Medicare Enrolled

Dr. Simon McRae, MD

Urology Physician · Worcester, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
123 SUMMER ST, Worcester, MA 01608
5083683183
Registered in NPPES since 2006
NPI: 1992774723 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. McRae 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. McRae

Dr. Simon McRae is an urology physician in Worcester, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. McRae performed 745 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. McRae received a total of $2,020 from 26 pharmaceutical and/or device companies across 79 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. McRae 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 of NPI registration ▲ 745 Medicare services $2,020 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
745
Medicare services
Bottom 29% in MA for urology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$90
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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.
170 $86 $313
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
157 $184 $615
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.
152 $61 $211
Ceftriaxone antibiotic injection
This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered.
104 $0 $11
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.
56 $108 $455
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.
30 $12 $67
Transrectal ultrasound of the pelvis
An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures.
24 $115 $373
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.
21 $73 $305
Prostate gland biopsy
A procedure to remove small samples of tissue from the prostate gland for laboratory examination.
19 $182 $670
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
12 $19 $65
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,020
Total received (2018-2024)
Avg $289/year across 7 years
Top 43% in MA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
79
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$278
2023
$227
2022
$403
2021
$194
2020
$204
2019
$352
2018
$362

Payments by company (2024)

Laborie Medical Technologies Corp.
$108
Astellas Pharma Global Development
$37
Astellas Pharma US Inc
$33
Tolmar, Inc.
$29
Janssen Biotech, Inc.
$27
PROGENICS PHARMACEUTICALS, INC.
$23
PFIZER INC.
$21
Top 3 companies account for 64.2% of 2024 payments
All-time payments by company (2018-2024) ›
Astellas Pharma US Inc
$347
PROCEPT BioRobotics Corporation
$201
Janssen Biotech, Inc.
$189
PFIZER INC.
$182
Incyte Corporation
$124
Boston Scientific Corporation
$123
Laborie Medical Technologies Corp.
$108
Bayer HealthCare Pharmaceuticals Inc.
$78
Merck Sharp & Dohme Corporation
$76
E.R. Squibb & Sons, L.L.C.
$58
ABBVIE INC.
$55
Endo Pharmaceuticals Inc.
$53
Boehringer Ingelheim Pharmaceuticals, Inc.
$50
UROGEN PHARMA, INC.
$50
Alexion Pharmaceuticals, Inc.
$47
Astellas Pharma Global Development
$37
AstraZeneca Pharmaceuticals LP
$35
Tolmar, Inc.
$29
KARL STORZ Endoscopy-America
$27
UroGen Pharma, Inc.
$25
Myovant Sciences Inc.
$24
EISAI INC.
$24
PROGENICS PHARMACEUTICALS, INC.
$23
Seattle Genetics, Inc.
$18
Otsuka America Pharmaceutical, Inc.
$18
Lilly USA, LLC
$17
Top 3 companies account for 36.5% of all-time payments
Associated products mentioned in payments ›
24/26 FR. · AMS · AQUABEAM ROBOTIC SYSTEM · BIPOLAR · CUTTING LOOP · ELIGARD · EMPLICITI · ERBITUX · ERLEADA · Erleada · GILOTRIF · JAKAFI · JELMYTO · KEYTRUDA · LUPRON DEPOT · LYNPARZA · Lenvima · LithoVue · Myrbetriq · OPDIVO · ORGOVYX · Optilume BPH Drug Coated Balloon Catheter · PYLARIFY · SOLIRIS · SPRYCEL · ULTOMIRIS · XIAFLEX · XTANDI · Xofigo · Xtandi
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an urology physician in Worcester?
Compare urology physicians in the Worcester area by procedure volume, costs, and industry payment transparency.
Browse urology physicians nearby

Geographic Context

Urology physicians in nearby ZIP areas
39
County median income
$93,561
Nearest hospital to ZIP centroid (approximate)
ST VINCENT HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. McRae is a clinical cardiology specialist, with moderate Medicare volume, 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. McRae experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. McRae performed 170 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. McRae receive payments from pharmaceutical companies?
Yes. Dr. McRae received a total of $2,020 from 26 companies across 79 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. McRae's costs compare to other urology physicians in Worcester?
Dr. McRae's average Medicare payment per service is $90. 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. McRae) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →