Medicare Enrolled

Dr. John Smith, M.D.

Surgery · Cincinnati, OH
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
2123 AUBURN AVE STE 201, Cincinnati, OH 45219
5132061170
In practice since 2006 (20 years)
NPI: 1316971757 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. Smith 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. Smith

Dr. John Smith is a surgery specialist in Cincinnati, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 105 Medicare services across 104 unique beneficiaries.

Between the years covered by Open Payments, Dr. Smith received a total of $127,817 from 19 pharmaceutical and/or device companies across 164 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Smith 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 ▲ 105 Medicare services $127,817 industry payments

Medicare Practice Summary

Medicare Utilization ↗
105
Medicare services
Bottom 25% in OH for surgery
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
104
Unique beneficiaries
$465
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~5 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
New patient office visit, complex (60-74 min) 71 $166 $508
Mitral valve replacement with artificial valve
Surgical replacement of the mitral valve with an artificial valve while the patient is on a heart-lung machine.
 20 $1,829 $6,114
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.
 14 $31 $110
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.
19.0% high complexity
0.0% medium
81.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$127,817
Total received (2018-2024)
Avg $18,260/year across 7 years
Top 2% in OH for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
164
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$103,046 (80.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$18,592 (14.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$6,179 (4.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,480
2023
$12,940
2022
$21,413
2021
$34,984
2020
$39,413
2019
$12,447
2018
$2,141

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ATRICURE, INC.
$2,817
INTUITIVE SURGICAL, INC.
$954
Artivion, Inc.
$633
Takeda Pharmaceuticals U.S.A., Inc.
$25
Medtronic, Inc.
$20
Legacy Ortho LLC
$16
Solventum Corporation
$15
Top 3 companies account for 98.3% of 2024 payments
All-time payments by company (2018-2024) ›
ATRICURE, INC.
$74,787
AtriCure, Inc.
$27,668
BioStable Science & Engineering
$13,200
Intuitive Surgical, Inc.
$6,438
Abbott Laboratories
$2,213
Edwards Lifesciences Corporation
$974
INTUITIVE SURGICAL, INC.
$954
Artivion, Inc.
$633
LivaNova USA, Inc.
$338
Medtronic, Inc.
$194
KLS-Martin L.P.
$174
Medistim USA, Inc.
$120
Takeda Pharmaceuticals U.S.A., Inc.
$25
Maquet Cardiovascular U.S. Sales, L.L.C.
$22
BAXTER HEALTHCARE
$21
Legacy Ortho LLC
$16
Solventum Corporation
$15
CryoLife, Inc.
$14
Medtronic Vascular, Inc.
$11
Top 3 companies account for 90.5% of all-time payments
Associated products mentioned in payments ›
ACC2 CARDIAC CRYOSURGICAL SYSTEM · ATRICLIP LAA EXCLUSION SYSTEM · ATRICURE ATRICLIP LAA EXCLUSION · ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2) · ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM · ATRICURE CRYOSURGICAL SYSTEM · ATRICURE SYNERGY ABLATION SYSTEM · Aortic Tissue Valve - Perceval · AtriCure AtriClip LAA Exclusion System · AtriCure Cryosurgical System · AtriCure Synergy Ablation System · BioGlue · CRYOVALVE SG PULMONARY HUMAN HEART VALVE · Cardiac non-SynerGraft · CryoFlex · DA VINCI SP · Da Vinci Surgical System · ENTYVIO · EPI-SENSE GUIDED COAGULATION SYS · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edwards SAPIEN 3 Transcatheter Heart Valve · Epi-Sense Guided Coagulation System with VisiTrax · FLOSEAL · HeartMate 3 Left Ventricular Assist Device · INSPIRIS RESILIA aortic valve · Intraclude Device · LARIAT RS · MITRACLIP · Memo4D · MiraQ · Mitra Clip system · Models · PENDITURE · PREVENA · Perceval S · SYNERGY ABLATION SYSTEM · VASOVIEW
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 (81%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 2% for surgery in OH.

Looking for a surgery specialist in Cincinnati?
Compare surgerists in the Cincinnati area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerists within 10 mi
187
Per 100K population
22.6
County median income
$70,816
Nearest hospital
UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
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. Smith is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 2% of OH 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. Smith experienced with new patient office visit, complex (60-74 min)?
Based on Medicare claims data, Dr. Smith performed 71 new patient office visit, complex (60-74 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. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $127,817 from 19 companies across 164 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. Smith's costs compare to other surgerists in Cincinnati?
Dr. Smith's average Medicare payment per service is $465. 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. Smith) 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.

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 →