Medicare Enrolled
Dr. Dhruv Vyas, M.D.
Internal Medicine · Eden, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Vyas 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. Vyas
Dr. Dhruv Vyas is an internal medicine specialist in Eden, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Vyas performed 7,584 Medicare services across 4,236 unique beneficiaries.
Between the years covered by Open Payments, Dr. Vyas received a total of $4,992 from 47 pharmaceutical and/or device companies across 360 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Vyas 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.
✓ 19 years in practice
▲ Top 5% volume in NC
$4,992 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,584
Medicare services
Top 5% in NC for internal medicine
4,236
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~399 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. |
1,069 | $57 | $225 |
| 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. |
800 | $79 | $250 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
639 | $35 | $90 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
631 | $35 | $95 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
389 | $9 | $35 |
| 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. |
372 | $78 | $150 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
363 | $25 | $40 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
351 | $122 | $200 |
| Annual depression screening | 345 | $17 | $40 |
| Annual alcohol misuse screening, 5 to 15 minutes | 344 | $17 | $40 |
| 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. |
198 | $10 | $30 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
138 | $42 | $85 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
135 | $14 | $25 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
134 | $24 | $40 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
126 | $33 | $75 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
119 | $5 | $25 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
117 | $6 | $25 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
117 | $4 | $20 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
104 | $3 | $15 |
| Injection, methylprednisolone acetate, 40 mg | 103 | $6 | $15 |
| 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. |
94 | $52 | $125 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
90 | $29 | $40 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
86 | $75 | $78 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
71 | $53 | $100 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
70 | $8 | $20 |
| Home visit, established patient, straightforward decision making A home visit for an established patient involving straightforward medical decision making. The visit lasts at least 15 minutes when time is used to determine the level of service. |
69 | $27 | $120 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
61 | $47 | $126 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
52 | $39 | $80 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
52 | $0 | $5 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
46 | $16 | $32 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
44 | $40 | $70 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
43 | $35 | $200 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
38 | $154 | $310 |
| 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. |
38 | $208 | $420 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
30 | $100 | $200 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
26 | $48 | $165 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
23 | $17 | $30 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
16 | $139 | $600 |
| 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. |
15 | $156 | $250 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
14 | $29 | $60 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
12 | $36 | $85 |
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.
0.2% high complexity
6.4% medium
93.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,992
Total received (2018-2024)
Avg $713/year across 7 years
Top 17% in NC for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
360
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
$4,962 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$30 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$398
2023
$202
2022
$16
2021
$84
2020
$999
2019
$1,662
2018
$1,630
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$148
Novo Nordisk Inc
$50
PFIZER INC.
$43
Boehringer Ingelheim Pharmaceuticals, Inc.
$37
Mylan Specialty L.P.
$26
Otsuka America Pharmaceutical, Inc.
$18
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$17
Eisai Inc.
$16
CeQur Corporation
$16
Astellas Pharma US Inc
$14
Amgen Inc.
$14
Top 3 companies account for 60.7% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$829
Novo Nordisk Inc
$686
GlaxoSmithKline, LLC.
$514
Boehringer Ingelheim Pharmaceuticals, Inc.
$418
Novartis Pharmaceuticals Corporation
$324
SANOFI-AVENTIS U.S. LLC
$248
PFIZER INC.
$228
Astellas Pharma US Inc
$193
Amgen Inc.
$171
Lilly USA, LLC
$167
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$137
Mylan Specialty L.P.
$66
Sunovion Pharmaceuticals Inc.
$65
Amarin Pharma Inc.
$62
Allergan Inc.
$55
Allergan, Inc.
$49
AbbVie, Inc.
$49
Circassia Pharmaceuticals Inc
$49
Janssen Pharmaceuticals, Inc
$47
Merck Sharp & Dohme Corporation
$45
Ironwood Pharmaceuticals, Inc
$37
IRONWOOD PHARMACEUTICALS, INC
$37
Philips Electronics North America Corporation
$35
Otsuka America Pharmaceutical, Inc.
$35
ARBOR PHARMACEUTICALS, INC.
$34
Regeneron Healthcare Solutions, Inc.
$32
Eisai Inc.
$28
Takeda Pharmaceuticals U.S.A., Inc.
$27
Horizon Therapeutics plc
$26
E.R. Squibb & Sons, L.L.C.
$26
Kowa Pharmaceuticals America, Inc.
$23
Ferring Pharmaceuticals Inc.
$20
Genentech USA, Inc.
$19
DePuy Synthes Sales Inc.
$18
Arbor Pharmaceuticals, Inc.
$17
Corcept Therapeutics
$17
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$17
Mannkind Corporation
$17
Xeris Pharmaceuticals, Inc.
$17
CeQur Corporation
$16
Insulet Corporation
$15
AbbVie Inc.
$15
Abbott Laboratories
$14
Synergy Pharmaceuticals Inc
$14
Medtronic MiniMed, Inc.
$13
ARALEZ PHARMACEUTICALS US INC.
$12
Adamas Pharmaceuticals, Inc.
$11
Top 3 companies account for 40.6% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ADVAIR · AFREZZA · ANORO · ANORO ELLIPTA · Aimovig · Amitiza · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYDUREON · CAPLYTA · CHANTIX · CeQur Simplicity · DALVANCE · DUAKLIR PRESSAIR · DUZALLO · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EUFLEXXA · EVENITY · Edarbi · FARXIGA · FreeStyle Libre blood glucose Flash Monitoring System · GOCOVRI · GVOKE HYPOPEN · Horizant · JANUVIA · JARDIANCE · Korlym · LINZESS · LOKELMA · LONHALA MAGNAIR · Leqembi · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Minimed 630G · NUEDEXTA · NURTEC ODT · ORTHOVISC · Omnipod · Otezla · Ozempic · PRALUENT · Prolia · RAYOS · Rybelsus · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · Trulance · UBRELVY · UTIBRON NEOHALER · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XIFAXANIBSD · Xofluza · Xultophy 100/3.6 · YUPELRI · Yupelri · ZONTIVITY · inCourage
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Internal medicine physicians within 10 mi
109
Per 100K population
119.0
County median income
$55,796
Nearest hospital
UNC ROCKINGHAM
0.0 mi
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 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. Vyas is a clinical cardiology specialist, with above-average Medicare volume (top 5% in NC), with low-engagement industry engagement in the top 17% of NC peers, with 19 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. Vyas experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Vyas performed 1,069 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. Vyas receive payments from pharmaceutical companies?
Yes. Dr. Vyas received a total of $4,992 from 47 companies across 360 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. Vyas's costs compare to other internal medicine physicians in Eden?
Dr. Vyas'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. Vyas) 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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