Background: When choosing physicians, patients often review options online via physician review websites, which may influence decisions on providers. Purpose: The purpose of this study is to investigate the impacts of social media usage, age, and patient reported wait times on online ratings for three popular review websites. Study design: Cross-sectional study. Methods: The American Orthopaedic Society for Sports Medicine database was used to extract demographic information for all listed sports medicine surgeons in Florida. Overall ratings, number of ratings and comments, and patient reported wait-times were recorded from three leading review websites (Healthgrades.com, Vitals.com, Google.com). Professionally focused SM accounts were searched for each physician on Facebook.com, Twitter.com, Instagram, and LinkedIn.com. Results: 102 orthopaedic sports medicine surgeons were included. At least one form of social media was used by 62.4% of our cohort. Those with social media had higher overall online physician ratings out of 5.00 across all review websites (Google:4.65vs4.44, p ¼ 0.05; Healthgrades:4.41vs4.15, p ¼ 0.03; Vitals:4.43vs4.14, p ¼ 0.01). In bivariate analysis, older age was associated with lower ratings on Health Grades (Absolute difference (AD) À0.26, p < 0.0001), and social media was linked to higher ratings (Google: AD 0.21, p ¼ 0.05; Healthgrades: AD 0.26, p ¼ 0.03; Vitals: AD 0.29, p ¼ 0.008). Longer wait times were associated with lower ratings in a dose-dependent manner in both bivariate and multivariable analysis. Conclusions: Social media use among sports medicine surgeons correlated with higher overall physician ratings. Potentially, younger surgeons increase social media use because of a heightened concern for online image, whereas older surgeons may have less value in using online platforms to capitalize on an online presence. Older age and increased patient reported wait times in office had a negative correlation with online reviews, which highlights that factors beyond the surgeon's skill sets can influence overall ratings.