Medicare Enrolled
Dr. Thomas Hargest, MD, PHD
Family Medicine · York, 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. Hargest 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. Hargest
Dr. Thomas Hargest is a family medicine specialist in York, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Hargest performed 3,054 Medicare services across 1,700 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hargest received a total of $15,285 from 49 pharmaceutical and/or device companies across 936 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. Hargest 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
▲ Top 4% volume in PA
$15,285 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,054
Medicare services
Top 4% in PA for family medicine
1,700
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~161 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. |
568 | $80 | $150 |
| 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. |
499 | $43 | $65 |
| 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. |
301 | $56 | $105 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
301 | $35 | $50 |
| 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. |
171 | $79 | $95 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
149 | $9 | $20 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
143 | $124 | $165 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
123 | $29 | $35 |
| 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. |
114 | $71 | $85 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
114 | $54 | $75 |
| 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. |
65 | $6 | $8 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
65 | $5 | $10 |
| 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. |
46 | $40 | $50 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
45 | $29 | $35 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
43 | $3 | $10 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
43 | $15 | $35 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
38 | $98 | $135 |
| 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. |
37 | $9 | $60 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
30 | $155 | $275 |
| 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. |
29 | $281 | $349 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
28 | $38 | $55 |
| COVID-19 vaccine (Moderna bivalent) An intramuscular injection of the SARS-CoV-2 vaccine containing 50 micrograms in a 0.5 mL dose. |
28 | $138 | $185 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
24 | $32 | $65 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
21 | $131 | $170 |
| Adm sarscv2 bvl 50mcg/.5ml a | 18 | $39 | $50 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
11 | $20 | $30 |
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 ↗$15,285
Total received (2018-2024)
Avg $2,184/year across 7 years
Top 3% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
936
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
$15,272 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$13 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,073
2023
$2,792
2022
$2,495
2021
$2,370
2020
$1,308
2019
$1,821
2018
$2,427
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$438
AstraZeneca Pharmaceuticals LP
$269
Lilly USA, LLC
$224
ABBVIE INC.
$221
GlaxoSmithKline, LLC.
$210
PFIZER INC.
$150
Boehringer Ingelheim Pharmaceuticals, Inc.
$134
Phathom Pharmaceuticals, Inc.
$88
Esperion Therapeutics, Inc.
$51
Amgen Inc.
$46
Exact Sciences Corporation
$44
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$42
E.R. Squibb & Sons, L.L.C.
$39
Dexcom, Inc.
$31
Teva Pharmaceuticals USA, Inc.
$20
Janssen Pharmaceuticals, Inc
$18
Otsuka America Pharmaceutical, Inc.
$18
IDORSIA PHARMACEUTICALS US INC
$17
Takeda Pharmaceuticals U.S.A., Inc.
$15
Top 3 companies account for 44.9% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$2,343
PFIZER INC.
$1,658
AstraZeneca Pharmaceuticals LP
$1,423
GlaxoSmithKline, LLC.
$1,382
Lilly USA, LLC
$1,352
ABBVIE INC.
$1,318
Boehringer Ingelheim Pharmaceuticals, Inc.
$864
AbbVie Inc.
$543
Merck Sharp & Dohme Corporation
$435
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$431
Amgen Inc.
$344
Amarin Pharma Inc.
$306
SANOFI-AVENTIS U.S. LLC
$254
Allergan, Inc.
$199
E.R. Squibb & Sons, L.L.C.
$182
Takeda Pharmaceuticals U.S.A., Inc.
$178
Kowa Pharmaceuticals America, Inc.
$177
Esperion Therapeutics, Inc.
$176
Janssen Pharmaceuticals, Inc
$175
Biohaven Pharmaceutical Holding Company Ltd.
$147
Exact Sciences Corporation
$127
Biohaven Pharmaceuticals, Inc.
$125
Phathom Pharmaceuticals, Inc.
$116
Merck Sharp & Dohme LLC
$114
Bayer HealthCare Pharmaceuticals Inc.
$110
Pacira Pharmaceuticals Incorporated
$107
JAZZ PHARMACEUTICALS INC.
$86
Bayer Healthcare Pharmaceuticals Inc.
$72
Novartis Pharmaceuticals Corporation
$61
Nestle HealthCare Nutrition Inc.
$54
Teva Pharmaceuticals USA, Inc.
$50
Supernus Pharmaceuticals, Inc.
$40
Genentech USA, Inc.
$36
IDORSIA PHARMACEUTICALS US INC
$36
Dexcom, Inc.
$31
IBSA Pharma Inc.
$24
Abbott Laboratories
$23
Xeris Pharmaceuticals, Inc.
$23
Bausch Health US, LLC
$21
Otsuka America Pharmaceutical, Inc.
$18
Jazz Pharmaceuticals Inc.
$17
Allergan Inc.
$16
Evofem Biosciences, Inc.
$16
IRONWOOD PHARMACEUTICALS, INC
$13
Eisai Inc.
$13
Almatica Pharma LLC
$13
Synergy Pharmaceuticals Inc
$13
Intra-Sana Laboratories
$13
Hikma Pharmaceuticals USA
$11
Top 3 companies account for 35.5% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · ANORO · ANORO ELLIPTA · Aimovig · AirDuo Digihaler · Austedo XR · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREO · BREZTRI · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CREON · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EXPAREL · FARXIGA · FREESTYLE LIBRE 2 · GRALISE · GVOKE PFS · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LINZESS · LYRICA · Linzess · Livalo · MIGRANAL · MOUNJARO · Mitigare · NEXLETOL · NEXLIZET · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROQUAD · Phexxi · QELBREE · QULIPTA · QUVIVIQ · RELTONE 200 MG · REXULTI · ROTATEQ · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STEGLUJAN · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tresiba · Trintellix · Trulance · UBRELVY · VIBERZI · VIIBRYD · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Victoza · Vyvanse · Wegovy · XARELTO · XIFAXAN · Xofluza · Xultophy 100/3.6 · ZENPEP · ZEPBOUND
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 3% for family medicine in PA.
Geographic Context
Family medicine physicians within 10 mi
838
Per 100K population
182.4
County median income
$82,238
Nearest hospital
OSS ORTHOPAEDIC 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. Hargest is a clinical cardiology specialist, with above-average Medicare volume (top 4% in PA), with low-engagement industry engagement in the top 3% 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. Hargest experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hargest performed 568 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. Hargest receive payments from pharmaceutical companies?
Yes. Dr. Hargest received a total of $15,285 from 49 companies across 936 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. Hargest's costs compare to other family medicine physicians in York?
Dr. Hargest's average Medicare payment per service is $57. 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. Hargest) 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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