Medicare Enrolled

Dr. Douglas Buffington, DO

Family Medicine · Elysburg, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
289 S MARKET ST, Elysburg, PA 17824
5706729885
In practice since 2006 (20 years)
NPI: 1346280088 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. Buffington 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. Buffington? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Buffington

Dr. Douglas Buffington is a family medicine specialist in Elysburg, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Buffington performed 2,005 Medicare services across 872 unique beneficiaries.

Between the years covered by Open Payments, Dr. Buffington received a total of $3,243 from 31 pharmaceutical and/or device companies across 213 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. Buffington 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 8% volume in PA $3,243 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,005
Medicare services
Top 8% in PA for family medicine
872
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~100 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.
413 $76 $160
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.
341 $46 $75
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
303 $35 $55
Additional chronic care management time, 60 minutes
This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month.
218 $51 $80
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
122 $103 $700
Behavioral health care management, 20+ minutes
This service involves clinical staff time directed by a healthcare professional to manage behavioral health conditions. It requires at least 20 minutes of dedicated clinical staff time.
121 $32 $55
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
98 $121 $150
Complex chronic care management, first 60 minutes
This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort.
72 $94 $150
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
68 $198 $465
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
46 $171 $550
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
41 $74 $585
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.
39 $34 $65
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
34 $29 $45
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
30 $76 $90
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.
27 $47 $110
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.
20 $6 $40
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
12 $140 $550
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 ↗
$3,243
Total received (2018-2024)
Avg $463/year across 7 years
Top 16% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
213
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
$3,243 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$312
2023
$230
2022
$489
2021
$909
2020
$434
2019
$462
2018
$407

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$53
ABBVIE INC.
$52
Merck Sharp & Dohme LLC
$47
Abbott Laboratories
$35
Phathom Pharmaceuticals, Inc.
$29
Novo Nordisk Inc
$28
Lilly USA, LLC
$18
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
Inspire Medical Systems, Inc.
$18
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Top 3 companies account for 48.8% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$425
Novo Nordisk Inc
$307
AstraZeneca Pharmaceuticals LP
$297
PFIZER INC.
$233
AbbVie Inc.
$214
GlaxoSmithKline, LLC.
$203
Lilly USA, LLC
$202
Merck Sharp & Dohme LLC
$146
Amgen Inc.
$144
ABBVIE INC.
$135
Merck Sharp & Dohme Corporation
$125
Vanda Pharmaceuticals Inc.
$99
Janssen Pharmaceuticals, Inc
$90
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$89
Biohaven Pharmaceuticals, Inc.
$74
Abbott Laboratories
$57
Kowa Pharmaceuticals America, Inc.
$55
Novartis Pharmaceuticals Corporation
$51
Amarin Pharma Inc.
$50
Genentech USA, Inc.
$50
Phathom Pharmaceuticals, Inc.
$29
Exact Sciences Corporation
$24
Allergan Inc.
$24
Organon LLC
$20
SI-BONE, INC.
$18
Inspire Medical Systems, Inc.
$18
Medtronic, Inc.
$16
Takeda Pharmaceuticals U.S.A., Inc.
$14
Allergan, Inc.
$12
E.R. Squibb & Sons, L.L.C.
$12
Daiichi Sankyo Inc.
$11
Top 3 companies account for 31.7% of all-time payments
Associated products mentioned in payments ›
Aimovig · Amitiza · BEXSERO · CHANTIX · CREON · Cologuard Collection Kit · DIFICID · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL · GARDASIL 9 · HETLIOZ · INSPIRE · INVOKANA · INVOS · JANUVIA · JARDIANCE · LINZESS · LYRICA · Livalo · MOUNJARO · Morphabond ER · NEXPLANON · NUCALA · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROQUAD · QULIPTA · ROTATEQ · RYBELSUS · Rybelsus · SHINGRIX · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Wegovy · XARELTO · XIFAXAN · Xofluza
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.

Looking for a family medicine specialist in Elysburg?
Compare family medicine physicians in the Elysburg area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
180
Per 100K population
276.7
County median income
$61,992
Nearest hospital
GEISINGER MEDICAL CENTER
9.1 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. Buffington is a clinical cardiology specialist, with above-average Medicare volume (top 8% in PA), with low-engagement industry engagement in the top 16% 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. Buffington experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Buffington performed 413 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. Buffington receive payments from pharmaceutical companies?
Yes. Dr. Buffington received a total of $3,243 from 31 companies across 213 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. Buffington's costs compare to other family medicine physicians in Elysburg?
Dr. Buffington'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. Buffington) 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 →
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 →