Medicare Enrolled

Dr. Valerie Reilly, P.A.

Physician Assistant · Nipomo, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
699 W TEFFT ST, Nipomo, CA 93444
8059309995
In practice since 2005 (20 years)
NPI: 1588655617 verify on NPPES ↗
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. Reilly 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 →
Are you Dr. Reilly? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Reilly

Dr. Valerie Reilly is a physician assistant in Nipomo, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Reilly performed 1,426 Medicare services across 1,134 unique beneficiaries.

Between the years covered by Open Payments, Dr. Reilly received a total of $2,802 from 16 pharmaceutical and/or device companies across 37 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. 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. Reilly 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 10% volume in CA $2,802 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,426
Medicare services
Top 10% in CA for physician assistant
1,134
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~71 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 (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.
487 $50 $202
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.
307 $78 $298
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
258 $116 $324
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
77 $28 $48
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.
63 $72 $146
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.
46 $9 $58
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.
34 $124 $401
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
32 $15 $60
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
20 $36 $299
Ear wax removal by washing
This procedure involves the removal of impacted ear wax using a washing technique.
18 $9 $40
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.
17 $148 $462
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
15 $10 $36
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
15 $29 $122
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.
14 $21 $54
Routine 12-lead ECG screening
A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report.
12 $7 $48
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
11 $2 $9
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 ↗
$2,802
Total received (2021-2024)
Avg $701/year across 4 years
Top 13% in CA for physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
37
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
$2,791 (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
$1,168
2023
$631
2022
$757
2021
$248

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boehringer Ingelheim Pharmaceuticals, Inc.
$328
E.R. Squibb & Sons, L.L.C.
$218
Teva Pharmaceuticals USA, Inc.
$125
AstraZeneca Pharmaceuticals LP
$125
Phathom Pharmaceuticals, Inc.
$125
ABBVIE INC.
$103
AIMMUNE THERAPEUTICS, INC.
$81
Novo Nordisk Inc
$40
GlaxoSmithKline, LLC.
$23
Top 3 companies account for 57.5% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$464
Boehringer Ingelheim Pharmaceuticals, Inc.
$328
Novo Nordisk Inc
$273
AstraZeneca Pharmaceuticals LP
$255
Teva Pharmaceuticals USA, Inc.
$230
E.R. Squibb & Sons, L.L.C.
$218
IDORSIA PHARMACEUTICALS US INC
$144
Lilly USA, LLC
$137
SI-BONE, INC.
$130
Phathom Pharmaceuticals, Inc.
$125
Biohaven Pharmaceutical Holding Company Ltd.
$121
GlaxoSmithKline, LLC.
$112
Inspire Medical Systems, Inc.
$107
AIMMUNE THERAPEUTICS, INC.
$81
Eisai Inc.
$61
AbbVie Inc.
$17
Top 3 companies account for 38.0% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AUSTEDO · Austedo XR · BREZTRI · Dayvigo · ELIQUIS · FARXIGA · IFUSE IMPLANT · INSPIRE · JARDIANCE · MOUNJARO · NURTEC ODT · Ozempic · QUVIVIQ · Rybelsus · TRELEGY ELLIPTA · UBRELVY · VOQUEZNA · VRAYLAR · ZENPEP · ZEPOSIA
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.

Looking for a physician assistant in Nipomo?
Compare physician assistants in the Nipomo area by procedure volume, costs, and industry payment transparency.
Browse physician assistants nearby

Geographic Context

Physician assistants within 10 mi
238
Per 100K population
84.6
County median income
$93,398
Nearest hospital
FRENCH HOSPITAL MEDICAL CENTER
15.2 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. Reilly is a clinical cardiology specialist, with above-average Medicare volume (top 10% in CA), with low-engagement industry engagement in the top 13% 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. Reilly experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Reilly performed 487 office visit, established patient (20-29 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. Reilly receive payments from pharmaceutical companies?
Yes. Dr. Reilly received a total of $2,802 from 16 companies across 37 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. Reilly's costs compare to other physician assistants in Nipomo?
Dr. Reilly's average Medicare payment per service is $66. 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. Reilly) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →