Isaac Eugene Nivar
Orthopaedic Surgery • Lititz, PA
1555 Highlands Dr Ste 190
Lititz, PA 175432800
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 16, 2020; this date does not establish years in practice.
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Published CMS data list 327 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ondansetron Odt (Ondansetron) — 101 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 77 prescription fills, including refills.
- Pantoprazole Sodium — 45 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 65% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 670 clinicians with data). Median for this group: 160. Middle half: 61 to 411.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 15 in 2020 to 327 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
1555 Highlands Dr Ste 190
Lititz, PA 175432800
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Harrisburg, PA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Duke Health Integrated Practice Inc; Legacy Healthcare Services Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Lake Erie College Of Osteopathic Medicine, Erie
2020
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
334 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,891 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,839.59 across 14 records.
By nature of payment
- Food and Beverage: $937.16 across 11 records.
- Travel and Lodging: $902.43 across 3 records.
Reporting-company totals (3 largest of 4)
- Synthes GmbH: $839.61 across 2 records.
- Medtronic, Inc.: $576.34 across 9 records.
- Stryker Corporation: $308.89 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
6 years (graduated 2020)
CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Isaac Nivar has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Isaac Nivar as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lititz and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 670 clinicians with data). Median for this group: 160. Middle half: 61 to 411.
Too few clinicians listed under Orthopaedic Surgery in Lititz have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Orthopaedic Surgery in Pennsylvania (2024, 670 clinicians with data). Median for this group: $1,010. Middle half: $302 to $2,838.
Too few clinicians listed under Orthopaedic Surgery in Lititz have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Orthopaedic Surgery with a practice address in Lititz, PA (1,254 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 15 in 2020 to 327 in 2024.
- 2020: 15
- 2021: 262
- 2022: 520
- 2023: 333
- 2024: 327
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30-day fills
30-day fills went from 15 in 2020 to 334 in 2024.
- 2020: 15
- 2021: 268
- 2022: 526
- 2023: 338
- 2024: 334
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Part D drug cost
Part D drug cost went from $35 in 2020 to $1,891 in 2024.
- 2020: $35
- 2021: $2,276
- 2022: $4,383
- 2023: $2,549
- 2024: $1,891
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 24% from $1,481.23 in 2022 to $1,839.59 in 2025.
- 2022: $1,481.23
- 2024: $295.49
- 2025: $1,839.59
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 14 records totaling $1,839.59.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Synthes GmbH |
Travel and Lodging
In-kind items and services
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— | General | $593.25 |
| Synthes GmbH |
Travel and Lodging
In-kind items and services
|
— | General | $246.36 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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— | General | $224.49 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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MAKO | General | $175.00 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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MAKO | General | $133.89 |
| Linvatec Corporation |
Food and Beverage
In-kind items and services
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BIOBRACE 23MM | General | $114.75 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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— | General | $107.02 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
— | General | $88.93 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
— | General | $62.82 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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— | General | $39.30 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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CD HORIZON SPINAL SYSTEM | General | $18.15 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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CD HORIZON SPINAL SYSTEM | General | $17.80 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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CD HORIZON SPINAL SYSTEM | General | $13.56 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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CD HORIZON SPINAL SYSTEM | General | $4.27 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ondansetron Odt | Ondansetron | 101 | 659 | $738.52 | 100 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 77 | 490 | $484.30 | 76 |
| Pantoprazole Sodium | Pantoprazole Sodium | 45 | 1,556 | $280.07 | 45 |
| Meloxicam | Meloxicam | 36 | 504 | $56.40 | 36 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 29 | 285 | $136.85 | 29 |
| Cefadroxil | Cefadroxil | 20 | 140 | $91.39 | 20 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 19 | 94 | $103.17 | 19 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-08-06NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20250827002533
NC
7214306281
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Legacy Healthcare Services Inc
2701 Pickett Rd, Durham, NC 277055688
Phone: 9194199600
Duke Health Integrated Practice Inc
5601 Arringdon Park Dr, Morrisville, NC 275605676
Phone: 9196848111
Secondary Practice Locations
4300 Londonderry Rd
Harrisburg, PA 171095317
Phone: 7172215685
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Certified Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1555 HIGHLANDS DR STE 190, LITITZ, PA 175432800 (Tel: 7177912630)
Orthopaedic Surgery (license number reported to NPPES: NC 2025-01641)
Registered at 5601 ARRINGDON PARK DR, RALEIGH, NC 27610 (Tel: 9192045555)
NPI status registered as active in NPPES database
Registered at 4300 LONDONDERRY RD, HARRISBURG, PA 171095317 (Tel: 7172215685)
Registered at 115 NORTH ST APT 315, HARRISBURG, PA 171011051
Recorded as ISAAC NIVAR
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
5601 Arringdon Park Dr
Raleigh, NC 27610
Phone: 9192045555