Medicare Enrolled
Dr. Troy Niguidula, MD
Geriatric Medicine (Internal Medicine) Physician · National City, 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. Niguidula 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. Niguidula
Dr. Troy Niguidula is a geriatric medicine physician in National City, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Niguidula performed 2,732 Medicare services across 1,353 unique beneficiaries.
Between the years covered by Open Payments, Dr. Niguidula received a total of $3,622 from 43 pharmaceutical and/or device companies across 203 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in geriatric medicine (internal medicine) physician. 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. Niguidula 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.
✓ 19 years in practice
▲ Top 19% volume in CA
$3,622 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,732
Medicare services
Top 19% in CA for geriatric medicine (internal medicine) physician
1,353
Unique beneficiaries
$73
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~144 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. |
694 | $94 | $150 |
| 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. |
332 | $68 | $127 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
323 | $60 | $131 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
260 | $61 | $90 |
| Nursing facility visit, established patient, straightforward A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes. |
233 | $33 | $87 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
125 | $132 | $175 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
116 | $3 | $25 |
| Annual depression screening | 112 | $19 | $50 |
| Nursing facility discharge management, 30 minutes or less This service covers the management of a patient's discharge from a nursing facility. It applies when the total time spent on discharge activities is 30 minutes or less. |
111 | $67 | $147 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
107 | $151 | $339 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
101 | $58 | $100 |
| 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. |
44 | $42 | $85 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
38 | $129 | $250 |
| 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. |
38 | $226 | $320 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
34 | $26 | $50 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
15 | $8 | $11 |
| New patient office visit, complex (60-74 min) | 13 | $122 | $250 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
12 | $16 | $40 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
12 | $33 | $50 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
12 | $167 | $200 |
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 ↗$3,622
Total received (2018-2024)
Avg $517/year across 7 years
Top 15% in CA for geriatric medicine (internal medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
203
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
$3,622 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$327
2023
$246
2022
$360
2021
$897
2020
$680
2019
$617
2018
$495
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$110
AstraZeneca Pharmaceuticals LP
$48
Bayer Healthcare Pharmaceuticals Inc.
$41
Astellas Pharma US Inc
$25
Lilly USA, LLC
$24
Dexcom, Inc.
$22
Curonix LLC
$22
Medtronic, Inc.
$21
Xeris Pharmaceuticals, Inc.
$15
Top 3 companies account for 60.9% of 2024 payments
All-time payments by company (2018-2024) ›
Lilly USA, LLC
$507
Novartis Pharmaceuticals Corporation
$327
AstraZeneca Pharmaceuticals LP
$269
Novo Nordisk Inc
$237
GlaxoSmithKline, LLC.
$207
Sunovion Pharmaceuticals Inc.
$180
Janssen Pharmaceuticals, Inc
$167
Astellas Pharma US Inc
$150
PFIZER INC.
$138
AbbVie Inc.
$115
Allergan Inc.
$114
Boehringer Ingelheim Pharmaceuticals, Inc.
$85
Merck Sharp & Dohme Corporation
$78
Mylan Specialty L.P.
$74
Amarin Pharma Inc.
$74
Xeris Pharmaceuticals, Inc.
$71
Ultragenyx Pharmaceutical Inc.
$66
Bayer Healthcare Pharmaceuticals Inc.
$60
SANOFI-AVENTIS U.S. LLC
$58
Bayer HealthCare Pharmaceuticals Inc.
$56
Boston Scientific Corporation
$52
Dexcom, Inc.
$45
Amgen Inc.
$44
Avanir Pharmaceuticals, Inc.
$42
Mannkind Corporation
$39
Teva Pharmaceuticals USA, Inc.
$28
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$25
Travere Therapeutics, Inc.
$23
Allergan, Inc.
$23
DEXCOM, INC.
$23
Sun Pharmaceutical Industries Inc.
$22
NeoTract Inc.
$22
Curonix LLC
$22
Biogen, Inc.
$21
Abbott Laboratories
$21
Medtronic, Inc.
$21
ABBVIE INC.
$20
SUN PHARMACEUTICAL INDUSTRIES INC.
$19
Kyowa Kirin, Inc.
$17
Gilead Sciences, Inc.
$17
ITI, Inc.
$15
Philips Electronics North America Corporation
$14
Otsuka America Pharmaceutical, Inc.
$12
Top 3 companies account for 30.5% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · AFREZZA · AIRSUPRA · AJOVY · AUSTEDO · BAQSIMI · BASAGLAR · BELSOMRA · BRILINTA · BYSTOLIC · CAPLYTA · CHANTIX · CREON · Cholbam · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EZALLOR SPRINKLE · Enbrel · FARXIGA · FreeStyle Libre 2 · GVOKE PFS · JANUVIA · JARDIANCE · KAPSPARGO · KEVEYIS · Kerendia · LINZESS · LONHALA MAGNAIR · LYRICA · MICRA · MOUNJARO · MYRBETRIQ · NUEDEXTA · Ozempic · PNEUMOVAX 23 · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRALUENT · PREVNAR 13 · Prolia · REXULTI · RYBELSUS · SYMBICORT · Saxenda · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · UroLift · Vascepa · Veozah · WATCHMAN · Wegovy · XARELTO · XIFAXAN · Yupelri
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
Geriatric medicine physicians within 10 mi
69
Per 100K population
2.1
County median income
$102,285
Nearest hospital
PARADISE VALLEY HOSPITAL
0.0 mi
0.0 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. Niguidula is a clinical cardiology specialist, with above-average Medicare volume (top 19% in CA), with low-engagement industry engagement in the top 15% of CA peers, with 19 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. Niguidula experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Niguidula performed 694 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. Niguidula receive payments from pharmaceutical companies?
Yes. Dr. Niguidula received a total of $3,622 from 43 companies across 203 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. Niguidula's costs compare to other geriatric medicine physicians in National City?
Dr. Niguidula's average Medicare payment per service is $73. 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. Niguidula) 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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