A medical device for wirelessly communicating with at least one implantable medical device (IMD) comprises a telemetry circuit that monitors an ambient noise on one or more communication channels used for the wireless communication with the at least one IMD. The medical device also includes a network interface that transmits data corresponding to the monitored ambient noise to a data storage device external from the device. The data storage device may retrieve and present the data corresponding to the monitored ambient noise received from one or more medical devices to facilitate identification or characterization of noise sources, designing or updating medical devices to compensate for ambient noise, or troubleshooting or otherwise analyzing operation of the medical devices. In some cases, the data storage device may automatically analyze the ambient noise to and, for example, provide alerts relating to ambient noise or medical device operation.