Medicare Enrolled
Dr. Darren Smeal, MD
Internal Medicine · Clearfield, 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. Smeal 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 →
Are you Dr. Smeal?
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What this data tells you about Dr. Smeal
Dr. Darren Smeal is an internal medicine specialist in Clearfield, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Smeal performed 11,287 Medicare services across 7,639 unique beneficiaries.
Between the years covered by Open Payments, Dr. Smeal received a total of $6,813 from 46 pharmaceutical and/or device companies across 496 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. Smeal 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 1% volume in PA
$6,813 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,287
Medicare services
Top 1% in PA for internal medicine
7,639
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~564 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) | 1,260 | $18 | $25 |
| 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. |
990 | $79 | $130 |
| 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. |
636 | $8 | $12 |
| 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. |
610 | $62 | $100 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
491 | $10 | $16 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
477 | $7 | $8 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
458 | $13 | $25 |
| Annual depression screening | 414 | $18 | $25 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
379 | $126 | $250 |
| Annual alcohol misuse screening, 5 to 15 minutes | 342 | $18 | $20 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
318 | $10 | $15 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
276 | $67 | $90 |
| 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. |
245 | $25 | $30 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
236 | $4 | $10 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
210 | $16 | $25 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
203 | $45 | $65 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
194 | $35 | $50 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
176 | $35 | $60 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
156 | $27 | $27 |
| 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. |
148 | $72 | $75 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
137 | $5 | $8 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
130 | $105 | $185 |
| Blood potassium level test A blood test that measures the amount of potassium in your body. Potassium is an electrolyte that helps control heart and muscle function. |
124 | $5 | $8 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
123 | $4 | $6 |
| Carbon dioxide level test A blood test that measures the amount of carbon dioxide in your blood, which helps evaluate your body's acid-base balance and kidney function. |
122 | $5 | $8 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
122 | $5 | $8 |
| Blood sodium level test A laboratory test that measures the amount of sodium in your blood. Sodium is an electrolyte that helps regulate fluid balance and nerve function. |
122 | $5 | $8 |
| Bone density scan (DEXA) of hip, pelvis, and spine This test measures bone density in the hip, pelvis, and spine to assess bone strength. It also includes an assessment for spine fractures. |
119 | $50 | $155 |
| Liver enzyme (SGOT) level test A blood test that measures the level of the liver enzyme SGOT to help assess liver health. |
107 | $5 | $8 |
| Liver enzyme (SGPT) level test A blood test that measures the level of the liver enzyme SGPT to assess liver function. |
107 | $5 | $8 |
| Albumin level test A blood test that measures the amount of albumin, a protein made by the liver, in your body. |
106 | $5 | $7 |
| Alkaline phosphatase level test A blood test that measures the level of alkaline phosphatase, an enzyme found in the liver and bones. |
106 | $5 | $8 |
| Total protein blood test A blood test that measures the total amount of protein in your blood. This test helps evaluate your overall health and nutritional status. |
104 | $4 | $6 |
| Total bilirubin level test A blood test that measures the total amount of bilirubin, a waste product from the breakdown of red blood cells, in your body. |
103 | $5 | $8 |
| Home visit, established patient, straightforward decision making A home visit for an established patient involving straightforward medical decision making. The visit lasts at least 15 minutes when time is used to determine the level of service. |
100 | $33 | $60 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
91 | $4 | $6 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
85 | $25 | $30 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
83 | $31 | $60 |
| 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. |
75 | $36 | $60 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
63 | $6 | $10 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
62 | $3 | $10 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
60 | $5 | $10 |
| 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. |
59 | $205 | $275 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
56 | $8 | $13 |
| 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. |
55 | $10 | $25 |
| Ultrasound of abdominal aorta An imaging test that uses sound waves to create pictures of the abdominal aorta, the large blood vessel that carries blood from the heart to the lower body. |
51 | $103 | $120 |
| 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. |
50 | $14 | $17 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
49 | $4 | $10 |
| PSA test (prostate cancer screening) | 44 | $18 | $30 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
43 | $29 | $35 |
| 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. |
42 | $282 | $289 |
| 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. |
38 | $10 | $75 |
| Bone density scan (DEXA) of forearm, finger, hand, or foot A DEXA scan measures bone mineral density in the forearm, finger, hand, or foot. This test helps assess bone strength and risk of fracture. |
36 | $30 | $40 |
| Iron level test | 34 | $6 | $8 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
31 | $144 | $228 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
27 | $14 | $24 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
24 | $7 | $10 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
22 | $18 | $55 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
21 | $4 | $7 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
21 | $38 | $93 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
18 | $36 | $80 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
17 | $64 | $115 |
| 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. |
16 | $75 | $140 |
| 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. |
16 | $161 | $175 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 13 | $183 | $275 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
12 | $162 | $250 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
11 | $12 | $25 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
11 | $126 | $202 |
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.
