Medicare Enrolled

Dr. Michelle Semins, MD

Urology Physician · Pittsburgh, PA
Practice pattern: Interventional Cardiology — Practice focused on catheter-based cardiac procedures
Speaking/Promotional
1350 LOCUST STREET, Pittsburgh, PA 15219
4122325850
In practice since 2007 (19 years)
NPI: 1578609277 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. Semins 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. Semins

Dr. Michelle Semins is an urology physician in Pittsburgh, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Semins performed 289 Medicare services across 256 unique beneficiaries.

Between the years covered by Open Payments, Dr. Semins received a total of $22,466 from 14 pharmaceutical and/or device companies across 68 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Semins 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 ▲ 289 Medicare services $22,466 industry payments

Medicare Practice Summary

Medicare Utilization ↗
289
Medicare services
Bottom 13% in PA for urology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
256
Unique beneficiaries
$89
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~15 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
Imaging of urinary tract with contrast
An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures.
58 $18 $71
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.
46 $70 $253
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
43 $59 $414
Ureteral stent insertion via endoscope
A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder.
30 $96 $654
Ureteral stone crushing with stent insertion
An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open.
29 $329 $1,808
Endoscopic removal of foreign body, stone, or stent from urethra or bladder
A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item.
22 $114 $615
Prostate gland biopsy
A procedure to remove small samples of tissue from the prostate gland for laboratory examination.
19 $93 $444
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
16 $22 $147
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
13 $95 $317
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.
13 $50 $168
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.
28.0% high complexity
32.2% medium
39.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$22,466
Total received (2018-2024)
Avg $3,209/year across 7 years
Top 7% in PA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
68
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$11,331 (50.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$9,181 (40.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,652 (7.4%)
Scientific / Research
Research funding and grants
$302 (1.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,491
2023
$3,257
2022
$3,404
2021
$5,022
2020
$3,805
2019
$4,963
2018
$524

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$1,231
Cook Medical LLC
$153
PROCEPT BioRobotics Corporation
$55
Sumitomo Pharma America, Inc.
$33
Axonics, Inc.
$20
Top 3 companies account for 96.5% of 2024 payments
All-time payments by company (2018-2024) ›
Cook Incorporated
$12,006
Retrophin, Inc.
$4,693
Boston Scientific Corporation
$4,401
BOSTON SCIENTIFIC CORPORATION
$424
Cook Medical LLC
$297
Sumitomo Pharma America, Inc.
$191
Calyxo, Inc.
$132
Coloplast Corp
$123
Astellas Pharma US Inc
$64
PROCEPT BioRobotics Corporation
$55
Axonics, Inc.
$36
PFIZER INC.
$27
UroGen Pharma, Inc.
$14
Travere Therapeutics, Inc.
$1
Top 3 companies account for 93.9% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · AQUABEAM SYSTEM · Axonics · COOK · COOK MEDICAL DILATION/ACCESS · COOK MEDICAL UROLOGY · CVAC ASPIRATION SYSTEM · Cook · Cook Medical Dilation/Access · Cook Medical Lasers · GEMTESA · GENERAL THERAPIES · GENERAL - KIDNEY STONE DISEASE · GENERAL KIDNEY STONE DISEASE · General - Kidney Stone Disease · General - Therapies · JELMYTO · LITHO 150 · LITHOCLAST · LithoVue · MALE INCONTINENCE · Moses 550 DFL · Moses 550 D\F\L · Navigator · ORGOVYX · PERISTEEN · PREMARIN · SPACEOAR VUE · SPEEDICATH · SpaceOAR VUE System - 10mL · S~CURVE · Thiola · UroMax Ultra · XTANDI
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 →

The majority of payments (50%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in urology physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for urology physician in PA.

Looking for an urology physician in Pittsburgh?
Compare urology physicians in the Pittsburgh area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology physicians within 10 mi
88
Per 100K population
7.1
County median income
$76,393
Nearest hospital
UPMC MERCY
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. Semins is an interventional cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 7% 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. Semins experienced with imaging of urinary tract with contrast?
Based on Medicare claims data, Dr. Semins performed 58 imaging of urinary tract with contrast 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. Semins receive payments from pharmaceutical companies?
Yes. Dr. Semins received a total of $22,466 from 14 companies across 68 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. Semins's costs compare to other urology physicians in Pittsburgh?
Dr. Semins's average Medicare payment per service is $89. 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. Semins) 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 →