Medicare Enrolled
Dr. Heather Macadam, MD
Internal Medicine · Aurora, NY
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Macadam 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. Macadam
Dr. Heather Macadam is an internal medicine specialist in Aurora, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Macadam performed 5,587 Medicare services across 3,985 unique beneficiaries.
Between the years covered by Open Payments, Dr. Macadam received a total of $6,371 from 37 pharmaceutical and/or device companies across 366 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. Macadam 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 5% volume in NY
$6,371 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,587
Medicare services
Top 5% in NY for internal medicine
3,985
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~279 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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
637 | $8 | $10 |
| 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. |
531 | $82 | $191 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
384 | $13 | $53 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
311 | $8 | $23 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
261 | $10 | $64 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
260 | $16 | $47 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
255 | $28 | $64 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
204 | $8 | $46 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
197 | $125 | $240 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
182 | $9 | $31 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
179 | $3 | $16 |
| Annual depression screening | 155 | $18 | $40 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
148 | $25 | $45 |
| Liver enzyme (SGOT) level test A blood test that measures the level of the liver enzyme SGOT to help assess liver health. |
142 | $5 | $14 |
| Liver enzyme (SGPT) level test A blood test that measures the level of the liver enzyme SGPT to assess liver function. |
142 | $5 | $14 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
141 | $9 | $52 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
131 | $1 | $18 |
| 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. |
122 | $57 | $130 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
122 | $30 | $40 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
119 | $71 | $83 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
97 | $15 | $43 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
85 | $6 | $22 |
| Iron level test | 69 | $6 | $19 |
| Transferrin level test A blood test that measures the amount of transferrin, a protein that binds to and transports iron in the body. |
68 | $12 | $28 |
| 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. |
66 | $7 | $70 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
52 | $59 | $135 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
48 | $6 | $16 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
43 | $5 | $15 |
| Annual alcohol misuse screening, 5 to 15 minutes | 38 | $18 | $27 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
36 | $8 | $30 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
28 | $9 | $47 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
27 | $19 | $53 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
26 | $4 | $18 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
25 | $4 | $18 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
24 | $14 | $43 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
21 | $30 | $85 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
20 | $5 | $8 |
| PSA test (prostate cancer screening) | 19 | $18 | $53 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
18 | $282 | $370 |
| 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. |
18 | $45 | $135 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
17 | $8 | $18 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
17 | $8 | $22 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
16 | $30 | $55 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
14 | $61 | $100 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
13 | $6 | $22 |
| 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. |
13 | $140 | $225 |
| Liver function blood test panel | 12 | $8 | $47 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
12 | $162 | $260 |
| Lung cancer screening counseling visit A visit to discuss the need for lung cancer screening using a low-dose CT scan. This service is used to determine eligibility and facilitate shared decision making. |
11 | $28 | $60 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
11 | $162 | $260 |
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 ↗$6,371
Total received (2018-2024)
Avg $910/year across 7 years
Top 13% in NY for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
366
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
$6,271 (98.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$100 (1.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$806
2023
$1,011
2022
$819
2021
$339
2020
$377
2019
$1,382
2018
$1,637
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$313
Novo Nordisk Inc
$179
Lilly USA, LLC
$97
PFIZER INC.
$88
Exact Sciences Corporation
$37
ABBVIE INC.
$23
Braeburn Inc.
$21
Amgen Inc.
$18
Indivior Inc.
$16
Orexo US, Inc.
$13
Top 3 companies account for 73.2% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$953
Novo Nordisk Inc
$920
PFIZER INC.
$830
Lilly USA, LLC
$455
Indivior Inc.
$334
Amgen Inc.
$266
Amarin Pharma Inc.
$230
Boehringer Ingelheim Pharmaceuticals, Inc.
$209
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$201
AbbVie Inc.
$201
ABBVIE INC.
$197
GlaxoSmithKline, LLC.
$188
E.R. Squibb & Sons, L.L.C.
$180
Astellas Pharma US Inc
$179
AbbVie, Inc.
$111
Takeda Pharmaceuticals U.S.A., Inc.
$105
Welch Allyn
$100
Bayer HealthCare Pharmaceuticals Inc.
$86
Novartis Pharmaceuticals Corporation
$75
Kowa Pharmaceuticals America, Inc.
$66
Janssen Pharmaceuticals, Inc
$61
Alkermes, Inc.
$44
Biohaven Pharmaceutical Holding Company Ltd.
$40
Allergan, Inc.
$40
Exact Sciences Corporation
$37
Teva Pharmaceuticals USA, Inc.
$36
SCILEX PHARMACEUTICALS INC.
$36
SANOFI-AVENTIS U.S. LLC
$30
Mylan Specialty L.P.
$28
Merck Sharp & Dohme Corporation
$26
Genentech USA, Inc.
$24
Braeburn Inc.
$21
Circassia Pharmaceuticals Inc
$15
Otsuka America Pharmaceutical, Inc.
$14
Orexo US, Inc.
$13
Radius Health, Inc.
$12
Gilead Sciences, Inc.
$11
Top 3 companies account for 42.4% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · Adempas · AirDuo Digihaler · BASAGLAR · BEVESPI AEROSPHERE · BRIXADI · CHANTIX · COMIRNATY · CREON · Cologuard Collection Kit · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · JANUVIA · JARDIANCE · Kerendia · LYRICA · Levemir · Livalo · MOUNJARO · MYRBETRIQ · NIOX VERO · NURTEC ODT · Otezla · Otoscope · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · REXULTI · RYBELSUS · Rybelsus · SOLIQUA 100/33 · STIOLTO RESPIMAT · SUBLOCADE · SYMBICORT · Saxenda · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · TRUMENBA · Tymlos · UBRELVY · VESICARE · VIAGRA · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Victoza · Vivitrol · Vivitrol 380 mg · Vyvanse · Wegovy · XARELTO · XIFAXAN · Xofluza · Yupelri · ZEPBOUND · ZTLido · Zubsolv
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Internal medicine physicians within 10 mi
121
Per 100K population
160.3
County median income
$66,583
Nearest hospital
AUBURN COMMUNITY HOSPITAL
13.0 mi
13.0 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. Macadam is a mixed practice specialist, with above-average Medicare volume (top 5% in NY), with low-engagement industry engagement in the top 13% 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. Macadam experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Macadam performed 637 blood draw (venipuncture) 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. Macadam receive payments from pharmaceutical companies?
Yes. Dr. Macadam received a total of $6,371 from 37 companies across 366 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. Macadam's costs compare to other internal medicine physicians in Aurora?
Dr. Macadam's average Medicare payment per service is $27. 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. Macadam) 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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