Medicare Enrolled
Dr. Laurence Epstein, MD
Clinical Cardiac Electrophysiology Physician · Boston, MA
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
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. Epstein 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. Epstein
Dr. Laurence Epstein is a clinical cardiac electrophysiology physician in Boston, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Epstein performed 3,301 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Epstein received a total of $245,890 from 12 pharmaceutical and/or device companies across 253 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Epstein 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 of NPI registration
▲ Top 32% volume in MA
$245,890 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,301
Medicare services
Top 32% in MA for clinical cardiac electrophysiology physician
Not available
Unique patients (not deduplicated)
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
532 | $19 | $212 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
428 | $23 | $189 |
| 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. |
419 | $13 | $139 |
| 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. |
321 | $109 | $460 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
186 | $21 | $152 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
186 | $63 | $1,240 |
| 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. |
167 | $156 | $879 |
| 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 | $79 | $494 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
150 | $7 | $44 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
108 | $29 | $340 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
107 | $69 | $353 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
71 | $62 | $296 |
| Permanent leadless pacemaker insertion A small, self-contained pacemaker is placed directly into the heart without using wires. The procedure is guided by imaging to ensure correct positioning. |
52 | $327 | $2,847 |
| 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. |
46 | $114 | $689 |
| Removal of dual electrodes from right heart This procedure involves the extraction of dual electrodes located in the right side of the heart. |
37 | $476 | $3,344 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
36 | $97 | $541 |
| Pacemaker system programming Adjustment and configuration of a pacemaker device to ensure proper operation. This service involves setting device parameters before or after surgical implantation. |
36 | $13 | $76 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
28 | $84 | $463 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
27 | $19 | $120 |
| 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. |
26 | $101 | $622 |
| Cardiac rhythm monitor evaluation Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity. |
25 | $45 | $224 |
| Removal of permanent pacemaker pulse generator This procedure involves the surgical removal of the pulse generator component of a permanent pacemaker. The pulse generator is the device that sends electrical impulses to regulate the heart's rhythm. |
24 | $119 | $1,324 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
23 | $23 | $132 |
| Removal of defibrillator electrodes through vein This procedure involves the extraction of defibrillator leads via a vein. It is performed to remove or replace the electrical connections of a cardiac device. |
22 | $576 | $4,517 |
| Implantable defibrillator programming Adjustment and configuration of an implanted heart rhythm device before or after surgery. |
20 | $19 | $110 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
15 | $67 | $413 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
14 | $338 | $2,658 |
| Removal of defibrillator This procedure involves the surgical extraction of an implanted defibrillator device from the body. |
14 | $106 | $1,234 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
14 | $855 | $4,600 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
12 | $941 | $5,644 |
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. These counts do not measure clinical quality or years of experience.
46.4% high complexity
0.0% medium
53.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$245,890
Total received (2018-2024)
Avg $35,127/year across 7 years
Top 5% in MA for clinical cardiac electrophysiology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
12
Companies
253
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,185
2023
$26,610
2022
$20,509
2021
$26,812
2020
$36,362
2019
$46,899
2018
$84,512
Payments by company (2024)
Medtronic, Inc.
$2,625
ASAHI INTECC CO., LTD.
$1,000
CORDIS US CORP.
$262
Boston Scientific Corporation
$135
Abbott Laboratories
$76
Philips North America LLC
$51
AngioDynamics, Inc.
$35
Top 3 companies account for 92.9% of 2024 payments
All-time payments by company (2018-2024) ›
Philips Electronics North America Corporation
$86,315
Medtronic Vascular, Inc.
$60,376
Medtronic, Inc.
$38,796
BOSTON SCIENTIFIC CORPORATION
$24,847
Abbott Laboratories
$21,990
Boston Scientific Corporation
$11,310
ASAHI INTECC CO., LTD.
$1,000
Respicardia, Inc.
$833
CORDIS US CORP.
$262
CARDIVA MEDICAL, INC.
$75
Philips North America LLC
$51
AngioDynamics, Inc.
$35
Top 3 companies account for 75.4% of all-time payments
Associated products mentioned in payments ›
(9520) IGT Devices Undivided · (CK4) MCOT · (CK7) Extended Holter · ACCOLADE · ALPHAVAC · Accent Pacemaker · Azure · Bridge · CARDIVA VASCADE MVP VVCS 6-12F · CLINICAL TRIAL PRODUCT · COREVALVE EVOLUT R · CVX-300 · CardioInsight · CardioMEMS HF System · Claria MRI · CoreValve Evolut · EMBLEM MRI S-ICD · ENSITE · ENSITE PRECISION · Ensite Cardiac Mapping System · GENERAL THERAPIES · General - Therapies · GlideLight · IGT D Therapy · IGT Device Undivided · Lasers · MICRA · Merlin Connectivity and Remote · Micra · PERIPHERAL VASCULAR · RESONATE · RESONATE EL ICD VR · Reveal LINQ · S-ICD System Magnet · S.M.A.R.T. · SYNERGY · Spectranetics Undiv · TYRX · TightRail · Trilogy 100 · Turbo Elite · WATCHMAN · remede System
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Clinical cardiac electrophysiology physicians in nearby ZIP areas
32
County median income
$92,859
Nearest hospital to ZIP centroid (approximate)
BRIGHAM AND WOMEN'S HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Epstein is an electrophysiology & remote specialist, with moderate Medicare volume, 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. Epstein experienced with remote pacemaker/defibrillator monitoring, 90 days?
Based on Medicare claims data, Dr. Epstein performed 532 remote pacemaker/defibrillator monitoring, 90 days services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Epstein receive payments from pharmaceutical companies?
Yes. Dr. Epstein received a total of $245,890 from 12 companies across 253 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Epstein's costs compare to other clinical cardiac electrophysiology physicians in Boston?
Dr. Epstein'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. Epstein) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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