Medicare Enrolled

Dr. Debra Goldson-Prophete, MD

Internal Medicine · South Orange, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
20 VALLEY ROAD, South Orange, NJ 07079
9733131113
In practice since 2006 (20 years)
NPI: 1831156819 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. Goldson-Prophete 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. Goldson-Prophete

Dr. Debra Goldson-Prophete is an internal medicine specialist in South Orange, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Goldson-Prophete performed 2,228 Medicare services across 1,340 unique beneficiaries.

Between the years covered by Open Payments, Dr. Goldson-Prophete received a total of $6,996 from 33 pharmaceutical and/or device companies across 490 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. Goldson-Prophete 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 20% volume in NJ $6,996 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,228
Medicare services
Top 20% in NJ for internal medicine
1,340
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~111 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 (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.
542 $104 $180
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.
362 $54 $98
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.
226 $74 $159
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.
151 $87 $100
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
132 $144 $200
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.
118 $12 $55
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
111 $147 $235
Remote patient monitoring management, 20 min/month
Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month.
97 $44 $80
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 87 $238 $400
Annual depression screening 79 $21 $60
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
59 $32 $33
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.
58 $42 $75
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
53 $76 $100
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.
53 $48 $100
Remote physiologic monitoring setup and education
Initial setup of remote monitoring equipment and patient education on its use.
33 $18 $42
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
25 $2 $30
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.
22 $75 $250
Assessment of emotional or behavioral problems
An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns.
20 $4 $50
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 ↗
$6,996
Total received (2018-2024)
Avg $999/year across 7 years
Top 11% in NJ for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
490
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
$6,896 (98.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$100 (1.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,536
2023
$1,004
2022
$921
2021
$1,035
2020
$907
2019
$861
2018
$732

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$393
Lilly USA, LLC
$256
AstraZeneca Pharmaceuticals LP
$232
PFIZER INC.
$211
GlaxoSmithKline, LLC.
$149
Pharmacosmos Therapeutics Inc.
$109
Amgen Inc.
$66
Azurity Pharmaceuticals, Inc.
$52
Exact Sciences Corporation
$22
VIVUS LLC
$17
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
Astellas Pharma US Inc
$15
Top 3 companies account for 57.3% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$2,611
Lilly USA, LLC
$1,047
AstraZeneca Pharmaceuticals LP
$931
GlaxoSmithKline, LLC.
$331
PFIZER INC.
$314
Boehringer Ingelheim Pharmaceuticals, Inc.
$210
Galderma Laboratories, L.P.
$175
VIVUS LLC
$161
ARBOR PHARMACEUTICALS, INC.
$118
Pharmacosmos Therapeutics Inc.
$109
Allergan, Inc.
$100
SANOFI-AVENTIS U.S. LLC
$96
Merck Sharp & Dohme Corporation
$93
Bayer Healthcare Pharmaceuticals Inc.
$81
Amgen Inc.
$66
VIVUS, Inc.
$58
Exact Sciences Corporation
$54
Azurity Pharmaceuticals, Inc.
$52
EISAI INC.
$40
Arbor Pharmaceuticals, Inc.
$40
Bayer HealthCare Pharmaceuticals Inc.
$39
Medtronic USA, Inc.
$36
Currax Pharmaceuticals LLC
$31
Shield Therapeutics Inc
$28
Eisai Inc.
$26
Senseonics, Incorporated
$25
Abbott Laboratories
$25
Janssen Pharmaceuticals, Inc
$21
E.R. Squibb & Sons, L.L.C.
$17
Dexcom, Inc.
$15
Amarin Pharma Inc.
$15
Astellas Pharma US Inc
$15
Novartis Pharmaceuticals Corporation
$14
Top 3 companies account for 65.6% of all-time payments
Associated products mentioned in payments ›
ABRYSVO · ACCRUFER · AIRSUPRA · AREXVY · BASAGLAR · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · Belviq · CONTRAVE · Cologuard Collection Kit · Dexcom G6 Transmitter · EDARBYCLOR · ELIQUIS · EMGALITY · ENTRESTO · Edarbi · Edarbyclor · Eversense · FARXIGA · FREESTYLE LIBRE · JANUVIA · JARDIANCE · KYPHON Balloon Kyphoplasty · Kerendia · MONOFERRIC · MOUNJARO · NURTEC ODT · Otezla · Ozempic · PANCREAZE · PAXLOVID · PREVNAR 20 · QSYMIA · Qsymia · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SYMBICORT · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · VYNDAQEL · Vascepa · Veozah · Victoza · Wegovy · XARELTO · ZEPBOUND
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.

Looking for an internal medicine specialist in South Orange?
Compare internal medicine physicians in the South Orange area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
10,070
Per 100K population
1179.0
County median income
$76,712
Nearest hospital
VA NEW JERSEY HEALTH CARE SYSTEM
2.3 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. Goldson-Prophete is a clinical cardiology specialist, with above-average Medicare volume (top 20% in NJ), with low-engagement industry engagement in the top 11% 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. Goldson-Prophete experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Goldson-Prophete performed 542 office visit, established patient (30-39 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. Goldson-Prophete receive payments from pharmaceutical companies?
Yes. Dr. Goldson-Prophete received a total of $6,996 from 33 companies across 490 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. Goldson-Prophete's costs compare to other internal medicine physicians in South Orange?
Dr. Goldson-Prophete's average Medicare payment per service is $82. 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. Goldson-Prophete) 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 →