Medicare Enrolled
Dr. Nathan Lesley, MD
Orthopedic Surgery · Fort Worth, 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. Lesley 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. Lesley
Dr. Nathan Lesley is an orthopedic surgery specialist in Fort Worth, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Lesley performed 3,839 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Lesley received a total of $113,704 from 30 pharmaceutical and/or device companies across 241 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. Lesley 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.
✓ 17 years of NPI registration
▲ Top 13% volume in TX
$113,704 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,839
Medicare services
Top 13% in TX for orthopedic surgery
Not available
Unique patients (not deduplicated)
$54
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 |
|---|---|---|---|
| Manual therapy (hands-on treatment), per 15 min | 1,178 | $17 | $67 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
881 | $21 | $67 |
| 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. |
178 | $64 | $156 |
| 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. |
176 | $42 | $95 |
| 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. |
169 | $85 | $234 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
148 | $24 | $70 |
| Evaluation for occupational therapy, typically 45 minutes | 133 | $79 | $176 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
124 | $301 | $1,458 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
100 | $5 | $12 |
| Orthopedic device training, 15 minutes Training on how to use an orthopedic device for the arm, leg, or trunk. The session lasts for 15 minutes. |
87 | $32 | $80 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
86 | $27 | $75 |
| 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. |
81 | $99 | $358 |
| Hand nerve release or relocation A surgical procedure to release or reposition a nerve in the hand. |
76 | $297 | $979 |
| 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. |
74 | $27 | $73 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
67 | $43 | $236 |
| 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. |
44 | $28 | $85 |
| Evaluation for physical therapy, typically 30 minutes | 40 | $78 | $182 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
30 | $36 | $180 |
| 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. |
30 | $31 | $72 |
| Evaluation for physical therapy, typically 20 minutes | 23 | $78 | $182 |
| Endoscopic release of wrist ligament A minimally invasive procedure using a small camera to cut and release ligaments in the wrist. |
17 | $531 | $1,950 |
| Tendon transfer to back of hand A surgical procedure where a tendon is moved to a new location on the back of the hand to restore function. |
16 | $348 | $1,963 |
| Elbow nerve release or relocation A surgical procedure to free or reposition a nerve in the elbow area. This is done to relieve pressure or irritation on the nerve. |
16 | $455 | $1,302 |
| Wrist X-ray, 2 views An X-ray imaging test of the wrist using two different angles to visualize the bones and joints. |
16 | $26 | $82 |
| Wrist to finger joint removal Surgical removal of the bones forming the joints between the wrist and the fingers. |
15 | $668 | $1,943 |
| 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. |
12 | $102 | $232 |
| 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. |
11 | $31 | $82 |
| Evaluation for occupational therapy, typically 30 minutes | 11 | $82 | $176 |
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 ↗$113,704
Total received (2018-2024)
Avg $16,243/year across 7 years
Top 7% in TX for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
241
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
$17,941
2023
$15,653
2022
$13,545
2021
$11,193
2020
$17,808
2019
$15,354
2018
$22,210
Payments by company (2024)
ACUMED LLC
$16,134
Medartis Inc.
$1,503
Pylant Medical
$154
Stryker Corporation
$81
Amgen Inc.
$70
Top 3 companies account for 99.2% of 2024 payments
All-time payments by company (2018-2024) ›
ACUMED LLC
$50,122
Arthrex, Inc.
$22,218
MicroAire Surgical Instruments LLC
$17,700
ExsoMed Corporation
$9,298
Pylant Medical
$4,637
Acumed LLC
$4,239
Medartis Inc.
$1,503
Anika Therapeutics, Inc.
$1,400
Sonex Health, Inc.
$784
Stryker Corporation
$433
Osteomed LLC
$316
AXOGEN
$187
TRICE MEDICAL, INC.
$184
Integra LifeSciences Corporation
$156
Acera Surgical, Inc.
$93
Amgen Inc.
$70
Horizon Therapeutics plc
$58
Endo Pharmaceuticals Inc.
$55
Zimmer Biomet Holdings, Inc.
$49
HydroCision, Inc.
$41
OSSIO INC
$29
Genentech USA, Inc.
$17
DePuy Synthes Sales Inc.
$17
Dynasplint Systems Inc.
$16
Pacira Pharmaceuticals Incorporated
$16
Novo Nordisk Inc
$15
Abbott Laboratories
$13
Orthofix Medical, Inc.
$13
Checkpoint Surgical, Inc
$13
Nevro Corp.
$12
Top 3 companies account for 79.2% of all-time payments
Associated products mentioned in payments ›
ACUMED · APTUS · ATLAS · Acu-Loc Wrist Plating System · Acu-Loc/Acu-Loc 2 Wrist Plating System · Acutrak Headless Compression Screw System · Acutrak/Acutrak 2 Screws - Micro · Arthrosurface Hammertoes · AxoGuard Nerve Connector · AxoGuard Nerve Protector · Biomet Orthopak · Bone Graft Harvesting System · Checkpoint Stimulators · DISTAL EXTREMITIES IMPLANTS SOFT TISSUE H&W MINI TIGHTROPES · DYNASPLINT · EVOLVE TRIAD · EXPAREL · EXT-Hand Fusion · Elbow Plating System · Forearm Rod System · Fusion · HOFFMANN · Hand Fracture System · HemiCAP Wrist · INnate Implant · KRYSTEXXA · Midshaft Forearm Plates · Mini · ORTHOLOC 3DI · Omnia · OsteoMed · Ozempic · Physio-Stim · Proclaim IPG · Quickanchor Ethibond · Restrata Wound Matrix · SMART RELEASE · SONICANCHOR · SX-ONE MICROKNIFE · Std · TENJET · TENOGLIDE · Total Wrist Fusion Plating System · VARIAX · WristMotion · XIAFLEX · Xofluza
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
Orthopedic surgeons in nearby ZIP areas
151
County median income
$81,905
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F
2.8 mi
2.8 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. Lesley is a clinical cardiology specialist, with above-average Medicare volume (top 13% in TX), with 17 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. Lesley experienced with manual therapy (hands-on treatment), per 15 min?
Based on Medicare claims data, Dr. Lesley performed 1,178 manual therapy (hands-on treatment), per 15 min 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. Lesley receive payments from pharmaceutical companies?
Yes. Dr. Lesley received a total of $113,704 from 30 companies across 241 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. Lesley's costs compare to other orthopedic surgeons in Fort Worth?
Dr. Lesley's average Medicare payment per service is $54. 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. Lesley) 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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