Medicare Enrolled
Dr. James Gardner, MD
Family Medicine · New Wilmington, 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. Gardner 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. Gardner
Dr. James Gardner is a family medicine specialist in New Wilmington, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gardner performed 1,317 Medicare services across 830 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gardner received a total of $16,785 from 57 pharmaceutical and/or device companies across 973 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. Gardner 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 17% volume in PA
$16,785 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,317
Medicare services
Top 17% in PA for family medicine
830
Unique beneficiaries
$62
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~66 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. |
502 | $76 | $175 |
| 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. |
122 | $78 | $139 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
109 | $121 | $259 |
| 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. |
88 | $54 | $130 |
| 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. |
67 | $9 | $45 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
57 | $5 | $10 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
56 | $6 | $10 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
50 | $10 | $30 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
42 | $16 | $25 |
| 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. |
35 | $39 | $70 |
| 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. |
34 | $135 | $230 |
| 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. |
31 | $71 | $99 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
31 | $29 | $45 |
| 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. |
22 | $57 | $100 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
21 | $41 | $50 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
18 | $2 | $10 |
| 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. |
18 | $98 | $170 |
| 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. |
14 | $9 | $45 |
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 ↗$16,785
Total received (2018-2024)
Avg $2,398/year across 7 years
Top 2% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
57
Companies
973
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
$16,534 (98.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$251 (1.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,962
2023
$3,266
2022
$2,844
2021
$2,713
2020
$2,268
2019
$1,611
2018
$1,122
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$366
ABBVIE INC.
$348
GlaxoSmithKline, LLC.
$280
Novo Nordisk Inc
$272
Boehringer Ingelheim Pharmaceuticals, Inc.
$226
PFIZER INC.
$223
Amgen Inc.
$220
Exact Sciences Corporation
$188
Lundbeck LLC
$139
Medtronic, Inc.
$91
Lilly USA, LLC
$90
Astellas Pharma US Inc
$87
Amphastar Pharmaceuticals, Inc.
$78
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$73
Otsuka America Pharmaceutical, Inc.
$58
Axsome Therapeutics, Inc.
$45
Phathom Pharmaceuticals, Inc.
$35
Esperion Therapeutics, Inc.
$33
E.R. Squibb & Sons, L.L.C.
$30
Tactile Systems Technology Inc
$25
SANOFI PASTEUR INC.
$21
BETA BIONICS, INC.
$19
Novartis Pharmaceuticals Corporation
$14
Top 3 companies account for 33.6% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,389
PFIZER INC.
$1,705
Amgen Inc.
$1,499
GlaxoSmithKline, LLC.
$1,319
Novo Nordisk Inc
$1,269
ABBVIE INC.
$923
Boehringer Ingelheim Pharmaceuticals, Inc.
$789
Amarin Pharma Inc.
$658
Lilly USA, LLC
$578
Medtronic, Inc.
$532
Astellas Pharma US Inc
$436
Novartis Pharmaceuticals Corporation
$398
Janssen Pharmaceuticals, Inc
$348
Lundbeck LLC
$333
Merck Sharp & Dohme Corporation
$317
Exact Sciences Corporation
$304
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$255
Otsuka America Pharmaceutical, Inc.
$234
AbbVie Inc.
$226
E.R. Squibb & Sons, L.L.C.
$191
Sunovion Pharmaceuticals Inc.
$175
Merck Sharp & Dohme LLC
$169
Esperion Therapeutics, Inc.
$169
Kowa Pharmaceuticals America, Inc.
$152
SANOFI-AVENTIS U.S. LLC
$126
Allergan, Inc.
$121
Strongbridge US INC.
$108
Avanir Pharmaceuticals, Inc.
$108
Sumitomo Pharma America, Inc.
$83
Amphastar Pharmaceuticals, Inc.
$78
Takeda Pharmaceuticals U.S.A., Inc.
$61
Phathom Pharmaceuticals, Inc.
$50
AbbVie, Inc.
$50
Biohaven Pharmaceutical Holding Company Ltd.
$49
Vanda Pharmaceuticals Inc.
$47
Axsome Therapeutics, Inc.
$45
Grifols USA, LLC
$44
IDORSIA PHARMACEUTICALS US INC
$40
Radius Health, Inc.
$40
Daiichi Sankyo Inc.
$37
Biogen, Inc.
$35
Boston Scientific Corporation
$33
Tactile Systems Technology Inc
$25
Teva Pharmaceuticals USA, Inc.
$23
Genentech USA, Inc.
$21
SANOFI PASTEUR INC.
$21
BETA BIONICS, INC.
$19
Eisai Inc.
$18
ACADIA Pharmaceuticals Inc
$18
Bayer HealthCare Pharmaceuticals Inc.
$17
Biohaven Pharmaceuticals, Inc.
$16
Dexcom, Inc.
$15
Celgene Corporation
$15
Bayer Healthcare Pharmaceuticals Inc.
$15
Synergy Pharmaceuticals Inc
$15
Allergan Inc.
$11
Smith & Nephew, Inc.
$11
Top 3 companies account for 33.3% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ADUHELM · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · Aimovig · Auvelity · BASAGLAR · BELSOMRA · BREO · BREZTRI · CAMZYOS · CHANTIX · COMIRNATY · CREON · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FORTEO · Flexitouch Plus · GARDASIL 9 · GEMTESA · General - Therapies · HETLIOZ · INJECTAFER · INPEN SMART INSULIN DELIVERY SYSTEM · INVOKANA · JANUVIA · JARDIANCE · KEVEYIS · Kerendia · LATUDA · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LYRICA · Livalo · MINIMED 630G · MINIMED 770G · MINIMED 780G · MOUNJARO · MYRBETRIQ · Minimed 630G · Myrbetriq · NEXLETOL · NUCALA · NUEDEXTA · NUPLAZID · NURTEC ODT · Nuedexta · OFEV · Otezla · Ozempic · PAXLOVID · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolastin-C Liquid · QULIPTA · QUVIVIQ · RELISTOR · REXULTI · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Santyl · Saxenda · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · TZIELD · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · Utibron · VAXNEUVANCE · VESICARE · VIBERZI · VOQUEZNA · VRAYLAR · VYEPTI · Vascepa · Veozah · Victoza · Vyvanse · Wegovy · XARELTO · XIFAXAN · Xofluza · ZOSTAVAX · iLet Bionic Pancreas
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in PA.
Geographic Context
Family medicine physicians within 10 mi
281
Per 100K population
255.8
County median income
$60,614
Nearest hospital
UPMC JAMESON
5.6 mi
5.6 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. Gardner is a clinical cardiology specialist, with above-average Medicare volume (top 17% in PA), with low-engagement industry engagement in the top 2% 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. Gardner experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gardner performed 502 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. Gardner receive payments from pharmaceutical companies?
Yes. Dr. Gardner received a total of $16,785 from 57 companies across 973 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. Gardner's costs compare to other family medicine physicians in New Wilmington?
Dr. Gardner's average Medicare payment per service is $62. 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. Gardner) 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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