Medicare Enrolled
Dr. Nathaniel Gould, M.D.
Physical Medicine & Rehabilitation · New Hartford, 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. Gould 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. Gould
Dr. Nathaniel Gould is a physical medicine & rehabilitation specialist in New Hartford, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gould performed 47,074 Medicare services across 2,046 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gould received a total of $23,295 from 64 pharmaceutical and/or device companies across 1189 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physical medicine & rehabilitation. 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. Gould 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 0% volume in NY
$23,295 industry payments
Medicare Practice Summary
Medicare Utilization ↗47,074
Medicare services
Top 0% in NY for physical medicine & rehabilitation
2,046
Unique beneficiaries
$9
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~2,354 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 |
|---|---|---|---|
| Capsaicin pain patch (Qutenza) | 19,180 | $3 | $5 |
| 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. |
18,980 | $5 | $13 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
4,269 | $1 | $4 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
842 | $0 | $0 |
| Extended-release steroid injection (Zilretta) An injection of triamcinolone acetonide using a preservative-free, extended-release microsphere formulation. The dosage is measured in milligrams. |
800 | $13 | $45 |
| 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. |
767 | $62 | $143 |
| 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. |
476 | $85 | $202 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
334 | $79 | $184 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
123 | $0 | $3 |
| Viscosupplementation injection for joint An injection of hyaluronic acid or a derivative into a joint to provide lubrication and cushioning. |
114 | $59 | $312 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
104 | $34 | $135 |
| 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. |
102 | $188 | $612 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
91 | $39 | $146 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
71 | $75 | $173 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
70 | $86 | $190 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
63 | $40 | $312 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 57 | $69 | $221 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
49 | $102 | $329 |
| 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. |
46 | $146 | $840 |
| 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. |
42 | $118 | $265 |
| 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. |
39 | $201 | $682 |
| 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. |
39 | $104 | $297 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
36 | $190 | $610 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
36 | $72 | $157 |
| 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. |
35 | $164 | $533 |
| 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. |
32 | $229 | $747 |
| 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. |
32 | $84 | $243 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
30 | $193 | $584 |
| 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. |
29 | $344 | $1,182 |
| Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 29 | $59 | $174 |
| Ultrasound-guided small joint aspiration or injection This procedure involves removing fluid from or injecting medication into a small joint while using ultrasound imaging to guide the needle placement. |
27 | $53 | $137 |
| Ultrasound-guided joint aspiration or injection Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement. |
22 | $60 | $142 |
| Other skin and mucous membrane procedure A medical procedure performed on the skin, mucous membranes, or related tissues that does not fall under other specific categories. |
20 | $93 | $192 |
| 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. |
20 | $10 | $40 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
18 | $36 | $151 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
18 | $206 | $419 |
| 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. |
17 | $90 | $416 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
15 | $162 | $373 |
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 ↗$23,295
Total received (2018-2024)
Avg $3,328/year across 7 years
Top 2% in NY for physical medicine & rehabilitation
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
64
Companies
1,189
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
$23,295 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$6,649
2023
$3,034
2022
$3,389
2021
$2,491
2020
$2,206
2019
$3,390
2018
$2,135
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$2,948
ABBVIE INC.
$895
Boston Scientific Corporation
$681
Abbott Laboratories
$359
Averitas Pharma Inc.
$337
Nevro Corp.
$250
SPR Therapeutics, Inc
$227
PFIZER INC.
$210
Intrinsic Therapeutics
$150
Ipsen Biopharmaceuticals, Inc
$116
Teva Pharmaceuticals USA, Inc.
$104
Curonix LLC
$76
Lilly USA, LLC
$60
Lundbeck LLC
$54
Pacira Pharmaceuticals Incorporated
$33
IBSA Pharma Inc.
$30
VERTEX PHARMACEUTICALS INCORPORATED
$25
Saluda Medical Americas, Inc.
$22
Avanos Medical
$21
Cumberland Pharmaceuticals, Inc.
$18
Fidia Pharma USA Inc.
$17
DePuy Synthes Sales Inc.
$17
Top 3 companies account for 68.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$3,097
ABBVIE INC.
$2,598
Abbott Laboratories
$2,388
Medtronic USA, Inc.
$1,817
Boston Scientific Corporation
$1,769
Nevro Corp.
$1,021
Teva Pharmaceuticals USA, Inc.
$805
PFIZER INC.
$725
Allergan Inc.
$626
Lilly USA, LLC
$594
Amgen Inc.
$486
Allergan, Inc.
$481
Averitas Pharma Inc.
$479
Ipsen Biopharmaceuticals, Inc
$471
SI-BONE, Inc.
$406
Flexion Therapeutics, Inc.
$378
Biohaven Pharmaceutical Holding Company Ltd.
