Medicare Enrolled
Dr. Craig Coleman, DO
Family Medicine · West Babylon, 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. Coleman 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. Coleman
Dr. Craig Coleman is a family medicine specialist in West Babylon, NY, with 9 years of NPI registration. Based on federal Medicare data, Dr. Coleman performed 1,398 Medicare services across 867 unique beneficiaries.
Between the years covered by Open Payments, Dr. Coleman received a total of $3,392 from 35 pharmaceutical and/or device companies across 172 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Coleman 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.
✓ 9 years in practice
▲ Top 19% volume in NY
$3,392 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,398
Medicare services
Top 19% in NY for family medicine
867
Unique beneficiaries
$97
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~155 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. |
304 | $105 | $442 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
221 | $110 | $434 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
211 | $61 | $256 |
| 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. |
162 | $72 | $313 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
78 | $195 | $570 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
72 | $36 | $85 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
69 | $75 | $200 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
56 | $152 | $445 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
36 | $68 | $313 |
| 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. |
33 | $12 | $52 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
32 | $36 | $76 |
| 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. |
30 | $131 | $579 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
28 | $10 | $40 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
23 | $281 | $795 |
| Home visit, new patient, moderate complexity A home visit for a new patient involving moderate medical decision making, lasting at least 60 minutes. |
17 | $133 | $487 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
15 | $262 | $956 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
11 | $193 | $705 |
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 ↗$3,392
Total received (2020-2024)
Avg $678/year across 5 years
Top 16% in NY for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
172
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
$3,325 (98.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$68 (2.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,121
2023
$692
2022
$831
2021
$577
2020
$171
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$193
Boehringer Ingelheim Pharmaceuticals, Inc.
$152
Lilly USA, LLC
$102
Daiichi Sankyo Inc.
$87
ABBVIE INC.
$75
Abbott Laboratories
$67
Amgen Inc.
$62
Xeris Pharmaceuticals, Inc.
$50
Exact Sciences Corporation
$50
Bayer Healthcare Pharmaceuticals Inc.
$47
Merck Sharp & Dohme LLC
$46
Novo Nordisk Inc
$40
Amneal Pharmaceuticals LLC
$29
Mannkind Corporation
$24
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$23
Chiesi USA, Inc.
$22
SCPHARMACEUTICALS INC.
$20
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
GlaxoSmithKline, LLC.
$15
Top 3 companies account for 39.8% of 2024 payments
All-time payments by company (2020-2024) ›
Novartis Pharmaceuticals Corporation
$495
Amgen Inc.
$313
Novo Nordisk Inc
$275
Merck Sharp & Dohme LLC
$249
Boehringer Ingelheim Pharmaceuticals, Inc.
$226
Daiichi Sankyo Inc.
$208
Abbott Laboratories
$185
Exact Sciences Corporation
$136
Lilly USA, LLC
$131
Xeris Pharmaceuticals, Inc.
$119
Merck Sharp & Dohme Corporation
$100
ABBVIE INC.
$96
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$92
Amarin Pharma Inc.
$90
Currax Pharmaceuticals LLC
$83
PFIZER INC.
$73
Janssen Pharmaceuticals, Inc
$55
Mannkind Corporation
$47
Bayer Healthcare Pharmaceuticals Inc.
$47
Medtronic, Inc.
$46
Amneal Pharmaceuticals LLC
$41
Dexcom, Inc.
$40
IDORSIA PHARMACEUTICALS US INC
$28
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$23
MannKind Corporation
$22
Chiesi USA, Inc.
$22
Insulet Corporation
$21
SCPHARMACEUTICALS INC.
$20
Ultragenyx Pharmaceutical Inc.
$20
Zealand Pharma US, Inc.
$18
Kowa Pharmaceuticals America, Inc.
$15
VistaPharm, Inc.
$15
GlaxoSmithKline, LLC.
$15
AbbVie Inc.
$15
Phadia US Inc.
$13
Top 3 companies account for 31.9% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AREXVY · Aimovig · BELSOMRA · CONTRAVE · CRYSVITA · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FUROSCIX · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · GVOKE HYPOPEN · GVOKE PFS · INJECTAFER · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LifeVest · Livalo · MINIMED 770G · MINIMED 780G · MOUNJARO · MYCAPSSA · NEXLETOL · Omnipod · Ozempic · PNEUMOVAX 23 · PREMARIN · PREVNAR 20 · QULIPTA · QUVIVIQ · RECORLEV · Repatha · Rybelsus · STEGLATRO · SYNTHROID · TEPEZZA · TRUMENBA · Thyquidity · UBRELVY · UNITHROID · V-GO · VERQUVO · Vascepa · Wegovy · XARELTO · XIFAXAN
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
1,051
Per 100K population
68.9
County median income
$128,329
Nearest hospital
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
3.3 mi
3.3 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. Coleman is a clinical cardiology specialist, with above-average Medicare volume (top 19% in NY), with low-engagement industry engagement in the top 16% of NY peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Coleman experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Coleman performed 304 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. Coleman receive payments from pharmaceutical companies?
Yes. Dr. Coleman received a total of $3,392 from 35 companies across 172 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. Coleman's costs compare to other family medicine physicians in West Babylon?
Dr. Coleman's average Medicare payment per service is $97. 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. Coleman) 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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