Medicare Enrolled

Dr. Carl Raso, MD

Gastroenterology · Toms River, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
129 ROUTE 37 WEST, Toms River, NJ 08755
7327973990
Registered in NPPES since 2006
NPI: 1306934195 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. Raso 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 →
Are you Dr. Raso? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Raso

Dr. Carl Raso is a gastroenterology specialist in Toms River, NJ, with 19 years of NPI registration. Based on federal Medicare data, Dr. Raso performed 1,413 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Raso received a total of $4,891 from 44 pharmaceutical and/or device companies across 329 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. Raso 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 of NPI registration ▲ Top 20% volume in NJ $4,891 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,413
Medicare services
Top 20% in NJ for gastroenterology
Not available
Unique patients (not deduplicated)
$95
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 (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.
307 $70 $154
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.
249 $66 $165
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.
185 $104 $213
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.
180 $83 $195
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
134 $69 $212
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
89 $98 $800
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
49 $152 $850
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.
49 $211 $850
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
39 $192 $850
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.
36 $186 $850
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.
33 $124 $265
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
32 $100 $800
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
31 $148 $850
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 ↗
$4,891
Total received (2018-2024)
Avg $699/year across 7 years
Top 30% in NJ for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
44
Companies
329
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
$924
2023
$752
2022
$749
2021
$749
2020
$627
2019
$537
2018
$552

Payments by company (2024)

ABBVIE INC.
$239
Janssen Biotech, Inc.
$216
Ardelyx, Inc.
$83
Phathom Pharmaceuticals, Inc.
$83
Ipsen Biopharmaceuticals, Inc
$43
Laborie Medical Technologies Corp.
$38
Intercept Pharmaceuticals, Inc.
$33
Regeneron Healthcare Solutions, Inc.
$29
Lilly USA, LLC
$23
Madrigal Pharmaceuticals
$21
Olympus America Inc.
$21
Takeda Pharmaceuticals U.S.A., Inc.
$20
Celltrion USA Inc.
$17
AIMMUNE THERAPEUTICS, INC.
$17
Celgene Corporation
$15
GENZYME CORPORATION
$14
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$13
Top 3 companies account for 58.3% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Biotech, Inc.
$773
ABBVIE INC.
$697
Takeda Pharmaceuticals U.S.A., Inc.
$458
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$434
AbbVie Inc.
$245
AbbVie, Inc.
$234
Nestle HealthCare Nutrition Inc.
$189
Celgene Corporation
$189
Merck Sharp & Dohme Corporation
$162
Ardelyx, Inc.
$162
Intercept Pharmaceuticals, Inc.
$113
Pharmacosmos Therapeutics Inc.
$93
Concordia Pharmaceuticals Inc.
$86
Phathom Pharmaceuticals, Inc.
$83
Boston Scientific Corporation
$83
Synergy Pharmaceuticals Inc
$82
Daiichi Sankyo Inc.
$70
GENZYME CORPORATION
$67
EVOKE PHARMA, INC.
$60
Olympus America Inc.
$47
Regeneron Healthcare Solutions, Inc.
$44
RedHill Biopharma Inc.
$44
Evoke Pharma, Inc.
$44
Ipsen Biopharmaceuticals, Inc
$43
QOL Medical, LLC
$41
Laborie Medical Technologies Corp.
$38
Shionogi Inc
$30
Alfasigma USA, Inc.
$28
Allergan Inc.
$28
Lilly USA, LLC
$23
Madrigal Pharmaceuticals
$21
NESTLE HEALTHCARE NUTRITION INC.
$17
Celltrion USA Inc.
$17
AIMMUNE THERAPEUTICS, INC.
$17
PFIZER INC.
$16
Intra-Sana Laboratories
$16
INTERCEPT PHARMACEUTICALS, INC.
$14
AstraZeneca Pharmaceuticals LP
$13
Romark Laboratories, LC
$12
Shire North American Group Inc
$12
Allergan, Inc.
$12
Gilead Sciences, Inc.
$12
Ironwood Pharmaceuticals, Inc
$11
Medtronic USA, Inc.
$11
Top 3 companies account for 39.4% of all-time payments
Associated products mentioned in payments ›
ALINIA · Amitiza · CREON · Creon · DIFICID · DONNATAL · DUPIXENT · Donnatal · ENTYVIO · EVIS EXERA III COLONOVIDEOSCOPE · Entyvio · GATTEX · GIMOTI · HUMIRA · Humira · IBSRELA · INJECTAFER · INTERSTIM · IQIRVO · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOVANTIK · MOVIPREP · Mavyret · Monoferric · Motegrity · OCALIVA · OMVOH · Olympus EndoTherapy Accessories · RELTONE 200 MG · REMICADE · RENFLEXIS · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUPERION · Sucraid · Symproic · TREMFYA · TRULANCE · Talicia · Trulance · VEGZELMA · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA · Zelnorm
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 a gastroenterology specialist in Toms River?
Compare gastroenterologists in the Toms River area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologists in nearby ZIP areas
91
County median income
$86,411
Nearest hospital to ZIP centroid (approximate)
COMMUNITY MEDICAL CENTER
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. Raso is a clinical cardiology specialist, with above-average Medicare volume (top 20% in NJ), 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. Raso experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Raso performed 307 office visit, established patient (20-29 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. Raso receive payments from pharmaceutical companies?
Yes. Dr. Raso received a total of $4,891 from 44 companies across 329 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. Raso's costs compare to other gastroenterologists in Toms River?
Dr. Raso's average Medicare payment per service is $95. 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. Raso) 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 →