Medicare Enrolled

Dr. Ryan Nathe, M.D.

Adult Reconstructive Orthopaedic Surgery Physician · Issaquah, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
510 8TH AVE NE STE 200, Issaquah, WA 98029
4253923030
In practice since 2013 (13 years)
NPI: 1376988477 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. Nathe 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. Nathe

Dr. Ryan Nathe is an adult reconstructive orthopaedic surgery physician in Issaquah, WA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Nathe performed 3,374 Medicare services across 1,262 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nathe received a total of $14,121 from 8 pharmaceutical and/or device companies across 40 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive orthopaedic surgery physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Nathe 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.

✓ 13 years in practice ▲ Top 8% volume in WA $14,121 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,374
Medicare services
Top 8% in WA for adult reconstructive orthopaedic surgery physician
1,262
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~260 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
Joint lubricant injection (Synvisc) 1,728 $7 $25
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
290 $5 $14
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.
287 $73 $175
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.
256 $35 $103
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.
221 $42 $104
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
168 $57 $221
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.
121 $88 $237
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.
82 $107 $250
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.
56 $132 $361
Total knee replacement 33 $1,078 $5,024
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
32 $1,092 $4,738
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.
25 $34 $95
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.
24 $46 $120
MRI of leg joint, without contrast
A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye.
19 $126 $1,181
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.
18 $70 $209
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.
14 $1,030 $3,337
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.
2.3% high complexity
65.4% medium
32.3% routine

Industry Payment Transparency

Open Payments through 2023 ↗
$14,121
Total received (2018-2023)
Avg $2,353/year across 6 years
Bottom 47% in WA for adult reconstructive orthopaedic surgery physician
8
Companies
40
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$9,000 (63.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,121 (36.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$2,039
2022
$1,263
2021
$63
2020
$790
2019
$6,079
2018
$3,885

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Smith+Nephew, Inc.
$2,039
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
Smith+Nephew, Inc.
$6,580
Smith & Nephew, Inc.
$3,750
Stryker Corporation
$1,997
ENCORE MEDICAL, LP
$1,500
FIDIA PHARMA USA INC.
$112
Zimmer Biomet Holdings, Inc.
$95
DePuy Synthes Sales Inc.
$63
Medical Device Business Services, Inc.
$23
Top 3 companies account for 87.3% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ANTHOLOGY · Arcos · CORAIL · DJO Surgical TaperFill Hip System · HYMOVIS · JOURNEY II · LEGION Revision · MAKO · OR3O Dual Mobility · REAL INTELLIGENCE · SOLAR · TRIATHLON
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 (64%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in adult reconstructive orthopaedic surgery physician and does not inherently indicate bias, but patients may wish to be aware.

Looking for an adult reconstructive orthopaedic surgery physician in Issaquah?
Compare adult reconstructive orthopaedic surgery physicians in the Issaquah area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Adult reconstructive orthopaedic surgery physicians within 10 mi
9
Per 100K population
0.4
County median income
$122,148
Nearest hospital
SWEDISH ISSAQUAH
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 2023
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. Nathe is a clinical cardiology specialist, with above-average Medicare volume (top 8% in WA), with speaking/promotional industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Nathe experienced with joint lubricant injection (synvisc)?
Based on Medicare claims data, Dr. Nathe performed 1,728 joint lubricant injection (synvisc) 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. Nathe receive payments from pharmaceutical companies?
Yes. Dr. Nathe received a total of $14,121 from 8 companies across 40 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. Nathe's costs compare to other adult reconstructive orthopaedic surgery physicians in Issaquah?
Dr. Nathe's average Medicare payment per service is $53. 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. Nathe) 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. 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.

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 →