Medicare Enrolled

Dr. Nathalie Bousader-Armstrong, M.D.

Internal Medicine · North Tonawanda, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
273 DIVISION ST, North Tonawanda, NY 14120
7167259000
In practice since 2006 (20 years)
NPI: 1023066388 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. Bousader-Armstrong 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. Bousader-Armstrong

Dr. Nathalie Bousader-Armstrong is an internal medicine specialist in North Tonawanda, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Bousader-Armstrong performed 173 Medicare services across 155 unique beneficiaries.

Between the years covered by Open Payments, Dr. Bousader-Armstrong received a total of $14,978 from 43 pharmaceutical and/or device companies across 410 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. Bousader-Armstrong 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 ▲ 173 Medicare services $14,978 industry payments

Medicare Practice Summary

Medicare Utilization ↗
173
Medicare services
Bottom 21% in NY for internal medicine
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
155
Unique beneficiaries
$88
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~9 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.
43 $69 $138
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.
35 $122 $247
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.
29 $96 $176
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
25 $125 $309
Annual depression screening 21 $18 $28
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.
20 $82 $165
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 ↗
$14,978
Total received (2018-2024)
Avg $2,140/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.
43
Companies
410
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
$14,978 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,953
2023
$2,173
2022
$633
2021
$2,144
2020
$1,323
2019
$2,541
2018
$3,211

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$744
Amgen Inc.
$460
Novo Nordisk Inc
$458
Phathom Pharmaceuticals, Inc.
$251
GlaxoSmithKline, LLC.
$250
Lilly USA, LLC
$177
Paratek Pharmaceuticals, Inc.
$165
Abbott Laboratories
$158
Boehringer Ingelheim Pharmaceuticals, Inc.
$100
Exact Sciences Corporation
$95
Bayer Healthcare Pharmaceuticals Inc.
$35
PFIZER INC.
$25
Otsuka America Pharmaceutical, Inc.
$20
Astellas Pharma US Inc
$14
Top 3 companies account for 56.3% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$2,477
AstraZeneca Pharmaceuticals LP
$1,660
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,483
Novo Nordisk Inc
$1,458
SANOFI-AVENTIS U.S. LLC
$1,005
Amarin Pharma Inc.
$971
Janssen Pharmaceuticals, Inc
$751
Lilly USA, LLC
$735
GlaxoSmithKline, LLC.
$682
Esperion Therapeutics, Inc.
$411
PFIZER INC.
$365
Phathom Pharmaceuticals, Inc.
$251
Gilead Sciences, Inc.
$250
Biohaven Pharmaceuticals, Inc.
$239
AbbVie Inc.
$216
Abbott Laboratories
$198
ABBVIE INC.
$167
Paratek Pharmaceuticals, Inc.
$165
Kowa Pharmaceuticals America, Inc.
$157
Exact Sciences Corporation
$132
Merck Sharp & Dohme Corporation
$129
Teva Pharmaceuticals USA, Inc.
$129
Allergan, Inc.
$125
MannKind Corporation
$125
Daiichi Sankyo Inc.
$123
Takeda Pharmaceuticals U.S.A., Inc.
$92
Edwards Lifesciences Corporation
$64
Allergan Inc.
$64
Baxter Healthcare
$60
Otsuka America Pharmaceutical, Inc.
$43
Bayer Healthcare Pharmaceuticals Inc.
$35
Astellas Pharma US Inc
$28
Biohaven Pharmaceutical Holding Company Ltd.
$23
Horizon Pharma plc
$21
Optinose US, Inc.
$20
Novartis Pharmaceuticals Corporation
$19
DEXCOM, INC.
$18
Xeris Pharmaceuticals, Inc.
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
E.R. Squibb & Sons, L.L.C.
$15
Circassia Pharmaceuticals Inc
$14
Acerta Pharma LLC
$14
AbbVie, Inc.
$11
Top 3 companies account for 37.5% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · AREXVY · Aimovig · BASAGLAR · BREZTRI · BRILINTA · CHANTIX · COLOGUARD · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edwards SAPIEN 3 Transcatheter Heart Valve · Epclusa · FARXIGA · GVOKE HYPOPEN · Hillrom - Cardiac Ambulatory Monitor · INFINITY · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LOKELMA · LYRICA · Livalo · MOUNJARO · NEXLETOL · NEXLIZET · NURTEC ODT · NUZYRA · OFEV · Otezla · Ozempic · PREVNAR - 13 · PREVNAR 13 · QULIPTA · RAYOS · REXULTI · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TUDORZA PRESSAIR · Trintellix · UBRELVY · V-GO · VIAGRA · VIBERZI · VOQUEZNA · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xhance · 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. Total industry engagement is in the top 6% for internal medicine in NY.

Looking for an internal medicine specialist in North Tonawanda?
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Geographic Context

Internal medicine physicians within 10 mi
522
Per 100K population
247.0
County median income
$67,809
Nearest hospital
KENMORE MERCY HOSPITAL
7.6 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. Bousader-Armstrong is a clinical cardiology specialist, with moderate Medicare volume, 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. Bousader-Armstrong experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Bousader-Armstrong performed 43 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. Bousader-Armstrong receive payments from pharmaceutical companies?
Yes. Dr. Bousader-Armstrong received a total of $14,978 from 43 companies across 410 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. Bousader-Armstrong's costs compare to other internal medicine physicians in North Tonawanda?
Dr. Bousader-Armstrong's average Medicare payment per service is $88. 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. Bousader-Armstrong) 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 →