Medicare Enrolled

Dr. John Donahue, MD

Cardiovascular Disease · Worcester, MA
Practice pattern: Remote & Electrophysiology — Practice combining remote and electrophysiology services
Speaking/Promotional
55 LAKE AVE N, Worcester, MA 01655
5083343452
In practice since 2006 (20 years)
NPI: 1598797797 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. Donahue 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. Donahue

Dr. John Donahue is a cardiovascular disease specialist in Worcester, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Donahue performed 1,029 Medicare services across 862 unique beneficiaries.

Between the years covered by Open Payments, Dr. Donahue received a total of $6,133 from 6 pharmaceutical and/or device companies across 24 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Donahue 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 ▲ 1,029 Medicare services $6,133 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,029
Medicare services
Bottom 39% in MA for cardiovascular disease
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
862
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~51 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
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.
253 $21 $168
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.
237 $20 $135
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.
131 $24 $304
External shock to heart to regulate heart beat
A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm.
56 $83 $1,297
Pacemaker programming, dual lead system
Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings.
56 $24 $198
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.
56 $139 $667
Continuous ECG monitoring, up to 30 days
Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results.
45 $21 $117
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.
34 $71 $399
2-day continuous ECG with professional review
A two-day continuous electrocardiogram recording that includes a review by a healthcare professional.
31 $14 $157
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.
19 $45 $272
Pacemaker programming, single lead
Adjustment and testing of a single-lead pacemaker to ensure it functions correctly.
17 $24 $165
Removal and replacement of dual lead permanent pacemaker
This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system.
16 $275 $1,728
Programming of single lead implantable defibrillator system
Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function.
16 $26 $216
Continuous ECG monitoring with transmission and review
Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report.
13 $20 $141
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.
13 $50 $323
New patient office visit, complex (60-74 min) 13 $138 $684
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.
12 $420 $2,986
Pacemaker system programming
Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings.
11 $33 $231
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.
52.9% high complexity
0.0% medium
47.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$6,133
Total received (2018-2024)
Avg $1,227/year across 5 years
Top 30% in MA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
6
Companies
24
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,750 (44.8%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,750 (28.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,633 (26.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$30
2023
$3,932
2021
$1,784
2019
$156
2018
$232

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Regeneron Healthcare Solutions, Inc.
$30
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$2,781
PFIZER INC.
$1,750
Medtronic, Inc.
$1,215
BOSTON SCIENTIFIC CORPORATION
$232
Aziyo Biologics, Inc.
$125
Regeneron Healthcare Solutions, Inc.
$30
Top 3 companies account for 93.7% of all-time payments
Associated products mentioned in payments ›
DUPIXENT · ECM Patch · EMBLEM MRI S-ICD · GENERAL THERAPIES · MICRA · Micra · Pouch · RESONATE · RHYTHMIA
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 →

The majority of payments (45%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware.

Looking for a cardiovascular disease specialist in Worcester?
Compare cardiologists in the Worcester area by procedure volume, costs, and industry payment transparency.
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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. Donahue is a remote & electrophysiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement, 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. Donahue experienced with remote pacemaker monitoring, 90 days?
Based on Medicare claims data, Dr. Donahue performed 253 remote pacemaker monitoring, 90 days 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. Donahue receive payments from pharmaceutical companies?
Yes. Dr. Donahue received a total of $6,133 from 6 companies across 24 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. Donahue's costs compare to other cardiologists in Worcester?
Dr. Donahue's average Medicare payment per service is $44. 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. Donahue) 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 →