Medicare Enrolled
Dr. Alexander Arzeno, MD
Orthopedic Surgery · Issaquah, WA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-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. Arzeno 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. Arzeno
Dr. Alexander Arzeno is an orthopedic surgery specialist in Issaquah, WA, with 12 years of NPI registration. Based on federal Medicare data, Dr. Arzeno performed 1,206 Medicare services across 929 unique beneficiaries.
Between the years covered by Open Payments, Dr. Arzeno received a total of $13,314 from 16 pharmaceutical and/or device companies across 78 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Arzeno 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.
✓ 12 years in practice
▲ Top 28% volume in WA
$13,314 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,206
Medicare services
Top 28% in WA for orthopedic surgery
929
Unique beneficiaries
$149
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~100 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 |
|---|---|---|---|
| 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. |
307 | $103 | $249 |
| 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. |
255 | $75 | $175 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
119 | $34 | $95 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
91 | $47 | $134 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
46 | $276 | $1,155 |
| 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. |
32 | $132 | $361 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
31 | $165 | $612 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
30 | $50 | $128 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
28 | $214 | $826 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
27 | $30 | $89 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
26 | $120 | $1,260 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
25 | $829 | $3,353 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
25 | $125 | $1,181 |
| 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. |
24 | $95 | $237 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
21 | $66 | $209 |
| X-ray of middle and lower spine, 2 views An X-ray imaging test that captures two views of the middle and lower sections of the spine to visualize the bones and joints. |
18 | $32 | $101 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
17 | $597 | $2,245 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
17 | $126 | $1,158 |
| Fusion of spine in lower back | 16 | $1,303 | $4,592 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
15 | $41 | $120 |
| Lower back spinal fusion with bone and disc removal A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area. |
12 | $1,535 | $5,926 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
12 | $543 | $2,249 |
| X-ray of lower and sacral spine, minimum 6 views An X-ray imaging test that captures at least six views of the lower back and sacral spine to evaluate bone structure and alignment. |
12 | $55 | $174 |
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.
8.5% high complexity
5.6% medium
85.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$13,314
Total received (2019-2024)
Avg $2,219/year across 6 years
Top 22% in WA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
78
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,314 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,901
2023
$5,364
2022
$3,466
2021
$297
2020
$298
2019
$1,988
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Globus Medical, Inc.
$1,790
Alphatec Spine, Inc
$36
Providence Medical Technology, Inc.
$36
Pacira Pharmaceuticals Incorporated
$25
Cerapedics Inc.
$15
Top 3 companies account for 97.9% of 2024 payments
All-time payments by company (2019-2024) ›
Globus Medical, Inc.
$7,575
NuVasive, Inc.
$3,381
Stryker Corporation
$1,322
Medtronic USA, Inc.
$279
ZIMVIE INC.
$135
Alphatec Spine, Inc
$124
KCI USA, Inc
$122
Misonix Inc
$96
Baxter Healthcare
$56
Zimmer Biomet Holdings, Inc.
$45
Medtronic, Inc.
$43
Providence Medical Technology, Inc.
$36
Biocomposites Inc
$28
Cerapedics Inc.
$28
Pacira Pharmaceuticals Incorporated
$25
Cerapedics, Inc.
$19
Top 3 companies account for 92.2% of all-time payments
Associated products mentioned in payments ›
ACP · AVIATOR · Adaptix · BIO4 · BoneScalpel · CATALYFT PL EXPANDABLE INTERBODY SYSTEM · CATALYST · COHERE · COSEAL · CREO · ELSA · ELSA ATP · Excelsius - GPS · Excelsius Deformity · Excelsius3D Imaging System · ExcelsiusGPS Robotic Navigation System · Exparel · FLOSEAL · Hedron IC · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · MARS 3V/3VL · MESA · MESA RAIL · Mobi-C · NONE · O-ARM-Spine · PIVOX OBLIQUE LATERAL SPINAL SYSTEM · PREVENA · Pulse · RELINE · Stimulan · T2 · TLIF · TRITANIUM · XLIF · iGA · nanoLOCK-L
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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Orthopedic surgeons within 10 mi
289
Per 100K population
12.8
County median income
$122,148
Nearest hospital
SWEDISH ISSAQUAH
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. Arzeno is a clinical cardiology specialist, with above-average Medicare volume (top 28% in WA), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Arzeno experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Arzeno performed 307 office visit, established patient (30-39 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. Arzeno receive payments from pharmaceutical companies?
Yes. Dr. Arzeno received a total of $13,314 from 16 companies across 78 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. Arzeno's costs compare to other orthopedic surgeons in Issaquah?
Dr. Arzeno's average Medicare payment per service is $149. 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. Arzeno) 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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