Medicare Enrolled
Dr. Fred Notarnicola, MD
Internal Medicine · Brooklyn, NY
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. Notarnicola 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. Notarnicola
Dr. Fred Notarnicola is an internal medicine specialist in Brooklyn, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Notarnicola performed 7,319 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Notarnicola received a total of $9,680 from 52 pharmaceutical and/or device companies across 466 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. Notarnicola 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 of NPI registration
▲ Top 3% volume in NY
$9,680 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗7,319
Medicare services
Top 3% in NY for internal medicine
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 |
|---|---|---|---|
| Allergy blood test (IgE), per allergen A blood test that measures the level of immunoglobulin E (IgE) antibodies produced in response to a specific crude allergen extract. |
793 | $5 | $10 |
| 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. |
634 | $73 | $136 |
| 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. |
349 | $104 | $161 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
199 | $8 | $15 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
194 | $8 | $46 |
| Liver function blood test panel | 194 | $8 | $48 |
| Amylase enzyme level test A blood test that measures the amount of amylase, an enzyme produced by the pancreas and salivary glands, to help evaluate pancreatic health. |
194 | $6 | $33 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
194 | $13 | $41 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
194 | $14 | $44 |
| Glutamyltransferase (GGT) level test A blood test that measures the level of the liver enzyme glutamyltransferase (GGT) to help evaluate liver health. |
194 | $7 | $36 |
| Iron level test | 194 | $6 | $23 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
194 | $6 | $30 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
194 | $5 | $19 |
| Free cortisol hormone test A laboratory test that measures the level of unbound cortisol in the body. Cortisol is a hormone produced by the adrenal glands. |
193 | $16 | $31 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
193 | $15 | $41 |
| Insulin level test A blood test that measures the total amount of insulin in your body. |
193 | $11 | $31 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
193 | $7 | $21 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
192 | $29 | $102 |
| Carcinoembryonic antigen (CEA) level test A blood test that measures the level of carcinoembryonic antigen (CEA) protein. This test is used to monitor certain types of cancer. |
192 | $19 | $54 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
192 | $16 | $41 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
192 | $14 | $34 |
| CA 19-9 tumor antigen test A blood test that measures the level of CA 19-9, a substance that can be found in the blood of some people with cancer. This quantitative analysis detects and measures the specific tumor antigen. |
192 | $20 | $50 |
| 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. |
190 | $6 | $30 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
190 | $9 | $22 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
188 | $4 | $18 |
| 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. |
180 | $12 | $58 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
126 | $13 | $29 |
| PSA test (prostate cancer screening) | 94 | $18 | $42 |
| Immunologic analysis for detection of tumor antigen, quantitative; ca 125 | 94 | $20 | $51 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
84 | $149 | $246 |
| Follicle stimulating hormone (FSH) level A blood test to measure the level of follicle stimulating hormone, a reproductive hormone. |
82 | $18 | $41 |
| Luteinizing hormone level test A blood test that measures the level of luteinizing hormone, a reproductive hormone. This test helps evaluate hormonal balance and reproductive function. |
82 | $18 | $44 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
76 | $0 | $25 |
| HDL cholesterol level test A blood test that measures the amount of high-density lipoprotein (HDL) cholesterol in your blood. HDL is often referred to as 'good' cholesterol. |
65 | $8 | $36 |
| LDL cholesterol level test A blood test that measures the amount of low-density lipoprotein (LDL) cholesterol in your blood. LDL is often referred to as "bad" cholesterol. |
65 | $10 | $38 |
| Dehydroepiandrosterone (DHEA) hormone level test This test measures the level of dehydroepiandrosterone (DHEA) hormone in the blood. DHEA is a hormone produced by the adrenal glands. |
63 | $25 | $52 |
| Triglyceride level test A blood test that measures the amount of triglycerides, a type of fat, in your blood. |
63 | $6 | $32 |
| 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. |
60 | $12 | $72 |
| Lidocaine HCl injection for IV infusion, 10 mg Administration of a 10 mg dose of lidocaine hydrochloride via intravenous infusion. |
32 | $0 | $10 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
29 | $52 | $75 |
| Free testosterone level test A blood test that measures the amount of free testosterone in your body. Free testosterone is the portion of the hormone not bound to proteins and available for use by tissues. |
22 | $25 | $62 |
| IgE level test A blood test that measures the level of immunoglobulin E (IgE) proteins in the immune system. |
21 | $16 | $43 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
20 | $30 | $141 |
| Annual depression screening | 15 | $22 | $77 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
14 | $3 | $25 |
| 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. |
11 | $112 | $250 |
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.
0.4% high complexity
1.9% medium
97.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,680
Total received (2018-2024)
Avg $1,383/year across 7 years
Top 9% in NY for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
466
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
$1,740
2023
$1,070
2022
$1,021
2021
$1,705
2020
$782
2019
$1,750
2018
$1,611
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$347
Lilly USA, LLC
$243
Medtronic, Inc.
$208
ABBVIE INC.
$178
Boehringer Ingelheim Pharmaceuticals, Inc.
$165
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$97
Exact Sciences Corporation
$83
PFIZER INC.
