Medicare Enrolled
Dr. Todd Lewis, M.D.
Cardiovascular Disease · St Augustine, FL
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. Lewis 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. Lewis
Dr. Todd Lewis is a cardiovascular disease specialist in St Augustine, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lewis performed 5,039 Medicare services across 3,110 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lewis received a total of $24,701 from 63 pharmaceutical and/or device companies across 802 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular 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. Lewis 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 21% volume in FL
$24,701 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,039
Medicare services
Top 21% in FL for cardiovascular disease
3,110
Unique beneficiaries
$127
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~265 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. |
1,718 | $93 | $165 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
464 | $42 | $162 |
| 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. |
414 | $10 | $23 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
225 | $16 | $34 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 216 | $320 | $608 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
198 | $63 | $111 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
184 | $139 | $308 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
174 | $57 | $127 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
164 | $10 | $20 |
| 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. |
157 | $62 | $112 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
124 | $96 | $162 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress. |
108 | $1,185 | $2,242 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
108 | $4 | $6 |
| Continuous ECG monitoring with symptom tracking, up to 30 days This procedure involves continuous electrocardiogram monitoring for up to 30 days. It includes symptom monitoring to correlate heart activity with patient-reported events. |
69 | $6 | $13 |
| Continuous ECG monitoring with transmission and review Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report. |
67 | $18 | $38 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
65 | $125 | $248 |
| Cardiac catheterization | 63 | $194 | $473 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
53 | $27 | $89 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
44 | $472 | $943 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
36 | $87 | $224 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
36 | $78 | $152 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 30 | $217 | $1,783 |
| Balloon angioplasty of leg artery, initial vessel A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter. This is performed on the first vessel treated during the session. |
28 | $347 | $1,108 |
| Radiologist review of abdominal aorta and leg artery images A radiologist reviews images of the abdominal aorta and the arteries in both legs. This process involves analyzing the visual data to assess the condition of these blood vessels. |
28 | $77 | $245 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
25 | $3,320 | $7,338 |
| Arterial catheter insertion, initial third order branch Insertion of a tube into an abdominal, pelvic, or leg artery, specifically targeting the initial third order branch. |
25 | $128 | $525 |
| Arterial plaque removal in leg A procedure to remove plaque buildup from the arteries in the leg to restore blood flow. |
25 | $495 | $1,141 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
25 | $60 | $118 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
21 | $61 | $147 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 21 | $282 | $2,073 |
| Cardiac rhythm monitor programming Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection. |
17 | $45 | $80 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
15 | $17 | $34 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
15 | $11 | $22 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
15 | $85 | $366 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
15 | $41 | $60 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
13 | $136 | $384 |
| Coronary atherectomy with shockwave lithotripsy A catheter-based procedure that uses shockwaves to break up calcified plaque within a coronary artery. |
12 | $134 | $250 |
| SPECT nuclear medicine scan, 1 area A nuclear medicine imaging test using a single photon emission computed tomography (SPECT) scan to create detailed images of one specific area of the body. |
11 | $40 | $83 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
11 | $100 | $197 |
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.
6.9% high complexity
18.8% medium
74.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$24,701
Total received (2018-2024)
Avg $3,529/year across 7 years
Top 12% in FL for cardiovascular disease
63
Companies
802
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
$20,146 (81.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$4,247 (17.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$308 (1.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$7,041
2023
$4,151
2022
$2,844
2021
$3,894
2020
$2,601
2019
$2,251
2018
$1,919
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$4,208
Cardiovascular Systems Inc.
$2,700
Janssen Pharmaceuticals, Inc
$1,733
ABIOMED
$1,351
Actelion Pharmaceuticals US, Inc.
$1,178
Abbott Laboratories
$984
Amgen Inc.
$950
PFIZER INC.
$928
United Therapeutics Corporation
$751
ShockWave Medical, Inc
$744
Medtronic, Inc.
$718
Boston Scientific Corporation
$668
Boehringer Ingelheim Pharmaceuticals, Inc.
$564
Bayer HealthCare Pharmaceuticals Inc.
$552
AstraZeneca Pharmaceuticals LP
$540
Merck Sharp & Dohme LLC
$465
Medtronic Vascular, Inc.
$442
AngioDynamics, Inc.
$433
Esperion Therapeutics, Inc.
$325
Novo Nordisk Inc
$297
Penumbra, Inc.
$291
Astellas Pharma US Inc
$264
SANOFI-AVENTIS U.S. LLC
$262
Shockwave Medical, Inc
$246
BIOTRONIK INC.
$239
Arteriocyte Medical Systems, Inc.
$237
Amarin Pharma Inc.
$221
GE HealthCare
$218
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$165
Bayer Healthcare Pharmaceuticals Inc.
$158
Regeneron Healthcare Solutions, Inc.
$145
Edwards Lifesciences Corporation
$131
E.R. Squibb & Sons, L.L.C.
$119
BOSTON SCIENTIFIC CORPORATION
$116
CMS Imaging, Inc.
