Medicare Enrolled
Dr. Joseph Nestola, DO
Internal Medicine · Bethpage, 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. Nestola 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. Nestola
Dr. Joseph Nestola is an internal medicine specialist in Bethpage, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Nestola performed 5,759 Medicare services across 3,325 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nestola received a total of $16,258 from 41 pharmaceutical and/or device companies across 349 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. Nestola 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
$16,258 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,759
Medicare services
Top 5% in NY for internal medicine
3,325
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~288 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. |
1,117 | $108 | $416 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
742 | $8 | $32 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
669 | $10 | $44 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
650 | $13 | $62 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
524 | $16 | $75 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
383 | $2 | $9 |
| 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. |
348 | $8 | $34 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
243 | $3 | $15 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
193 | $9 | $47 |
| 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. |
148 | $12 | $153 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
143 | $9 | $44 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
139 | $149 | $615 |
| 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. |
100 | $73 | $284 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
62 | $36 | $94 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
61 | $76 | $280 |
| PSA test (prostate cancer screening) | 48 | $18 | $85 |
| Respiratory virus test for SARS-CoV-2, influenza A/B, and RSV A laboratory test that detects the presence of SARS-CoV-2 (COVID-19), influenza A, influenza B, and respiratory syncytial virus (RSV) in an upper respiratory specimen. |
33 | $140 | $560 |
| Iron level test | 33 | $6 | $30 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
30 | $8 | $50 |
| 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. |
29 | $4 | $19 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
19 | $8 | $30 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
18 | $29 | $112 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
16 | $15 | $70 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
11 | $6 | $50 |
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 ↗$16,258
Total received (2018-2024)
Avg $2,323/year across 7 years
Top 6% in NY for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
349
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
$16,258 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,535
2023
$2,915
2022
$2,802
2021
$2,708
2020
$1,074
2019
$1,713
2018
$1,510
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$990
Amgen Inc.
$389
Lilly USA, LLC
$349
Novo Nordisk Inc
$190
Boehringer Ingelheim Pharmaceuticals, Inc.
$166
Novartis Pharmaceuticals Corporation
$155
Xeris Pharmaceuticals, Inc.
$153
SANOFI-AVENTIS U.S. LLC
$147
HEARTFLOW, INC.
$140
GlaxoSmithKline, LLC.
$131
Alnylam Pharmaceuticals Inc.
$120
DJO, LLC
$104
Merck Sharp & Dohme LLC
$86
Amneal Pharmaceuticals LLC
$86
CVRx, Inc.
$66
Medtronic, Inc.
$56
Mannkind Corporation
$48
PFIZER INC.
$44
Dexcom, Inc.
$42
Exact Sciences Corporation
$35
Abbott Laboratories
$21
Esperion Therapeutics, Inc.
$18
Top 3 companies account for 48.9% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$3,761
Boehringer Ingelheim Pharmaceuticals, Inc.
$2,275
Amgen Inc.
$1,246
GlaxoSmithKline, LLC.
$913
SANOFI-AVENTIS U.S. LLC
$889
Amarin Pharma Inc.
$855
Lilly USA, LLC
$634
Novo Nordisk Inc
$608
Abbott Laboratories
$364
BOSTON SCIENTIFIC CORPORATION
$351
Esperion Therapeutics, Inc.
$310
Teva Pharmaceuticals USA, Inc.
$308
Novartis Pharmaceuticals Corporation
$304
Merck Sharp & Dohme Corporation
$276
Alnylam Pharmaceuticals Inc.
$255
CVRx, Inc.
$246
ITI, Inc.
$225
PFIZER INC.
$209
Janssen Pharmaceuticals, Inc
$195
Xeris Pharmaceuticals, Inc.
$176
Medtronic USA, Inc.
$162
Merck Sharp & Dohme LLC
$159
Boston Scientific Corporation
$151
Intuity Medical Inc
$143
HEARTFLOW, INC.
$140
Alkermes, Inc.
$114
DJO, LLC
$104
Daiichi Sankyo Inc.
$103
Axsome Therapeutics, Inc.
$99
Biohaven Pharmaceuticals, Inc.
$88
Amneal Pharmaceuticals LLC
$86
Mannkind Corporation
$80
Exact Sciences Corporation
$80
Insulet Corporation
$69
Dexcom, Inc.
$65
Medtronic, Inc.
$56
Tandem Diabetes Care, Inc.
$48
Amryt Pharma Holdings Ltd
$39
AbbVie Inc.
$31
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$23
Allergan, Inc.
$17
Top 3 companies account for 44.8% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · AJOVY · AMVUTTRA · ANORO · AREXVY · Aimovig · Auvelity · BAQSIMI · BEVESPI AEROSPHERE · BREZTRI · BREZTRI AEROSPHERE · Barostim Neo System · CAPLYTA · CHANTIX · CMF · COSENTYX · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · FARXIGA · FASENRA · FFRct · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · GVOKE HYPOPEN · GVOKE PFS · INJECTAFER · INVOKANA · JANUMET · JANUVIA · JARDIANCE · KYPHON Balloon Kyphoplasty · LEQVIO · LOKELMA · LYBALVI · MINIMED 780G · MITRACLIP · MOUNJARO · MYCAPSSA · NAVITOR · NEXLETOL · NEXLIZET · NURTEC ODT · OFEV · ONPATTRO · OSTEOCOOL RF ABLATION · Omnipod · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR 20 · Pogo Automatic Blood Glucose Monitoring System · RECORLEV · RINVOQ · RYBELSUS · Repatha · Rybelsus · SIVEXTRO · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRUMENBA · TZIELD · UBRELVY · UNITHROID · Vascepa · WATCHMAN · WATCHMAN Access System · Wegovy · XARELTO · XIFAXAN · Xultophy 100/3.6 · t:slim X2 insulin pump
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 6% for internal medicine in NY.
Geographic Context
Internal medicine physicians within 10 mi
6,577
Per 100K population
473.8
County median income
$143,408
Nearest hospital
CHSLI ST JOSEPH 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. Nestola is a clinical cardiology specialist, with above-average Medicare volume (top 5% in NY), with low-engagement industry engagement in the top 6% 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. Nestola experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nestola performed 1,117 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. Nestola receive payments from pharmaceutical companies?
Yes. Dr. Nestola received a total of $16,258 from 41 companies across 349 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. Nestola's costs compare to other internal medicine physicians in Bethpage?
Dr. Nestola's average Medicare payment per service is $35. 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. Nestola) 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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