Medicare Enrolled
Dr. Reginald Rousseau, MD
Pain Medicine · Bay Shore, 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. Rousseau 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. Rousseau
Dr. Reginald Rousseau is a pain medicine specialist in Bay Shore, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rousseau performed 2,118 Medicare services across 997 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rousseau received a total of $6,016 from 28 pharmaceutical and/or device companies across 129 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. Rousseau 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 34% volume in NY
$6,016 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,118
Medicare services
Top 34% in NY for pain medicine
997
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~106 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 (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. |
632 | $114 | $589 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
338 | $1 | $113 |
| 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. |
206 | $80 | $401 |
| Anesthesia for nerve block and injection, prone position Administration of anesthesia during a nerve block or injection procedure while the patient is lying face down. |
91 | $116 | $7,174 |
| 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. |
89 | $152 | $1,004 |
| 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. |
85 | $115 | $4,745 |
| 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. |
81 | $53 | $2,964 |
| 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. |
81 | $72 | $434 |
| Psychological or neuropsychological test, first 30 minutes Administration of psychological or neuropsychological testing for the first 30 minutes. |
53 | $39 | $525 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
48 | $38 | $917 |
| 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. |
48 | $116 | $5,772 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
43 | $86 | $2,644 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
42 | $125 | $5,074 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
41 | $70 | $2,878 |
| Neuropsychological test evaluation, first hour A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process. |
41 | $116 | $550 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
40 | $44 | $507 |
| 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. |
36 | $69 | $3,277 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
33 | $25 | $530 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
26 | $177 | $9,335 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
22 | $65 | $3,258 |
| Injection, methylprednisolone acetate, 40 mg | 22 | $5 | $63 |
| 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. |
20 | $158 | $1,034 |
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 ↗$6,016
Total received (2018-2024)
Avg $859/year across 7 years
Top 22% in NY for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
129
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
$6,016 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$759
2023
$587
2022
$1,075
2021
$502
2020
$288
2019
$978
2018
$1,827
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$356
SPR Therapeutics, Inc
$106
SCILEX PHARMACEUTICALS INC.
$86
Abbott Laboratories
$50
PAINTEQ LLC
$46
Averitas Pharma Inc.
$29
Collegium Pharmaceutical, Inc.
$23
Medtronic, Inc.
$20
PROTEGA PHARMACEUTIALS INC
$20
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Saluda Medical Americas, Inc.
$11
Top 3 companies account for 72.2% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic USA, Inc.
$1,945
Relievant Medsystems, Inc.
$969
Abbott Laboratories
$720
Boston Scientific Corporation
$431
Collegium Pharmaceutical, Inc.
$232
Nevro Corp.
$199
SPR Therapeutics, Inc
$195
NuVasive, Inc.
$146
Medtronic, Inc.
$137
BOSTON SCIENTIFIC CORPORATION
$129
Indivior Inc.
$119
Mallinckrodt LLC
$114
Spineology Inc.
$112
SCILEX PHARMACEUTICALS INC.
$111
US WorldMeds, LLC
$108
Scilex Pharmaceuticals Inc.
$64
PAINTEQ LLC
$46
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$44
Averitas Pharma Inc.
$29
SI-BONE, Inc.
$28
Janssen Pharmaceuticals, Inc
$23
AcelRx Pharmaceuticals, Inc.
$21
BioDelivery Sciences International, Inc.
$20
PROTEGA PHARMACEUTIALS INC
$20
AbbVie Inc.
$18
Chiesi USA, Inc.
$14
Saluda Medical Americas, Inc.
$11
PFIZER INC.
$10
Top 3 companies account for 60.4% of all-time payments
Associated products mentioned in payments ›
AVYCAZ · BELBUCA · Belbuca · DSUVIA · Evoke · GENERAL PAIN MANAGEMENT · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · KENGREAL · KYPHON Balloon Kyphoplasty · LYRICA · Lucemyra/Lofexidine · MYSTIM · O-ARM-Spine · OFIRMEV · Octrode SCS Leads · PAINTEQ · PROCLAIM · Proclaim Family of SCS IPGs · Proclaim IPG · QUTENZA · RELINE · RELISTOR · RESTORE · RIALTO SI FUSION SYSTEM · ROXYBOND · Rampart Duo Interbody Fusion System · Rampart Duo Ti Interbody Fusion System · SPECTRA WAVEWRITER · SPRINT PNS System · SUBLOCADE · Senza · Senza Spinal Cord Stimulation System · VANTA ADAPTIVESTIM · WaveWriter Alpha Prime 16 · XARELTO · XTAMPZA · ZTLido · 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.
Geographic Context
Pain medicines within 10 mi
13
Per 100K population
0.9
County median income
$128,329
Nearest hospital
NS/LIJ HS SOUTHSIDE HOSPITAL
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. Rousseau is a clinical cardiology specialist, with moderate Medicare volume, 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. Rousseau experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rousseau performed 632 office visit, established patient (30-39 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. Rousseau receive payments from pharmaceutical companies?
Yes. Dr. Rousseau received a total of $6,016 from 28 companies across 129 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. Rousseau's costs compare to other pain medicines in Bay Shore?
Dr. Rousseau's average Medicare payment per service is $82. 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. Rousseau) 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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