Medicare Enrolled
Dr. Thomas Trumble, MD
Orthopedic Surgery · Bellevue, WA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed engagement
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. Trumble 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. Trumble
Dr. Thomas Trumble is an orthopedic surgery specialist in Bellevue, WA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Trumble performed 2,523 Medicare services across 1,521 unique beneficiaries.
Between the years covered by Open Payments, Dr. Trumble received a total of $878,751 from 21 pharmaceutical and/or device companies across 115 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Trumble 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.
✓ 19 years in practice
▲ Top 10% volume in WA
$878,751 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,523
Medicare services
Top 10% in WA for orthopedic surgery
1,521
Unique beneficiaries
$105
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~133 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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
518 | $5 | $21 |
| 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. |
319 | $103 | $414 |
| Complete ultrasound scan of joint An ultrasound exam that uses sound waves to create detailed images of a joint. This procedure allows for the visualization of the joint's internal structures. |
253 | $46 | $300 |
| 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. |
214 | $37 | $118 |
| 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. |
213 | $34 | $118 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
122 | $44 | $177 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
96 | $51 | $162 |
| 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. |
92 | $132 | $355 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
78 | $108 | $314 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
63 | $42 | $250 |
| Joint capsule incision or removal, hand to finger A surgical procedure to cut into or remove part of the joint capsule connecting the hand to a finger. |
47 | $381 | $2,153 |
| New patient office visit, complex (60-74 min) | 43 | $177 | $456 |
| Release of finger to forearm tendon A surgical procedure to release a tendon that extends from the finger to the forearm. |
42 | $345 | $1,781 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
34 | $155 | $500 |
| Release of hand muscle A surgical procedure to release or cut a muscle in the hand to improve movement or relieve tension. |
32 | $301 | $2,360 |
| Tendon lengthening, hand or finger A surgical procedure to lengthen a tendon on the top of the hand or finger to improve movement or reduce tension. |
31 | $300 | $1,701 |
| Tendon lengthening, palm side of finger or hand A surgical procedure to lengthen the tendons on the palm side of the finger or hand to improve movement or reduce tension. |
28 | $331 | $2,955 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
26 | $45 | $300 |
| Finger joint capsule repair Surgical repair of the joint capsule in a finger to restore stability and function. |
26 | $333 | $1,911 |
| Wrist joint reconstruction Surgical repair or reconstruction of the wrist joint to restore its structure and function. |
19 | $650 | $3,500 |
| Tendon shortening, hand or finger A surgical procedure to shorten a tendon located on the upper side of the hand or finger. |
19 | $292 | $1,460 |
| 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. |
19 | $414 | $2,105 |
| Skin graft repair, 10 sq cm or less A surgical procedure to repair a wound by transferring a small piece of skin to the affected area. The graft covers wounds on the face, neck, hands, feet, or other specified body parts. |
17 | $377 | $2,860 |
| Ultrasound-guided small joint aspiration or injection This procedure involves removing fluid from or injecting medication into a small joint while using ultrasound imaging to guide the needle placement. |
17 | $66 | $300 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
17 | $141 | $2,230 |
| Anchoring of finger flexing tendon to wrist bone A surgical procedure to secure a tendon that bends the fingers to a bone in the wrist. |
16 | $308 | $2,080 |
| Wrist to finger joint removal Surgical removal of the bones forming the joints between the wrist and the fingers. |
16 | $486 | $2,738 |
| Endoscopic release of wrist ligament A minimally invasive procedure using a small camera to cut and release ligaments in the wrist. |
16 | $331 | $2,450 |
| Wrist bone replacement, trapezium Surgical replacement of the trapezium bone in the wrist with an artificial implant. |
15 | $321 | $2,560 |
| Nerve repair using vein graft A surgical procedure to repair a damaged nerve by using a segment of a vein to bridge the gap between the nerve ends. |
14 | $757 | $2,400 |
| Removal of tendon growth, finger or hand A procedure to remove a growth from a tendon in the finger or hand. |
13 | $144 | $2,300 |
| Incision of palm tendon A surgical procedure to cut open a tendon in the palm of the hand. |
13 | $218 | $1,136 |
| Palm connective tissue removal and finger release Surgical removal of abnormal connective tissue in the palm to release tension on the first finger. |
12 | $531 | $3,120 |
| Release of finger nerve | 12 | $212 | $1,150 |
| Partial removal of finger bone at end of finger This procedure involves the surgical removal of a portion of the bone located at the tip of a finger. |
11 | $181 | $1,120 |
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.
