Medicare Enrolled
Dr. David Kugler, D.O.
Endocrinology · Smithtown, NY
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Kugler 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. Kugler
Dr. David Kugler is an endocrinology specialist in Smithtown, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Kugler performed 24,468 Medicare services across 11,358 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kugler received a total of $172,241 from 86 pharmaceutical and/or device companies across 1511 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in endocrinology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Kugler 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 3% volume in NY
$172,241 industry payments
Medicare Practice Summary
Medicare Utilization ↗24,468
Medicare services
Top 3% in NY for endocrinology
11,358
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,223 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 2,640 | $18 | $30 |
| COVID-19 antibody test A blood test that measures antibodies to severe acute respiratory syndrome coronavirus 2 (COVID-19). It detects the presence of immune response markers to the virus. |
2,332 | $41 | $100 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,485 | $8 | $24 |
| 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. |
1,366 | $8 | $24 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
1,360 | $14 | $60 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
1,358 | $9 | $60 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
1,357 | $16 | $60 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
1,312 | $15 | $60 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
1,312 | $14 | $50 |
| 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. |
1,276 | $107 | $233 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
1,263 | $13 | $50 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
1,261 | $9 | $54 |
| 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. |
932 | $75 | $175 |
| Blood glucose test using reagent strip A test that measures the level of sugar in the blood using a chemical reagent strip. |
903 | $5 | $20 |
| Microsomal antibody test A blood test that measures the level of microsomal antibodies, which are autoantibodies produced by the immune system. |
887 | $14 | $120 |
| Thyroglobulin antibody blood test A blood test that measures the level of antibodies against thyroglobulin, a protein produced by the thyroid gland. |
887 | $16 | $120 |
| C-peptide level test A blood test that measures the amount of C-peptide, a protein produced along with insulin, to help evaluate insulin production and diabetes management. |
737 | $20 | $40 |
| Continuous glucose monitoring with interpretation This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results. |
439 | $29 | $120 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
357 | $25 | $60 |
| Sex hormone binding globulin level test A blood test that measures the level of sex hormone binding globulin, a protein that binds to sex hormones in the bloodstream. |
355 | $21 | $60 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
255 | $101 | $300 |
| 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. |
132 | $135 | $300 |
| Continuous glucose monitoring, sensor under skin This procedure involves continuous monitoring of blood sugar levels in tissue fluid using a sensor placed under the skin with provider-supplied equipment. |
78 | $138 | $299 |
| 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. |
69 | $13 | $50 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
39 | $30 | $100 |
| Ultrasound-guided fine needle aspiration biopsy, first lesion A biopsy procedure where a thin needle is used to collect tissue samples from a growth, guided by ultrasound imaging. This code applies to the first lesion or mass sampled during the session. |
27 | $130 | $400 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
26 | $30 | $100 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
12 | $27 | $100 |
| 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. |
11 | $106 | $210 |
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 ↗$172,241
Total received (2018-2024)
Avg $24,606/year across 7 years
Top 5% in NY for endocrinology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
86
Companies
1,511
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$150,325 (87.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$21,916 (12.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,511
2023
$3,447
2022
$3,468
2021
$18,517
2020
$20,380
2019
$42,549
2018
$80,367
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Xeris Pharmaceuticals, Inc.
$386
Lilly USA, LLC
$284
Novo Nordisk Inc
$274
Bayer Healthcare Pharmaceuticals Inc.
$271
Amneal Pharmaceuticals LLC
$260
SANOFI-AVENTIS U.S. LLC
$233
Boehringer Ingelheim Pharmaceuticals, Inc.
$198
Amgen Inc.
$177
Dexcom, Inc.
$149
Medtronic, Inc.
$123
Corcept Therapeutics
$111
IBSA Pharma Inc.
$88
Amphastar Pharmaceuticals, Inc.
$84
ABBVIE INC.
$72
Novartis Pharmaceuticals Corporation
$70
Abbott Laboratories
$61
Verity Pharmaceuticals Inc.
$56
BETA BIONICS, INC.
$51
Esperion Therapeutics, Inc.
$50
Tandem Diabetes Care, Inc.
$46
Alexion Pharmaceuticals, Inc.
$44
CeQur Corporation
$43
Mannkind Corporation
$42
Madrigal Pharmaceuticals
$40
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$39
Radius Health, Inc.
$39
Insulet Corporation
$37
Regeneron Healthcare Solutions, Inc.
$28
Neurocrine Biosciences, Inc.
$25
PFIZER INC.
$22
Antares Pharma, Inc.
$21
VIVUS LLC
$20
Avvisto Therapeutics, LLC
$20
Chiesi USA, Inc.
$18
Acella Pharmaceuticals, LLC
$17
Kowa Pharmaceuticals America, Inc.
$14
Top 3 companies account for 26.9% of 2024 payments
All-time payments by company (2018-2024) ›
SANOFI-AVENTIS U.S. LLC
$87,052
AstraZeneca Pharmaceuticals LP
$33,849
Janssen Pharmaceuticals, Inc
$22,192
AbbVie, Inc.
$6,043
Amgen Inc.
$2,095
Novo Nordisk Inc
$2,040
AbbVie Inc.
$1,954
Lilly USA, LLC
$1,751
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,129
Xeris Pharmaceuticals, Inc.
$966
Radius Health, Inc.
$901
Amarin Pharma Inc.
$859
Corcept Therapeutics
$668
Amneal Pharmaceuticals LLC
$639
Insulet Corporation
$575
Abbott Laboratories
$570
Bayer Healthcare Pharmaceuticals Inc.
$532
Dexcom, Inc.
$526
IBSA Pharma Inc.
$504
Kowa Pharmaceuticals America, Inc.
$455
Antares Pharma, Inc.
$356
Novartis Pharmaceuticals Corporation
$334
Shire North American Group Inc
$332
Tandem Diabetes Care, Inc.
$330
Merck Sharp & Dohme Corporation
$326
Becton, Dickinson and Company
$300
Medtronic, Inc.
$262
ABBVIE INC.
$248
Amryt Pharma Holdings Ltd
$229
Regeneron Healthcare Solutions, Inc.
$217
Bayer HealthCare Pharmaceuticals Inc.
$211
MannKind Corporation
$210
Horizon Therapeutics plc
$210
Ipsen Biopharmaceuticals, Inc
$168
VIVUS, Inc.
$152
Alexion Pharmaceuticals, Inc.
$148
Esperion Therapeutics, Inc.
$146
CeQur Corporation
$143
LifeScan, Inc.
$139
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$139
EISAI INC.
$137
Aytu BioScience, Inc
$128
Amphastar Pharmaceuticals, Inc.
$118
Currax Pharmaceuticals LLC
$116
Gemini Laboratories, LLC
$114
VIVUS LLC
$113
Intuity Medical Inc
$113
PFIZER INC.
$85
Clarus Therapeutics Inc.
$80
Eisai Inc.
$78
LIFESCAN, INC.
$77
RECORDATI_RARE_DISEASES_INC.
$67
Ascendis Pharma Inc
$62
Mannkind Corporation
$61
Medtronic MiniMed, Inc.
$57
Verity Pharmaceuticals Inc.
$56
GLYCOMARK, INC.
$55
Merck Sharp & Dohme LLC
$53
BETA BIONICS, INC.
$51
Ultragenyx Pharmaceutical Inc.
$49
Embecta Corp.
$42
Madrigal Pharmaceuticals
$40
Zealand Pharma US, Inc.
$38
Supernus Pharmaceuticals, Inc.
$36
Companion Medical, Inc.
$36
Althera Pharmaceuticals LLC
$35
Azurity Pharmaceuticals, Inc.
$34
Acella Pharmaceuticals, LLC
$34
Intercept Pharmaceuticals, Inc.
$33
Ferring Pharmaceuticals Inc.
$32
Bigfoot Biomedical Inc
$30
EUSA Pharma (US) LLC
$25
Neurocrine Biosciences, Inc.
$25
Endo Pharmaceuticals Inc.
