Not Medicare Enrolled
Dr. Guido Navarra, M.D.
Geriatric Medicine (Internal Medicine) Physician · Newburyport, MA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 3 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. Navarra 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. Navarra
Dr. Guido Navarra is a geriatric medicine physician in Newburyport, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Navarra performed 5,858 Medicare services across 4,189 unique beneficiaries.
Between the years covered by Open Payments, Dr. Navarra received a total of $16,769 from 68 pharmaceutical and/or device companies across 1117 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in geriatric medicine (internal medicine) 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. Navarra 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 in practice
▲ Top 2% volume in MA
$16,769 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,858
Medicare services
Top 2% in MA for geriatric medicine (internal medicine) physician
4,189
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~293 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. |
1,224 | $89 | $375 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
860 | $59 | $221 |
| 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. |
856 | $63 | $300 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
474 | $132 | $352 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
341 | $92 | $301 |
| Electrocardiogram, 1-3 leads with physician review A heart rhythm test using one to three electrodes to record electrical activity, with interpretation by a physician. |
308 | $10 | $25 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
308 | $78 | $202 |
| Autonomic nervous system testing with heart rate response to deep breathing This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing. |
293 | $59 | $251 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
224 | $39 | $325 |
| 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. |
122 | $11 | $65 |
| 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. |
118 | $65 | $325 |
| 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. |
107 | $84 | $293 |
| 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. |
93 | $135 | $450 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
64 | $16 | $52 |
| 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. |
63 | $11 | $72 |
| 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. |
58 | $64 | $375 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
54 | $33 | $64 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
51 | $15 | $130 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
51 | $10 | $130 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
44 | $57 | $495 |
| 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. |
31 | $110 | $421 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
30 | $219 | $375 |
| 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. |
27 | $62 | $374 |
| 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. |
22 | $168 | $350 |
| 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. |
19 | $282 | $371 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
16 | $32 | $130 |
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 ↗$16,769
Total received (2018-2024)
Avg $2,396/year across 7 years
Top 5% in MA for geriatric medicine (internal medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
68
Companies
1,117
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
$16,487 (98.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$282 (1.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,084
2023
$3,707
2022
$2,603
2021
$3,270
2020
$1,056
2019
$1,920
2018
$2,129
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$349
Lundbeck LLC
$344
Corium, LLC
$112
Otsuka America Pharmaceutical, Inc.
$103
AstraZeneca Pharmaceuticals LP
$100
PFIZER INC.
$94
Novo Nordisk Inc
$86
Boehringer Ingelheim Pharmaceuticals, Inc.
$83
BioCryst US Sales Co., LLC
$77
E.R. Squibb & Sons, L.L.C.
$77
Amgen Inc.
$73
Abbott Laboratories
$66
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$63
SHIELD THERAPEUTICS INC
$53
Lilly USA, LLC
$50
Novartis Pharmaceuticals Corporation
$47
Axsome Therapeutics, Inc.
$41
Seqirus USA Inc
$40
Janssen Pharmaceuticals, Inc
$34
Tolmar, Inc.
$33
Phathom Pharmaceuticals, Inc.
$29
Sumitomo Pharma America, Inc.
$27
Antares Pharma, Inc.
$27
Merck Sharp & Dohme LLC
$19
Medtronic, Inc.
$16
Acella Pharmaceuticals, LLC
$15
Mylan Specialty L.P.
$14
GlaxoSmithKline, LLC.
$13
Top 3 companies account for 38.6% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$1,937
Lundbeck LLC
$1,137
GlaxoSmithKline, LLC.
$1,049
Janssen Pharmaceuticals, Inc
$971
Lilly USA, LLC
$840
AstraZeneca Pharmaceuticals LP
$829
PFIZER INC.
$767
Boehringer Ingelheim Pharmaceuticals, Inc.
$748
Amgen Inc.
$747
Novo Nordisk Inc
$723
AbbVie Inc.
$689
Takeda Pharmaceuticals U.S.A., Inc.
$680
Astellas Pharma US Inc
$501
Novartis Pharmaceuticals Corporation
$418
Allergan Inc.
$356
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$353
Corium, LLC
$322
E.R. Squibb & Sons, L.L.C.
$317
Sunovion Pharmaceuticals Inc.
$231
Otsuka America Pharmaceutical, Inc.
$216
AbbVie, Inc.
$199
Tolmar, Inc.
$164
IDORSIA PHARMACEUTICALS US INC
$147
Allergan, Inc.
$146
Sumitomo Pharma America, Inc.
$130
Edwards Lifesciences Corporation
$128
Antares Pharma, Inc.