0.6% high complexity
43.4% medium
56.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$878,751
Total received (2018-2024)
Avg $125,536/year across 7 years
Top 2% in WA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
115
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.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$841,613 (95.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$28,572 (3.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$7,816 (0.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$750 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$30,706
2023
$193,980
2022
$170,699
2021
$162,452
2020
$123,854
2019
$101,658
2018
$95,402
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Trimed, Inc.
$22,675
Arthrex, Inc.
$8,031
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$766,913
TriMed, Inc.
$75,563
Trimed, Inc.
$22,675
Summit Surgical Corp.
$6,186
Integra LifeSciences Corporation
$1,703
AXOGEN
$1,674
Ensemble Orthopedics, Inc
$1,202
WRIGHT MEDICAL TECHNOLOGY, INC.
$1,018
Linvatec Corporation
$750
Zimmer Biomet Holdings, Inc.
$356
Skeletal Dynamics Inc
$228
Amniox Medical, Inc.
$134
Acera Surgical, Inc.
$79
Medartis Inc.
$63
Endo Pharmaceuticals Inc.
$49
Orthofix Medical, Inc.
$46
Anika Therapeutics, Inc.
$31
Sientra, Inc.
$28
Nevro Corp.
$21
Lilly USA, LLC
$16
Tenex Health Inc.
$15
Top 3 companies account for 98.5% of all-time payments
Associated products mentioned in payments ›
AEQUALIS · APTUS · ARTHREX · Aptus · Arthrex · AxoGuard Nerve Connector · AxoGuard Nerve Protector · Comp Primary Revision Stem · Comp Reverse Shoulder E · Comprehensive Reverse · DISTAL EXTREMITIES IMPLANTS HAND & WRIST DISTAL RADIUS · DISTAL EXTREMITIES IMPLANTS TRAUMA DISTAL RADIUS · DVR Anatomic Kickstand · EBI Bone Healing System · Ensemble CMC · FORTEO · FREEDOM WRIST · Geminus · INFINITY · Juggerknotless Soft Anchor · NEOX · Physio-Stim · Restrata Wound Matrix · SALTO TALARIS TOTAL ANKLE PROSTHESIS · SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT · Senza Spinal Cord Stimulation System · Signature Glenoid Guides · Spinal-Stim · TRUESHOT · Tools - AFS · Tools - WFS · Wristmotion · XIAFLEX
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 2% for orthopedic surgery in WA.
Geographic Context
Orthopedic surgeons within 10 mi
313
Per 100K population
13.8
County median income
$122,148
Nearest hospital
OVERLAKE HOSPITAL MEDICAL CENTER
0.0 mi
0.0 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Trumble is a clinical cardiology specialist, with above-average Medicare volume (top 10% in WA), with mixed engagement industry engagement in the top 2% of WA peers, with 19 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. Trumble experienced with betamethasone steroid injection?
Based on Medicare claims data, Dr. Trumble performed 518 betamethasone steroid injection 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. Trumble receive payments from pharmaceutical companies?
Yes. Dr. Trumble received a total of $878,751 from 21 companies across 115 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. Trumble's costs compare to other orthopedic surgeons in Bellevue?
Dr. Trumble's average Medicare payment per service is $105. 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. Trumble) 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 →
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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. 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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