0.3% high complexity
12.6% medium
87.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,813
Total received (2018-2024)
Avg $973/year across 7 years
Top 10% in PA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
496
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
$6,813 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$827
2023
$764
2022
$980
2021
$927
2020
$716
2019
$1,112
2018
$1,488
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$171
Amgen Inc.
$117
Phathom Pharmaceuticals, Inc.
$92
PFIZER INC.
$85
ABBVIE INC.
$72
Abbott Laboratories
$67
Novo Nordisk Inc
$56
Dexcom, Inc.
$35
Axsome Therapeutics, Inc.
$34
Exact Sciences Corporation
$27
Janssen Pharmaceuticals, Inc
$25
Cycle Pharmaceuticals Inc
$23
Xeris Pharmaceuticals, Inc.
$23
Top 3 companies account for 45.9% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$781
Novo Nordisk Inc
$738
Janssen Pharmaceuticals, Inc
$730
Novartis Pharmaceuticals Corporation
$584
AstraZeneca Pharmaceuticals LP
$521
PFIZER INC.
$495
GlaxoSmithKline, LLC.
$260
Boehringer Ingelheim Pharmaceuticals, Inc.
$253
Abbott Laboratories
$247
E.R. Squibb & Sons, L.L.C.
$201
Amarin Pharma Inc.
$196
Biohaven Pharmaceutical Holding Company Ltd.
$178
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$166
ABBVIE INC.
$155
Xeris Pharmaceuticals, Inc.
$94
Lilly USA, LLC
$94
Exact Sciences Corporation
$93
Phathom Pharmaceuticals, Inc.
$92
AbbVie Inc.
$87
Grifols USA, LLC
$72
Allergan Inc.
$64
BioFire Diagnostics, LLC
$60
Axsome Therapeutics, Inc.
$59
Merck Sharp & Dohme Corporation
$55
Boston Scientific Corporation
$54
SANOFI-AVENTIS U.S. LLC
$53
Biogen, Inc.
$47
Actelion Pharmaceuticals US, Inc.
$35
Dexcom, Inc.
$35
Bayer HealthCare Pharmaceuticals Inc.
$33
Mallinckrodt LLC
$27
Teva Pharmaceuticals USA, Inc.
$26
Sunovion Pharmaceuticals Inc.
$25
Cycle Pharmaceuticals Inc
$23
Allergan, Inc.
$23
Otsuka America Pharmaceutical, Inc.
$21
IDORSIA PHARMACEUTICALS US INC
$17
DEXCOM, INC.
$17
JAZZ PHARMACEUTICALS INC.
$14
Esperion Therapeutics, Inc.
$14
Philips Electronics North America Corporation
$13
Osiris Therapeutics Inc.
$13
SANOFI PASTEUR INC.
$12
Vanda Pharmaceuticals Inc.
$12
Advanced Respiratory, Inc
$11
BOSTON SCIENTIFIC CORPORATION
$11
Top 3 companies account for 33.0% of all-time payments
Associated products mentioned in payments ›
(8874) InCourage · ACTHAR · ADUHELM · AIRSUPRA · AJOVY · ANORO · Aimovig · BASAGLAR · BELSOMRA · BEXSERO · BREO · BREZTRI · BioFire FilmArray · CHANTIX · COMIRNATY · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · FARXIGA · FASENRA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Fanapt · FreeStyle Libre 2 · GVOKE HYPOPEN · GVOKE PFS · INVOKANA · JARDIANCE · KEVEYIS · Kerendia · LINZESS · LONHALA MAGNAIR · LYRICA · MOUNJARO · NEXLETOL · NUCALA · NURTEC ODT · OPSUMIT · Ormalvi · Ozempic · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PROCLAIM · Prolastin-C · Prolastin-C Liquid · Prolia · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Stravix · Sunosi · TOUJEO · TRELEGY ELLIPTA · TRULICITY · The Vest System Model 105 Home Care · Tresiba · UBRELVY · VOQUEZNA · VRAYLAR · Vascepa · WATCHMAN · WATCHMAN Access System · 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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for internal medicine in PA.
Geographic Context
Internal medicine physicians within 10 mi
26
Per 100K population
33.0
County median income
$60,181
Nearest hospital
PENN HIGHLANDS DUBOIS
15.3 mi
15.3 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. Smeal is a clinical cardiology specialist, with above-average Medicare volume (top 1% in PA), with low-engagement industry engagement in the top 10% 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. Smeal experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Smeal performed 1,260 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. Smeal receive payments from pharmaceutical companies?
Yes. Dr. Smeal received a total of $6,813 from 46 companies across 496 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. Smeal's costs compare to other internal medicine physicians in Clearfield?
Dr. Smeal's average Medicare payment per service is $34. 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. Smeal) 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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