Medicare Enrolled

Dr. James Pilkington, MD

Urology Physician · Lake Wales, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
407 S 11TH ST, Lake Wales, FL 33853
8636792707
In practice since 2014 (11 years)
NPI: 1871913905 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. Pilkington 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. Pilkington

Dr. James Pilkington is an urology physician in Lake Wales, FL, with 11 years in practice. Based on federal Medicare data, Dr. Pilkington performed 1,811 Medicare services across 1,371 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pilkington received a total of $5,852 from 19 pharmaceutical and/or device companies across 72 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Pilkington is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 11 years in practice▲ Top 48% volume in FL$ $5,852 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,811
Medicare services
Top 48% in FL for urology physician
1,371
Unique beneficiaries
$81
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~165 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)664$64$263
Diagnostic exam of bladder and urethra using an endoscope149$168$701
Automated urinalysis137$2$7
Office visit, established patient (30-39 min)131$92$369
Leuprolide acetate (for depot suspension), 7.5 mg74$132$548
New patient office visit (30-44 min)69$76$336
Hospital follow-up visit, low complexity49$39$152
New patient office visit (45-59 min)46$111$500
Simple change of bladder tube45$77$289
Bladder ultrasound after voiding39$8$32
Blood draw (venipuncture)37$8$9
Imaging of urinary tract following injection of a contrast agent33$19$74
Office visit, established patient (10-19 min)32$42$168
Electronic assessment of bladder emptying30$9$43
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes29$67$254
Urinalysis using microscope23$3$6
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope21$253$948
Insertion of stent in ureter using an endoscope21$107$515
Complete blood count (CBC) with differential21$8$16
Crushing of stone of ureter with insertion of stent using an endoscope18$315$1,291
PSA test (prostate cancer screening)18$18$37
Simple bladder irrigation and/or instillation17$60$226
Insertion of sacral nerve neurostimulator electrode array16$318$1,185
Complex measurement of pressure of urine flow in bladder with voiding pressure studies15$275$1,067
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings15$26$191
Insertion of device into abdomen with pressure and urine flow rate study15$150$560
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope13$586$2,192
Drug injection, under skin or into muscle12$11$42
Biopsy of prostate gland11$166$715
Ultrasound scan of pelvic region through rectum11$106$532
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.
3.3% high complexity
5.9% medium
90.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,852
Total received (2019-2024)
Avg $975/year across 6 years
Top 36% in FL for urology physician
19
Companies
72
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,119 (53.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,734 (46.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$942
2023
$4,047
2022
$329
2021
$218
2020
$243
2019
$74

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Intuitive Surgical, Inc.
$3,000
Teleflex LLC
$433
Medtronic, Inc.
$357
Axonics, Inc.
$338
PROCEPT BioRobotics Corporation
$323
Boston Scientific Corporation
$263
Myriad Genetic Laboratories, Inc.
$260
PFIZER INC.
$224
NeoTract Inc.
$192
Astellas Pharma US Inc
$161
BOSTON SCIENTIFIC CORPORATION
$114
Medtronic USA, Inc.
$35
Verity Pharmaceuticals Inc.
$31
Laborie Medical Technologies Corp.
$31
Coloplast Corp
$21
Calyxo, Inc.
$21
Becton, Dickinson and Company
$18
UROGEN PHARMA, INC.
$17
Ambu Inc.
$14
Top 3 companies account for 64.7% of total payments
Associated products mentioned in payments ›
AQUABEAM ROBOTIC SYSTEM · Axonics · BRACAnalysis CDx · Bard Urinary Drainage Bag · CVAC ASPIRATION SYSTEM · DAVINCI XI · INTERSTIM · JELMYTO · LITHOVUE · LithoVue · MYRBETRIQ · MYRISK · Myrbetriq · Optilume BPH Drug Coated Balloon Catheter · PROLARIS · Prolaris · Rezum Generator · SpaceOAR VUE System - 10mL · SpeediCath · TOVIAZ · Trelstar · UROLIFT · UroLift · UroLift System · XTANDI · rezum Generator
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 →

The majority of payments (53%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in urology physician and does not inherently indicate bias, but patients may wish to be aware.

Equivalent to $323 per 100 Medicare services performed
Looking for a urology physician in Lake Wales?
Compare urology physicians in the Lake Wales area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology Physicians within 10 mi
25
Per 100K population
3.3
County median income
$63,644
Nearest hospital
ADVENTHEALTH LAKE WALES
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Pilkington is a clinical cardiology specialist, with moderate Medicare volume, and speaking/promotional industry engagement.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Pilkington experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Pilkington performed 664 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. Pilkington receive payments from pharmaceutical companies?
Yes. Dr. Pilkington received a total of $5,852 from 19 companies across 72 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. Pilkington's costs compare to other urology physicians in Lake Wales?
Dr. Pilkington's average Medicare payment per service is $81. 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. Pilkington) 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. The Transparency Score measures 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 →