Medicare Enrolled

Dr. Karim Alavi, MD

Colon & Rectal Surgery · Worcester, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
67 BELMONT ST, Worcester, MA 01605
5083348195
In practice since 2006 (20 years)
NPI: 1497700777 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. Alavi 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. Alavi

Dr. Karim Alavi is a colon & rectal surgery specialist in Worcester, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Alavi performed 568 Medicare services across 445 unique beneficiaries.

Between the years covered by Open Payments, Dr. Alavi received a total of $17,955 from 12 pharmaceutical and/or device companies across 45 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in colon & rectal surgery. 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. Alavi 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 14% volume in MA $17,955 industry payments

Medicare Practice Summary

Medicare Utilization ↗
568
Medicare services
Top 14% in MA for colon & rectal surgery
445
Unique beneficiaries
$116
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~28 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 (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.
104 $70 $286
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.
70 $85 $359
Anoscopy
A diagnostic exam of the anus using a thin, lighted tube called an endoscope to look inside.
68 $91 $422
Non-needle muscle activity measurement of bladder and bowel openings
This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles.
55 $53 $842
Rectal and anal tone and sensation test
A physical examination to assess muscle tone and sensory function in the rectum and anus.
53 $433 $1,990
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.
46 $40 $158
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.
35 $62 $238
Rectal sensitivity and function study
A test to evaluate the sensitivity and functional performance of the rectum.
23 $232 $1,056
Colonoscopy
A diagnostic exam of the lower portion of the large bowel using a flexible endoscope.
21 $41 $574
Transrectal ultrasound of the pelvis
An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures.
18 $116 $690
Moderate sedation during GI endoscopy
Sedation services provided by the physician performing a gastrointestinal endoscopic procedure. This requires an independent trained observer to assist in monitoring the patient.
17 $5 $272
Telephone medical discussion, 5-10 minutes
A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters.
16 $39 $169
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
15 $215 $2,104
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.
14 $133 $547
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
13 $186 $1,518
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 2023 ↗
$17,955
Total received (2018-2023)
Avg $5,985/year across 3 years
Top 25% in MA for colon & rectal surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
12
Companies
45
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
$10,956 (61.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$6,215 (34.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$784 (4.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$2,143
2019
$348
2018
$15,464

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Takeda Pharmaceuticals U.S.A., Inc.
$1,999
TELA Bio, Inc.
$144
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
Olympus Corporation of the Americas
$6,656
Olympus Corporation
$4,216
Applied Medical Resources Corporation
$2,543
Intuitive Surgical, Inc.
$2,057
Takeda Pharmaceuticals U.S.A., Inc.
$1,999
Olympus America Inc.
$146
TELA Bio, Inc.
$144
CONMED Corporation
$122
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24
Ethicon US, LLC
$18
PFIZER INC.
$17
Pacira Pharmaceuticals Incorporated
$12
Top 3 companies account for 74.7% of all-time payments
Associated products mentioned in payments ›
AirSeal · Da Vinci Surgical System · ENSEAL Product Family · EVIS EXERA · EXPAREL · GELPOINT PATH · OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) · ThunderBeat · XELJANZ · XIFAXAN
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 (61%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in colon & rectal surgery and does not inherently indicate bias, but patients may wish to be aware.

Looking for a colon & rectal surgery specialist in Worcester?
Compare colon & rectal surgerists in the Worcester area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Colon & rectal surgerists within 10 mi
4
Per 100K population
0.5
County median income
$93,561
Nearest hospital
ADCARE HOSPITAL OF WORCESTER INC
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 2023
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. Alavi is a clinical cardiology specialist, with above-average Medicare volume (top 14% in MA), 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. Alavi experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Alavi performed 104 office visit, established patient (20-29 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. Alavi receive payments from pharmaceutical companies?
Yes. Dr. Alavi received a total of $17,955 from 12 companies across 45 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. Alavi's costs compare to other colon & rectal surgerists in Worcester?
Dr. Alavi's average Medicare payment per service is $116. 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. Alavi) 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 →