Medicare Enrolled
Dr. John Stoneham, MD
Optician · Toms River, 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. Stoneham 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. Stoneham
Dr. John Stoneham is an optician specialist in Toms River, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Stoneham performed 8,570 Medicare services across 4,098 unique beneficiaries.
Between the years covered by Open Payments, Dr. Stoneham received a total of $1,795 from 28 pharmaceutical and/or device companies across 117 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. Stoneham 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 7% volume in NJ
$1,795 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,570
Medicare services
Top 7% in NJ for optician
4,098
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~428 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 |
|---|---|---|---|
| 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. |
2,252 | $2 | $12 |
| BCG treatment for bladder cancer | 1,850 | $2 | $6 |
| 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. |
1,636 | $101 | $225 |
| 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. |
811 | $70 | $175 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 268 | $131 | $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. |
234 | $121 | $320 |
| Complete pelvic ultrasound An imaging test using sound waves to create pictures of the organs and structures within the pelvis. |
224 | $90 | $325 |
| 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. |
217 | $67 | $150 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
198 | $11 | $225 |
| Imaging of urinary tract with contrast An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures. |
139 | $20 | $75 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
91 | $110 | $275 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
88 | $30 | $110 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
78 | $48 | $125 |
| 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. |
72 | $146 | $275 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
69 | $206 | $550 |
| Ureteral stent insertion via cystoscopy A tube is placed into the ureter using an endoscope inserted through the bladder. |
54 | $104 | $800 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
47 | $105 | $600 |
| Bladder instillation of anti-cancer drug A procedure where an anti-cancer medication is introduced directly into the bladder. This method delivers the treatment locally to the bladder tissue. |
43 | $78 | $400 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
40 | $27 | $325 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
38 | $25 | $245 |
| New patient office visit, complex (60-74 min) | 35 | $160 | $380 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
29 | $148 | $375 |
| 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. |
13 | $65 | $200 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
11 | $28 | $600 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
11 | $174 | $800 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
11 | $10 | $55 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
11 | $3 | $10 |
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.
0.6% high complexity
6.8% medium
92.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,795
Total received (2018-2024)
Avg $256/year across 7 years
Top 35% in NJ for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
117
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
$1,795 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$246
2023
$69
2022
$41
2021
$268
2020
$94
2019
$578
2018
$499
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$97
ABBVIE INC.
$62
Sumitomo Pharma America, Inc.
$36
COLOPLAST CORP
$18
Boston Scientific Corporation
$16
Antares Pharma, Inc.
$16
Top 3 companies account for 79.4% of 2024 payments
All-time payments by company (2018-2024) ›
Astellas Pharma US Inc
$361
AbbVie Inc.
$198
PFIZER INC.
$152
AbbVie, Inc.
$124
Allergan Inc.
$123
ABBVIE INC.
$103
Medtronic, Inc.
$97
Dendreon Pharmaceuticals LLC
$76
BOSTON SCIENTIFIC CORPORATION
$63
Janssen Biotech, Inc.
$55
COLOPLAST CORP
$46
180 Medical, Inc.
$43
Blue Earth Diagnostics Limited
$41
Bayer HealthCare Pharmaceuticals Inc.
$39
Sumitomo Pharma America, Inc.
$36
Medtronic USA, Inc.
$34
Boston Scientific Corporation
$31
Coloplast Corp
$25
Aytu BioScience, Inc
$23
Axonics, Inc.
$20
Antares Pharma, Inc.
$16
UROVANT SCIENCES INC
$15
Myriad Genetic Laboratories, Inc.
$14
Myovant Sciences Inc.
$14
Pacira Pharmaceuticals Incorporated
$13
Metuchen Pharmaceuticals
$12
DENTSPLY IH Inc.
$12
Ferring Pharmaceuticals Inc.
$11
Top 3 companies account for 39.6% of all-time payments
Associated products mentioned in payments ›
AMS · AMS 700 · Androgel · Axonics r-SNM System · Axumin · BOTOX · BOTOX THERAPEUTIC · EXPAREL · Erleada · GEMTESA · GENERAL ERECTILE DYSFUNCTION · INTERSTIM · LITHOVUE · LUPRON DEPOT · LoFric · Lupron · Lupron Depot · MYRBETRIQ · NOCDURNA · Natesto · Nubeqa · ORGOVYX · PROVENGE · Prolaris · SPEEDICATH · SpeediCath · Stendra · XTANDI · XYOSTED · Xofigo · ZYTIGA
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.
Geographic Context
Opticians within 10 mi
288
Per 100K population
44.6
County median income
$86,411
Nearest hospital
COMMUNITY MEDICAL CENTER
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. Stoneham is a clinical cardiology specialist, with above-average Medicare volume (top 7% in NJ), with low-engagement industry engagement, 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. Stoneham experienced with automated urinalysis?
Based on Medicare claims data, Dr. Stoneham performed 2,252 automated urinalysis 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. Stoneham receive payments from pharmaceutical companies?
Yes. Dr. Stoneham received a total of $1,795 from 28 companies across 117 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. Stoneham's costs compare to other opticians in Toms River?
Dr. Stoneham's average Medicare payment per service is $47. 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. Stoneham) 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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