Medicare Enrolled

Dr. Frederic Johnstone, MD

Orthopedic Surgery · Puyallup, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
3801 5TH ST SE, Puyallup, WA 98374
2538459585
In practice since 2006 (20 years)
NPI: 1447286521 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. Johnstone 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. Johnstone

Dr. Frederic Johnstone is an orthopedic surgery specialist in Puyallup, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Johnstone performed 584 Medicare services across 476 unique beneficiaries.

Between the years covered by Open Payments, Dr. Johnstone received a total of $222 from 6 pharmaceutical and/or device companies across 12 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. Johnstone 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.

✓ 20 years in practice ▲ 584 Medicare services $222 industry payments

Medicare Practice Summary

Medicare Utilization ↗
584
Medicare services
Bottom 43% in WA for orthopedic surgery
476
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~29 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 (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.
 121 $56 $175
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
 103 $5 $14
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
 60 $39 $165
X-ray of hand, 2 views
An X-ray imaging test of the hand using two different angles to visualize the bones and joints.
 52 $23 $76
Hand nerve release or relocation
A surgical procedure to release or reposition a nerve in the hand.
 43 $321 $1,356
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.
 40 $68 $237
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.
 37 $35 $120
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
 31 $166 $1,008
X-ray of finger, minimum of 2 views
An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures.
 27 $26 $91
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.
 23 $94 $249
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
 21 $36 $158
Wrist X-ray, 2 views
An X-ray imaging test of the wrist using two different angles to visualize the bones and joints.
 15 $24 $85
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
 11 $47 $165
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 2023 ↗
$222
Total received (2018-2023)
Avg $37/year across 6 years
Bottom 17% in WA for orthopedic surgery
6
Companies
12
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
$222 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$32
2022
$45
2021
$37
2020
$33
2019
$23
2018
$51

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Ferring Pharmaceuticals Inc.
$32
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
Ferring Pharmaceuticals Inc.
$90
Endo Pharmaceuticals Inc.
$37
DJO, LLC
$33
Heron Therapeutics, Inc.
$30
DePuy Synthes Sales Inc.
$22
FIDIA PHARMA USA INC.
$10
Top 3 companies account for 72.4% of all-time payments
Associated products mentioned in payments ›
EUFLEXXA · Hymovis · ORTHOVISC · XIAFLEX · Zynrelef
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.

Looking for an orthopedic surgery specialist in Puyallup?
Compare orthopedic surgeons in the Puyallup area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons within 10 mi
106
Per 100K population
11.5
County median income
$96,632
Nearest hospital
MULTICARE GOOD SAMARITAN HOSPITAL
5.4 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. Johnstone is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 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. Johnstone experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Johnstone performed 121 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. Johnstone receive payments from pharmaceutical companies?
Yes. Dr. Johnstone received a total of $222 from 6 companies across 12 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. Johnstone's costs compare to other orthopedic surgeons in Puyallup?
Dr. Johnstone's average Medicare payment per service is $66. 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. Johnstone) 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.

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 →