Medicare Enrolled
Dr. Thomas Garner, M.D.
Internal Medicine · Richmond Hill, 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. Garner 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. Garner
Dr. Thomas Garner is an internal medicine specialist in Richmond Hill, GA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Garner performed 1,121 Medicare services across 882 unique beneficiaries.
Between the years covered by Open Payments, Dr. Garner received a total of $12,488 from 64 pharmaceutical and/or device companies across 735 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Garner 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.
✓ 15 years in practice
▲ Top 31% volume in GA
$12,488 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,121
Medicare services
Top 31% in GA for internal medicine
882
Unique beneficiaries
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~75 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. |
383 | $76 | $205 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
186 | $121 | $324 |
| 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. |
155 | $58 | $139 |
| Annual depression screening | 131 | $17 | $53 |
| 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. |
49 | $58 | $139 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
47 | $8 | $70 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
33 | $3 | $11 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
30 | $76 | $183 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
30 | $29 | $70 |
| 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. |
21 | $91 | $200 |
| 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. |
18 | $80 | $317 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
15 | $29 | $70 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
12 | $154 | $445 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
11 | $282 | $863 |
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 ↗$12,488
Total received (2018-2024)
Avg $1,784/year across 7 years
Top 6% in GA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
64
Companies
735
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
$12,217 (97.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$271 (2.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,643
2023
$1,696
2022
$1,735
2021
$2,123
2020
$1,914
2019
$1,799
2018
$1,577
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$394
Novo Nordisk Inc
$372
Lilly USA, LLC
$145
Otsuka America Pharmaceutical, Inc.
$87
PFIZER INC.
$72
AstraZeneca Pharmaceuticals LP
$60
GlaxoSmithKline, LLC.
$59
Antares Pharma, Inc.
$58
Amgen Inc.
$53
Phathom Pharmaceuticals, Inc.
$46
Boehringer Ingelheim Pharmaceuticals, Inc.
$38
Janssen Pharmaceuticals, Inc
$37
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$34
Sumitomo Pharma America, Inc.
$31
Esperion Therapeutics, Inc.
$24
SCILEX PHARMACEUTICALS INC.
$22
Dexcom, Inc.
$20
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$18
Takeda Pharmaceuticals U.S.A., Inc.
$16
Exact Sciences Corporation
$15
Bausch Health US, LLC
$15
Merck Sharp & Dohme LLC
$14
Tolmar, Inc.
$14
Top 3 companies account for 55.4% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$2,192
AstraZeneca Pharmaceuticals LP
$1,144
PFIZER INC.
$974
Lilly USA, LLC
$951
ABBVIE INC.
$838
Amgen Inc.
$691
GlaxoSmithKline, LLC.
$628
SANOFI-AVENTIS U.S. LLC
$587
Astellas Pharma US Inc
$361
Boehringer Ingelheim Pharmaceuticals, Inc.
$315
AbbVie Inc.
$294
Janssen Pharmaceuticals, Inc
$271
Takeda Pharmaceuticals U.S.A., Inc.
$250
Otsuka America Pharmaceutical, Inc.
$246
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$207
Esperion Therapeutics, Inc.
$192
Allergan, Inc.
$172
Kowa Pharmaceuticals America, Inc.
$124
Biohaven Pharmaceuticals, Inc.
$120
Biohaven Pharmaceutical Holding Company Ltd.
$109
Amarin Pharma Inc.
$100
Antares Pharma, Inc.
$97
Merck Sharp & Dohme Corporation
$92
AMAG Pharmaceuticals, Inc.
$88
Bayer Healthcare Pharmaceuticals Inc.
$88
Bausch Health US, LLC
$88
Novartis Pharmaceuticals Corporation
$82
Allergan Inc.
$75
Bayer HealthCare Pharmaceuticals Inc.
$66
Exact Sciences Corporation
$62
UPSHER-SMITH LABORATORIES LLC
$58
Neos Therapeutics, LP
$57
Dexcom, Inc.
$51
Eisai Inc.
$51
Nalpropion Pharmaceuticals LLC
$50
Phathom Pharmaceuticals, Inc.
$46
IDORSIA PHARMACEUTICALS US INC
$45
Merck Sharp & Dohme LLC
$44
Upsher-Smith Laboratories LLC
$42
Mannkind Corporation
$38
Abbott Laboratories
$37
Sumitomo Pharma America, Inc.
$31
Orexigen Therapeutics, Inc.
$30
DERMIRA, INC.
$28
Evofem Biosciences, Inc.
$28
Currax Pharmaceuticals LLC
$28
IBSA Pharma Inc.
$25
Clarus Therapeutics Inc.
$25
Ultragenyx Pharmaceutical Inc.
$24
Supernus Pharmaceuticals, Inc.
$23
SCILEX PHARMACEUTICALS INC.
$22
Lundbeck LLC
$20
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$18
RedHill Biopharma Inc.
$18
Ironshore Pharmaceuticals Inc.
$17
Celgene Corporation
$16
Hikma Pharmaceuticals USA
$16
PBG PUERTO RICO LLC
$15
ARBOR PHARMACEUTICALS, INC.
$14
Tolmar, Inc.
$14
VBI Vaccines (Delaware) Inc.
$13
AbbVie, Inc.
$13
Sanofi Pasteur Inc.
$13
Daiichi Sankyo Inc.
$12
Top 3 companies account for 34.5% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · ANORO · ANORO ELLIPTA · APLENZIN · AREXVY · Adzenys XR-ODT · Aimovig · BASAGLAR · BELSOMRA · BREO · BREZTRI AEROSPHERE · BYSTOLIC · CAPLYTA · CHANTIX · CONTRAVE · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · GARDASIL · GARDASIL 9 · GEMTESA · INJECTAFER · INTRAROSA · INVOKANA · JANUVIA · JARDIANCE · JATENZO · JYNARQUE · Jornay PM 20mg capsules (Bottle of 100) · Kerendia · Kloxxado · LINZESS · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Movantik · Myrbetriq · NEXLETOL · NEXLIZET · NURTEC ODT · Otezla · Ozempic · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · Phexxi · PreHevbrio · Prolia · QBREXZA · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUVIVIQ · REXULTI · REYVOW · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPRAVATO · SYMBICORT · Saxenda · Synthroid · TLANDO · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · TRUMENBA · Tirosint · Tresiba · Trintellix · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · XYOSTED · ZEPBOUND · ZTLido
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. Total industry engagement is in the top 6% for internal medicine in GA.
Geographic Context
Internal medicine physicians within 10 mi
188
Per 100K population
402.7
County median income
$94,234
Nearest hospital
ST JOSEPH'S HOSPITAL - SAVANNAH
9.5 mi
9.5 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. Garner is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 6% of GA peers, with 15 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. Garner experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Garner performed 383 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. Garner receive payments from pharmaceutical companies?
Yes. Dr. Garner received a total of $12,488 from 64 companies across 735 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. Garner's costs compare to other internal medicine physicians in Richmond Hill?
Dr. Garner's average Medicare payment per service is $69. 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. Garner) 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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