Medicare Enrolled
Dr. Joseph Brignola, MD
Internal Medicine · Nutley, NJ
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. Brignola 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. Brignola
Dr. Joseph Brignola is an internal medicine specialist in Nutley, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Brignola performed 2,588 Medicare services across 1,122 unique beneficiaries.
Between the years covered by Open Payments, Dr. Brignola received a total of $10,055 from 67 pharmaceutical and/or device companies across 775 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. Brignola 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 16% volume in NJ
$10,055 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,588
Medicare services
Top 16% in NJ for internal medicine
1,122
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~129 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. |
763 | $62 | $155 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
503 | $8 | $12 |
| 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. |
421 | $66 | $170 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
125 | $11 | $75 |
| 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. |
121 | $100 | $245 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
103 | $142 | $265 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
78 | $34 | $55 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
75 | $71 | $100 |
| 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. |
61 | $61 | $190 |
| 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. |
59 | $92 | $205 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
57 | $156 | $370 |
| Annual depression screening | 57 | $21 | $30 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
36 | $16 | $35 |
| 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. |
30 | $68 | $160 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
17 | $4 | $15 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
17 | $17 | $55 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
16 | $3 | $15 |
| Prostate cancer screening; digital rectal examination A physical exam where a healthcare provider inserts a gloved, lubricated finger into the rectum to check the prostate gland for abnormalities. |
15 | $17 | $35 |
| 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. |
12 | $41 | $70 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
11 | $76 | $205 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
11 | $180 | $370 |
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 ↗$10,055
Total received (2018-2024)
Avg $1,436/year across 7 years
Top 7% in NJ for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
67
Companies
775
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
$10,055 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,205
2023
$1,251
2022
$1,271
2021
$1,610
2020
$1,107
2019
$1,519
2018
$2,092
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$275
Novo Nordisk Inc
$210
PFIZER INC.
$169
Exact Sciences Corporation
$87
Lilly USA, LLC
$80
Novartis Pharmaceuticals Corporation
$77
Lundbeck LLC
$53
IDORSIA PHARMACEUTICALS US INC
$49
Merck Sharp & Dohme LLC
$31
Almatica Pharma LLC
$30
Astellas Pharma US Inc
$22
Dexcom, Inc.
$17
Bayer Healthcare Pharmaceuticals Inc.
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Kowa Pharmaceuticals America, Inc.
$16
Amphastar Pharmaceuticals, Inc.
$15
Azurity Pharmaceuticals, Inc.
$15
E.R. Squibb & Sons, L.L.C.
$15
GlaxoSmithKline, LLC.
$14
Top 3 companies account for 54.2% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,369
AstraZeneca Pharmaceuticals LP
$1,018
Amarin Pharma Inc.
$939
Boehringer Ingelheim Pharmaceuticals, Inc.
$803
Lilly USA, LLC
$586
Merck Sharp & Dohme Corporation
$500
PFIZER INC.
$485
Novartis Pharmaceuticals Corporation
$355
Kowa Pharmaceuticals America, Inc.
$306
GlaxoSmithKline, LLC.
$273
SANOFI-AVENTIS U.S. LLC
$254
IDORSIA PHARMACEUTICALS US INC
$238
Amgen Inc.
$223
Janssen Pharmaceuticals, Inc
$219
Bayer HealthCare Pharmaceuticals Inc.
$218
Bayer Healthcare Pharmaceuticals Inc.
$204
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$153
Almatica Pharma LLC
$142
Astellas Pharma US Inc
$141
Eisai Inc.
$126
Exact Sciences Corporation
$125
AbbVie, Inc.
$93
Lundbeck LLC
$82
AbbVie Inc.
$72
Nabriva Therapeutics, plc
$68
Melinta Therapeutics, Inc.
$67
Gilead Sciences, Inc.
$57
Abbott Laboratories
$56
Allergan, Inc.
$53
Merck Sharp & Dohme LLC
$45
E.R. Squibb & Sons, L.L.C.
$45
SANOFI PASTEUR INC.
$43
Sanofi Pasteur Inc.
$41
Althera Pharmaceuticals LLC
$40
Allergan Inc.
$35
Seqirus USA Inc
$29
MannKind Corporation
$28
Fidia Pharma USA Inc.
$28
ABBVIE INC.
$28
Bioventus LLC
$28
Acerus Pharmaceuticals Corporation
$26
Daiichi Sankyo Inc.
$26
Shire North American Group Inc
$26
Avanir Pharmaceuticals, Inc.
$25
Orexo US, Inc.
$21
FIDIA PHARMA USA INC.
$18
Sunovion Pharmaceuticals Inc.
$17
Dexcom, Inc.
$17
Nestle HealthCare Nutrition Inc.
$15
Amphastar Pharmaceuticals, Inc.
$15
Antares Pharma, Inc.
$15
Neurocrine Biosciences, Inc.
$15
UROVANT SCIENCES INC
$15
Azurity Pharmaceuticals, Inc.
$15
Horizon Pharma plc
$15
Axsome Therapeutics, Inc.
$15
Otsuka America Pharmaceutical, Inc.
$14
Genentech USA, Inc.
$14
Octapharma USA, Inc.
$14
EISAI INC.
$14
ACADIA Pharmaceuticals Inc
$13
BIOTRONIK INC.
$13
SUN PHARMACEUTICAL INDUSTRIES INC.
$12
Currax Pharmaceuticals LLC
$12
DEXCOM, INC.
$12
Paratek Pharmaceuticals, Inc.
$12
Phadia US Inc.
$11
Top 3 companies account for 33.1% of all-time payments
Associated products mentioned in payments ›
ABRYSVO · ADVAIR · AFREZZA · AIRSUPRA · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · Aduhelm · Aimovig · BASAGLAR · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · Baxdela · CHANTIX · CONTRAVE · CREON · CUTAQUIG · CYCLOSET · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · DIFICID · DUEXIS · Dayvigo · Dexcom G6 Transmitter · EDARBI · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FLUCELVAX QUADRIVALENT · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · Fluad Quadrivalent · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GEMTESA · GLYXAMBI · GRALISE · HUMIRA · HYALGAN · HYMOVIS · INGREZZA · INJECTAFER · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · KAPSPARGO · Kerendia · LAGEVRIO · LEQVIO · LIVALO · LOREEV XR · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NOXAFIL · NUEDEXTA · NUPLAZID · NUZYRA · Natesto · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rivacor 7 DR-T · Roszet · Rybelsus · SEGLENTIS · SHINGRIX · SIVEXTRO · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO RESPIMAT · SYMBICORT · Saxenda · Seglentis · Sunosi · Supartz · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · VESICARE · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XIFIXAN · XYOSTED · Xenleta · Xofluza · ZENPEP · ZERBAXA · Zubsolv
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 7% for internal medicine in NJ.
Geographic Context
Internal medicine physicians within 10 mi
10,476
Per 100K population
1226.5
County median income
$76,712
Nearest hospital
CLARA MAASS MEDICAL CENTER
1.9 mi
1.9 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. Brignola is a clinical cardiology specialist, with above-average Medicare volume (top 16% in NJ), with low-engagement industry engagement in the top 7% of NJ 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. Brignola experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. Brignola performed 763 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. Brignola receive payments from pharmaceutical companies?
Yes. Dr. Brignola received a total of $10,055 from 67 companies across 775 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. Brignola's costs compare to other internal medicine physicians in Nutley?
Dr. Brignola'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. Brignola) 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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