Medicare Enrolled

Dr. Nirmala Shanmugam, MD

Gastroenterology · Lake Worth, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
6944 LAKE WORTH RD, Lake Worth, FL 33467
5614340060
In practice since 2006 (19 years)
NPI: 1083678502 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. Shanmugam 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. Shanmugam? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Shanmugam

Dr. Nirmala Shanmugam is a gastroenterology in Lake Worth, FL, with 19 years in practice. Based on federal Medicare data, Dr. Shanmugam performed 779 Medicare services across 667 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shanmugam received a total of $7,029 from 34 pharmaceutical and/or device companies across 340 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Shanmugam 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.

✓ 19 years in practice▲ Top 45% volume in FL$ $7,029 industry payments

Medicare Practice Summary

Medicare Utilization ↗
779
Medicare services
Top 45% in FL for gastroenterology
667
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~41 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 (30-39 min)315$84$348
Office visit, established patient (20-29 min)167$60$237
Upper GI endoscopy with biopsy73$84$1,170
New patient office visit (45-59 min)71$118$542
Removal of polyps or growths of large bowel using an endoscope with mechanical snare52$223$1,426
Colonoscopy with biopsy35$149$1,500
New patient office visit (30-44 min)23$77$358
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk22$196$1,116
Colorectal cancer screening; colonoscopy on individual at high risk21$195$1,109
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 ↗
$7,029
Total received (2018-2024)
Avg $1,004/year across 7 years
Top 25% in FL for gastroenterology
34
Companies
340
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
$5,332 (75.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,697 (24.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$190
2023
$1,598
2022
$494
2021
$230
2020
$881
2019
$1,958
2018
$1,678

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$2,335
Takeda Pharmaceuticals U.S.A., Inc.
$476
Romark Laboratories, LC
$372
AbbVie Inc.
$356
QOL Medical, LLC
$331
AbbVie, Inc.
$306
Allergan Inc.
$276
Intercept Pharmaceuticals, Inc.
$246
UCB, Inc.
$231
Braintree Laboratories, Inc.
$204
Shire North American Group Inc
$200
Janssen Biotech, Inc.
$197
Celgene Corporation
$194
Synergy Pharmaceuticals Inc
$153
PFIZER INC.
$149
Gilead Sciences, Inc.
$144
ABBVIE INC.
$136
E.R. Squibb & Sons, L.L.C.
$95
INTERCEPT PHARMACEUTICALS, INC.
$81
Merck Sharp & Dohme Corporation
$75
Concordia Pharmaceuticals Inc.
$61
Daiichi Sankyo Inc.
$59
Shionogi Inc
$58
Ironwood Pharmaceuticals, Inc
$51
GENZYME CORPORATION
$50
IRONWOOD PHARMACEUTICALS, INC
$37
Evoke Pharma, Inc.
$35
Exact Sciences Corporation
$28
Ferring Pharmaceuticals Inc.
$20
Medtronic, Inc.
$20
RedHill Biopharma Inc.
$16
Madrigal Pharmaceuticals
$15
Alexion Pharmaceuticals, Inc.
$14
Micro-tech Endoscopy USA, Inc.
$8
Top 3 companies account for 45.3% of total payments
Associated products mentioned in payments ›
ALINIA · APRISO · Aemcolo · Alinia · Alinia Tablets 500mg 30 count bottle · Amitiza · CLENPIQ · CREON · Cimzia · Cold Snares · Cologuard Collection Kit · Creon · DIFICID · DONNATAL · DUPIXENT · Donnatal · ENTYVIO · Entyvio · GATTEX · GIMOTI · HUMIRA · Humira · INJECTAFER · Kanuma · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · Mavyret · Motegrity · OCALIVA · PLENVU · REMICADE · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUPREP · SUPREP BOWEL PREP · SYNCHROMEDII · Sucraid · Symproic · TREMFYA · TRULANCE · Trulance · VIBERZI · Vemlidy · XELJANZ · XIFAXAN · XIFAXANIBSD · XIFIXAN · 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 (76%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $902 per 100 Medicare services performed
Looking for a gastroenterology in Lake Worth?
Compare gastroenterologys in the Lake Worth area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
122
Per 100K population
8.1
County median income
$81,115
Nearest hospital
WELLINGTON REGIONAL MEDICAL CENTER
5.8 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. Shanmugam is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement, with 19 years of practice experience.

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. Shanmugam experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shanmugam performed 315 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. Shanmugam receive payments from pharmaceutical companies?
Yes. Dr. Shanmugam received a total of $7,029 from 34 companies across 340 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. Shanmugam's costs compare to other gastroenterologys in Lake Worth?
Dr. Shanmugam's average Medicare payment per service is $100. 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. Shanmugam) 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 →