Dr. Nathan Lesley, MD
What this data tells you about Dr. Lesley
Dr. Nathan Lesley is an orthopedic surgery specialist in Fort Worth, TX, with 16 years of NPI registration. 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 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 |
| 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 |
| 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 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
73 | $423 | $1,456 |
| 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 |
| Hand nerve release or relocation A surgical procedure to release or reposition a nerve in the hand. |
39 | $312 | $989 |
| 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 |
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), with speaking/promotional industry engagement in the top 7% of TX peers, with 16 years of NPI registration.
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 surgeons in Fort Worth?
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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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