$108
Abbott Laboratories
$106
BioCryst US Sales Co., LLC
$102
Horizon Therapeutics plc
$100
Biohaven Pharmaceutical Holding Company Ltd.
$100
Teva Pharmaceuticals USA, Inc.
$72
Merck Sharp & Dohme LLC
$71
Kowa Pharmaceuticals America, Inc.
$69
SANOFI-AVENTIS U.S. LLC
$69
Collegium Pharmaceutical, Inc.
$66
Mylan Specialty L.P.
$63
Insmed, Inc.
$60
Esperion Therapeutics, Inc.
$57
Biohaven Pharmaceuticals, Inc.
$56
Exact Sciences Corporation
$54
Endo Pharmaceuticals Inc.
$54
SHIELD THERAPEUTICS INC
$53
Merck Sharp & Dohme Corporation
$52
Genentech USA, Inc.
$51
Circassia Pharmaceuticals Inc
$48
Medtronic, Inc.
$47
ITI, Inc.
$42
Axsome Therapeutics, Inc.
$41
Seqirus USA Inc
$40
Lucid Diagnostics Inc.
$39
Daiichi Sankyo Inc.
$38
Avanir Pharmaceuticals, Inc.
$34
Biogen, Inc.
$33
Amarin Pharma Inc.
$32
Phathom Pharmaceuticals, Inc.
$29
Acella Pharmaceuticals, LLC
$28
Zimmer Biomet Holdings, Inc.
$27
Scilex Pharmaceuticals Inc.
$25
Purdue Pharma L.P.
$23
Xeris Pharmaceuticals, Inc.
$23
Boston Scientific Corporation
$22
JAZZ PHARMACEUTICALS INC.
$17
Supernus Pharmaceuticals, Inc.
$16
Almatica Pharma LLC
$15
Neos Therapeutics, LP
$15
Bayer Healthcare Pharmaceuticals Inc.
$14
Acerus Pharmaceuticals Corporation
$12
Top 3 companies account for 24.6% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADUHELM · AIMOVIG · AJOVY · ANORO · ANORO ELLIPTA · APRISO · ARALAST · AVEED · AZSTARYS · Adzenys XR-ODT · Aimovig · Amitiza · Arikayce · Auvelity · Azstarys · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BOTOX · BREO · BREO ELLIPTA · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BRINTELLIX · BROVANA · CAPLYTA · CHANTIX · CLOSUREFAST · COMIRNATY · CREON · CUVITRU · ClosureFast · Cologuard Collection Kit · Creon · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edwards SAPIEN 3 Transcatheter Heart Valve · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Fluad · GARDASIL · GARDASIL 9 · GEMTESA · GVOKE HYPOPEN · Gel-One Cross-linked Hyaluronate · INJECTAFER · INVOKANA · JARDIANCE · JATENZO · JYNARQUE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LOKELMA · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Morphabond ER · Myrbetriq · NAPRELAN · NETSPOT · NEXLETOL · NOCDURNA · NORTHERA · NP Thyroid 60 · NUEDEXTA · NURTEC ODT · Natesto · OFEV · ONFI · ORLADEYO · Otezla · Otrexup · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRADAXA · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RELISTOR ORAL · REXULTI · RYBELSUS · Repatha · Rybelsus · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYMPROIC · SYNJARDY · SYNTHROID · Saxenda · Seglentis · Superion Indirect Decompression System · Synthroid · TEPEZZA · TEZSPIRE · TLANDO · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · TUDORZA PRESSAIR · Trintellix · UBRELVY · Uloric · VENASEAL · VIBERZI · VOQUEZNA · VRAYLAR · VYEPTI · VYNDAQEL · VYVANSE · Vascepa · Veozah · Vyvanse · XARELTO · XIFAXAN · XIFAXANIBSD · XTAMPZA · XYOSTED · Xofluza · YUPELRI · Yupelri · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for geriatric medicine (internal medicine) physician in MA.
Geographic Context
Geriatric medicine physicians within 10 mi
20
Per 100K population
2.5
County median income
$99,431
Nearest hospital
ANNA JAQUES HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 3 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. Navarra is a clinical cardiology specialist, with above-average Medicare volume (top 2% in MA), with low-engagement industry engagement in the top 5% of MA peers, 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. Navarra experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Navarra performed 1,224 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. Navarra receive payments from pharmaceutical companies?
Yes. Dr. Navarra received a total of $16,769 from 68 companies across 1,117 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. Navarra's costs compare to other geriatric medicine physicians in Newburyport?
Dr. Navarra's average Medicare payment per service is $72. 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. Navarra) 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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