Medicare Enrolled
Dr. Yakov Perper, MD
Pain Medicine · Astoria, NY
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. Perper 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. Perper
Dr. Yakov Perper is a pain medicine specialist in Astoria, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Perper performed 6,182 Medicare services across 1,932 unique beneficiaries.
Between the years covered by Open Payments, Dr. Perper received a total of $16,843 from 57 pharmaceutical and/or device companies across 656 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain 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. Perper 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 2% volume in NY
$16,843 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,182
Medicare services
Top 2% in NY for pain medicine
1,932
Unique beneficiaries
$52
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~309 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 |
|---|---|---|---|
| Contrast dye for imaging, lower concentration | 1,947 | $0 | $9 |
| 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. |
1,023 | $77 | $150 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
622 | $1 | $17 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
410 | $51 | $253 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
355 | $110 | $250 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
202 | $274 | $681 |
| Orthovisc intra-articular injection An injection of hyaluronan or its derivative into a joint space to provide lubrication and cushioning. |
197 | $101 | $303 |
| Monthly chronic pain management bundle A monthly service for chronic pain management that includes diagnosis, assessment, monitoring, and the development or revision of a person-centered care plan. |
186 | $72 | $100 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
179 | $20 | $150 |
| Manual therapy (hands-on treatment), per 15 min | 124 | $18 | $150 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
124 | $34 | $150 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
104 | $23 | $150 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
102 | $106 | $303 |
| 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. |
80 | $110 | $250 |
| Bupivacaine injection, 0.5 mg An injection of bupivacaine, a local anesthetic, administered in a dose of 0.5 mg. |
71 | $0 | $21 |
| 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. |
68 | $94 | $349 |
| 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. |
68 | $147 | $450 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
54 | $55 | $250 |
| Plasma separation from blood A procedure that uses mechanical methods to separate plasma from whole blood. This process isolates the liquid portion of the blood for further testing or treatment. |
44 | $535 | $1,400 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
36 | $12 | $50 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
35 | $247 | $500 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
32 | $42 | $250 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
22 | $167 | $500 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
22 | $85 | $500 |
| Electrical stimulation therapy Application of electrical stimulation to one or more body areas as part of a therapy plan. This procedure is used for indications other than wound care. |
19 | $8 | $150 |
| Evaluation for physical therapy, typically 30 minutes | 18 | $86 | $250 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
16 | $45 | $281 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
11 | $62 | $250 |
| Normal saline infusion, 500 ml Administration of sterile normal saline solution through an intravenous line. This procedure involves the infusion of a 500 ml unit of the solution. |
11 | $1 | $20 |
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.
0.4% high complexity
60.4% medium
39.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$16,843
Total received (2018-2024)
Avg $2,406/year across 7 years
Top 7% in NY for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
57
Companies
656
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
$16,843 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$5,427
2023
$2,484
2022
$1,400
2021
$1,997
2020
$1,955
2019
$1,525
2018
$2,055
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lumenis BE inc
$4,026
SCILEX PHARMACEUTICALS INC.
$352
Nevro Corp.
$332
ABBVIE INC.
$195
Collegium Pharmaceutical, Inc.
$172
IBSA Pharma Inc.
$71
Azurity Pharmaceuticals, Inc.
$63
Forte Bio-Pharma LLC
$61
Averitas Pharma Inc.
$43
SI-BONE, INC.
$37
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$32
Saluda Medical Americas, Inc.
$27
Valinor Pharma, LLC
$17
Top 3 companies account for 86.8% of 2024 payments
All-time payments by company (2018-2024) ›
Lumenis BE inc
$4,026
Relievant Medsystems, Inc.
$1,440
Nevro Corp.
$1,240
Daiichi Sankyo Inc.
$1,100
Collegium Pharmaceutical, Inc.
$1,077
Scilex Pharmaceuticals Inc.
$1,057
SCILEX PHARMACEUTICALS INC.
