Medicare Enrolled

Dr. Roy Small, M.D.

Advanced Heart Failure and Transplant Cardiology Physician · Lancaster, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
217 HARRISBURG AVE, Lancaster, PA 17603
7175448300
Registered in NPPES since 2006
NPI: 1235106410 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. Small 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. Small

Dr. Roy Small is an advanced heart failure and transplant cardiology physician in Lancaster, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Small performed 556 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Small received a total of $992 from 10 pharmaceutical and/or device companies across 13 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 Dr. Small 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 ▲ 556 Medicare services $992 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
556
Medicare services
Bottom 32% in PA for advanced heart failure and transplant cardiology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$70
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.
322 $89 $237
Evaluation of implantable heart and blood vessel monitoring system
This procedure involves checking the function and data of an implanted device used to monitor heart and blood vessel activity.
113 $37 $60
Remote monitoring of implantable heart device, up to 30 days
Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days.
62 $19 $54
Remote monitoring of pulmonary artery pressure sensor
This procedure involves the remote tracking of pressure readings from a sensor in the pulmonary artery over a period of up to 30 days.
31 $36 $118
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.
28 $123 $332
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 ↗
$992
Total received (2018-2024)
Avg $198/year across 5 years
Bottom 19% in PA for advanced heart failure and transplant cardiology physician
10
Companies
13
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
$139
2023
$390
2022
$15
2019
$293
2018
$155

Payments by company (2024)

United Therapeutics Corporation
$125
PFIZER INC.
$14
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Akcea Therapeutics, Inc.
$259
Actelion Pharmaceuticals US, Inc.
$146
Medtronic Vascular, Inc.
$135
Alnylam Pharmaceuticals Inc.
$125
United Therapeutics Corporation
$125
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$100
Abbott Laboratories
$39
IMPULSE DYNAMICS (USA) INC.
$34
LivaNova USA, Inc.
$15
PFIZER INC.
$14
Top 3 companies account for 54.4% of all-time payments
Associated products mentioned in payments ›
AMVUTTRA · CARDIOMEMS · CardioMEMS HF System · HeartWare HVAD · LifeVest · OPTIMIZER SMART SYSTEM · TEGSEDI · UPTRAVI · VNS - Vitaria · VYNDAQEL
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 an advanced heart failure and transplant cardiology physician in Lancaster?
Compare advanced heart failure and transplant cardiology physicians in the Lancaster area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Advanced heart failure and transplant cardiology physicians in nearby ZIP areas
6
County median income
$83,703
Nearest hospital to ZIP centroid (approximate)
LANCASTER BEHAVIORAL HEALTH HOSPITAL
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

Dr. Small is a clinical cardiology specialist, with moderate Medicare volume, 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. Small experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Small performed 322 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 Dr. Small receive payments from pharmaceutical companies?
Yes. Dr. Small received a total of $992 from 10 companies across 13 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 Dr. Small's costs compare to other advanced heart failure and transplant cardiology physicians in Lancaster?
Dr. Small's average Medicare payment per service is $70. 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. Small) 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 →