Medicare Enrolled
Dr. Mark Cohen, D.O.
Family Medicine · Lancaster, PA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Cohen 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. Cohen
Dr. Mark Cohen is a family medicine specialist in Lancaster, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Cohen performed 3,396 Medicare services across 827 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cohen received a total of $9,381 from 54 pharmaceutical and/or device companies across 620 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. Cohen 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.
✓ 19 years in practice
▲ Top 3% volume in PA
$9,381 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,396
Medicare services
Top 3% in PA for family medicine
827
Unique beneficiaries
$84
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~179 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 |
|---|---|---|---|
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
1,143 | $91 | $150 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
717 | $77 | $125 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
521 | $91 | $164 |
| 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. |
334 | $86 | $140 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
138 | $99 | $175 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
128 | $8 | $10 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
102 | $108 | $140 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
97 | $54 | $75 |
| 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. |
74 | $135 | $175 |
| 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. |
64 | $60 | $95 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
43 | $17 | $30 |
| 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. |
20 | $119 | $190 |
| 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. |
15 | $63 | $200 |
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 ↗$9,381
Total received (2018-2024)
Avg $1,340/year across 7 years
Top 6% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
620
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
$9,346 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$35 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,522
2023
$1,297
2022
$1,423
2021
$1,567
2020
$1,207
2019
$1,330
2018
$1,035
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$215
Otsuka America Pharmaceutical, Inc.
$163
Novo Nordisk Inc
$160
Phathom Pharmaceuticals, Inc.
$155
AstraZeneca Pharmaceuticals LP
$149
Bayer Healthcare Pharmaceuticals Inc.
$100
Lilly USA, LLC
$92
PFIZER INC.
$92
Lundbeck LLC
$83
Astellas Pharma US Inc
$56
Teva Pharmaceuticals USA, Inc.
$49
Ardelyx, Inc.
$45
Merck Sharp & Dohme LLC
$38
SK Life Science, Inc.
$27
GlaxoSmithKline, LLC.
$24
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$21
SANOFI PASTEUR INC.
$18
IDORSIA PHARMACEUTICALS US INC
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Top 3 companies account for 35.4% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,227
AstraZeneca Pharmaceuticals LP
$1,168
Lilly USA, LLC
$866
AbbVie Inc.
$624
Novartis Pharmaceuticals Corporation
$555
ABBVIE INC.
$492
PFIZER INC.
$392
Merck Sharp & Dohme Corporation
$343
Otsuka America Pharmaceutical, Inc.
$249
Janssen Pharmaceuticals, Inc
$217
Bayer Healthcare Pharmaceuticals Inc.
$212
Teva Pharmaceuticals USA, Inc.
$208
Amgen Inc.
$207
Lundbeck LLC
$162
Phathom Pharmaceuticals, Inc.
$155
Biohaven Pharmaceutical Holding Company Ltd.
$147
Mylan Specialty L.P.
$138
Astellas Pharma US Inc
$134
Amarin Pharma Inc.
$129
Biohaven Pharmaceuticals, Inc.
$127
Merck Sharp & Dohme LLC
$123
ACADIA Pharmaceuticals Inc
$122
Kowa Pharmaceuticals America, Inc.
$106
GlaxoSmithKline, LLC.
$105
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$103
Shire North American Group Inc
$85
SK Life Science, Inc.
$82
Boehringer Ingelheim Pharmaceuticals, Inc.
$76
Avanir Pharmaceuticals, Inc.
$66
Takeda Pharmaceuticals U.S.A., Inc.
$61
Allergan, Inc.
$55
Sunovion Pharmaceuticals Inc.
$49
IRONWOOD PHARMACEUTICALS, INC
$48
Ardelyx, Inc.
$45
Eisai Inc.
$42
Medtronic Vascular, Inc.
$38
Alkermes, Inc.
$37
Bayer HealthCare Pharmaceuticals Inc.
$31
Allergan Inc.
$30
Ironwood Pharmaceuticals, Inc
$30
Biogen, Inc.
$29
UCB, Inc.
$26
Scilex Pharmaceuticals Inc.
$25
Indivior Inc.
$23
Hologic, LLC
$22
UROVANT SCIENCES INC
$22
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$21
Dexcom, Inc.
$20
Neurelis, Inc.
$19
Alexion Pharmaceuticals, Inc.
$19
SANOFI PASTEUR INC.
$18
IDORSIA PHARMACEUTICALS US INC
$17
SANOFI-AVENTIS U.S. LLC
$17
Daiichi Sankyo Inc.
$12
Top 3 companies account for 34.8% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AIRSUPRA · APTIMA · APTIOM · ARISTADA · AUSTEDO · Aimovig · Austedo XR · BASAGLAR · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · BRINTELLIX · Briviact · CAPLYTA · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CoreValve Evolut · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · GARDASIL · GARDASIL 9 · GEMTESA · IBSRELA · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LONHALA MAGNAIR · LYBALVI · LYRICA · Linzess · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Movantik · Myrbetriq · NUCALA · NUEDEXTA · NUPLAZID · NURTEC ODT · Nuedexta · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Resolute · Rybelsus · SEGLENTIS · SHINGRIX · STEGLATRO · STRENSIQ · SUBLOCADE · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trintellix · UBRELVY · Uloric · VALTOCO · VIBERZI · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Yupelri · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 6% for family medicine in PA.
Geographic Context
Family medicine physicians within 10 mi
845
Per 100K population
152.2
County median income
$83,703
Nearest hospital
LANCASTER BEHAVIORAL HEALTH HOSPITAL
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. Cohen is a mixed practice specialist, with above-average Medicare volume (top 3% in PA), with low-engagement industry engagement in the top 6% of PA peers, with 19 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. Cohen experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Cohen performed 1,143 hospital follow-up visit, high complexity 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. Cohen receive payments from pharmaceutical companies?
Yes. Dr. Cohen received a total of $9,381 from 54 companies across 620 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. Cohen's costs compare to other family medicine physicians in Lancaster?
Dr. Cohen's average Medicare payment per service is $84. 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. Cohen) 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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