
$1,460
Clariance SAS
$1,000
DeGen Medical, Inc.
$261
Globus Medical, Inc.
$181
Spinevision SAS
$95
Medtronic, Inc.
$69
Stryker Corporation
$44
Top 3 companies account for 83.5% of 2024 payments
All-time payments by company (2018-2024) ›
Innovasis Inc
$528,963
Curiteva, Inc.
$248,072
MEDACTA USA, INC.
$95,160
Alphatec Spine, Inc
$58,825
Clariance, Inc.
$36,093
Medacta USA, Inc.
$28,021
Choice Spine, LLC
$17,435
Silony Medical Corp.
$9,731
Clariance SAS
$8,662
K2M, Inc.
$6,358
Stryker Corporation
$5,807
Bacterin International Inc
$2,500
Integrity Implants Inc.
$2,043
OsteoCentric Technologies, Inc.
$1,460
NuVasive, Inc.
$358
DeGen Medical, Inc.
$261
Globus Medical, Inc.
$181
Carlsmed, Inc.
$163
SPINAL ELEMENTS, INC.
$155
Kuros Biosciences USA, Inc
$144
4WEB, INC.
$136
Osseus Fusion Systems, LLC
$131
Zimmer Biomet Holdings, Inc.
$126
Spinevision SAS
$95
Nanovis LLC
$80
Medtronic, Inc.
$69
DePuy Synthes Sales Inc.
$43
Medtronic USA, Inc.
$30
DJO, LLC
$27
Lilly USA, LLC
$21
SI-BONE, Inc.
$19
Horizon Pharma plc
$18
PARADIGM SPINE, LLC
$10
Top 3 companies account for 83.0% of all-time payments
Associated products mentioned in payments ›
ACP · ASCENDANT · Ascendant · BUTTRESS PLATE · BUTTRESSPLATE · Battalion PLIF - PS · Biologics · Blackhawk · CASCADIA INTERBODY SYSTEM · CASCADIA LATERAL 3D · CAYMAN · CAYMAN PLATE SYSTEM · CMF SPINALOGIC · EBI Bone Healing System · Erisma-LP · FORTEO · General K2M Product Discussion · INTELLIS · IVS - IVAS · IdentiTi · Idys-ALIF · Idys-LLIF 3DTi · Invictus MIS · KYPHON Balloon Kyphoplasty · LIF · LLIF · LLIF PLATE · LXHA · LessRay · MECTALIF · MIDAS REX · MUST · MUST MINI Set Screw · MYSPINE · NIAGARA LATERAL ACCESS SYSTEM · NONE · OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST · Other - Miscellaneous · PCM · PISI · PRODIGY PEDICLE SCREW SYSTEM · PSX · Quadra · Quadra C Femoral Stems · RAVINE · SPINE TRUSS SYSTEM · STEALTHSTATION S8 PLATFORM · TRITANIUM · VIMOVO · VITOSS · Verticale WINX · ViviGen · XLIF · aprevo · coflex
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
Orthopaedic surgery of the spine physicians in nearby ZIP areas
53
County median income
$108,185
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND
0.0 mi
0.0 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. Tolhurst is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX), 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. Tolhurst experienced with x-ray of lower and sacral spine, 2-3 views?
Based on Medicare claims data, Dr. Tolhurst performed 323 x-ray of lower and sacral spine, 2-3 views 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. Tolhurst receive payments from pharmaceutical companies?
Yes. Dr. Tolhurst received a total of $1,051,198 from 33 companies across 283 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. Tolhurst's costs compare to other orthopaedic surgery of the spine physicians in Flower Mound?
Dr. Tolhurst's average Medicare payment per service is $193. 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. Tolhurst) 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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