$369
BOSTON SCIENTIFIC CORPORATION
$355
SPR Therapeutics, Inc
$305
Biohaven Pharmaceuticals, Inc.
$292
Merz North America, Inc.
$268
Relievant Medsystems, Inc.
$266
AbbVie Inc.
$244
Stimwave Technologies Incorporated
$235
Lundbeck LLC
$223
Scilex Pharmaceuticals Inc.
$165
Vertos Medical, Inc.
$165
Avanir Pharmaceuticals, Inc.
$152
Intrinsic Therapeutics
$150
GRT US Holding, Inc.
$147
US WorldMeds, LLC
$135
Almatica Pharma LLC
$126
DePuy Synthes Sales Inc.
$113
Nuvectra Corporation
$111
Novartis Pharmaceuticals Corporation
$92
Assertio Therapeutics, Inc.
$91
IBSA Pharma Inc.
$89
Merz Pharmaceuticals, LLC
$77
Bioventus LLC
$77
Arbor Pharmaceuticals, Inc.
$77
Curonix LLC
$76
ARBOR PHARMACEUTICALS, INC.
$65
Acclarent, Inc
$63
FIDIA PHARMA USA INC.
$57
Pacira Therapeutics, Inc.
$55
MERZ NORTH AMERICA, INC.
$51
Fidia Pharma USA Inc.
$46
Collegium Pharmaceutical, Inc.
$45
Daiichi Sankyo Inc.
$44
Pacira Pharmaceuticals Incorporated
$33
Azurity Pharmaceuticals, Inc.
$29
BioDelivery Sciences International, Inc.
$28
Supernus Pharmaceuticals, Inc.
$27
Sentynl Therapeutics, Inc.
$26
VERTEX PHARMACEUTICALS INCORPORATED
$25
Purdue Pharma L.P.
$23
Saluda Medical Americas, Inc.
$22
Horizon Therapeutics plc
$22
Avanos Medical
$21
Cumberland Pharmaceuticals, Inc.
$18
SCILEX PHARMACEUTICALS INC.
$17
Metacel Pharmaceuticals LLC
$14
Flowonix Medical Incorporated
$11
Horizon Pharma plc
$11
Top 3 companies account for 34.7% of all-time payments
Associated products mentioned in payments ›
ACCLARENT NAVWIRE Sinus Navigation Guidewire · AIMOVIG · AJOVY · Accurian · Aimovig · Algovita · Axium INS DRG IPG · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · BELBUCA · BOTOX · BOTOX - NEUROLOGY · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · CFNS StimQ Peripheral Nerve StimulatorSystem · COMIRNATY · Cambia · DUEXIS · DYSPORT · Durolane · Dysport · EMGALITY · Evoke · FLECTOR · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · HYALGAN · HYMOVIS · Horizant · Hymovis · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · Iovera · KRISTALOSE · LICART · LYRICA · Levorphanol · Licart · Lucemyra/Lofexidine · MONOVISC · MYOBLOC · Morphabond ER · NAPRELAN · NUEDEXTA · NURTEC ODT · Neuromodulation Dspsbls and Accs · ORTHOVISC · OXYCONTIN · Octrode SCS Leads · Omnia · Ozobax · PAXLOVID · PENNSAID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · QULIPTA · QUTENZA · Qutenza · REYVOW · SPECTRA WAVEWRITER · SPRINT PNS System · STANDARD RF DISPOSABLES · SYMPROIC · SYNCHROMEDII · Senza · Senza Spinal Cord Stimulation System · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w Receiver · Superion · Superion Indirect Decompression System · TROKENDI XR · Tirosint · UBRELVY · VECTRIS · VERTIFLEX SUPERION · VYEPTI · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XEOMIN · XTAMPZA · Xeomin · ZIPSOR · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zipsor · iFuse Implant · mild Device Kit
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 2% for physical medicine & rehabilitation in NY.
Geographic Context
Physical medicine & rehabilitations within 10 mi
11
Per 100K population
4.8
County median income
$68,819
Nearest hospital
MOHAWK VALLEY PSYCHIATRIC CENTER
8.2 mi
8.2 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. Gould is a mixed practice specialist, with above-average Medicare volume (top 0% in NY), with low-engagement industry engagement in the top 2% 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. Gould experienced with capsaicin pain patch (qutenza)?
Based on Medicare claims data, Dr. Gould performed 19,180 capsaicin pain patch (qutenza) 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. Gould receive payments from pharmaceutical companies?
Yes. Dr. Gould received a total of $23,295 from 64 companies across 1,189 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. Gould's costs compare to other physical medicine & rehabilitations in New Hartford?
Dr. Gould's average Medicare payment per service is $9. 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. Gould) 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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