Medicare Enrolled
Dr. Thomas Patnaude, M.D.
Internal Medicine · Worcester, MA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Patnaude 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. Patnaude
Dr. Thomas Patnaude is an internal medicine specialist in Worcester, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Patnaude performed 3,579 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Patnaude received a total of $8,938 from 55 pharmaceutical and/or device companies across 429 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 Dr. Patnaude 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 of NPI registration
▲ Top 5% volume in MA
$8,938 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,579
Medicare services
Top 5% in MA for internal medicine
Not available
Unique patients (not deduplicated)
$15
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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
264 | $8 | $15 |
| 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. |
202 | $63 | $100 |
| Electrolyte blood test panel A blood test that measures the levels of sodium, potassium, chloride, and carbon dioxide to evaluate electrolyte balance. |
182 | $7 | $75 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
182 | $4 | $18 |
| Creatine measurement A laboratory test that measures the level of creatine in a blood sample. This test helps evaluate muscle health and function. |
181 | $5 | $15 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
180 | $5 | $15 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
170 | $4 | $18 |
| 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. |
164 | $95 | $170 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
136 | $13 | $71 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
132 | $4 | $14 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
129 | $5 | $40 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
121 | $7 | $25 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
117 | $8 | $33 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
115 | $6 | $40 |
| Total protein blood test A blood test that measures the total amount of protein in your blood. This test helps evaluate your overall health and nutritional status. |
115 | $4 | $15 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
114 | $9 | $35 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
114 | $16 | $65 |
| Albumin level test A blood test that measures the amount of albumin, a protein made by the liver, in your body. |
113 | $5 | $18 |
| Total bilirubin level test A blood test that measures the total amount of bilirubin, a waste product from the breakdown of red blood cells, in your body. |
113 | $5 | $18 |
| Alkaline phosphatase level test A blood test that measures the level of alkaline phosphatase, an enzyme found in the liver and bones. |
112 | $5 | $18 |
| Liver enzyme (SGOT) level test A blood test that measures the level of the liver enzyme SGOT to help assess liver health. |
110 | $5 | $20 |
| Liver enzyme (SGPT) level test A blood test that measures the level of the liver enzyme SGPT to assess liver function. |
110 | $5 | $20 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
106 | $3 | $12 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
106 | $5 | $10 |
| 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. |
49 | $11 | $60 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
28 | $38 | $75 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
26 | $10 | $25 |
| 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. |
22 | $121 | $180 |
| PSA test (prostate cancer screening) | 17 | $18 | $50 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
17 | $21 | $100 |
| 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. |
16 | $22 | $50 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
16 | $34 | $50 |
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 ↗$8,938
Total received (2018-2024)
Avg $1,277/year across 7 years
Top 13% in MA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
429
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
$1,493
2023
$1,797
2022
$1,506
2021
$527
2020
$274
2019
$1,258
2018
$2,083
Payments by company (2024)
Teva Pharmaceuticals USA, Inc.
$205
Lilly USA, LLC
$147
ABBVIE INC.
$119
Otsuka America Pharmaceutical, Inc.
$115
Gilead Sciences, Inc.
$103
Novartis Pharmaceuticals Corporation
$100
Lundbeck LLC
$73
Bayer Healthcare Pharmaceuticals Inc.
$63
Exact Sciences Corporation
$58
GlaxoSmithKline, LLC.
$51
Phathom Pharmaceuticals, Inc.
$49
Daiichi Sankyo Inc.
$48
Novo Nordisk Inc
$46
AstraZeneca Pharmaceuticals LP
$41
Corcept Therapeutics
$39
Janssen Pharmaceuticals, Inc
$30
AIMMUNE THERAPEUTICS, INC.
$30
Neurocrine Biosciences, Inc.
$29
PFIZER INC.
$28
Sumitomo Pharma America, Inc.
$27
QIAGEN, LLC
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$22
Echosens North America, Inc.
$16
Astellas Pharma US Inc
$15
E.R. Squibb & Sons, L.L.C.
$14
Top 3 companies account for 31.5% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$1,010
AstraZeneca Pharmaceuticals LP
$802
Lilly USA, LLC
$601
Sunovion Pharmaceuticals Inc.
$511
GlaxoSmithKline, LLC.
$489
Astellas Pharma US Inc
$482
ABBVIE INC.
$409
PFIZER INC.
$400
Boehringer Ingelheim Pharmaceuticals, Inc.
$391
Teva Pharmaceuticals USA, Inc.
$366
Janssen Pharmaceuticals, Inc
$341
Otsuka America Pharmaceutical, Inc.
$240
Abbott Laboratories
$216
Novo Nordisk Inc
$189
Qiagen, LLC
$149
Amgen Inc.
$148
Bayer Healthcare Pharmaceuticals Inc.
$140
Gilead Sciences, Inc.
$140
Avanir Pharmaceuticals, Inc.
$130
Neurocrine Biosciences, Inc.
$129
SANOFI-AVENTIS U.S. LLC
$123
Corcept Therapeutics
$117
E.R. Squibb & Sons, L.L.C.
$111
Exact Sciences Corporation
$111
Nestle HealthCare Nutrition Inc.
$94
Allergan Inc.
$93
Daiichi Sankyo Inc.
$75
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$74
Lundbeck LLC
$73
Sumitomo Pharma America, Inc.
$72
Melinta Therapeutics, Inc.
$72
Biogen, Inc.
$64
Regeneron Healthcare Solutions, Inc.
$62
Philips Electronics North America Corporation
$60
Phathom Pharmaceuticals, Inc.
$49
Esperion Therapeutics, Inc.
$35
Quidel Corporation
$32
AIMMUNE THERAPEUTICS, INC.
$30
SUN PHARMACEUTICAL INDUSTRIES INC.
$25
QIAGEN, LLC
$23
Antares Pharma, Inc.
$22
Takeda Pharmaceuticals U.S.A., Inc.
$22
Amarin Pharma Inc.
$20
Shield Therapeutics Inc
$20
Bardy Diagnostics, Inc.
$20
Scilex Pharmaceuticals Inc.
$18
Endo Pharmaceuticals Inc.
$17
Sun Pharmaceutical Industries Inc.
$16
Echosens North America, Inc.
$16
Medtronic, Inc.
$16
Mylan Specialty L.P.
$16
Sanofi Pasteur Inc.
$15
Ferring Pharmaceuticals Inc.
$15
QIAGEN SCIENCES LLC
$13
SANOFI PASTEUR INC.
$13
Top 3 companies account for 27.0% of all-time payments
Associated products mentioned in payments ›
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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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
989
County median income
$93,561
Nearest hospital to ZIP centroid (approximate)
ADCARE HOSPITAL OF WORCESTER INC
0.0 mi
0.0 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
Dr. Patnaude is a mixed practice specialist, with above-average Medicare volume (top 5% in MA), 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. Patnaude experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Patnaude performed 264 blood draw (venipuncture) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Patnaude receive payments from pharmaceutical companies?
Yes. Dr. Patnaude received a total of $8,938 from 55 companies across 429 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 Dr. Patnaude's costs compare to other internal medicine physicians in Worcester?
Dr. Patnaude's average Medicare payment per service is $15. 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. Patnaude) 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 →
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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.
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