Medicare Enrolled

Dr. Josiah Nathan Perez, MD

Pain Medicine · Seattle, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1100 9TH AVE, Seattle, WA 98101
2062236980
Registered in NPPES since 2013
NPI: 1730512682 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. Perez 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. Perez

Dr. Josiah Nathan Perez is a pain medicine specialist in Seattle, WA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Perez performed 397 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Perez received a total of $1,447 from 7 pharmaceutical and/or device companies across 15 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Perez 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 of NPI registration ▲ 397 Medicare services $1,447 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
397
Medicare services
Bottom 43% in WA for pain medicine
Not available
Unique patients (not deduplicated)
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
77 $40 $120
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.
55 $53 $87
Daily hospital management of continuous spinal drug administration
This code covers the daily hospital management involved in administering drugs continuously through the spinal canal. It includes the oversight and care required for this specific method of medication delivery.
41 $51 $264
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.
34 $81 $186
Anesthesia for endoscopic procedure on esophagus, stomach, or upper small bowel
Administration of anesthesia during an endoscopic procedure involving the esophagus, stomach, or upper small bowel.
30 $75 $751
Injection into lower spine canal with imaging guidance
A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement.
28 $75 $789
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 $251
Anesthesia for endoscopic gallbladder, pancreas, or liver procedure
Anesthesia administered during a surgical procedure on the gallbladder, pancreas, or liver that is performed using an endoscope.
19 $100 $1,010
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.
17 $109 $289
Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter 15 $55 $168
Arterial line insertion
A tube is inserted into an artery through the skin to allow for blood sampling or infusion.
13 $36 $119
Anesthesia for total knee replacement
Administration of anesthesia during a total knee joint replacement procedure.
12 $200 $1,474
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
12 $23 $85
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.
12 $30 $46
Anesthesia for upper abdomen procedure
Administration of anesthesia for surgical procedures performed on the upper abdomen.
11 $208 $1,688
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. These counts do not measure clinical quality or years of experience.
6.8% high complexity
10.1% medium
83.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,447
Total received (2021-2024)
Avg $362/year across 4 years
Bottom 38% in WA for pain medicine
7
Companies
15
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$168
2023
$472
2022
$339
2021
$469

Payments by company (2024)

SI-BONE, INC.
$168
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2021-2024) ›
Nevro Corp.
$545
SPR Therapeutics, Inc
$288
SI-BONE, INC.
$168
Relievant Medsystems, Inc.
$165
Nalu Medical, Inc.
$123
BOSTON SCIENTIFIC CORPORATION
$116
Abbott Laboratories
$42
Top 3 companies account for 69.2% of all-time payments
Associated products mentioned in payments ›
GENERAL PAIN MANAGEMENT · Intracept · Nalu Neurostimulation System · Omnia · PROCLAIM · SPRINT PNS System · Senza
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a pain medicine specialist in Seattle?
Compare pain medicines in the Seattle area by procedure volume, costs, and industry payment transparency.
Browse pain medicines nearby

Geographic Context

Pain medicines in nearby ZIP areas
59
County median income
$122,148
Nearest hospital to ZIP centroid (approximate)
VIRGINIA MASON MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Perez is a clinical cardiology specialist, with moderate Medicare volume.

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

Frequently Asked Questions

Is Dr. Perez experienced with hospital follow-up visit, low complexity?
Based on Medicare claims data, Dr. Perez performed 77 hospital follow-up visit, low complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Perez receive payments from pharmaceutical companies?
Yes. Dr. Perez received a total of $1,447 from 7 companies across 15 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Perez's costs compare to other pain medicines in Seattle?
Dr. Perez's average Medicare payment per service is $68. 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. Perez) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →