Medicare Enrolled
Dr. Sharnjit Purewal, MD
Family Medicine · Clovis, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Purewal 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. Purewal
Dr. Sharnjit Purewal is a family medicine specialist in Clovis, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Purewal performed 10,214 Medicare services across 5,562 unique beneficiaries.
Between the years covered by Open Payments, Dr. Purewal received a total of $3,078 from 35 pharmaceutical and/or device companies across 170 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Purewal 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.
✓ 20 years in practice
▲ Top 1% volume in CA
$3,078 industry payments
Medicare Practice Summary
Medicare Utilization ↗10,214
Medicare services
Top 1% in CA for family medicine
5,562
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~511 Medicare services per year of practice
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 |
|---|---|---|---|
| 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. |
3,923 | $86 | $160 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
1,316 | $46 | $75 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
620 | $131 | $150 |
| Annual depression screening | 571 | $19 | $20 |
| Annual alcohol misuse screening, 5 to 15 minutes | 568 | $19 | $20 |
| 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. |
291 | $64 | $120 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
274 | $3 | $12 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
260 | $31 | $35 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
251 | $10 | $38 |
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
248 | $5 | $15 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
234 | $72 | $79 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
145 | $1 | $5 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
140 | $36 | $60 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
126 | $129 | $225 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
105 | $82 | $140 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
91 | $0 | $5 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
89 | $42 | $150 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
85 | $56 | $120 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
71 | $10 | $35 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
65 | $272 | $325 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
63 | $31 | $35 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
62 | $12 | $40 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
61 | $48 | $100 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
59 | $205 | $275 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
45 | $21 | $60 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
43 | $11 | $25 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
40 | $19 | $36 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
36 | $32 | $140 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
33 | $3 | $17 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
32 | $137 | $175 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
28 | $4 | $20 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
27 | $22 | $35 |
| 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. |
24 | $84 | $245 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
22 | $168 | $195 |
| Adm sarscv2 bvl 50mcg/.5ml a | 21 | $37 | $40 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
21 | $39 | $40 |
| COVID-19 vaccine (Moderna bivalent) An intramuscular injection of the SARS-CoV-2 vaccine containing 50 micrograms in a 0.5 mL dose. |
21 | $143 | $165 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
20 | $2 | $15 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
18 | $65 | $130 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
18 | $88 | $160 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
17 | $1 | $12 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
15 | $54 | $150 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
15 | $45 | $100 |
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. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$3,078
Total received (2018-2024)
Avg $513/year across 6 years
Top 12% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
170
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,066 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$12 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$471
2023
$431
2022
$268
2020
$211
2019
$688
2018
$1,011
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$66
Lundbeck LLC
$63
Otsuka America Pharmaceutical, Inc.
$42
Novo Nordisk Inc
$42
Boehringer Ingelheim Pharmaceuticals, Inc.
$39
Lilly USA, LLC
$39
Bayer Healthcare Pharmaceuticals Inc.
$34
PFIZER INC.
$32
AstraZeneca Pharmaceuticals LP
$27
Dynavax Technologies Corporation
$24
Amgen Inc.
$23
Merck Sharp & Dohme LLC
$23
Ultragenyx Pharmaceutical Inc.
$20
Top 3 companies account for 36.2% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$259
Lilly USA, LLC
$242
Amgen Inc.
$233
Astellas Pharma US Inc
$225
GlaxoSmithKline, LLC.
$218
AstraZeneca Pharmaceuticals LP
$193
Janssen Pharmaceuticals, Inc
$160
PFIZER INC.
$145
Novo Nordisk Inc
$127
ABBVIE INC.
$126
Synergy Pharmaceuticals Inc
$122
Organogenesis Inc.
$118
Merck Sharp & Dohme Corporation
$100
Lundbeck LLC
$82
Radius Health, Inc.
$78
Novartis Pharmaceuticals Corporation
$74
Intercept Pharmaceuticals, Inc.
$56
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$55
Abbott Laboratories
$54
Philips Electronics North America Corporation
$53
Medtronic, Inc.
$45
SANOFI PASTEUR INC.
$43
Otsuka America Pharmaceutical, Inc.
$42
Bayer Healthcare Pharmaceuticals Inc.
$34
Amarin Pharma Inc.
$24
Dynavax Technologies Corporation
$24
Merck Sharp & Dohme LLC
$23
Allergan, Inc.
$21
Ultragenyx Pharmaceutical Inc.
$20
Boston Scientific Corporation
$17
Vertiflex, Inc.
$17
AMAG Pharmaceuticals, Inc.
$12
Takeda Pharmaceuticals U.S.A., Inc.
$12
TherapeuticsMD, Inc.
$11
Daiichi Sankyo Inc.
$11
Top 3 companies account for 23.8% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · ANORO · Aimovig · Amitiza · BYDUREON · CHANTIX · Crysvita · DreamStat Cpap Auto · ENTRESTO · EVENITY · FARXIGA · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · FORTEO · FREESTYLE LIBRE 2 · HUMALOG · Heplisav-B · IMVEXXY · INJECTAFER · INTRAROSA · JANUVIA · JARDIANCE · KYPHON EXPRESS II KYPHOPAK TRAY · Kerendia · LUCEMYRA · MOUNJARO · MYRBETRIQ · NURTEC ODT · OCALIVA · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · Puraply · REXULTI · Repatha · SHINGRIX · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUPERION · SYMBICORT · Superion ISS · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trulance · Tymlos · UBRELVY · VRAYLAR · Vascepa · Victoza · XARELTO · XIFAXAN · XIFAXANIBSD
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
354
Per 100K population
35.0
County median income
$71,434
Nearest hospital
CLOVIS COMMUNITY MEDICAL CENTER
1.9 mi
1.9 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | 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. Purewal is a clinical cardiology specialist, with above-average Medicare volume (top 1% in CA), with low-engagement industry engagement in the top 12% of CA peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Purewal experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Purewal performed 3,923 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Purewal receive payments from pharmaceutical companies?
Yes. Dr. Purewal received a total of $3,078 from 35 companies across 170 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Purewal's costs compare to other family medicine physicians in Clovis?
Dr. Purewal's average Medicare payment per service is $63. 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. Purewal) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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.
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