$79
Novo Nordisk Inc
$69
SANOFI-AVENTIS U.S. LLC
$58
Xeris Pharmaceuticals, Inc.
$43
Otsuka America Pharmaceutical, Inc.
$36
Astellas Pharma US Inc
$27
AIMMUNE THERAPEUTICS, INC.
$26
Cumberland Pharmaceuticals, Inc.
$23
Phadia US Inc.
$23
GlaxoSmithKline, LLC.
$22
Biogen, Inc.
$15
Top 3 companies account for 45.8% of 2024 payments
All-time payments by company (2018-2024) ›
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,069
GlaxoSmithKline, LLC.
$972
AstraZeneca Pharmaceuticals LP
$825
Novo Nordisk Inc
$819
ABBVIE INC.
$805
AbbVie Inc.
$704
Lilly USA, LLC
$445
Allergan Inc.
$387
PFIZER INC.
$382
Merck Sharp & Dohme Corporation
$332
Boehringer Ingelheim Pharmaceuticals, Inc.
$277
Medtronic, Inc.
$208
Janssen Pharmaceuticals, Inc
$168
Novartis Pharmaceuticals Corporation
$165
SK Life Science, Inc.
$164
ARBOR PHARMACEUTICALS, INC.
$157
Synergy Pharmaceuticals Inc
$148
Astellas Pharma US Inc
$146
Ironwood Pharmaceuticals, Inc
$115
Amgen Inc.
$105
Otsuka America Pharmaceutical, Inc.
$97
Exact Sciences Corporation
$96
Ferring Pharmaceuticals Inc.
$89
Allergan, Inc.
$89
Genentech USA, Inc.
$80
Gilead Sciences, Inc.
$77
Kowa Pharmaceuticals America, Inc.
$67
SANOFI-AVENTIS U.S. LLC
$58
AbbVie, Inc.
$55
Teva Pharmaceuticals USA, Inc.
$48
Xeris Pharmaceuticals, Inc.
$43
Biohaven Pharmaceutical Holding Company Ltd.
$41
Endo Pharmaceuticals Inc.
$40
Takeda Pharmaceuticals U.S.A., Inc.
$39
Melinta Therapeutics, Inc.
$32
Amarin Pharma Inc.
$32
Sanofi Pasteur Inc.
$29
AIMMUNE THERAPEUTICS, INC.
$26
SCILEX PHARMACEUTICALS INC.
$24
Cumberland Pharmaceuticals, Inc.
$23
Phadia US Inc.
$23
LINUS HEALTH, INC.
$22
RECORDATI_RARE_DISEASES_INC.
$22
Scilex Pharmaceuticals Inc.
$19
Biohaven Pharmaceuticals, Inc.
$19
Mission Pharmacal Company
$16
Biogen, Inc.
$15
Avion Pharmaceuticals
$14
Neos Therapeutics, LP
$14
Merz North America, Inc.
$13
BOSTON SCIENTIFIC CORPORATION
$13
SANOFI PASTEUR INC.
$13
Top 3 companies account for 29.6% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AVYCAZ · Adzenys XR-ODT · Aimovig · Amitiza · BELSOMRA · BEVESPI AEROSPHERE · BREZTRI · Balcoltra · Baxdela · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · CORE COGNITIVE EVALUATION · CYLTEZO · Cologuard Collection Kit · DALVANCE · DIFICID · ELIQUIS · EMGALITY · ENTRESTO · EUFLEXXA · Edarbi · Edarbyclor · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · Ferralet · GENERAL THERAPIES · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · KRISTALOSE · LINQ II · LINZESS · LYRICA · Linzess · Livalo · MENACTRA · MOUNJARO · MYRBETRIQ · NASCOBAL · NUCALA · NURTEC ODT · Otezla · Otovel · Ozempic · PREVNAR 13 · PREVNAR 20 · QULIPTA · RECORLEV · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SIGNIFOR LAR · SKYCLARYS · SPIRIVA RESPIMAT · SYNTHROID · Saxenda · Synthroid · TEFLARO · TEZSPIRE · TRADJENTA · TRELEGY ELLIPTA · TRULANCE · TRULICITY · TZIELD · Trintellix · Trulance · UBRELVY · VERQUVO · VIBERZI · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XCOPRI · XEOMIN · XIFAXAN · Xofluza · ZENPEP · ZEPBOUND · ZERBAXA · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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
10,775
County median income
$78,548
Nearest hospital to ZIP centroid (approximate)
VA NEW YORK HARBOR HEALTHCARE SYSTEM - BROOKLYN
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. Notarnicola is a mixed practice specialist, with above-average Medicare volume (top 3% in NY), 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. Notarnicola experienced with allergy blood test (ige), per allergen?
Based on Medicare claims data, Dr. Notarnicola performed 793 allergy blood test (ige), per allergen 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. Notarnicola receive payments from pharmaceutical companies?
Yes. Dr. Notarnicola received a total of $9,680 from 52 companies across 466 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. Notarnicola's costs compare to other internal medicine physicians in Brooklyn?
Dr. Notarnicola'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 Dr. Notarnicola) 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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