Medicare Enrolled
Dr. Thomas Shetter, MD
Geriatric Medicine (Internal Medicine) Physician · Butler, PA
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. Shetter 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. Shetter
Dr. Thomas Shetter is a geriatric medicine physician in Butler, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Shetter performed 1,765 Medicare services across 1,250 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shetter received a total of $7,439 from 48 pharmaceutical and/or device companies across 504 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in geriatric medicine (internal medicine) physician. 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. Shetter 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 14% volume in PA
$7,439 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,765
Medicare services
Top 14% in PA for geriatric medicine (internal medicine) physician
1,250
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~88 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. |
655 | $79 | $165 |
| Annual depression screening | 242 | $17 | $24 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
235 | $123 | $227 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
122 | $29 | $50 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
119 | $72 | $109 |
| 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. |
77 | $53 | $122 |
| 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. |
63 | $10 | $45 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
60 | $1 | $7 |
| 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. |
27 | $208 | $356 |
| 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. |
25 | $10 | $55 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
24 | $14 | $25 |
| 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. |
23 | $149 | $267 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
21 | $157 | $238 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
19 | $29 | $40 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
17 | $40 | $85 |
| Lung cancer screening counseling visit A visit to discuss the need for lung cancer screening using a low-dose CT scan. This service is used to determine eligibility and facilitate shared decision making. |
13 | $27 | $30 |
| 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. |
12 | $282 | $394 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
11 | $5 | $55 |
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 ↗$7,439
Total received (2018-2024)
Avg $1,063/year across 7 years
Top 15% in PA for geriatric medicine (internal medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
504
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
$7,399 (99.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$40 (0.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,046
2023
$597
2022
$186
2021
$230
2020
$377
2019
$2,598
2018
$2,406
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$208
ABBVIE INC.
$165
Amgen Inc.
$70
PFIZER INC.
$69
GlaxoSmithKline, LLC.
$69
Phathom Pharmaceuticals, Inc.
$61
Takeda Pharmaceuticals U.S.A., Inc.
$54
Boehringer Ingelheim Pharmaceuticals, Inc.
$51
AstraZeneca Pharmaceuticals LP
$45
Lilly USA, LLC
$43
Astellas Pharma US Inc
$41
Eisai Inc.
$35
Lundbeck LLC
$25
Xeris Pharmaceuticals, Inc.
$25
Medtronic, Inc.
$25
Merck Sharp & Dohme LLC
$20
Sumitomo Pharma America, Inc.
$20
Abbott Laboratories
$20
Top 3 companies account for 42.4% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$994
PFIZER INC.
$597
AstraZeneca Pharmaceuticals LP
$579
GlaxoSmithKline, LLC.
$512
Amarin Pharma Inc.
$475
Boehringer Ingelheim Pharmaceuticals, Inc.
$419
Amgen Inc.
$394
Lilly USA, LLC
$392
Takeda Pharmaceuticals U.S.A., Inc.
$347
AbbVie Inc.
$283
Janssen Pharmaceuticals, Inc
$256
SANOFI-AVENTIS U.S. LLC
$245
ABBVIE INC.
$230
Merck Sharp & Dohme Corporation
$200
Novartis Pharmaceuticals Corporation
$173
Allergan Inc.
$139
Kowa Pharmaceuticals America, Inc.
$134
BioCryst US Sales Co., LLC
$83
Teva Pharmaceuticals USA, Inc.
$81
Astellas Pharma US Inc
$75
Relypsa, Inc.
$74
Regeneron Healthcare Solutions, Inc.
$73
Phathom Pharmaceuticals, Inc.
$61
CSL Behring
$57
Lundbeck LLC
$47
Eisai Inc.
$46
Merck Sharp & Dohme LLC
$43
Ironwood Pharmaceuticals, Inc
$41
Abbott Laboratories
$37
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$28
Collegium Pharmaceutical, Inc.
$27
E.R. Squibb & Sons, L.L.C.
$26
Xeris Pharmaceuticals, Inc.
$25
Medtronic, Inc.
$25
Synergy Pharmaceuticals Inc
$24
Shield Therapeutics Inc
$21
Allergan, Inc.
$21
Sumitomo Pharma America, Inc.
$20
Avanir Pharmaceuticals, Inc.
$19
MannKind Corporation
$15
Neurelis, Inc.
$15
Sanofi Pasteur Inc.
$15
IRONWOOD PHARMACEUTICALS, INC
$15
Otsuka America Pharmaceutical, Inc.
$13
Grifols USA, LLC
$12
Boston Scientific Corporation
$12
Kaleo, Inc.
$11
Daiichi Sankyo Inc.
$11
Top 3 companies account for 29.2% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADVAIR · AFREZZA · AIRSUPRA · AJOVY · ANORO · AREXVY · AUSTEDO · Aimovig · Amitiza · Auvi-Q · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREO · BYSTOLIC · CHANTIX · DUZALLO · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE 3 · GARDASIL · GEMTESA · Haegarda · INJECTAFER · INPEN SMART INSULIN DELIVERY SYSTEM · INVOKANA · JANUVIA · JARDIANCE · KEVEYIS · LEQVIO · LINZESS · LYRICA · Leqembi · Linzess · Livalo · M-M-R II · MENACTRA · MOUNJARO · MYRBETRIQ · Motegrity · NUEDEXTA · ORLADEYO · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · Prolastin-C Liquid · Prolia · QULIPTA · REXULTI · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO · STIOLTO RESPIMAT · SYNTHROID · Saxenda · TAKHZYRO · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TZIELD · Tresiba · Trintellix · Trulance · UBRELVY · VALTOCO · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veltassa · Veozah · Victoza · WATCHMAN · Wegovy · XARELTO · XIFAXAN · XTAMPZA · ZOSTAVAX
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.
Geographic Context
Geriatric medicine physicians within 10 mi
8
Per 100K population
4.1
County median income
$86,775
Nearest hospital
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA
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. Shetter is a clinical cardiology specialist, with above-average Medicare volume (top 14% in PA), with low-engagement industry engagement in the top 15% of PA 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. Shetter experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shetter performed 655 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. Shetter receive payments from pharmaceutical companies?
Yes. Dr. Shetter received a total of $7,439 from 48 companies across 504 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. Shetter's costs compare to other geriatric medicine physicians in Butler?
Dr. Shetter's average Medicare payment per service is $68. 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. Shetter) 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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