$106
Philips Electronics North America Corporation
$105
Baxter Healthcare
$89
Avinger Inc.
$77
Bard Peripheral Vascular, Inc.
$75
Integra LifeSciences Corporation
$73
Chiesi USA, Inc.
$72
CARDIVA MEDICAL, INC.
$68
EKOS Corporation
$60
Terumo Medical Corporation
$59
Cook Incorporated
$57
ACIST MEDICAL SYSTEMS, INC.
$47
Kiniksa Pharmaceuticals, Ltd.
$46
Gilead Sciences, Inc.
$46
CHIESI USA, INC.
$42
GENZYME CORPORATION
$41
Arrow International, Inc.
$35
iRhythm Technologies, Inc.
$32
Johnson & Johnson Health Care Systems Inc.
$31
Teleflex LLC
$30
Kiniksa Pharmaceuticals International, plc
$30
Bardy Diagnostics, Inc.
$26
Acist Medical Systems, Inc.
$18
Lexicon Pharmaceuticals, Inc.
$18
LivaNova USA, Inc.
$17
Merck Sharp & Dohme Corporation
$16
Alnylam Pharmaceuticals Inc.
$15
PORTOLA PHARMACEUTICALS, INC.
$13
ARALEZ PHARMACEUTICALS US INC.
$12
Top 3 companies account for 35.0% of total payments
Associated products mentioned in payments ›
(5091) Amb Mon & Diag Und · (7999) SRC Undivided · ABRE · ASSURITY · AURYON LASER SYSTEM 100-120 VAC · AVVIGO Guidance System · Acticor · Acticor 7 VR-T DX · Adempas · Advisa · AngioSeal · Arcalyst · Architect CK-MB · BEVYXXA · BILAYER WOUND MATRIX (BWM) · BIOMONITOR · BRILINTA · CAMZYOS · CARDIVA VASCADE 6/7F VCS · CHANTIX · CLEVIPREX · CONCERTOTM · CONFIRM RX · COOK MEDICAL PERIPHERAL INTERVENTION · COROFLOW · CVI CONSUMABLES · CVI Consumables · Cardiva VASCADE MVP VVCS 6-12F · Carnation Ambulatory Monitor · Catheter - Turnpike · CoreValve Evolut · Corlanor · Coronary Orbital Atherectomy System · DIAMONDBACK CORONARY · DIAMONDBACK PERIPHERAL · DRAGONFLY OPSTAR · Diamondback Coronary · Diamondback Peripheral · EKOSONIC · ELIQUIS · ENTRESTO · Ellipse ICD · FABRAZYME · FARXIGA · Fortify Assura · GENERAL - THERAPIES · GlideWire · HAWKONE · HawkOne · Hillrom - Cardiac Ambulatory Monitor · Hillrom - Carnation Ambulatory Monitor · Hornet 10 · HydroPearl · INVOKANA · Impella · Indigo · Indigo System · Interventional Products · JARDIANCE · KENGREAL · KENGREAL 50MG/10ML L · Kerendia · LEQVIO · LEXISCAN · LIFESPARC · LINQ II · LOKELMA · LUX-Dx Insertable Cardiac Monitor · LifeVest · MICRA · MITRACLIP · MULTAQ · Magellan · Micra · NEXLETOL · ONPATTRO · ONYX FRONTIER · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · Optis Coronary Imaging System · Ozempic · PANTHERIS · PERCLOSE PROSTYLE · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Penumbra System · Peripheral Orbital Atherectomy System · RESONATE EL ICD VR · ROTAPRO · RUBY Coil · RXI SYSTEMS · Repatha · Resolute · Reveal LINQ · Rivacor · Rybelsus · SAPIEN 3 Ultra RESILIA · SHOCKWAVE INTRAVASCULAR LITHOTRIPSY (IVL) SYSTEM WITH THE SHOCKWAVE M5+ · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave C2+ Coronary · Shockwave Medical L6 Intravascular Lithotripsy (IVL) Catheter · TYVASO · Tendril Pacing Lead · UPTRAVI · VASCBAND · VERQUVO · VYNDAQEL · Vascepa · Vascular Lithotripsy · Venclose Maven Catheter · Verquvo · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · WINREVAIR · Wegovy · Wolverine Coronary Cutting Balloon · XARELTO · XIENCE SIERRA · ZIO XT Patch · ZONTIVITY · Zio monitor
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 (82%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $490 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
21
Per 100K population
7.2
County median income
$106,169
Nearest hospital
FLAGLER HOSPITAL
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Lewis is a clinical cardiology specialist, with above-average Medicare volume (top 21% in FL), with low-engagement industry engagement in the top 12% of FL peers, with 19 years of NPI registration.
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. Lewis experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Lewis performed 1,718 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. Lewis receive payments from pharmaceutical companies?
Yes. Dr. Lewis received a total of $24,701 from 63 companies across 802 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. Lewis's costs compare to other cardiologists in St Augustine?
Dr. Lewis's average Medicare payment per service is $127. 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. Lewis) 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. 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.
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