Medicare Enrolled
Dr. Scott Pethke, M.D.
Critical Care Medicine · Augusta, GA
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. Pethke 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. Pethke
Dr. Scott Pethke is a critical care medicine specialist in Augusta, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Pethke performed 2,567 Medicare services across 1,524 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pethke received a total of $12,421 from 47 pharmaceutical and/or device companies across 577 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in critical care 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. Pethke 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 8% volume in GA
$12,421 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,567
Medicare services
Top 8% in GA for critical care medicine
1,524
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~128 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 |
|---|---|---|---|
| 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. |
829 | $60 | $140 |
| 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. |
423 | $87 | $225 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
282 | $18 | $95 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
277 | $37 | $150 |
| 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. |
273 | $92 | $199 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
138 | $129 | $330 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
108 | $23 | $95 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
93 | $59 | $150 |
| 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. |
62 | $115 | $330 |
| 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. |
51 | $64 | $180 |
| 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. |
16 | $86 | $226 |
| 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. |
15 | $128 | $299 |
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 ↗$12,421
Total received (2018-2024)
Avg $1,774/year across 7 years
Top 14% in GA for critical care medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
577
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
$12,147 (97.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$273 (2.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,650
2023
$2,007
2022
$2,488
2021
$1,571
2020
$749
2019
$1,637
2018
$1,318
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$571
GlaxoSmithKline, LLC.
$501
Actelion Pharmaceuticals US, Inc.
$224
Merck Sharp & Dohme LLC
$197
GENZYME CORPORATION
$191
Regeneron Healthcare Solutions, Inc.
$112
Boehringer Ingelheim Pharmaceuticals, Inc.
$103
Takeda Pharmaceuticals U.S.A., Inc.
$102
Shionogi Inc
$91
Mylan Specialty L.P.
$85
Mallinckrodt Hospital Products Inc.
$75
Insmed, Inc.
$69
Grifols USA, LLC
$66
Amgen Inc.
$51
ABBVIE INC.
$45
ANI Pharmaceuticals, Inc.
$34
JAZZ PHARMACEUTICALS INC.
$24
United Therapeutics Corporation
$21
Novartis Pharmaceuticals Corporation
$20
Baxter Healthcare
$17
Bayer Healthcare Pharmaceuticals Inc.
$17
Electromed, Inc.
$15
Resmed Corp
$15
Janssen Biotech, Inc.
$3
Top 3 companies account for 48.9% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$2,680
AstraZeneca Pharmaceuticals LP
$2,657
Actelion Pharmaceuticals US, Inc.
$1,342
Boehringer Ingelheim Pharmaceuticals, Inc.
$522
Mylan Specialty L.P.
$421
Insmed, Inc.
$416
Regeneron Healthcare Solutions, Inc.
$391
GENZYME CORPORATION
$367
Bayer HealthCare Pharmaceuticals Inc.
$225
Merck Sharp & Dohme LLC
$216
Sunovion Pharmaceuticals Inc.
$211
Inspire Medical Systems, Inc.
$208
Genentech USA, Inc.
$205
Mallinckrodt Hospital Products Inc.
$204
Novartis Pharmaceuticals Corporation
$192
Shionogi Inc
$191
Grifols USA, LLC
$177
Baxter Healthcare
$159
Merck Sharp & Dohme Corporation
$159
Amgen Inc.
$139
United Therapeutics Corporation
$129
ABBVIE INC.
$109
ANI Pharmaceuticals, Inc.
$106
Takeda Pharmaceuticals U.S.A., Inc.
$102
Philips Electronics North America Corporation
$95
Electromed, Inc.
$78
SANOFI-AVENTIS U.S. LLC
$75
Pulmonx Corporation
$72
Gilead Sciences, Inc.
$58
Allergan Inc.
$56
Janssen Pharmaceuticals, Inc
$50
AbbVie Inc.
$47
Shire North American Group Inc
$40
Mallinckrodt LLC
$36
MEDELA LLC
$34
Bayer Healthcare Pharmaceuticals Inc.
$33
Mallinckrodt Enterprises LLC
$32
Inari Medical, Inc.
$31
Melinta Therapeutics, Inc.
$30
JAZZ PHARMACEUTICALS INC.
$24
Advanced Respiratory, Inc
$22
Melinta Therapeutics, LLC
$20
Sandoz Inc.
$17
Resmed Corp
$15
Teva Pharmaceuticals USA, Inc.
$14
Eagle Pharmaceuticals, Inc.
$12
Janssen Biotech, Inc.
$3
Top 3 companies account for 53.8% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AIRSENSE · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · AVYCAZ · Adempas · Arikayce · BEVESPI AEROSPHERE · BOSENTAN TABLETS · BREO · BREZTRI · BREZTRI AEROSPHERE · BYFAVO · Baxdela · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · Dymista · Esbriet · FASENRA · FLOWTRIEVER CATHETER · Fetroja · GLASSIA · Hillrom - Life 2000 Ventilation System · Hillrom - Vest System Model 105 Home Care · INSPIRE · Inspire Upper Airway Stimulation System · KEYTRUDA · LONHALA MAGNAIR · Life 2000 Ventilation System · NUCALA · OFEV · OPSUMIT · ORENITRAM · PURIFIED CORTROPHIN GEL · Perforomist · ProAir Digihaler · Prolastin-C · Prolastin-C Liquid · Pulmonx Endobronchial Valve EBV · RYBREVANT · Respiratoriy Care Undiv · S · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · TAGRISSO · TEFLARO · TEZSPIRE · TRELEGY ELLIPTA · TREPROSTINIL · TYVASO · Trilogy 100 · UPTRAVI · Utibron · Vabomere · WINREVAIR · Wellcentive Undiv · XARELTO · XOLAIR · XYWAV · Xembify · Xolair · YUPELRI · Yupelri · ZERBAXA
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Critical care medicines within 10 mi
14
Per 100K population
6.8
County median income
$53,197
Nearest hospital
PIEDMONT AUGUSTA 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Pethke is a clinical cardiology specialist, with above-average Medicare volume (top 8% in GA), with low-engagement industry engagement in the top 14% of GA 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. Pethke experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Pethke performed 829 hospital follow-up visit, moderate complexity 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. Pethke receive payments from pharmaceutical companies?
Yes. Dr. Pethke received a total of $12,421 from 47 companies across 577 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. Pethke's costs compare to other critical care medicines in Augusta?
Dr. Pethke's average Medicare payment per service is $65. 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. Pethke) 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. 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.
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