Medicare Enrolled
Dr. Joel Zarling, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · Rockwall, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Zarling 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. Zarling
Dr. Joel Zarling is a sports medicine physician in Rockwall, TX, with 16 years of NPI registration. Based on federal Medicare data, Dr. Zarling performed 4,453 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Zarling received a total of $8,296 from 42 pharmaceutical and/or device companies across 143 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. Zarling 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.
✓ 16 years of NPI registration
▲ Top 15% volume in TX
$8,296 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,453
Medicare services
Top 15% in TX for sports medicine (orthopaedic surgery) physician
Not available
Unique patients (not deduplicated)
$25
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 |
|---|---|---|---|
| Joint lubricant injection (Durolane) An injection of hyaluronan or its derivative, specifically Durolane, administered directly into a joint space. |
1,320 | $4 | $12 |
| Joint lubricant injection (Synvisc) | 720 | $8 | $19 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
653 | $1 | $2 |
| 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. |
271 | $90 | $250 |
| 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. |
237 | $57 | $176 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
181 | $44 | $132 |
| 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. |
144 | $18 | $58 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
128 | $25 | $68 |
| Manual therapy (hands-on treatment), per 15 min | 122 | $15 | $53 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
100 | $33 | $92 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
92 | $28 | $80 |
| 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. |
86 | $110 | $326 |
| Group therapy session A therapeutic session conducted with multiple patients simultaneously. This code covers the provision of therapy services in a group setting. |
66 | $10 | $35 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
66 | $124 | $342 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
50 | $28 | $73 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
42 | $24 | $67 |
| 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. |
39 | $28 | $81 |
| Methylprednisolone acetate injection, 20 mg A 20 mg injection of methylprednisolone acetate, a corticosteroid medication. This code specifies the drug and dosage administered. |
25 | $5 | $12 |
| X-ray of lower leg, 2 views An X-ray imaging test of the lower leg using two different angles to visualize the bones and surrounding structures. |
22 | $20 | $61 |
| Surgical repair of broken thigh bone with stabilization or replacement This procedure involves surgically treating the upper part of a fractured femur by inserting a device to stabilize the bone or replacing it with a prosthetic implant. |
19 | $886 | $2,333 |
| Elbow X-ray, 2 views An X-ray imaging test of the elbow joint using two different angles to visualize the bones and surrounding structures. |
19 | $21 | $57 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
19 | $27 | $73 |
| 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. |
18 | $66 | $220 |
| 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. |
14 | $21 | $109 |
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.
0.4% high complexity
65.1% medium
34.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,296
Total received (2018-2024)
Avg $1,185/year across 7 years
Top 49% in TX for sports medicine (orthopaedic surgery) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
143
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
$578
2023
$738
2022
$2,447
2021
$616
2020
$1,525
2019
$851
2018
$1,541
Payments by company (2024)
Stryker Corporation
$304
Integrity Orthopaedics, Inc.
$99
Bioventus LLC
$64
Globus Medical, Inc.
$61
Smith+Nephew, Inc.
$37
DePuy Synthes Sales Inc.
$14
Top 3 companies account for 80.7% of 2024 payments
All-time payments by company (2018-2024) ›
Lima USA, Inc.
$1,691
Stryker Corporation
$1,482
Advanced Orthopaedic Solutions, Inc.
$1,387
Smith & Nephew, Inc.
$791
Bioventus LLC
$324
Pylant Medical
$255
Wright Medical Technology, Inc.
$244
US Implant Solutions, LLC
$243
DePuy Synthes Sales Inc.
$230
Smith+Nephew, Inc.
$220
Zimmer Biomet Holdings, Inc.
$212
MicroPort Orthopedics Inc
$105
Globus Medical, Inc.
$105
Integrity Orthopaedics, Inc.
$99
Integra LifeSciences Corporation
$82
AbbVie Inc.
$68
Heron Therapeutics, Inc.
$68
ABBVIE INC.
$64
Ethicon US, LLC
$53
Baudax Bio Inc.
$47
Pacira Pharmaceuticals Incorporated
$47
Flexion Therapeutics, Inc.
$40
Carbofix Orthopedics Inc
$36
WRIGHT MEDICAL TECHNOLOGY, INC.
$32
ERMI Inc.
$31
Heraeus Medical, LLC.
$30
Pacira Therapeutics, Inc.
$25
Kerecis Limited
$25
Cardiovascular Systems Inc.
$24
Vericel Corporation
$24
BioTissue Holdings, Inc.
$24
AstraZeneca Pharmaceuticals LP
$23
Baxter Healthcare
$22
Orthofix Medical, Inc.
$22
Avanos Medical
$22
Acumed LLC
$20
Kinex Medical Company LLC
$16
Becton, Dickinson and Company
$15
Dynasplint Systems Inc.
$14
BAXTER HEALTHCARE
$12
FIDIA PHARMA USA INC.
$12
Kowa Pharmaceuticals America, Inc.
$12
Top 3 companies account for 55.0% of all-time payments
Associated products mentioned in payments ›
3.5MM · ANJESO · AOS PRODUCTS · ARISTA AH FLEXITIP · AXSOS · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · BLUEPRINT PSI SYSTEM · Bone Anchors with Arthroscopic Delivery System · CINCHLOCK · COBRA · Continuous Passive Motion Device · DUROLANE · DVR Crosslock Plates/Screws/Pegs · Diamondback Peripheral · Durolane · Dynasplint · EBI Bone Healing System · EVOS SMALL · EXPAREL · Exogen Ultrasound Bone Healing System · Exparel · FLEXIBLE GUIDE PIN (STRYKER ACL VERSITOMIC) · FLOSEAL · Fibulink · Firstpass · GAMMA · HOFFMANN · HYDROSET · Hand Fracture System · Harvest · Hymovis · ICONIX · INSIGNIA · INSPACE · Integra · Integrity Orthopaedics · KNOTILUS ANCHOR · Kerecis Omega3 SurgiClose · Legion Revision · MACI · MAKO · MILAGRO · MONOVISC · MPO Medial Pivot Knee · NCB · NEOX · ON-Q* PUMP AND ACCESSORIES · ORTHOLOC · ORTHOVISC · PALACOS · Physio-Stim · QULIPTA · RELIGN · REUNION · Regeneten · SLINGSHOT · SMR Shoulder · SPATIAL FRAME · SPY-PHI SYSTEM · STRATAFIX · SURGICEL NU-KNIT · Santyl · Seglentis · TISSEEL · TRIATHLON · TRIDENT · TRIGEN INTERTAN · TRIGEN InterTAN · Troch Nail · UBRELVY · VISTASEAL · ZYNRELEF · Zilretta · Zynrelef
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
Sports medicine physicians in nearby ZIP areas
24
County median income
$124,917
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL
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. Zarling is a mixed practice specialist, with above-average Medicare volume (top 15% in TX), with 16 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. Zarling experienced with joint lubricant injection (durolane)?
Based on Medicare claims data, Dr. Zarling performed 1,320 joint lubricant injection (durolane) 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. Zarling receive payments from pharmaceutical companies?
Yes. Dr. Zarling received a total of $8,296 from 42 companies across 143 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. Zarling's costs compare to other sports medicine physicians in Rockwall?
Dr. Zarling's average Medicare payment per service is $25. 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. Zarling) 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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