Medicare Enrolled

Edward Smith

Family Medicine · Grove City, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
420 HILLCREST AVE, Grove City, PA 16127
7244584950
Registered in NPPES since 2006
NPI: 1376512590 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 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 Smith

Edward Smith is a family medicine specialist in Grove City, PA, with 20 years of NPI registration. Based on federal Medicare data, Smith performed 1,026 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Smith received a total of $2,121 from 29 pharmaceutical and/or device companies across 119 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for 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 of NPI registration ▲ Top 26% volume in PA $2,121 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,026
Medicare services
Top 26% in PA for family medicine
Not available
Unique patients (not deduplicated)
$78
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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.
253 $80 $373
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
189 $126 $382
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.
125 $49 $263
Nursing facility visit, established patient, straightforward
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes.
80 $30 $118
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
80 $29 $60
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
60 $76 $155
COVID-19 vaccine administration
Administration of a single dose of the coronavirus vaccine.
35 $39 $125
COVID-19 vaccine (Pfizer bivalent)
Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection.
35 $128 $262
Initial nursing facility care, high complexity
An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes.
31 $142 $520
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.
25 $282 $851
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
25 $29 $58
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.
25 $38 $154
Injection, methylprednisolone acetate, 40 mg 20 $4 $21
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
15 $3 $10
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
14 $36 $203
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.
14 $72 $165
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,121
Total received (2018-2024)
Avg $303/year across 7 years
Top 22% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
119
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$642
2023
$720
2022
$160
2021
$266
2020
$181
2019
$71
2018
$81

Payments by company (2024)

Novo Nordisk Inc
$159
SHIELD THERAPEUTICS INC
$127
Lilly USA, LLC
$112
ABBVIE INC.
$53
PFIZER INC.
$41
Amgen Inc.
$32
Bayer Healthcare Pharmaceuticals Inc.
$30
AstraZeneca Pharmaceuticals LP
$27
Otsuka America Pharmaceutical, Inc.
$24
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$19
GlaxoSmithKline, LLC.
$18
Top 3 companies account for 62.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$531
Lilly USA, LLC
$213
PFIZER INC.
$185
GlaxoSmithKline, LLC.
$138
SHIELD THERAPEUTICS INC
$127
AbbVie Inc.
$108
AstraZeneca Pharmaceuticals LP
$100
Bayer HealthCare Pharmaceuticals Inc.
$79
Boehringer Ingelheim Pharmaceuticals, Inc.
$77
Shield Therapeutics Inc
$66
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$63
Otsuka America Pharmaceutical, Inc.
$59
Exact Sciences Corporation
$56
ABBVIE INC.
$53
Amgen Inc.
$32
Bayer Healthcare Pharmaceuticals Inc.
$30
Merck Sharp & Dohme Corporation
$26
SANOFI-AVENTIS U.S. LLC
$26
Genentech USA, Inc.
$21
Amarin Pharma Inc.
$18
Avanir Pharmaceuticals, Inc.
$16
Sumitomo Pharma America, Inc.
$15
Evofem Biosciences, Inc.
$15
Novartis Pharmaceuticals Corporation
$15
Currax Pharmaceuticals LLC
$14
Janssen Pharmaceuticals, Inc
$13
Biohaven Pharmaceuticals, Inc.
$11
Boston Scientific Corporation
$11
Dynavax Technologies Corporation
$5
Top 3 companies account for 43.8% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · BASAGLAR · Cologuard Collection Kit · ELIQUIS · EMGALITY · FARXIGA · GEMTESA · Heplisav-B · JARDIANCE · Kerendia · LANTUS · LEQVIO · LOKELMA · MOUNJARO · NUEDEXTA · NURTEC ODT · Nuedexta · ONZETRA XSAIL · Otezla · Ozempic · PNEUMOVAX 23 · PREMARIN · PREVNAR 13 · PREVNAR 20 · Phexxi · QULIPTA · REXULTI · ROTATEQ · RYBELSUS · Rybelsus · SHINGRIX · STIOLTO RESPIMAT · TOUJEO · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VRAYLAR · Vascepa · WATCHMAN · Wegovy · XARELTO · XIFAXAN · Xofluza
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a family medicine specialist in Grove City?
Compare family medicine physicians in the Grove City area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians in nearby ZIP areas
137
County median income
$60,614
Nearest hospital to ZIP centroid (approximate)
GROVE CITY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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

Smith is a clinical cardiology specialist, with above-average Medicare volume (top 26% in PA), 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 Smith experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Smith performed 253 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Smith receive payments from pharmaceutical companies?
Yes. Smith received a total of $2,121 from 29 companies across 119 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Smith's costs compare to other family medicine physicians in Grove City?
Smith's average Medicare payment per service is $78. 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 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →