Medicare Enrolled

Dr. Peter Scalia, M.D.

Thoracic Surgery · Wall, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1540 HWY 138, Wall, NJ 07719
8482082055
Registered in NPPES since 2005
NPI: 1285633321 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. Scalia 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. Scalia

Dr. Peter Scalia is a thoracic surgery specialist in Wall, NJ, with 21 years of NPI registration. Based on federal Medicare data, Dr. Scalia performed 1,497 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Scalia received a total of $9,929 from 6 pharmaceutical and/or device companies across 71 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. Scalia 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.

✓ 21 years of NPI registration ▲ Top 4% volume in NJ $9,929 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,497
Medicare services
Top 4% in NJ for thoracic surgery
Not available
Unique patients (not deduplicated)
$146
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
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
313 $42 $120
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.
275 $109 $450
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.
246 $67 $240
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.
163 $73 $135
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.
74 $111 $180
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.
72 $143 $540
Bronchoscopy
A diagnostic exam of the lung airways using an endoscope to visually inspect the inside of the lungs and airways.
67 $55 $1,285
Lung lining removal via endoscope
A procedure to remove the lining of the lung using an endoscope, which is a thin, flexible tube inserted into the body.
36 $419 $5,320
Pacemaker insertion with heart chamber electrodes
A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm.
31 $436 $1,650
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.
30 $71 $465
Thoracentesis, removal of fluid from between lung and chest cavity
This procedure involves removing fluid that has accumulated in the space between the lung and the chest wall.
29 $123 $1,275
Surgical removal of pericardial tissue for drainage
A surgical procedure to remove a piece of the sac surrounding the heart to allow for drainage.
27 $641 $5,560
Partial removal of chest bone
Surgical procedure to remove a portion of a bone in the chest area.
25 $220 $5,445
Insertion of chest tube for lung fluid drainage
A procedure to place a tube into the chest cavity to drain excess fluid from around the lungs.
23 $173 $1,520
Endoscopic removal of chest and lung lining
This procedure involves using an endoscope to remove the lining of the chest cavity and the lungs.
22 $1,407 $8,900
Initial removal of wedge of lung tissue using an endoscope
A surgical procedure to remove a small, wedge-shaped section of lung tissue using an endoscope. This minimally invasive technique allows for tissue sampling or removal without large incisions.
19 $565 $6,500
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
17 $173 $675
Lung exam with lobe removal via endoscope
This procedure involves examining the lung and removing a lobe using an endoscope. It is performed to inspect the lung tissue and surgically remove a section of the lung.
16 $1,108 $15,240
Lung wedge biopsy and partial lung removal
A surgical procedure involving the removal of a small wedge of lung tissue for examination, followed by the partial removal of the lung.
12 $131 $2,380
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.
4.0% high complexity
1.9% medium
94.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$9,929
Total received (2018-2024)
Avg $1,655/year across 6 years
Top 31% in NJ for thoracic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
6
Companies
71
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
$133
2022
$193
2021
$26
2020
$995
2019
$7,428
2018
$1,155

Payments by company (2024)

Kerecis Limited
$133
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Intuitive Surgical, Inc.
$8,764
Medtronic Vascular, Inc.
$523
W. L. Gore & Associates, Inc.
$315
Kerecis Limited
$133
Abbott Laboratories
$111
Pinnacle Biologics, Inc
$84
Top 3 companies account for 96.7% of all-time payments
Associated products mentioned in payments ›
Azure · C3 Delivery System · Da Vinci Surgical System · Endurant · Kerecis Omega3 SurgiClose · Photofrin · Reveal LINQ · Supera peripheral stent system
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 thoracic surgery specialist in Wall?
Compare thoracic surgerists in the Wall area by procedure volume, costs, and industry payment transparency.
Browse thoracic surgerists nearby

Geographic Context

Thoracic surgerists in nearby ZIP areas
17
County median income
$122,727
Nearest hospital to ZIP centroid (approximate)
OCEAN MEDICAL CENTER
5.8 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. Scalia is a clinical cardiology specialist, with above-average Medicare volume (top 4% in NJ), with 21 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. Scalia experienced with hospital follow-up visit, low complexity?
Based on Medicare claims data, Dr. Scalia performed 313 hospital follow-up visit, low complexity 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. Scalia receive payments from pharmaceutical companies?
Yes. Dr. Scalia received a total of $9,929 from 6 companies across 71 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. Scalia's costs compare to other thoracic surgerists in Wall?
Dr. Scalia's average Medicare payment per service is $146. 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. Scalia) 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 →