Dr. Thomas Shuler, MD

NPI: 1588638332
Total Payments
$81,548
2024 Payments
$15,918
Companies
5
Transactions
93
Medicare Patients
2,077
Medicare Billing
$345,709

Payment Breakdown by Category

Consulting$53,313 (65.4%)
Other$14,400 (17.7%)
Royalty/License$8,184 (10.0%)
Travel$4,418 (5.4%)
Food & Beverage$1,233 (1.5%)

Payments by Nature

Nature of Payment Amount Transactions Share
Consulting Fee $53,313 38 65.4%
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $14,400 4 17.7%
Royalty or License $8,184 8 10.0%
Travel and Lodging $4,418 20 5.4%
Food and Beverage $1,233 23 1.5%

Top Paying Companies

Company Total Records Latest Year
Globus Medical, Inc. $81,143 86 $0 (2024)
Stryker Corporation $178.95 2 $0 (2017)
MEDACTA USA, INC. $154.00 2 $0 (2019)
Flexion Therapeutics, Inc. $44.92 1 $0 (2019)
DePuy Synthes Sales Inc. $26.75 2 $0 (2019)

Payment History by Year

Year Amount Transactions Top Company
2024 $15,918 14 Globus Medical, Inc. ($15,918)
2023 $27,950 27 Globus Medical, Inc. ($27,950)
2022 $15,883 20 Globus Medical, Inc. ($15,883)
2021 $11,025 13 Globus Medical, Inc. ($11,025)
2020 $1,013 3 Globus Medical, Inc. ($1,013)
2019 $7,357 10 Globus Medical, Inc. ($7,143)
2018 $2,223 4 Globus Medical, Inc. ($2,212)
2017 $178.95 2 Stryker Corporation ($178.95)

All Payment Transactions

93 individual payment records from CMS Open Payments — Page 1 of 4

Date Company Product Nature Form Amount Type
12/12/2024 Globus Medical, Inc. Ankle Fracture System (Device) Food and Beverage In-kind items and services $109.97 General
Category: Trauma (Emergency, Injury, Surgery)
09/11/2024 Globus Medical, Inc. EVO Retrograde (Device) Royalty or License Cash or cash equivalent $1,800.78 General
Category: Trauma (Emergency, Injury, Surgery)
09/11/2024 Globus Medical, Inc. Stretto (Device) Royalty or License Cash or cash equivalent $287.48 General
Category: Orthopedics/Orthopedic Surgery
08/30/2024 Globus Medical, Inc. Consulting Fee Cash or cash equivalent $2,300.00 General
08/30/2024 Globus Medical, Inc. Consulting Fee Cash or cash equivalent $2,300.00 General
07/18/2024 Globus Medical, Inc. Travel and Lodging In-kind items and services $22.11 General
07/18/2024 Globus Medical, Inc. Travel and Lodging In-kind items and services $22.11 General
06/07/2024 Globus Medical, Inc. CREO (Device) Travel and Lodging Cash or cash equivalent $450.40 General
Category: Orthopedics/Orthopedic Surgery
06/07/2024 Globus Medical, Inc. CREO (Device) Travel and Lodging Cash or cash equivalent $5.00 General
Category: Orthopedics/Orthopedic Surgery
05/23/2024 Globus Medical, Inc. EVO Retrograde (Device) Royalty or License Cash or cash equivalent $1,757.48 General
Category: Trauma (Emergency, Injury, Surgery)
05/23/2024 Globus Medical, Inc. Stretto (Device) Royalty or License Cash or cash equivalent $229.27 General
Category: Orthopedics/Orthopedic Surgery
03/21/2024 Globus Medical, Inc. Distal Femur Plate System (Device) Food and Beverage In-kind items and services $108.33 General
Category: Trauma (Emergency, Injury, Surgery)
01/25/2024 Globus Medical, Inc. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $3,600.00 General
01/25/2024 Globus Medical, Inc. Consulting Fee Cash or cash equivalent $2,925.00 General
12/31/2023 Globus Medical, Inc. EVO Retrograde (Device) Royalty or License Cash or cash equivalent $1,384.45 General
Category: Trauma (Emergency, Injury, Surgery)
12/15/2023 Globus Medical, Inc. Periprosthetic Fracture (Device) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program In-kind items and services $3,600.00 General
Category: Trauma (Emergency, Injury, Surgery)
12/15/2023 Globus Medical, Inc. Periprosthetic Fracture (Device) Consulting Fee Cash or cash equivalent $2,925.00 General
Category: Trauma (Emergency, Injury, Surgery)
12/15/2023 Globus Medical, Inc. Periprosthetic Fracture (Device) Food and Beverage In-kind items and services $8.45 General
Category: Trauma (Emergency, Injury, Surgery)
09/30/2023 Globus Medical, Inc. EVO Retrograde (Device) Royalty or License Cash or cash equivalent $1,030.23 General
Category: Trauma (Emergency, Injury, Surgery)
07/07/2023 Globus Medical, Inc. Periprosthetic Fracture (Device) Consulting Fee Cash or cash equivalent $1,462.50 General
Category: Trauma (Emergency, Injury, Surgery)
06/30/2023 Globus Medical, Inc. EVO Retrograde (Device) Royalty or License Cash or cash equivalent $957.18 General
Category: Trauma (Emergency, Injury, Surgery)
06/11/2023 Globus Medical, Inc. EVO Retrograde (Device) Food and Beverage In-kind items and services $18.72 General
Category: Trauma (Emergency, Injury, Surgery)
06/09/2023 Globus Medical, Inc. Periprosthetic Fracture (Device) Travel and Lodging In-kind items and services $402.20 General
Category: Trauma (Emergency, Injury, Surgery)
06/09/2023 Globus Medical, Inc. Periprosthetic Fracture (Device) Travel and Lodging In-kind items and services $4.00 General
Category: Trauma (Emergency, Injury, Surgery)
05/09/2023 Globus Medical, Inc. Tibial Nail (Device) Food and Beverage In-kind items and services $3.84 General
Category: Trauma (Emergency, Injury, Surgery)

