Medicare Enrolled

James Noto

Neurology · Plains, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
670 S RIVER ST STE 203, Plains, PA 18705
5705527110
Registered in NPPES since 2014
NPI: 1245641430 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 Noto 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 Noto

James Noto is a neurology specialist in Plains, PA, with 12 years of NPI registration. Based on federal Medicare data, Noto performed 6,556 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Noto received a total of $4,188 from 40 pharmaceutical and/or device companies across 252 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 Noto 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.

✓ 12 years of NPI registration ▲ Top 5% volume in PA $4,188 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
6,556
Medicare services
Top 5% in PA for neurology
Not available
Unique patients (not deduplicated)
$23
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
Botox injection, per unit
An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered.
5,000 $3 $15
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.
546 $89 $200
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.
388 $61 $125
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.
158 $132 $250
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.
102 $116 $275
Awake and drowsy EEG
A test that records electrical activity in the brain while the patient is awake and drowsy.
101 $43 $152
Electromyography of arm or leg muscles
A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them.
74 $73 $222
New patient office visit, complex (60-74 min) 63 $150 $350
EEG, extended monitoring
A test that records electrical activity in the brain while the patient is both awake and asleep.
44 $42 $145
Telephone medical discussion, 5-10 minutes
A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters.
21 $42 $110
Nerve conduction study, 9-10 studies
A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function.
18 $133 $565
Nerve conduction studies, 5-6 tests
A series of 5 to 6 tests that measure how well nerves send electrical signals. The procedure evaluates nerve function and helps identify damage or dysfunction.
15 $90 $360
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
15 $65 $125
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
11 $119 $425
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 ↗
$4,188
Total received (2018-2024)
Avg $598/year across 7 years
Top 31% in PA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
252
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
$423
2023
$723
2022
$1,425
2021
$1,279
2020
$172
2019
$151
2018
$14

Payments by company (2024)

ABBVIE INC.
$377
PFIZER INC.
$17
Alnylam Pharmaceuticals Inc.
$16
Novartis Pharmaceuticals Corporation
$14
Top 3 companies account for 96.8% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$957
Teva Pharmaceuticals USA, Inc.
$359
Alexion Pharmaceuticals, Inc.
$326
Amgen Inc.
$302
AbbVie Inc.
$198
Biogen, Inc.
$196
Novartis Pharmaceuticals Corporation
$186
EISAI INC.
$146
Biohaven Pharmaceuticals, Inc.
$139
ACADIA Pharmaceuticals Inc
$117
CSL Behring
$112
Avion Pharmaceuticals
$104
Amneal Pharmaceuticals LLC
$102
GENZYME CORPORATION
$91
Lilly USA, LLC
$87
Allergan, Inc.
$83
Eisai Inc.
$58
Kyowa Kirin, Inc.
$58
Lundbeck LLC
$50
Novo Nordisk Inc
$44
SK Life Science, Inc.
$39
Neurocrine Biosciences, Inc.
$36
Janssen Pharmaceuticals, Inc
$34
Biohaven Pharmaceutical Holding Company Ltd.
$34
PFIZER INC.
$33
Supernus Pharmaceuticals, Inc.
$32
LivaNova USA, Inc.
$30
GE HealthCare
$30
ARGENX US, INC.
$28
Sunovion Pharmaceuticals Inc.
$26
Greenwich Biosciences, Inc.
$21
MDD US Operations, LLC
$21
Neurelis, Inc.
$18
Alnylam Pharmaceuticals Inc.
$16
Otsuka America Pharmaceutical, Inc.
$14
CATALYST PHARMACEUTICALS, INC.
$13
IMPEL PHARMACEUTICALS INC.
$12
Aprecia Pharmaceuticals, LLC
$12
Braemar Manufacturing, LLC
$11
MITSUBISHI TANABE PHARMA AMERICA, INC.
$11
Top 3 companies account for 39.2% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AIMOVIG · AJOVY · APOKYN · APTIOM · AUBAGIO · AUSTEDO · Aduhelm · Aimovig · BOTOX · Cardiac Monitoring Suite · Dhivy · EMGALITY · Epidiolex · FIRDAPSE · Fycompa · GIVLAARI · Hizentra · INGREZZA · KESIMPTA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nourianz · OXTELLAR XR · Ongentys · Ozempic · PAXLOVID · PLEGRIDY · QULIPTA · RADICAVA · RYTARY · SOLIRIS · Soliris · Spritam · TROKENDI XR · TYSABRI · Trudhesa · UBRELVY · ULTOMIRIS · VALTOCO · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VYEPTI · VYVGART
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 neurology specialist in Plains?
Compare neurologists in the Plains area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurologists in nearby ZIP areas
16
County median income
$62,321
Nearest hospital to ZIP centroid (approximate)
GEISINGER BEHAVIORAL HEALTH CENTER NORTHEAST
10.3 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

Noto is a clinical cardiology specialist, with above-average Medicare volume (top 5% in PA).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Noto experienced with botox injection, per unit?
Based on Medicare claims data, Noto performed 5,000 botox injection, per unit services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Noto receive payments from pharmaceutical companies?
Yes. Noto received a total of $4,188 from 40 companies across 252 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 Noto's costs compare to other neurologists in Plains?
Noto's average Medicare payment per service is $23. 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 Noto) 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 →