Medicare Enrolled

Dr. James Wilson

Family Medicine · West Brookfield, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
46 N MAIN ST, West Brookfield, MA 01585
5088678977
In practice since 2005 (20 years)
NPI: 1285622365 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. Wilson 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. Wilson

Dr. James Wilson is a family medicine specialist in West Brookfield, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Wilson performed 2,982 Medicare services across 1,018 unique beneficiaries.

Between the years covered by Open Payments, Dr. Wilson received a total of $2,313 from 26 pharmaceutical and/or device companies across 129 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. Wilson 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 6% volume in MA $2,313 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,982
Medicare services
Top 6% in MA for family medicine
1,018
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~149 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
Nursing facility visit, low complexity
A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care.
1,509 $55 $179
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.
548 $58 $222
Nursing facility visit, established patient, straightforward
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes.
273 $27 $120
Initial nursing facility care, moderate complexity
Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes.
170 $107 $260
Nursing facility discharge management, 30 minutes or less
This service covers the management of a patient's discharge from a nursing facility. It applies when the total time spent on discharge activities is 30 minutes or less.
151 $64 $317
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
95 $10 $17
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.
79 $84 $237
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 50 $64 $185
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.
41 $78 $336
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
28 $3 $19
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.
21 $9 $29
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
17 $11 $68
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 ↗
$2,313
Total received (2018-2024)
Avg $463/year across 5 years
Top 10% in MA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
129
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
$2,302 (99.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$11 (0.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$965
2023
$901
2022
$173
2021
$17
2018
$257

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Lundbeck LLC
$295
ABBVIE INC.
$216
Corium, LLC
$85
Abbott Laboratories
$54
Janssen Pharmaceuticals, Inc
$54
Paratek Pharmaceuticals, Inc.
$34
Ardelyx, Inc.
$33
Corcept Therapeutics
$27
SCPHARMACEUTICALS INC.
$27
PFIZER INC.
$23
Novo Nordisk Inc
$19
Phathom Pharmaceuticals, Inc.
$19
Gilead Sciences, Inc.
$18
Lilly USA, LLC
$18
Neurocrine Biosciences, Inc.
$15
Valinor Pharma, LLC
$15
Acella Pharmaceuticals, LLC
$14
Top 3 companies account for 61.7% of 2024 payments
All-time payments by company (2018-2024) ›
Lundbeck LLC
$643
ABBVIE INC.
$273
AbbVie Inc.
$266
Corium, LLC
$200
Teva Pharmaceuticals USA, Inc.
$141
Abbott Laboratories
$135
Lilly USA, LLC
$94
Novo Nordisk Inc
$88
E.R. Squibb & Sons, L.L.C.
$54
Janssen Pharmaceuticals, Inc
$54
Gilead Sciences, Inc.
$48
Paratek Pharmaceuticals, Inc.
$34
Ardelyx, Inc.
$33
Shire North American Group Inc
$29
Corcept Therapeutics
$27
AstraZeneca Pharmaceuticals LP
$27
SCPHARMACEUTICALS INC.
$27
PFIZER INC.
$23
Phathom Pharmaceuticals, Inc.
$19
Novartis Pharmaceuticals Corporation
$16
Neurocrine Biosciences, Inc.
$15
Valinor Pharma, LLC
$15
Acella Pharmaceuticals, LLC
$14
Alkermes, Inc.
$14
Kowa Pharmaceuticals America, Inc.
$13
GlaxoSmithKline, LLC.
$11
Top 3 companies account for 51.1% of all-time payments
Associated products mentioned in payments ›
AJOVY · ARISTADA · Azstarys · CREON · ELIQUIS · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FUROSCIX · FreeStyle Libre 2 · IBSRELA · INGREZZA · Korlym · LEQVIO · MAVYRET · MOUNJARO · MOVANTIK · MYDAYIS · NP Thyroid 60 · NURTEC ODT · NUZYRA · Ozempic · QULIPTA · QVAR · REXULTI · SHINGRIX · SPRAVATO · Seglentis · TRULICITY · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR
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 family medicine in MA.

Looking for a family medicine specialist in West Brookfield?
Compare family medicine physicians in the West Brookfield area by procedure volume, costs, and industry payment transparency.
Browse family medicine physicians nearby

Geographic Context

Family medicine physicians within 10 mi
352
Per 100K population
40.9
County median income
$93,561
Nearest hospital
BAYSTATE WING HOSPITAL
8.1 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. Wilson is a clinical cardiology specialist, with above-average Medicare volume (top 6% in MA), with low-engagement industry engagement in the top 10% 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. Wilson experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. Wilson performed 1,509 nursing facility visit, low 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. Wilson receive payments from pharmaceutical companies?
Yes. Dr. Wilson received a total of $2,313 from 26 companies across 129 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. Wilson's costs compare to other family medicine physicians in West Brookfield?
Dr. Wilson's average Medicare payment per service is $55. 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. Wilson) 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 →