Dr. Nathan Lesley, MD
What this data tells you about Dr. Lesley
Dr. Nathan Lesley is an orthopedic surgery in Fort Worth, TX, with 16 years in practice. Based on federal Medicare data, Dr. Lesley performed 3,751 Medicare services across 1,665 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lesley received a total of $113,704 from 30 pharmaceutical and/or device companies across 241 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. Lesley 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.
Medicare Practice Summary
Medicare Utilization ↗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 | 881 | $21 | $67 |
| Office visit, established patient (20-29 min) | 178 | $64 | $156 |
| Office visit, established patient (10-19 min) | 176 | $42 | $95 |
| New patient office visit (30-44 min) | 169 | $85 | $234 |
| Neuromuscular re-education therapy, per 15 min | 148 | $24 | $70 |
| Evaluation for occupational therapy, typically 45 minutes | 133 | $79 | $176 |
| Betamethasone steroid injection | 100 | $5 | $12 |
| Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes | 87 | $32 | $80 |
| Functional activity therapy | 86 | $27 | $75 |
| New patient office visit (45-59 min) | 81 | $99 | $358 |
| X-ray of hand, minimum of 3 views | 74 | $27 | $73 |
| Incision of tendon covering of finger | 73 | $423 | $1,456 |
| Injection into tendon or ligament | 67 | $43 | $236 |
| X-ray of wrist, minimum of 3 views | 44 | $28 | $85 |
| Evaluation for physical therapy, typically 30 minutes | 40 | $78 | $182 |
| Release and/or relocation of hand nerve | 39 | $312 | $989 |
| Aspiration and/or injection of fluid from small joint | 30 | $36 | $180 |
| X-ray of finger, minimum of 2 views | 30 | $31 | $72 |
| Evaluation for physical therapy, typically 20 minutes | 23 | $78 | $182 |
| Release of wrist ligament using an endoscope | 17 | $531 | $1,950 |
| Transfer of tendon to back of hand | 16 | $348 | $1,963 |
| Release and/or relocation of elbow nerve | 16 | $455 | $1,302 |
| X-ray of wrist, 2 views | 16 | $26 | $82 |
| Removal of bone joints between wrist and fingers | 15 | $668 | $1,943 |
| Office visit, established patient (30-39 min) | 12 | $102 | $232 |
| Limited ultrasound scan of joint or other extremity structure except blood vessels | 11 | $31 | $82 |
| Evaluation for occupational therapy, typically 30 minutes | 11 | $82 | $176 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (71%) 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. Total industry engagement is in the top 7% for orthopedic surgery in TX.
Geographic Context
2.8 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Lesley is a clinical cardiology specialist, with above-average Medicare volume (top 14% in TX), and high industry engagement (speaking/promotional, top 7%), with 16 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. Lesley experienced with manual therapy (hands-on treatment), per 15 min?
Does Dr. Lesley receive payments from pharmaceutical companies?
How do Dr. Lesley's costs compare to other orthopedic surgerys in Fort Worth?
What does Data Coverage mean?
Is this data up to date?
Explore related providers
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.
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