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 13 491 545 $239,094 $85,622
2022 12 522 608 $183,026 $76,337
2021 12 574 697 $189,601 $85,058
2020 12 490 555 $256,598 $98,693
Total Patients
2,077
Total Services
2,405
Medicare Billing
$345,709
Procedure Codes
49

All Medicare Procedures & Services

49 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
27245 Treatment of broken neck of thigh bone with bone implant Facility 2023 34 34 $106,710 $32,035 30.0%
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement Facility 2023 19 19 $50,035 $17,641 35.3%
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes Facility 2023 101 102 $25,417 $10,080 39.7%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2023 108 140 $9,480 $6,137 64.7%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2023 64 72 $7,459 $4,677 62.7%
23600 Closed treatment of broken top of upper arm bone Facility 2023 15 15 $8,016 $3,652 45.6%
99203 New patient office or other outpatient visit, 30-44 minutes Facility 2023 41 41 $4,470 $2,408 53.9%
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes Facility 2023 15 15 $5,190 $1,966 37.9%
99284 Emergency department visit with moderate level of medical decision making Facility 2023 20 20 $7,360 $1,874 25.5%
99204 New patient office or other outpatient visit, 45-59 minutes Facility 2023 14 14 $2,273 $1,426 62.7%
20610 Aspiration and/or injection of fluid from large joint Facility 2023 28 41 $4,735 $1,411 29.8%
27197 Closed treatment of broken and/or dislocated pelvis and/or sacrum Facility 2023 13 13 $3,845 $1,258 32.7%
99283 Emergency department visit with low level of medical decision making Facility 2023 19 19 $4,104 $1,058 25.8%
27245 Treatment of broken neck of thigh bone with bone implant Facility 2022 26 26 $78,208 $25,475 32.6%
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement Facility 2022 19 19 $44,650 $17,925 40.1%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2022 151 196 $13,850 $9,054 65.4%
99222 Initial hospital inpatient care per day, typically 50 minutes Facility 2022 75 75 $15,975 $7,894 49.4%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2022 77 92 $9,801 $6,249 63.8%
99203 New patient office or other outpatient visit, 30-44 minutes Facility 2022 55 55 $6,257 $3,125 49.9%
20610 Aspiration and/or injection of fluid from large joint Facility 2022 40 65 $5,627 $2,378 42.3%
99221 Initial hospital inpatient care per day, typically 30 minutes Facility 2022 21 21 $3,338 $1,654 49.5%
99204 New patient office or other outpatient visit, 45-59 minutes Facility 2022 13 13 $2,285 $1,106 48.4%
99212 Established patient office or other outpatient visit, 10-19 minutes Facility 2022 20 21 $921.00 $588.35 63.9%
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and Facility 2022 13 13 $1,430 $550.74 38.5%
99441 Telephone medical discussion with physician, 5-10 minutes Facility 2022 12 12 $684.00 $339.02 49.6%

About Dr. Thomas Shuler, MD

Dr. Thomas Shuler, MD is a Orthopaedic Surgery healthcare provider based in Roanoke, Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/16/2006. The National Provider Identifier (NPI) number assigned to this provider is 1588638332.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Thomas Shuler, MD has received a total of $81,548 in payments from pharmaceutical and medical device companies, with $15,918 received in 2024. These payments were reported across 93 transactions from 5 companies. The most common payment nature is "Consulting Fee" ($53,313).

As a Medicare-enrolled provider, Shuler has provided services to 2,077 Medicare beneficiaries, totaling 2,405 services with total Medicare billing of $345,709. Data is available for 4 years (2020–2023), covering 49 distinct procedure/service records.

Practice Information

  • Specialty Orthopaedic Surgery
  • Location Roanoke, VA
  • Active Since 02/16/2006
  • Last Updated 03/14/2014
  • Taxonomy Code 207X00000X
  • Entity Type Individual
  • NPI Number 1588638332

Products in Payments

  • Periprosthetic Fracture (Device) $36,191
  • A/R Femoral Nail (Device) $13,072
  • EVO Retrograde (Device) $8,361
  • Cerclage Cable Fixation (Device) $3,442
  • Trauma (Device) $2,128
  • Retrograde Nail (Device) $1,463
  • Clavical Fixation (16-186) (Device) $827.04
  • CABLE (Device) $675.00
  • Stretto (Device) $516.75
  • Syndesmosis Fixation (Device) $469.60
  • Trauma - Prototype (Device) $460.59
  • CREO (Device) $455.40
  • Handpiece Power System (Device) $450.00
  • Retrograde Fem Nail (Device) $337.50
  • Clavicular Fracture Fixation (Device) $328.02
  • gamma (Device) $178.95
  • Distal Femur Plate System (Device) $177.95
  • AUTOBAHN (Device) $147.69
  • ANTHEM (Device) $142.58
  • MASTERLOC (Device) $117.00

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Orthopaedic Surgery Doctors in Roanoke