Medicare Enrolled
Dr. Toby Handler, MD
Urology Physician · Garden City, 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. Handler 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. Handler
Dr. Toby Handler is an urology physician in Garden City, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Handler performed 27,721 Medicare services across 7,314 unique beneficiaries.
Between the years covered by Open Payments, Dr. Handler received a total of $8,158 from 55 pharmaceutical and/or device companies across 391 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. 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. Handler 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 4% volume in NY
$8,158 industry payments
Medicare Practice Summary
Medicare Utilization ↗27,721
Medicare services
Top 4% in NY for urology physician
7,314
Unique beneficiaries
$19
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,386 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
13,600 | $5 | $18 |
| 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. |
2,553 | $2 | $8 |
| BCG treatment for bladder cancer | 2,300 | $2 | $9 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
2,137 | $8 | $24 |
| 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. |
1,705 | $111 | $441 |
| 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. |
1,152 | $8 | $26 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
859 | $10 | $48 |
| 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. |
673 | $8 | $24 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
671 | $8 | $24 |
| 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. |
387 | $81 | $313 |
| Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg | 330 | $3 | $22 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
297 | $231 | $983 |
| 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. |
216 | $145 | $579 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
204 | $48 | $198 |
| Antimicrobial drug detection test A laboratory test used to identify the presence of antibiotics, antifungals, or antivirals in a sample. |
152 | $5 | $14 |
| Cystoscopy with chemical ablation of bladder A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue. |
91 | $380 | $1,398 |
| Bladder instillation of anti-cancer drug A procedure where an anti-cancer medication is introduced directly into the bladder. This method delivers the treatment locally to the bladder tissue. |
79 | $84 | $407 |
| Initial dilation of urethra in female | 51 | $71 | $276 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
47 | $30 | $227 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
46 | $345 | $1,305 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
43 | $59 | $220 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
43 | $185 | $691 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
41 | $7 | $161 |
| Fitting and insertion of vaginal support device A procedure to measure, fit, and insert a device designed to support vaginal structures. |
25 | $67 | $271 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
19 | $8 | $9 |
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.
0.3% high complexity
53.3% medium
46.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,158
Total received (2018-2024)
Avg $1,165/year across 7 years
Top 21% in NY for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
391
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
$7,814 (95.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$344 (4.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,439
2023
$1,625
2022
$1,344
2021
$715
2020
$522
2019
$1,383
2018
$1,130
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$242
Sumitomo Pharma America, Inc.
$210
Axonics, Inc.
$149
Astellas Pharma US Inc
$148
Teleflex LLC
$143
Janssen Biotech, Inc.
$95
Medtronic, Inc.
$79
Tolmar, Inc.
$70
BLUEWIND MEDICAL
$62
UROGEN PHARMA, INC.
$52
PFIZER INC.
$42
Bayer Healthcare Pharmaceuticals Inc.
$38
Telix Pharmaceuticals
$28
CIVCO Medical Instruments
$25
Dendreon Pharmaceuticals LLC
$23
Laborie Medical Technologies Corp.
$19
ABC Home Medical Supply, Inc.
$15
Top 3 companies account for 41.7% of 2024 payments
All-time payments by company (2018-2024) ›
Astellas Pharma US Inc
$881
Janssen Biotech, Inc.
$766
ABBVIE INC.
$611
Amgen Inc.
$506
PFIZER INC.
$412
Caldera Medical, Inc
$396
Sumitomo Pharma America, Inc.
$395
Axonics, Inc.
$282
Teleflex LLC
$273
Ferring Pharmaceuticals Inc.
$250
Coloplast Corp
$247
Myovant Sciences Inc.
$239
UroGen Pharma, Inc.
$238
Endo Pharmaceuticals Inc.
$221
Medtronic, Inc.
$191
Dendreon Pharmaceuticals LLC
$143
Allergan Inc.
$131
PROCEPT BioRobotics Corporation
$115
Bayer HealthCare Pharmaceuticals Inc.
$96
Progenics Pharmaceuticals, Inc.
$96
TOLMAR Pharmaceuticals, Inc.
$92
Avadel Specialty Pharmaceuticals, LLC
$88
UROVANT SCIENCES INC
$80
Antares Pharma, Inc.
$78
AbbVie, Inc.
$78
EMD Serono, Inc.
$71
Tolmar, Inc.
$70
Blue Earth Diagnostics Limited
$68
BLUEWIND MEDICAL
$62
Bayer Healthcare Pharmaceuticals Inc.
$62
180 Medical, Inc.
$60
AMAG Pharmaceuticals, Inc.
$55
UROGEN PHARMA, INC.
$52
Hollister Incorporated
$49
Allergan, Inc.
$49
NeoTract Inc.
$45
Clarus Therapeutics Inc.
$44
GE HEALTHCARE
$44
COLOPLAST CORP
$44
Medtronic USA, Inc.
$44
Palette Life Sciences, Inc.
$43
Boston Scientific Corporation
$43
Acerus Pharmaceuticals Corporation
$39
DENTSPLY IH Inc.
$35
MEDIVATION FIELD SOLUTIONS LLC
$35
ABC Home Medical Supply, Inc.
$31
Laborie Medical Technologies Corp.
$31
Mission Pharmacal Company
$28
Telix Pharmaceuticals
$28
CIVCO Medical Instruments
$25
Merck Sharp & Dohme LLC
$24
TherapeuticsMD, Inc.
$23
AbbVie Inc.
$20
Rochester Medical Corporation
$17
Otsuka America Pharmaceutical, Inc.
$13
Top 3 companies account for 27.7% of all-time payments
Associated products mentioned in payments ›
AQUABEAM ROBOTIC SYSTEM · Androgel · AquaBeam Robotic System · Axonics · Axumin · BOTOX · BOTOX THERAPEUTIC · Bavencio · Bulkamid · Desara · ELIGARD · ERLEADA · Erleada · FIRMAGON · GEMTESA · GENERAL KIDNEY STONE DISEASE · ILLUCCIX · IMVEXXY · INTERSTIM · INTRAROSA · JATENZO · JELMYTO · JYNARQUE · KEYTRUDA · LUPRON DEPOT · LoFric · MAGIC3 · MYRBETRIQ · Myrbetriq · NOCDURNA · Natesto · Noctiva · Nubeqa · ORGOVYX · Optilume BPH Drug Coated Balloon Catheter · Otezla · Otrexup · PREMARIN · PREMARIN ORALS · PROVENGE · PYLARIFY · Prolia · REVI · SOLYX · SPEEDICATH · SpeediCath · UROLIFT · Uribel · UroLift · UroLift System · VESICARE · VaPro · VaPro Plus Pocket · XGEVA · XIAFLEX · XTANDI · Xofigo · Xtandi · ZYTIGA
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 (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
634
Per 100K population
45.7
County median income
$143,408
Nearest hospital
LONG ISLAND JEWISH MEDICAL CENTER
2.6 mi
2.6 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. Handler is a mixed practice specialist, with above-average Medicare volume (top 4% in NY), 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. Handler experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Handler performed 13,600 botox injection, per unit 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. Handler receive payments from pharmaceutical companies?
Yes. Dr. Handler received a total of $8,158 from 55 companies across 391 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. Handler's costs compare to other urology physicians in Garden City?
Dr. Handler's average Medicare payment per service is $19. 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. Handler) 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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