Medicare Enrolled

Dr. Justin Gould, M.D.

Urology Physician · Milton, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
100 HIGHLAND ST STE 226, Milton, MA 02186
8555053335
In practice since 2007 (19 years)
NPI: 1134272560 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. Gould 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. Gould

Dr. Justin Gould is an urology physician in Milton, MA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gould performed 5,348 Medicare services across 3,284 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gould received a total of $2,221 from 24 pharmaceutical and/or device companies across 72 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. 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. Gould 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 19% volume in MA $2,221 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,348
Medicare services
Top 19% in MA for urology physician
3,284
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~281 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
Infectious disease DNA/RNA test
A laboratory test that uses a specific technique to detect the genetic material of an organism. This method amplifies the target DNA or RNA to identify the presence of the organism.
988 $34 $85
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.
897 $2 $20
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.
849 $100 $350
Complete ultrasound of retroperitoneum
An ultrasound examination of the structures located behind the abdominal cavity.
484 $57 $267
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
256 $8 $25
Complete pelvic ultrasound
An imaging test using sound waves to create pictures of the organs and structures within the pelvis.
227 $60 $199
PSA test (prostate cancer screening) 217 $18 $100
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
166 $214 $725
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.
166 $130 $478
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
152 $9 $50
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
89 $52 $85
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.
81 $69 $245
Basic metabolic blood panel
A blood test that measures a group of basic chemicals, including total calcium levels.
77 $8 $25
VRE nucleic acid detection test
A laboratory test that uses amplified probe techniques to detect vancomycin-resistant Enterococcus (VRE) DNA in a patient sample.
75 $34 $85
Staphylococcus aureus DNA test
A laboratory test that uses DNA amplification to detect the presence of Staphylococcus aureus bacteria in a sample.
74 $34 $85
Total testosterone level test
A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women.
62 $24 $89
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
54 $7 $25
Nucleic acid test for multiple organisms
A laboratory test that uses amplified probe techniques to detect the genetic material of multiple organisms in a sample.
51 $69 $175
Free PSA test
A blood test that measures the amount of unbound prostate-specific antigen in the blood.
44 $18 $100
Imaging of urinary tract with contrast
An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures.
36 $20 $50
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.
31 $101 $375
Ultrasound of scrotum
An imaging test that uses sound waves to create pictures of the scrotum and its contents. It helps evaluate the testicles and surrounding structures.
29 $50 $203
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
27 $40 $85
Transrectal ultrasound of the pelvis
An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures.
25 $87 $321
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.
25 $9 $90
Shock wave crushing of kidney stones
A procedure that uses shock waves to break kidney stones into smaller pieces so they can pass more easily from the body.
24 $458 $3,000
Endoscopic removal of foreign body, stone, or stent from urethra or bladder
A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item.
22 $274 $1,000
Liver function blood test panel 21 $7 $25
Endoscopic removal of bladder or urethra growth, 2.0-5.0 cm
This procedure uses an endoscope to destroy or remove a growth from the bladder or urethra that measures between 2.0 and 5.0 centimeters.
19 $239 $1,000
Ureteral stone crushing with stent insertion
An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open.
18 $333 $2,000
Endoscopic removal of kidney or ureter stone
A procedure to remove or manipulate a stone in the kidney or ureter using an endoscope. The endoscope is a thin, lighted tube inserted into the body to visualize and treat the stone.
16 $74 $2,000
Transurethral prostate removal with electrocautery
This procedure involves removing the prostate gland through the urethra using an endoscope and an electrocautery knife to control bleeding.
16 $616 $2,310
Ureteral stent insertion via endoscope
A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder.
15 $91 $2,000
Prostate gland biopsy
A procedure to remove small samples of tissue from the prostate gland for laboratory examination.
15 $194 $800
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.
1.0% high complexity
18.6% medium
80.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,221
Total received (2018-2024)
Avg $317/year across 7 years
Top 41% in MA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
72
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
$2,006 (90.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$215 (9.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$255
2023
$79
2022
$335
2021
$49
2020
$137
2019
$578
2018
$787

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$143
Teleflex LLC
$52
ACCORD HEALTHCARE, INC.
$26
Cook Medical LLC
$20
Endo USA, Inc.
$14
Top 3 companies account for 86.5% of 2024 payments
All-time payments by company (2018-2024) ›
NeoTract Inc.
$436
Astellas Pharma US Inc
$415
Teleflex LLC
$247
BOSTON SCIENTIFIC CORPORATION
$181
ABBVIE INC.
$176
Dendreon Pharmaceuticals LLC
$108
PFIZER INC.
$84
Endo Pharmaceuticals Inc.
$83
PROCEPT BioRobotics Corporation
$83
Rochester Medical Corporation
$59
AbbVie, Inc.
$41
TEI Biosciences Inc
$41
Boston Scientific Corporation
$38
ACCORD HEALTHCARE, INC.
$26
180 Medical, Inc.
$24
C. R. BARD, INC. & SUBSIDIARIES
$24
Medtronic USA, Inc.
$22
Coloplast Corp
$21
KARL STORZ Endoscopy-America
$21
Cook Medical LLC
$20
Sumitomo Pharma America, Inc.
$20
Allergan, Inc.
$19
TOLMAR Pharmaceuticals, Inc.
$17
Endo USA, Inc.
$14
Top 3 companies account for 49.5% of all-time payments
Associated products mentioned in payments ›
24FR BIPLR COAG ELECTRDE · AMS · AVEED · Androgel · AquaBeam Robotic System · BOTOX · CAMCEVI · ELIGARD · GENERAL BPH · GENTLECATH · GREENLIGHT · INTERSTIM · MAGIC3 · MYRBETRIQ · ORGOVYX · PKG/6 · PREMARIN · PROVENGE · ROADRUNNER · SOLYX · SPEEDICATH · STERILE · SURGIMEND · TOVIAZ · UROLIFT · UroLift · UroLift System · XIAFLEX · XTANDI
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 (90%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an urology physician in Milton?
Compare urology physicians in the Milton area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology physicians within 10 mi
204
Per 100K population
28.2
County median income
$126,497
Nearest hospital
BETH ISRAEL DEACONESS HOSPITAL - MILTON
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. Gould is a clinical cardiology specialist, with above-average Medicare volume (top 19% in MA), 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. Gould experienced with infectious disease dna/rna test?
Based on Medicare claims data, Dr. Gould performed 988 infectious disease dna/rna test 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. Gould receive payments from pharmaceutical companies?
Yes. Dr. Gould received a total of $2,221 from 24 companies across 72 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. Gould's costs compare to other urology physicians in Milton?
Dr. Gould's average Medicare payment per service is $56. 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. Gould) 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.

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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 →