Medicare Enrolled
Dr. Michael Caughron, M.D.
Internal Medicine · Glenview, IL
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. Caughron 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. Caughron
Dr. Michael Caughron is an internal medicine specialist in Glenview, IL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Caughron performed 2,564 Medicare services across 1,904 unique beneficiaries.
Between the years covered by Open Payments, Dr. Caughron received a total of $2,108 from 25 pharmaceutical and/or device companies across 136 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. Caughron 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.
✓ 19 years in practice
▲ Top 12% volume in IL
$2,108 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,564
Medicare services
Top 12% in IL for internal medicine
1,904
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~135 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. |
404 | $93 | $240 |
| 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. |
359 | $67 | $181 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
320 | $137 | $259 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
172 | $32 | $45 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
170 | $72 | $100 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
153 | $4 | $12 |
| 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. |
144 | $11 | $68 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
142 | $42 | $100 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
137 | $8 | $15 |
| 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. |
134 | $4 | $15 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
65 | $15 | $50 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
65 | $43 | $170 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
56 | $3 | $10 |
| 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. |
53 | $133 | $250 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
48 | $82 | $177 |
| 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. |
24 | $282 | $370 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
22 | $40 | $168 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
22 | $32 | $45 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
17 | $173 | $300 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
16 | $46 | $180 |
| 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. |
15 | $176 | $260 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
15 | $176 | $280 |
| 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. |
11 | $143 | $282 |
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 2022 ↗$2,108
Total received (2018-2022)
Avg $527/year across 4 years
Top 21% in IL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
136
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
$2,097 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$12 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2022
$12
2020
$497
2019
$817
2018
$782
Payments by company (2022)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$12
Top 3 companies account for 100.0% of 2022 payments
All-time payments by company (2018-2022) ›
Janssen Pharmaceuticals, Inc
$400
Novo Nordisk Inc
$242
Allergan Inc.
$227
PFIZER INC.
$168
GlaxoSmithKline, LLC.
$161
Allergan, Inc.
$146
AstraZeneca Pharmaceuticals LP
$98
Sunovion Pharmaceuticals Inc.
$77
Amgen Inc.
$77
AbbVie, Inc.
$69
Lilly USA, LLC
$63
Takeda Pharmaceuticals U.S.A., Inc.
$43
Amarin Pharma Inc.
$42
Astellas Pharma US Inc
$39
Boehringer Ingelheim Pharmaceuticals, Inc.
$35
Avanir Pharmaceuticals, Inc.
$33
Circassia Pharmaceuticals Inc
$33
Merck Sharp & Dohme Corporation
$27
Kowa Pharmaceuticals America, Inc.
$26
Horizon Therapeutics plc
$26
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
Seqirus USA Inc
$17
Bausch Health US, LLC
$14
Avion Pharmaceuticals
$14
Hikma Pharmaceuticals USA
$13
Top 3 companies account for 41.2% of all-time payments
Associated products mentioned in payments ›
ANORO · APLENZIN · BASAGLAR · BREO · BYSTOLIC · BYVALSON · Balcoltra · CHANTIX · FARXIGA · Fluad · HUMALOG · JANUVIA · JARDIANCE · KRYSTEXXA · LINZESS · LONHALA MAGNAIR · LYRICA · Levemir · Livalo · MYRBETRIQ · Mitigare · NUEDEXTA · Ozempic · PREVNAR - 13 · Prolia · RELISTOR · SHINGRIX · SYMBICORT · Saxenda · Synthroid · TRADJENTA · TRELEGY ELLIPTA · TUDORZA PRESSAIR · Tresiba · Trintellix · UBRELVY · UTIBRON NEOHALER · VIBERZI · VRAYLAR · Vascepa · XARELTO
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Internal medicine physicians within 10 mi
5,686
Per 100K population
109.6
County median income
$81,797
Nearest hospital
CHICAGO BEHAVIORAL HOSPITAL
3.9 mi
3.9 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 2022 |
| 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. Caughron is a clinical cardiology specialist, with above-average Medicare volume (top 12% in IL), with low-engagement industry engagement, with 19 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. Caughron experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Caughron performed 404 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. Caughron receive payments from pharmaceutical companies?
Yes. Dr. Caughron received a total of $2,108 from 25 companies across 136 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. Caughron's costs compare to other internal medicine physicians in Glenview?
Dr. Caughron'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. Caughron) 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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