Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Joshua Ryan McSpadden, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073888947

Joshua Ryan McSpadden, DO practises Orthopedic Surgery in Waxahachie, Texas. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2012, 14 years ago. Practices with Orthotx PLLC, a 83-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Waxahachie, TX

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 800 Orthopedic Way, Arlington, TX 76015-1629 — (817) 375-5200
  • 1441 S Midlothian Pkwy Ste 130, Midlothian, TX 76065-5592 — (817) 375-5200

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence R1990 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073888947
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 12, 2012
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2012 (14 years in practice)
Group practice Orthotx Pllc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Knee replacement 30 times · 64th percentile
Upper limb (arm) arthroscopy (minimally invasive joint repair) 15 times · 54th percentile
Hip replacement 1–10 times
Lower limb (leg) arthroscopy (minimally invasive joint repair) 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients436
Services billed 2,319 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Travel and Lodging $877 2 payments · travel or lodging paid or reimbursed, such as to attend a conference
Food and Beverage $827 16 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Also affiliated with 1 inpatient rehabilitation facility, which CMS identifies by certification number only.

Colleagues at Orthotx PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 83 clinicians in the practice; 12 are shown here.

Other providers in Waxahachie