$25
DEXCOM, INC.
$25
Avvisto Therapeutics, LLC
$20
Averitas Pharma Inc.
$19
Ascensia Diabetes Care US Inc.
$18
Chiesi USA, Inc.
$18
Nalpropion Pharmaceuticals, Inc.
$18
G Medical Diagnostic Services, Inc.
$18
Senseonics, Incorporated
$17
Valeritas, Inc.
$16
Alfasigma USA, Inc.
$14
Aytu Bioscience, Inc
$12
Medicure Pharma Inc.
$11
Top 3 companies account for 83.1% of all-time payments
Associated products mentioned in payments ›
AFREZZA · Adthyza · Androgel · BAQSIMI · BASAGLAR · BD Nano 2nd Gen Pen Needle · BD ULTRA-FINE · BD Ultra-Fine · BYDUREON · Belviq · CONTRAVE · CRYSViTA · CYCLOSET · Cardiac Monitoring Suite · CeQur Simplicity · DEXCOM CGM · DEXCOM G6 CGM SYSTEM · DEXCOM G6 TRANSMITTER · Dexcom CGM · Dexcom G6 Transmitter · ENTRESTO · EVENITY · EVKEEZA · Eversense · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Freedom Lite system · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GVOKE HYPOPEN · GVOKE PFS · Glycomark · Guardian Connect · INPEN SMART INSULIN DELIVERY SYSTEM · INVOKANA · InPen · JANUVIA · JARDIANCE · JATENZO · Kerendia · Korlym · LEQVIO · LICART · LIVALO · LYUMJEV · Livalo · MINIMED 780G · MOUNJARO · MYCAPSSA · Minimed 670G System · NASCOBAL · NATPARA · NATPARA (PARATHYROID HORMONE) · NEXLETOL · NEXLIZET · NOCDURNA · NP Thyroid 60 · Natesto · OCALIVA · ONETOUCH VERIO FLEX · OT Verio Reflect "One Touch Meter and Strips" · OTREXUP · Omnipod · One Touch Reveal Mobile App · OneTouch · OneTouch Verio Reflect · Otrexup · Ozempic · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Pogo Automatic Blood Glucose Monitoring System · Prolia · QSYMIA · QUTENZA · Qsymia · RECORLEV · RESMETIROM · RYBELSUS · Repatha · Roszet · Rybelsus · SEGLENTIS · SIGNIFOR LAR · SKYTROFA · SOLIQUA · SOLIQUA 100/33 · SOMATULINE DEPOT · SOMAVERT · STEGLATRO · STEGLUJAN · STRENSIQ · SYNTHROID · Saxenda · Somatuline Depot · Strensiq · Sylvant · Synthroid · TEPEZZA · TLANDO · TOUJEO · TRADJENTA · TRULICITY · TZIELD · Tirosint · Tlando · Tresiba · Tymlos · UNITHROID · UNITY DIABETES MANAGEMENT SYSTEM · V-GO · V-GO DISPOSABLE INSULIN DELIVERY · Vascepa · Victoza · Wegovy · XARELTO · XYOSTED · Xultophy 100/3.6 · ZOMACTON · ZYPITAMAG (pitavastatin) · iLet Bionic Pancreas · t-slim insulin pump · t:slim X2 Insulin Pump with Control-IQ · 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 →
The majority of payments (87%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in endocrinology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for endocrinology in NY.
Geographic Context
Endocrinologists within 10 mi
109
Per 100K population
7.1
County median income
$128,329
Nearest hospital
ST CATHERINE OF SIENA 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. Kugler is a mixed practice specialist, with above-average Medicare volume (top 3% in NY), with speaking/promotional industry engagement in the top 5% 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. Kugler experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Kugler performed 2,640 denosumab injection (prolia/xgeva) 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. Kugler receive payments from pharmaceutical companies?
Yes. Dr. Kugler received a total of $172,241 from 86 companies across 1,511 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. Kugler's costs compare to other endocrinologists in Smithtown?
Dr. Kugler's average Medicare payment per service is $26. 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. Kugler) 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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