Medicare Enrolled

Dr. Erika Hiby, M.D.

Family Medicine · Bay Shore, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
340 E MAIN ST, Bay Shore, NY 11706
6312062901
In practice since 2007 (19 years)
NPI: 1134251101 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. Hiby 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. Hiby

Dr. Erika Hiby is a family medicine specialist in Bay Shore, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Hiby performed 903 Medicare services across 532 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hiby received a total of $3,885 from 25 pharmaceutical and/or device companies across 125 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Hiby 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 in practice ▲ Top 30% volume in NY $3,885 industry payments

Medicare Practice Summary

Medicare Utilization ↗
903
Medicare services
Top 30% in NY for family medicine
532
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~48 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
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.
338 $72 $107
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
79 $5 $5
Obesity behavioral counseling, 15 minutes
A 15-minute face-to-face session focused on behavioral counseling to help manage obesity.
71 $30 $33
Influenza virus detection test
A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation.
66 $16 $16
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
53 $149 $152
COVID-19 immunoassay detection test
A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation.
49 $41 $100
Computerized hearing test with interpretation
A hearing test that uses a probe to measure sound responses, followed by a professional review and written report of the results.
44 $15 $22
Strep A rapid test
A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation.
38 $16 $18
Spirometry test before and after medication
A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication.
35 $33 $47
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
33 $32 $32
Annual depression screening 29 $22 $24
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
22 $65 $66
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.
22 $10 $18
Middle ear function test
A diagnostic test used to evaluate how well the middle ear is functioning.
13 $15 $19
Quadrivalent influenza vaccine, cell-culture derived
A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics.
11 $29 $30
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 ↗
$3,885
Total received (2018-2024)
Avg $555/year across 7 years
Top 14% in NY for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
125
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
$3,885 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$602
2023
$386
2022
$568
2021
$194
2020
$1,847
2019
$172
2018
$116

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$219
Lilly USA, LLC
$98
Novo Nordisk Inc
$87
SHIELD THERAPEUTICS INC
$42
Exact Sciences Corporation
$32
SANOFI-AVENTIS U.S. LLC
$29
Amgen Inc.
$28
Orthofix Medical, Inc.
$20
GlaxoSmithKline, LLC.
$18
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Esperion Therapeutics, Inc.
$15
Top 3 companies account for 67.0% of 2024 payments
All-time payments by company (2018-2024) ›
Welch Allyn
$1,608
AstraZeneca Pharmaceuticals LP
$461
Novo Nordisk Inc
$353
Lilly USA, LLC
$332
GlaxoSmithKline, LLC.
$260
Amarin Pharma Inc.
$190
Mannkind Corporation
$72
Amgen Inc.
$70
Esperion Therapeutics, Inc.
$67
Exact Sciences Corporation
$53
PFIZER INC.
$52
Merck Sharp & Dohme Corporation
$47
SHIELD THERAPEUTICS INC
$42
Takeda Pharmaceuticals U.S.A., Inc.
$38
SANOFI PASTEUR INC.
$30
SANOFI-AVENTIS U.S. LLC
$29
Kowa Pharmaceuticals America, Inc.
$29
Shield Therapeutics Inc
$26
MannKind Corporation
$22
ABBVIE INC.
$21
Orthofix Medical, Inc.
$20
Abbott Laboratories
$18
Allergan Inc.
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Novartis Pharmaceuticals Corporation
$14
Top 3 companies account for 62.3% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADACEL · AFREZZA · AIRSUPRA · Aimovig · Amitiza · BASAGLAR · BREZTRI · CP 200 Resting Electrocardiograph · Cologuard Collection Kit · EMGALITY · ENTRESTO · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · JANUVIA · JARDIANCE · LINZESS · Livalo · MOUNJARO · NEXLETOL · Otezla · Ozempic · PREVNAR - 13 · PREVNAR 13 · Repatha · Rybelsus · SHINGRIX · Saxenda · Spinal-Stim · TRELEGY ELLIPTA · TRULICITY · TZIELD · Tresiba · VERQUVO · VIBERZI · Vascepa · XIFAXAN · ZEPBOUND
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.

Looking for a family medicine specialist in Bay Shore?
Compare family medicine physicians in the Bay Shore area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
799
Per 100K population
52.4
County median income
$128,329
Nearest hospital
NS/LIJ HS SOUTHSIDE HOSPITAL
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. Hiby is a clinical cardiology specialist, with above-average Medicare volume (top 30% in NY), with low-engagement industry engagement in the top 14% of NY peers, 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. Hiby experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Hiby performed 338 office visit, established patient (20-29 min) 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. Hiby receive payments from pharmaceutical companies?
Yes. Dr. Hiby received a total of $3,885 from 25 companies across 125 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. Hiby's costs compare to other family medicine physicians in Bay Shore?
Dr. Hiby's average Medicare payment per service is $49. 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. Hiby) 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 →
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.

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. Payments from industry are legal and do not indicate wrongdoing. 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 →