Medicare Enrolled

Dr. Robert Hartzler, M.D.

Orthopedic Surgery · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
400 CONCORD PLAZA DR, San Antonio, TX 78216
2108045630
In practice since 2008 (17 years)
NPI: 1780849372 verify on NPPES ↗
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. Hartzler 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 →
Are you Dr. Hartzler? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Hartzler

Dr. Robert Hartzler is an orthopedic surgery in San Antonio, TX, with 17 years in practice. Based on federal Medicare data, Dr. Hartzler performed 3,594 Medicare services across 1,465 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hartzler received a total of $482,008 from 13 pharmaceutical and/or device companies across 604 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Hartzler 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.

✓ 17 years in practice▲ Top 14% volume in TX$ $482,008 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,594
Medicare services
Top 14% in TX for orthopedic surgery
1,465
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~211 Medicare services per year of practice

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.

ProcedureVolumeAvg. paidAvg. submitted
Steroid injection (triamcinolone)1,918$1$25
Shoulder X-ray, 2+ views526$24$84
Office visit, established patient (20-29 min)313$61$178
Joint injection, major joint206$51$177
Office visit, established patient (30-39 min)172$87$262
Mri scan of arm joint without contrast90$109$680
New patient office visit (45-59 min)70$119$400
Prosthetic repair of shoulder joint, total shoulder55$1,108$7,189
New patient office visit (30-44 min)49$70$262
Office visit, established patient (10-19 min)43$41$106
Repair of shoulder rotator cuff using an endoscope39$821$5,205
Ct scan of arm without contrast38$75$464
Release of tendon connecting biceps muscle and shoulder using an endoscope25$344$4,488
Shaving of part of shoulder bone and repair of ligament using an endoscope23$132$1,000
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional14$18$49
Removal of extensive shoulder joint tissue using an endoscope13$236$3,039
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. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$482,008
Total received (2018-2024)
Avg $68,858/year across 7 years
Top 3% in TX for orthopedic surgery
13
Companies
604
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$353,895 (73.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$125,970 (26.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,143 (0.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$72,569
2023
$86,855
2022
$84,838
2021
$86,983
2020
$36,513
2019
$70,221
2018
$44,029

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$354,666
Arthrex, Inc.
$124,431
Medinc of Texas
$1,539
Zimmer Biomet Holdings, Inc.
$517
Embody, Inc.
$198
Linvatec Corporation
$150
Wright Medical Technology, Inc.
$125
Flexion Therapeutics, Inc.
$114
DePuy Synthes Sales Inc.
$98
Mission Medical Distribution, LLC
$86
Orthofix Medical, Inc.
$39
Medical Device Business Services, Inc.
$35
Ethicon US, LLC
$12
Top 3 companies account for 99.7% of total payments
Associated products mentioned in payments ›
1688 · 1788 · AEQUALIS · AEQUALIS PERFORM · AEQUALIS PERFORM REVERSED · ALPHAVENT · ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE REVERS · ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE UNIVERS · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · CINCHLOCK SS · COBRA · COMPREHENSIVE · CROSSFLOW · Comprehensive Anatomic · Comprehensive Primary Stem · EZOUT · Extremities Product Portfolio · FLEXIBLE GUIDE PIN (STRYKER ACL VERSITOMIC) · FORCE FIBER · HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET · HIP ENDURANCE · HIPMAP · ICONIX · INHANCE · INSPACE · LINVATEC HIP PRESERVATION SYSTEM · MAKO · NA · NANOPASS · NEW PRODUCT DEVELOPMENT · NONE · OMEGA · PERFORMANCE SOLUTIONS · PROCINCH · Physio-Stim · Physio-Stim Osteogenesis Stimulator · REUNION · SALVATION · SIMPLICITI · SLINGSHOT · STRATAFIX · STRYKER NAV3 · Spinal-Stim · TORNIER FLEX · TORNIER PERFORM ANATOMIC AUGMENTED GLENOID · TORNIER PERFORM REVERSED GLENOID · TRIDENT · TRITANIUM · Zilretta
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

The majority of payments (73%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 3% for orthopedic surgery in TX.

Equivalent to $13,411 per 100 Medicare services performed
Looking for a orthopedic surgery in San Antonio?
Compare orthopedic surgerys in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic Surgerys within 10 mi
173
Per 100K population
8.5
County median income
$70,571
Nearest hospital
BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS
3.7 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Hartzler is a clinical cardiology specialist, with above-average Medicare volume (top 14% in TX), and high industry engagement (consulting-driven, top 3%), with 17 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. Hartzler experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Hartzler performed 1,918 steroid injection (triamcinolone) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Hartzler receive payments from pharmaceutical companies?
Yes. Dr. Hartzler received a total of $482,008 from 13 companies across 604 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Hartzler's costs compare to other orthopedic surgerys in San Antonio?
Dr. Hartzler'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. Hartzler) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →