https://doctransparency.com/doctor/tx/waco/john-ackley-1811261985
Medicare Enrolled

Dr. John Ackley, D.O.

Orthopedic Surgery · Waco, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
140 HILLCREST MEDICAL BLVD STE 2, Waco, TX 76712
2547411400
In practice since 2012 (14 years)
NPI: 1811261985 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. Ackley 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. Ackley? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ackley

Dr. John Ackley is an orthopedic surgery in Waco, TX, with 14 years in practice. Based on federal Medicare data, Dr. Ackley performed 1,582 Medicare services across 1,135 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ackley received a total of $40,703 from 16 pharmaceutical and/or device companies across 102 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. Ackley 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.

✓ 14 years in practice▲ Top 40% volume in TX$ $40,703 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,582
Medicare services
Top 40% in TX for orthopedic surgery
1,135
Unique beneficiaries
$138
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~113 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
Office visit, established patient (20-29 min)292$63$125
X-ray of lower and sacral spine, 2-3 views213$28$112
X-ray of lower and sacral spine, minimum of 4 views182$36$164
New patient office visit (45-59 min)99$117$275
Fusion of additional segment of spine98$292$1,158
X-ray of entire middle and lower spine, 2-3 views90$50$354
Office visit, established patient (30-39 min)71$89$175
Insertion of cage or mesh device to spine bone and disc space during spine fusion70$188$1,183
X-ray of upper spine, 4-5 views63$34$157
Dexamethasone injection (steroid)56$0$2
X-ray of upper spine, 2-3 views53$27$124
Fusion of lower spine bone through abdomen with partial removal of disc41$716$3,870
Placement of stabilizing device to front, 2-3 spine bone segments36$543$1,779
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment35$159$525
Hospital discharge day management, 30 minutes or less32$62$135
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes31$63$175
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment27$573$2,765
Fusion of spine in lower back26$1,131$3,980
Fusion of spine bones through front of body with partial removal of disc, each additional disc22$244$809
Computer-assisted spinal procedure18$173$675
Joint injection, major joint14$56$209
Placement of stabilizing device to back, 3-6 spine bone segments13$570$1,930
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.
16.2% high complexity
4.4% medium
79.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$40,703
Total received (2018-2024)
Avg $5,815/year across 7 years
Top 13% in TX for orthopedic surgery
16
Companies
102
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
$32,821 (80.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,182 (17.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$700 (1.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$29,761
2023
$402
2022
$662
2021
$5,691
2020
$26
2019
$1,414
2018
$2,748

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$16,283
Zavation Medical Products, LLC
$12,202
Medical Device Business Services, Inc.
$4,899
Stryker Corporation
$3,428
Globus Medical, Inc.
$1,642
NuVasive, Inc.
$582
Cerapedics, Inc.
$500
DePuy Synthes Products, Inc.
$454
Amniox Medical, Inc.
$187
DePuy Synthes Sales Inc.
$136
SI-BONE, Inc.
$125
SPINAL ELEMENTS, INC.
$88
SPINEART USA INC
$64
Pylant Medical
$57
Abbott Laboratories
$39
Flexion Therapeutics, Inc.
$16
Top 3 companies account for 82.0% of total payments
Associated products mentioned in payments ›
AERO · ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY · CANOPY · CATALYFT PL EXPANDABLE INTERBODY SYSTEM · CREO MCS · ES2 · EXPEDIUM · ExcelsiusGPS Robotic Navigation System · Fenestrated · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · MITRACLIP · Medical Devices · NEOX · O-ARM · PROCLAIM · Pulse · RISE · SACRLET AC-T INSTRUMENTATION · SERRATO · Sideloading · TLIF · TRITANIUM · UNID_PASS · VIVIGEN MIS DELIVERY SYSTEM · Vivigen MIS Delivery System · VuePoint · XIA · Zilretta · iGA
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 (81%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Equivalent to $2,573 per 100 Medicare services performed
Looking for a orthopedic surgery in Waco?
Compare orthopedic surgerys in the Waco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic Surgerys within 10 mi
10
Per 100K population
3.8
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
0.0 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. Ackley is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (consulting-driven, top 13%).

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. Ackley experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Ackley performed 292 office visit, established patient (20-29 min) 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. Ackley receive payments from pharmaceutical companies?
Yes. Dr. Ackley received a total of $40,703 from 16 companies across 102 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. Ackley's costs compare to other orthopedic surgerys in Waco?
Dr. Ackley's average Medicare payment per service is $138. 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. Ackley) 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 →