Medicare Enrolled
Dr. Richard Pish, MD
Internal Medicine · Uniontown, 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. Pish 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. Pish
Dr. Richard Pish is an internal medicine specialist in Uniontown, PA, with 21 years of NPI registration. Based on federal Medicare data, Dr. Pish performed 5,095 Medicare services across 1,788 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pish received a total of $23,488 from 73 pharmaceutical and/or device companies across 1342 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Pish 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.
✓ 21 years in practice
▲ Top 2% volume in PA
$23,488 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,095
Medicare services
Top 2% in PA for internal medicine
1,788
Unique beneficiaries
$41
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~243 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 2,760 | $16 | $21 |
| 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. |
401 | $80 | $155 |
| 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. |
365 | $47 | $105 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
241 | $29 | $32 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
225 | $75 | $86 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
217 | $123 | $200 |
| 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. |
137 | $91 | $185 |
| 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. |
108 | $8 | $35 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
108 | $29 | $30 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
105 | $282 | $314 |
| 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. |
67 | $37 | $110 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
60 | $52 | $150 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
53 | $1 | $5 |
| Injection, methylprednisolone acetate, 40 mg | 35 | $5 | $20 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
34 | $48 | $105 |
| 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. |
31 | $132 | $205 |
| 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. |
29 | $10 | $40 |
| Home visit, established patient, high complexity A home visit for an established patient involving high-level medical decision making, lasting at least 60 minutes. |
24 | $141 | $225 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
22 | $31 | $75 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
21 | $30 | $90 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
18 | $7 | $50 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
18 | $40 | $80 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
16 | $33 | $43 |
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 ↗$23,488
Total received (2018-2024)
Avg $3,355/year across 7 years
Top 4% in PA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
73
Companies
1,342
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
$23,488 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,493
2023
$2,827
2022
$3,230
2021
$3,868
2020
$2,989
2019
$2,944
2018
$5,137
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$268
ABBVIE INC.
$253
PFIZER INC.
$235
Janssen Pharmaceuticals, Inc
$199
Abbott Laboratories
$198
AstraZeneca Pharmaceuticals LP
$195
Amgen Inc.
$183
GlaxoSmithKline, LLC.
$140
Exact Sciences Corporation
$137
Boehringer Ingelheim Pharmaceuticals, Inc.
$91
E.R. Squibb & Sons, L.L.C.
$89
Bayer Healthcare Pharmaceuticals Inc.
$82
Lilly USA, LLC
$77
Phathom Pharmaceuticals, Inc.
$76
Otsuka America Pharmaceutical, Inc.
$73
Merck Sharp & Dohme LLC
$49
Esperion Therapeutics, Inc.
$31
Amneal Pharmaceuticals LLC
$26
Insulet Corporation
$23
Takeda Pharmaceuticals U.S.A., Inc.
$18
Xeris Pharmaceuticals, Inc.
$18
Currax Pharmaceuticals LLC
$16
Dexcom, Inc.
$15
Top 3 companies account for 30.3% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$2,495
Janssen Pharmaceuticals, Inc
$1,927
AstraZeneca Pharmaceuticals LP
$1,856
PFIZER INC.
$1,645
GlaxoSmithKline, LLC.
$1,593
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,247
Lilly USA, LLC
$1,198
SANOFI-AVENTIS U.S. LLC
$909
Amgen Inc.
$879
ABBVIE INC.
$750
Novartis Pharmaceuticals Corporation
$732
Boston Scientific Corporation
$594
E.R. Squibb & Sons, L.L.C.
$525
BIOTRONIK INC.
$518
Amarin Pharma Inc.
$404
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$364
Esperion Therapeutics, Inc.
$314
AbbVie Inc.
$308
Abbott Laboratories
$300
BOSTON SCIENTIFIC CORPORATION
$285
Bayer Healthcare Pharmaceuticals Inc.
$276
Exact Sciences Corporation
$249
Merck Sharp & Dohme Corporation
$238
Genentech USA, Inc.
$214
Synergy Pharmaceuticals Inc
$206
Biohaven Pharmaceutical Holding Company Ltd.
$195
Astellas Pharma US Inc
$194
Radius Health, Inc.
$192
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$177
Allergan Inc.
$153
IDORSIA PHARMACEUTICALS US INC
$152
Bayer HealthCare Pharmaceuticals Inc.
$148
Kowa Pharmaceuticals America, Inc.