$944
Horizon Therapeutics plc
$627
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$614
PFIZER INC.
$403
ABBVIE INC.
$353
Teva Pharmaceuticals USA, Inc.
$283
Flexion Therapeutics, Inc.
$255
IBSA Pharma Inc.
$231
ARBOR PHARMACEUTICALS, INC.
$224
Biohaven Pharmaceuticals, Inc.
$208
Novartis Pharmaceuticals Corporation
$194
Indivior Inc.
$184
Allergan, Inc.
$183
AbbVie Inc.
$170
BOSTON SCIENTIFIC CORPORATION
$129
RedHill Biopharma Inc.
$124
Sentynl Therapeutics, Inc.
$111
Almatica Pharma LLC
$106
PAINTEQ LLC
$103
FIDIA PHARMA USA INC.
$101
Boston Scientific Corporation
$89
Allergan Inc.
$86
Forte Bio-Pharma LLC
$86
Azurity Pharmaceuticals, Inc.
$83
SI-BONE, Inc.
$76
DePuy Synthes Sales Inc.
$76
Averitas Pharma Inc.
$73
Valinor Pharma, LLC
$60
Arbor Pharmaceuticals, Inc.
$59
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$57
Medtronic USA, Inc.
$57
Shionogi Inc
$53
Medtronic, Inc.
$44
GRT US Holding, Inc.
$42
Orexo US, Inc.
$40
SI-BONE, INC.
$37
BioDelivery Sciences International, Inc.
$36
Pacira Therapeutics, Inc.
$35
Bioventus LLC
$34
Virtus Pharmaceuticals LLC
$29
Assertio Therapeutics, Inc.
$29
Saluda Medical Americas, Inc.
$27
IDORSIA PHARMACEUTICALS US INC
$22
Amgen Inc.
$21
Horizon Pharma plc
$19
ACADIA Pharmaceuticals Inc
$19
Kaleo, Inc.
$14
Purdue Pharma L.P.
$14
Hikma Pharmaceuticals USA
$13
Lilly USA, LLC
$13
AstraZeneca Pharmaceuticals LP
$12
Top 3 companies account for 39.8% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · AUSTEDO · Aimovig · BELBUCA · BOTOX · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · Belbuca · Cambia · DUEXIS · EMGALITY · Evoke · Evzio · FLECTOR · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · HORIZANT · HYALGAN · Horizant · Hymovis · INFINION · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · Kloxxado · LEVORPHANOL TARTRATE · LICART · LYRICA · Levorphanol · Levorphanol Tartrate · Licart · M22 · MOVANTIK · Morphabond ER · Movantik · NALOCET · NAPRELAN · NUPLAZID · NURTEC ODT · ORTHOVISC · Omnia · PAINTEQ · PENNSAID · PROLATE · QULIPTA · QUTENZA · QUVIVIQ · Qutenza · RAYOS · RELISTOR · REYVOW · SPECTRA WAVEWRITER · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SYMPROIC · Senza · Senza Spinal Cord Stimulation System · Supartz · Symproic · Tirosint · UBRELVY · XTAMPZA · Xtampza ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zipsor · Zubsolv · iFuse Implant
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 pain medicine in NY.
Geographic Context
Pain medicines within 10 mi
47
Per 100K population
2.0
County median income
$84,961
Nearest hospital
LENOX HILL HOSPITAL
1.6 mi
1.6 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. Perper is a clinical cardiology specialist, with above-average Medicare volume (top 2% in NY), with low-engagement industry engagement in the top 7% of NY 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. Perper experienced with contrast dye for imaging, lower concentration?
Based on Medicare claims data, Dr. Perper performed 1,947 contrast dye for imaging, lower concentration 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. Perper receive payments from pharmaceutical companies?
Yes. Dr. Perper received a total of $16,843 from 57 companies across 656 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. Perper's costs compare to other pain medicines in Astoria?
Dr. Perper's average Medicare payment per service is $52. 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. Perper) 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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