Medicare Enrolled

Dr. Phillip States, M.D.

Family Medicine · Punxsutawney, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
83 HILLCREST DR, Punxsutawney, PA 15767
8149383550
In practice since 2005 (20 years)
NPI: 1093791246 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. States 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 →
Are you Dr. States? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. States

Dr. Phillip States is a family medicine specialist in Punxsutawney, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. States performed 347 Medicare services across 169 unique beneficiaries.

Between the years covered by Open Payments, Dr. States received a total of $5,061 from 46 pharmaceutical and/or device companies across 344 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. States 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 ▲ 347 Medicare services $5,061 industry payments

Medicare Practice Summary

Medicare Utilization ↗
347
Medicare services
Bottom 37% in PA for family medicine
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
169
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~17 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
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
183 $41 $200
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
44 $59 $110
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.
37 $90 $177
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.
18 $69 $130
Hospital discharge day management, 30 minutes or less
This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less.
16 $62 $106
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.
14 $100 $193
Nursing facility visit, established patient, straightforward
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes.
12 $30 $63
Transitional care management services, moderate complexity
Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity.
12 $146 $250
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.
11 $40 $98
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 ↗
$5,061
Total received (2018-2024)
Avg $723/year across 7 years
Top 11% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
344
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
$5,061 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$357
2023
$576
2022
$1,130
2021
$953
2020
$691
2019
$496
2018
$859

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Exact Sciences Corporation
$49
Novo Nordisk Inc
$47
Otsuka America Pharmaceutical, Inc.
$42
Lilly USA, LLC
$40
Alkermes, Inc.
$26
Amgen Inc.
$20
Inspire Medical Systems, Inc.
$20
Janssen Pharmaceuticals, Inc
$19
iRhythm Technologies, Inc.
$18
SHIELD THERAPEUTICS INC
$18
ABBVIE INC.
$17
Boehringer Ingelheim Pharmaceuticals, Inc.
$14
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Exeltis, USA Inc.
$13
Top 3 companies account for 38.8% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$865
Janssen Pharmaceuticals, Inc
$783
E.R. Squibb & Sons, L.L.C.
$312
AbbVie Inc.
$245
ABBVIE INC.
$238
Amgen Inc.
$224
GlaxoSmithKline, LLC.
$198
Merck Sharp & Dohme Corporation
$196
Lilly USA, LLC
$163
Amarin Pharma Inc.
$160
AstraZeneca Pharmaceuticals LP
$148
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$146
Daiichi Sankyo Inc.
$140
Merck Sharp & Dohme LLC
$108
Novartis Pharmaceuticals Corporation
$104
Abbott Laboratories
$95
Dexcom, Inc.
$74
Takeda Pharmaceuticals U.S.A., Inc.
$69
Boehringer Ingelheim Pharmaceuticals, Inc.
$68
Genentech USA, Inc.
$64
SANOFI PASTEUR INC.
$59
Allergan Inc.
$54
PFIZER INC.
$50
Exact Sciences Corporation
$49
Bayer HealthCare Pharmaceuticals Inc.
$45
Otsuka America Pharmaceutical, Inc.
$42
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$39
Alkermes, Inc.
$26
Allergan, Inc.
$24
Gilead Sciences, Inc.
$24
SANOFI-AVENTIS U.S. LLC
$23
AbbVie, Inc.
$20
Inspire Medical Systems, Inc.
$20
Tactile Systems Technology Inc
$18
iRhythm Technologies, Inc.
$18
SHIELD THERAPEUTICS INC
$18
Shield Therapeutics Inc
$17
Biohaven Pharmaceuticals, Inc.
$16
Sanofi Pasteur Inc.
$15
Purdue Pharma L.P.
$15
Exeltis, USA Inc.
$13
Astellas Pharma US Inc
$12
Medtronic USA, Inc.
$12
DEXCOM, INC.
$11
Esperion Therapeutics, Inc.
$11
Biogen, Inc.
$11
Top 3 companies account for 38.7% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADUHELM · ANORO · Aimovig · Amitiza · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BYSTOLIC · CHANTIX · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · DEXCOM G7 GSS (161) · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · FARXIGA · FLEXITOUCH · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL 9 · INJECTAFER · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LINZESS · LYRICA · LifeVest · MOUNJARO · MYRBETRIQ · NEXLETOL · NURTEC ODT · OSTEOCOOL RF ABLATION · Orilissa · Otezla · Ozempic · PENTACEL · PNEUMOVAX 23 · PROCLAIM · Prolia · REXULTI · ROTATEQ · RYBELSUS · Rybelsus · SHINGRIX · SLYND · STEGLATRO · SYNTHROID · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRULANCE · TRULICITY · Tresiba · Trintellix · UBRELVY · VAXELIS · VIVITROL · VRAYLAR · Vascepa · Veklury · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza · Zio monitor
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.

Looking for a family medicine specialist in Punxsutawney?
Compare family medicine physicians in the Punxsutawney area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
113
Per 100K population
256.2
County median income
$56,898
Nearest hospital
PUNXSUTAWNEY AREA HOSPITAL
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. States is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 11% 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. States experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. States performed 183 chronic care management, first 20 min/month 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. States receive payments from pharmaceutical companies?
Yes. Dr. States received a total of $5,061 from 46 companies across 344 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. States's costs compare to other family medicine physicians in Punxsutawney?
Dr. States's average Medicare payment per service is $56. 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. States) 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 →