Medicare Enrolled

Dr. Thomas Evans, M.D.

Family Medicine · Tulare, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1070 N CHERRY ST, Tulare, CA 93274
5596863421
In practice since 2006 (19 years)
NPI: 1033209846 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. Evans 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. Evans? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Evans

Dr. Thomas Evans is a family medicine specialist in Tulare, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Evans performed 1,374 Medicare services across 786 unique beneficiaries.

Between the years covered by Open Payments, Dr. Evans received a total of $29,418 from 57 pharmaceutical and/or device companies across 953 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. Evans 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 16% volume in CA $29,418 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,374
Medicare services
Top 16% in CA for family medicine
786
Unique beneficiaries
$71
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~72 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.
661 $87 $146
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.
202 $63 $109
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
160 $133 $162
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
135 $10 $40
Influenza vaccine, quadrivalent, 0.5 ml dosage 61 $20 $36
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
61 $32 $33
Manual urinalysis with microscopic examination
A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities.
37 $4 $29
Bone density scan (DEXA)
A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures.
19 $40 $75
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.
15 $37 $90
Fecal immunochemical test (FIT), 1-3 simultaneous
A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer.
12 $18 $28
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.
11 $9 $66
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 ↗
$29,418
Total received (2018-2024)
Avg $4,203/year across 7 years
Top 1% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
57
Companies
953
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
$29,333 (99.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$85 (0.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,794
2023
$1,845
2022
$3,814
2021
$4,140
2020
$3,069
2019
$6,361
2018
$7,395

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$797
Lilly USA, LLC
$410
ABBVIE INC.
$301
Boehringer Ingelheim Pharmaceuticals, Inc.
$203
GlaxoSmithKline, LLC.
$186
Amgen Inc.
$140
IRONWOOD PHARMACEUTICALS, INC
$132
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$125
Daiichi Sankyo Inc.
$123
Novo Nordisk Inc
$118
PFIZER INC.
$116
Merck Sharp & Dohme LLC
$70
Dexcom, Inc.
$30
Edwards Lifesciences Corporation
$25
Astellas Pharma US Inc
$17
Top 3 companies account for 54.0% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$5,765
Amgen Inc.
$2,576
Ironwood Pharmaceuticals, Inc
$2,073
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,662
Lilly USA, LLC
$1,537
Novo Nordisk Inc
$1,529
GlaxoSmithKline, LLC.
$1,511
Merck Sharp & Dohme Corporation
$1,169
Amarin Pharma Inc.
$1,088
PFIZER INC.
$954
Takeda Pharmaceuticals U.S.A., Inc.
$674
Janssen Pharmaceuticals, Inc
$630
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$549
Allergan Inc.
$539
ABBVIE INC.
$517
Biohaven Pharmaceutical Holding Company Ltd.
$458
Biohaven Pharmaceuticals, Inc.
$428
AbbVie Inc.
$419
ITI, Inc.
$356
Novartis Pharmaceuticals Corporation
$350
BioDelivery Sciences International, Inc.
$333
Allergan, Inc.
$320
Abbott Laboratories
$303
Teva Pharmaceuticals USA, Inc.
$281
Corcept Therapeutics
$267
E.R. Squibb & Sons, L.L.C.
$259
SANOFI-AVENTIS U.S. LLC
$219
Bayer HealthCare Pharmaceuticals Inc.
$208
Intuitive Surgical, Inc.
$191
Otsuka America Pharmaceutical, Inc.
$168
IDORSIA PHARMACEUTICALS US INC
$146
Edwards Lifesciences Corporation
$144
Merck Sharp & Dohme LLC
$141
IRONWOOD PHARMACEUTICALS, INC
$132
Astellas Pharma US Inc
$130
Synergy Pharmaceuticals Inc
$127
Amneal Pharmaceuticals LLC
$125
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$125
Daiichi Sankyo Inc.
$123
Horizon Therapeutics plc
$123
AngioDynamics, Inc.
$98
Sanofi Pasteur Inc.
$82
Supernus Pharmaceuticals, Inc.
$77
Phadia US Inc.
$71
ARBOR PHARMACEUTICALS, INC.
$58
Dexcom, Inc.
$50
Esperion Therapeutics, Inc.
$50
Medtronic, Inc.
$46
Bayer Healthcare Pharmaceuticals Inc.
$39
Scilex Pharmaceuticals Inc.
$38
Nevro Corp.
$33
Sunovion Pharmaceuticals Inc.
$32
Medtronic MiniMed, Inc.
$25
AbbVie, Inc.
$19
Arbor Pharmaceuticals, Inc.
$17
Exact Sciences Corporation
$17
Optinose US, Inc.
$16
Top 3 companies account for 35.4% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · AREXVY · Aimovig · BELBUCA · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · CAPLYTA · CHANTIX · COMIRNATY · CREON · Cologuard Collection Kit · DUZALLO · Da Vinci Surgical System · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · FARXIGA · FASENRA · FLUZONE HIGH-DOSE · FORTEO · FREESTYLE LIBRE 2 · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL · GARDASIL 9 · GEMTESA · Horizant · INJECTAFER · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · KRYSTEXXA · KYPHON EXPRESS II KYPHOPAK TRAY · Kerendia · Korlym · LINZESS · LOKELMA · LYRICA · Linzess · MOUNJARO · MYRBETRIQ · Motegrity · NEXLIZET · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PREMARIN · Prolia · QULIPTA · QUVIVIQ · QVAR · REXULTI · ROTATEQ · RYBELSUS · RYTARY · Repatha · Rybelsus · SAPIEN 3 Ultra RESILIA · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · Senza · Synthroid · TEZSPIRE · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULANCE · TRULICITY · Tresiba · Trintellix · Trulance · UBRELVY · VIBERZI · VIIBRYD · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xhance · Xultophy 100/3.6 · ZTLido · iPro2
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. Total industry engagement is in the top 1% for family medicine in CA.

Looking for a family medicine specialist in Tulare?
Compare family medicine physicians in the Tulare area by procedure volume, costs, and industry payment transparency.
Browse family medicine physicians nearby

Geographic Context

Family medicine physicians within 10 mi
153
Per 100K population
32.2
County median income
$69,489
Nearest hospital
ADVENTIST HEALTH TULARE
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. Evans is a clinical cardiology specialist, with above-average Medicare volume (top 16% in CA), with low-engagement industry engagement in the top 1% 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. Evans experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Evans performed 661 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. Evans receive payments from pharmaceutical companies?
Yes. Dr. Evans received a total of $29,418 from 57 companies across 953 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. Evans's costs compare to other family medicine physicians in Tulare?
Dr. Evans's average Medicare payment per service is $71. 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. Evans) 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 →