Medicare Enrolled
Dr. Gregory Climaco, MD
Family Medicine · O'Fallon, 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. Climaco 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. Climaco
Dr. Gregory Climaco is a family medicine specialist in O'Fallon, IL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Climaco performed 2,465 Medicare services across 996 unique beneficiaries.
Between the years covered by Open Payments, Dr. Climaco received a total of $18,026 from 55 pharmaceutical and/or device companies across 942 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Climaco 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 6% volume in IL
$18,026 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,465
Medicare services
Top 6% in IL for family medicine
996
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~130 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 |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
932 | $1 | $7 |
| 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. |
643 | $84 | $225 |
| 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. |
242 | $64 | $160 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
84 | $30 | $37 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
82 | $55 | $186 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
79 | $10 | $34 |
| 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. |
76 | $72 | $97 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
67 | $8 | $20 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
59 | $30 | $166 |
| 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. |
59 | $157 | $367 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
28 | $2 | $8 |
| 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. |
24 | $120 | $310 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
17 | $27 | $172 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
17 | $16 | $42 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
15 | $41 | $52 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
15 | $128 | $170 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
14 | $30 | $37 |
| 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. |
12 | $281 | $396 |
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 ↗$18,026
Total received (2018-2024)
Avg $2,575/year across 7 years
Top 1% in IL for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
942
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
$18,026 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,871
2023
$2,105
2022
$2,006
2021
$3,341
2020
$2,283
2019
$2,870
2018
$2,550
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$701
Lilly USA, LLC
$288
ABBVIE INC.
$246
Novo Nordisk Inc
$201
Teva Pharmaceuticals USA, Inc.
$189
PFIZER INC.
$171
Boehringer Ingelheim Pharmaceuticals, Inc.
$150
Amgen Inc.
$131
Janssen Pharmaceuticals, Inc
$125
Phathom Pharmaceuticals, Inc.
$120
Axsome Therapeutics, Inc.
$88
Biogen, Inc.
$83
Lexicon Pharmaceuticals, Inc.
$76
Tris Pharma Inc
$53
Supernus Pharmaceuticals, Inc.
$35
Exact Sciences Corporation
$32
Otsuka America Pharmaceutical, Inc.
$27
Abbott Laboratories
$25
Dexcom, Inc.
$24
Lundbeck LLC
$21
Xeris Pharmaceuticals, Inc.
$19
AIMMUNE THERAPEUTICS, INC.
$19
Novartis Pharmaceuticals Corporation
$18
Sumitomo Pharma America, Inc.
$14
GlaxoSmithKline, LLC.
$14
Top 3 companies account for 43.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$3,046
AstraZeneca Pharmaceuticals LP
$2,858
Janssen Pharmaceuticals, Inc
$1,643
Lilly USA, LLC
$1,439
AbbVie Inc.
$1,266
Amgen Inc.
$866
Boehringer Ingelheim Pharmaceuticals, Inc.
$756
GlaxoSmithKline, LLC.
$665
ABBVIE INC.
$581
Allergan, Inc.
$512
PFIZER INC.
$436
Allergan Inc.
$290
Novartis Pharmaceuticals Corporation
$234
Astellas Pharma US Inc
$233
Takeda Pharmaceuticals U.S.A., Inc.
$226
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$217
Bayer HealthCare Pharmaceuticals Inc.
$215
Teva Pharmaceuticals USA, Inc.
$215
Biohaven Pharmaceuticals, Inc.
$208
Daiichi Sankyo Inc.
$167
Amarin Pharma Inc.
$132
Merck Sharp & Dohme Corporation
$122
Phathom Pharmaceuticals, Inc.
$120
SANOFI-AVENTIS U.S. LLC
$114
Xeris Pharmaceuticals, Inc.
$104
Dexcom, Inc.
$93
Supernus Pharmaceuticals, Inc.
$93
Axsome Therapeutics, Inc.
$88
Biogen, Inc.
$83
Radius Health, Inc.
$76
Lexicon Pharmaceuticals, Inc.
$76
Eisai Inc.
$76
Medtronic Vascular, Inc.
$75
Esperion Therapeutics, Inc.
$66
Exact Sciences Corporation
$64
Abbott Laboratories
$62
Bayer Healthcare Pharmaceuticals Inc.
$56
Nestle HealthCare Nutrition Inc.
$56
Tris Pharma Inc
$53
Otsuka America Pharmaceutical, Inc.
$46
AbbVie, Inc.
$41
Celgene Corporation
$38
Kowa Pharmaceuticals America, Inc.
$26
DePuy Synthes Sales Inc.
$23
Lundbeck LLC
$21
AIMMUNE THERAPEUTICS, INC.
$19
Ultragenyx Pharmaceutical Inc.
$16
Ironwood Pharmaceuticals, Inc
$15
NESTLE HEALTHCARE NUTRITION INC.
$15
Avanir Pharmaceuticals, Inc.
$15
Sumitomo Pharma America, Inc.
$14
IDORSIA PHARMACEUTICALS US INC
$14
Biohaven Pharmaceutical Holding Company Ltd.
$14
Alexion Pharmaceuticals, Inc.
$13
Gilead Sciences, Inc.
$13
Top 3 companies account for 41.9% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AIMOVIG · AIRSUPRA · AJOVY · AREXVY · Aimovig · Austedo XR · Auvelity · BREZTRI · BYSTOLIC · CHANTIX · COMIRNATY · CREON · Cologuard Collection Kit · Creon · Dayvigo · Dexcom G6 Transmitter · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FASENRA · FREESTYLE LIBRE 3 · GEMTESA · HawkOne · INJECTAFER · INVOKANA · Inpefa · JANUVIA · JARDIANCE · JYNARQUE · KEVEYIS · Kerendia · LEQVIO · LINZESS · LIVALO · LYRICA · Linzess · Livalo · MONOVISC · MOUNJARO · MYRBETRIQ · Movantik · NEXLIZET · NUCALA · NUEDEXTA · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PREMARIN · PREVNAR 20 · QULIPTA · QUVIVIQ · Qelbree · RELISTOR · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SKYCLARYS · SOLIQUA · SOTAGLIFLOZIN · SPIRIVA RESPIMAT · SPRAVATO · SYMBICORT · Saxenda · Strensiq · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · Tresiba · Trintellix · Tymlos · UBRELVY · VESICARE · VIBERZI · VOQUEZNA · VRAYLAR · VYEPTI · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · ZENPEP
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 1% for family medicine in IL.
Geographic Context
Family medicine physicians within 10 mi
372
Per 100K population
146.0
County median income
$70,178
Nearest hospital
HSHS ST ELIZABETH'S 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. Climaco is a clinical cardiology specialist, with above-average Medicare volume (top 6% in IL), with low-engagement industry engagement in the top 1% of IL peers, 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. Climaco experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Climaco performed 932 steroid injection (triamcinolone) 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. Climaco receive payments from pharmaceutical companies?
Yes. Dr. Climaco received a total of $18,026 from 55 companies across 942 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. Climaco's costs compare to other family medicine physicians in O'Fallon?
Dr. Climaco's average Medicare payment per service is $43. 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. Climaco) 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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