Medicare Enrolled
Dr. James Weiss, M.D.
Pulmonary Disease · Newport Beach, 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. Weiss 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. Weiss
Dr. James Weiss is a pulmonary disease specialist in Newport Beach, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Weiss performed 5,427 Medicare services across 1,604 unique beneficiaries.
Between the years covered by Open Payments, Dr. Weiss received a total of $1,198 from 27 pharmaceutical and/or device companies across 60 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. 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. Weiss 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 4% volume in CA
$1,198 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,427
Medicare services
Top 4% in CA for pulmonary disease
1,604
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~286 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 |
|---|---|---|---|
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
950 | $37 | $120 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
944 | $41 | $150 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
785 | $30 | $90 |
| Chronic care management, first 30 minutes This service covers the initial 30 minutes of care coordination for patients with two or more chronic conditions. It is provided personally by a healthcare professional each calendar month. |
771 | $59 | $115 |
| 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. |
565 | $118 | $196 |
| Virtual check-in for established patient A brief communication service provided by a qualified healthcare professional to an established patient via technology, such as a virtual check-in. |
356 | $10 | $25 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
237 | $8 | $59 |
| Chronic care management, additional 30 minutes This service covers an extra 30 minutes of care management provided by a healthcare professional for patients with two or more chronic conditions. It is billed per calendar month in addition to the standard chronic care management time. |
195 | $46 | $93 |
| 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. |
137 | $54 | $85 |
| 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. |
90 | $11 | $65 |
| 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. |
70 | $95 | $135 |
| 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. |
64 | $37 | $66 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
47 | $31 | $60 |
| 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. |
46 | $63 | $65 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
37 | $31 | $51 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
37 | $25 | $81 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
34 | $132 | $273 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
21 | $15 | $45 |
| 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. |
19 | $35 | $125 |
| Neuropsychological test evaluation, first hour A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process. |
11 | $103 | $199 |
| Annual depression screening | 11 | $19 | $28 |
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 ↗$1,198
Total received (2018-2024)
Avg $240/year across 5 years
Top 48% in CA for pulmonary disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
60
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
$1,198 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$104
2021
$252
2020
$345
2019
$254
2018
$244
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Supreme Orthopedic Systems, LLC
$27
Novo Nordisk Inc
$21
Inspire Medical Systems, Inc.
$21
ABBVIE INC.
$18
Exact Sciences Corporation
$18
Top 3 companies account for 65.6% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$140
Astellas Pharma US Inc
$116
AbbVie, Inc.
$110
Merck Sharp & Dohme Corporation
$104
Eisai Inc.
$80
Amgen Inc.
$76
PFIZER INC.
$62
Boehringer Ingelheim Pharmaceuticals, Inc.
$62
AstraZeneca Pharmaceuticals LP
$58
SANOFI PASTEUR INC.
$36
Regeneron Healthcare Solutions, Inc.
$28
Seqirus USA Inc
$28
Supreme Orthopedic Systems, LLC
$27
Vanda Pharmaceuticals Inc.
$25
La Jolla Pharmaceutical Company
$25
Promius Pharma LLC
$23
Sanofi Pasteur Inc.
$22
UPSHER-SMITH LABORATORIES LLC
$22
Inspire Medical Systems, Inc.
$21
Arbor Pharmaceuticals, Inc.
$19
AbbVie Inc.
$19
ABBVIE INC.
$18
Exact Sciences Corporation
$18
Fortovia Therapeutics, Inc.
$16
Daiichi Sankyo Inc.
$16
Lilly USA, LLC
$15
Tactile Systems Technology Inc
$14
Top 3 companies account for 30.5% of all-time payments
Associated products mentioned in payments ›
Aduhelm · Aimovig · Androgel · BELSOMRA · Cologuard Collection Kit · Dayvigo · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · Flexitouch Plus · Fluad · GIAPREZA · HETLIOZ · INJECTAFER · INSPIRE · JANUVIA · JARDIANCE · MYRBETRIQ · Ozempic · PRALUENT · PREVNAR 13 · QULIPTA · Repatha · SPIRIVA · SYMBICORT · SYNTHROID · Soltamox · Synthroid · TOSYMRA · TRADJENTA · TRULICITY · Tresiba · VESICARE · ZEMBRACE SYMTOUCH
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
Pulmonary diseases within 10 mi
116
Per 100K population
3.7
County median income
$113,702
Nearest hospital
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
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. Weiss is a clinical cardiology specialist, with above-average Medicare volume (top 4% in CA), with low-engagement industry engagement, 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. Weiss experienced with remote patient monitoring management, 20 min/month?
Based on Medicare claims data, Dr. Weiss performed 950 remote patient monitoring management, 20 min/month 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. Weiss receive payments from pharmaceutical companies?
Yes. Dr. Weiss received a total of $1,198 from 27 companies across 60 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. Weiss's costs compare to other pulmonary diseases in Newport Beach?
Dr. Weiss's average Medicare payment per service is $47. 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. Weiss) 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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