$148
Actelion Pharmaceuticals US, Inc.
$140
Sunovion Pharmaceuticals Inc.
$136
Akcea Therapeutics, Inc.
$127
Corcept Therapeutics
$126
Allergan, Inc.
$117
GRT US Holding, Inc.
$115
BioFire Diagnostics, LLC
$105
Daiichi Sankyo Inc.
$104
Takeda Pharmaceuticals U.S.A., Inc.
$100
Merck Sharp & Dohme LLC
$81
Teva Pharmaceuticals USA, Inc.
$79
Phathom Pharmaceuticals, Inc.
$76
Otsuka America Pharmaceutical, Inc.
$73
Horizon Therapeutics plc
$61
Avanir Pharmaceuticals, Inc.
$58
Dexcom, Inc.
$57
Biohaven Pharmaceuticals, Inc.
$46
Eisai Inc.
$45
Insulet Corporation
$41
Gilead Sciences, Inc.
$40
Xeris Pharmaceuticals, Inc.
$38
GENZYME CORPORATION
$28
ARBOR PHARMACEUTICALS, INC.
$27
Amneal Pharmaceuticals LLC
$26
Ironwood Pharmaceuticals, Inc
$26
Lundbeck LLC
$20
HOSPIRA, INC.
$20
UCB, Inc.
$20
Harmony Biosciences LLC
$20
Currax Pharmaceuticals LLC
$16
Sun Pharmaceutical Industries Inc.
$16
Grifols USA, LLC
$15
Ultragenyx Pharmaceutical Inc.
$15
ITI, Inc.
$15
Avadel Specialty Pharmaceuticals, LLC
$15
Tactile Systems Technology Inc
$14
Alfasigma USA, Inc.
$13
Medtronic USA, Inc.
$12
DEXCOM, INC.
$11
Noden Pharma USA Inc
$11
Top 3 companies account for 26.7% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · Aimovig · BAQSIMI · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BRILINTA · BYDUREON · BYSTOLIC · BioFire FilmArray · CAPLYTA · CHANTIX · COLOGUARD · COMIRNATY · CREON · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · DRIZALMA SPRINKLE · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMBLEM · EMBLEM MRI S-ICD · EMGALITY · ENTRESTO · EVENITY · Edarbi · FABRAZYME · FARXIGA · FASENRA · FORTEO · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Flexitouch Plus · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · GATTEX · GENERAL TACHY · GVOKE HYPOPEN · GVOKE PFS · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · KYNMOBI · Kerendia · Korlym · LEQVIO · LINZESS · LIVALO · LONHALA MAGNAIR · LYRICA · LifeVest · Livalo · MOUNJARO · MOVANTIK · MYRBETRIQ · NAMZARIC · NEXLETOL · NEXLIZET · NORTHERA · NUEDEXTA · NURTEC ODT · Noctiva · OCREVUS · ONZETRA XSAIL · OPSUMIT MACITENTAN · Omnipod · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PREMARIN · PREVNAR - 13 · PREVNAR 20 · PROCLAIM · Prolastin-C Liquid · Prolia · QULIPTA · QUVIVIQ · Qutenza · RELISTOR ORAL · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TEGSEDI · TEKTURNA · TEZSPIRE · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trulance · Tymlos · UBRELVY · UNITHROID · UPLIZNA · VECTRIS · VESICARE · VIBERZI · VIIBRYD · VOQUEZNA · VRAYLAR · VYNDAMAX · Vascepa · Victoza · Vimpat · WATCHMAN Access System · Wakix · Wegovy · XARELTO · XIFAXAN · Xofluza · ZOSTAVAX
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. Total industry engagement is in the top 4% for internal medicine in PA.
Geographic Context
Internal medicine physicians within 10 mi
214
Per 100K population
168.5
County median income
$56,093
Nearest hospital
UNIONTOWN HOSPITAL
0.0 mi
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. Pish is a clinical cardiology specialist, with above-average Medicare volume (top 2% in PA), with low-engagement industry engagement in the top 4% of PA peers, with 21 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. Pish experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Pish performed 2,760 denosumab injection (prolia/xgeva) 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. Pish receive payments from pharmaceutical companies?
Yes. Dr. Pish received a total of $23,488 from 73 companies across 1,342 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. Pish's costs compare to other internal medicine physicians in Uniontown?
Dr. Pish's average Medicare payment per service is $41. 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. Pish) 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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