Medicare Enrolled

Dr. Andrew Forbes, M.D., PH.D.

Internal Medicine · Pinckneyville, IL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
5383 STATE ROUTE 154, Pinckneyville, IL 62274
6183572131
In practice since 2011 (15 years)
NPI: 1366733800 verify on NPPES ↗
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. Forbes 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 →
Are you Dr. Forbes? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Forbes

Dr. Andrew Forbes is an internal medicine specialist in Pinckneyville, IL, with 15 years of NPI registration. Based on federal Medicare data, Dr. Forbes performed 110 Medicare services across 68 unique beneficiaries.

Between the years covered by Open Payments, Dr. Forbes received a total of $6,887 from 45 pharmaceutical and/or device companies across 468 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. Forbes 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 ▲ 110 Medicare services $6,887 industry payments

Medicare Practice Summary

Medicare Utilization ↗
110
Medicare services
Bottom 10% in IL for internal medicine
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
68
Unique beneficiaries
$67
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~7 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.
53 $58 $256
Nursing facility visit, moderate complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes.
25 $72 $418
Hospital discharge day management, 30 minutes or less
This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less.
18 $59 $244
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
14 $102 $472
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 ↗
$6,887
Total received (2018-2024)
Avg $984/year across 7 years
Top 10% in IL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
468
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
$6,873 (99.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$15 (0.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,374
2023
$1,241
2022
$1,231
2021
$1,244
2020
$265
2019
$586
2018
$947

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$239
Lilly USA, LLC
$213
Novo Nordisk Inc
$173
AstraZeneca Pharmaceuticals LP
$146
Sumitomo Pharma America, Inc.
$99
Novartis Pharmaceuticals Corporation
$97
Dexcom, Inc.
$59
Axsome Therapeutics, Inc.
$53
Amgen Inc.
$51
Merck Sharp & Dohme LLC
$48
Mylan Specialty L.P.
$45
Seqirus USA Inc
$42
Boehringer Ingelheim Pharmaceuticals, Inc.
$36
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$28
Exact Sciences Corporation
$17
Bayer Healthcare Pharmaceuticals Inc.
$15
AIMMUNE THERAPEUTICS, INC.
$14
Top 3 companies account for 45.4% of 2024 payments
All-time payments by company (2018-2024) ›
Lilly USA, LLC
$1,195
AstraZeneca Pharmaceuticals LP
$694
ABBVIE INC.
$622
Novo Nordisk Inc
$521
PFIZER INC.
$493
AbbVie Inc.
$362
Amgen Inc.
$251
Mylan Specialty L.P.
$225
Janssen Pharmaceuticals, Inc
$201
Boehringer Ingelheim Pharmaceuticals, Inc.
$178
Sumitomo Pharma America, Inc.
$171
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$161
Novartis Pharmaceuticals Corporation
$155
Amarin Pharma Inc.
$151
Dexcom, Inc.
$139
Eisai Inc.
$106
E.R. Squibb & Sons, L.L.C.
$105
GlaxoSmithKline, LLC.
$100
Merck Sharp & Dohme LLC
$96
Merck Sharp & Dohme Corporation
$89
Bayer HealthCare Pharmaceuticals Inc.
$89
Takeda Pharmaceuticals U.S.A., Inc.
$78
DEXCOM, INC.
$61
Bayer Healthcare Pharmaceuticals Inc.
$58
Otsuka America Pharmaceutical, Inc.
$57
Axsome Therapeutics, Inc.
$53
Biohaven Pharmaceutical Holding Company Ltd.
$51
Grifols USA, LLC
$43
Daiichi Sankyo Inc.
$42
Seqirus USA Inc
$42
Jazz Pharmaceuticals Inc.
$35
SANOFI PASTEUR INC.
$35
ARBOR PHARMACEUTICALS, INC.
$27
Allergan, Inc.
$25
Radius Health, Inc.
$21
Allergan Inc.
$20
Vapotherm Inc
$20
Exact Sciences Corporation
$17
AbbVie, Inc.
$16
Organogenesis Inc.
$16
Nestle HealthCare Nutrition Inc.
$15
Abbott Laboratories
$15
AIMMUNE THERAPEUTICS, INC.
$14
Electromed, Inc.
$13
Astellas Pharma US Inc
$11
Top 3 companies account for 36.5% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AIRSUPRA · Amitiza · Auvelity · BASAGLAR · BELSOMRA · BEXSERO · BREZTRI · Bidil · CHANTIX · CREON · Cologuard Collection Kit · DALVANCE · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLUBLOK QUADRIVALENT · Fluad · Flucelvax · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · GEMTESA · HUMALOG · Humira · INJECTAFER · JARDIANCE · Kerendia · LEQVIO · LINZESS · LYRICA · MOUNJARO · MOVANTIK · MYRBETRIQ · Movantik · NURTEC ODT · Ozempic · PNEUMOVAX 23 · PREMARIN · PROQUAD · Precision Flow · Prolastin-C · Prolastin-C Liquid · Puraply · QUADRACEL · QULIPTA · REXULTI · ROTATEQ · Repatha · Rybelsus · SHINGRIX · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TRADJENTA · TRULICITY · Tresiba · Tymlos · UBRELVY · VAQTA · VIBERZI · VRAYLAR · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · XYREM · YUPELRI · Yupelri · 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 10% for internal medicine in IL.

Looking for an internal medicine specialist in Pinckneyville?
Compare internal medicine physicians in the Pinckneyville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
8
Per 100K population
38.4
County median income
$59,286
Nearest hospital
PINCKNEYVILLE COMMUNITY HOSPITAL
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. Forbes is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 10% of IL 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. Forbes experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Forbes performed 53 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. Forbes receive payments from pharmaceutical companies?
Yes. Dr. Forbes received a total of $6,887 from 45 companies across 468 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. Forbes's costs compare to other internal medicine physicians in Pinckneyville?
Dr. Forbes's average Medicare payment per service is $67. 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. Forbes) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →