Medicare Enrolled

Dr. Mersedeh Karimian, D.O.

Pain Medicine · Apple Valley, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
18400 US HIGHWAY 18, Apple Valley, CA 92307
7602423939
In practice since 2007 (18 years)
NPI: 1952516304 verify on NPPES ↗
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. Karimian 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. Karimian

Dr. Mersedeh Karimian is a pain medicine specialist in Apple Valley, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Karimian performed 2,554 Medicare services across 382 unique beneficiaries.

Between the years covered by Open Payments, Dr. Karimian received a total of $12,109 from 16 pharmaceutical and/or device companies across 203 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain 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. Karimian 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.

✓ 18 years in practice ▲ Top 22% volume in CA $12,109 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,554
Medicare services
Top 22% in CA for pain medicine
382
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~142 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 (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.
1,153 $70 $250
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
1,140 $1 $20
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.
44 $131 $350
Spinal neurostimulator electrode insertion
A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system.
37 $267 $6,000
Injection into lower spine canal with imaging guidance
A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement.
36 $218 $800
Trigger point injection, 3 or more muscles
Injection of medication into three or more specific muscle trigger points to relieve pain.
30 $49 $300
Facet joint injection, second level, with imaging guidance
An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated.
29 $74 $400
Spine facet joint injection with imaging guidance, single level
An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement.
28 $143 $600
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
27 $83 $350
Electronic analysis of implanted neurostimulator with complex programming
This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators.
16 $33 $300
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.
14 $99 $300
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 ↗
$12,109
Total received (2018-2024)
Avg $1,730/year across 7 years
Top 16% in CA for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
203
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
$12,109 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$7,484
2023
$1,354
2022
$430
2021
$35
2020
$292
2019
$155
2018
$2,359

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$7,216
Boston Scientific Corporation
$237
ABBVIE INC.
$30
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$9,740
Vertiflex, Inc.
$798
Boston Scientific Corporation
$471
ABBVIE INC.
$319
Medtronic USA, Inc.
$258
Nevro Corp.
$135
Novo Nordisk Inc
$99
Allergan, Inc.
$62
Nalu Medical, Inc.
$60
Laborie Medical Technologies Corp.
$49
Axonics, Inc.
$33
180 Medical, Inc.
$20
Vertos Medical, Inc.
$19
Venclose Inc.
$18
Stryker Corporation
$13
Virtus Pharmaceuticals LLC
$13
Top 3 companies account for 90.9% of all-time payments
Associated products mentioned in payments ›
AMS · AMS 700 · Axium INS DRG IPG · Axonics · BOTOX · BOTOX COSMETIC · DRG IPGs · ETERNA · EVRSF · GENTLECATH · INTERSTIM · IVS - IVAS · LEVORPHANOL TARTRATE · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OCTRODE · PROCLAIM · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · SCS IPGs · SCS leads · Senza Spinal Cord Stimulation System · Superion ISS · Superion Indirect Decompression System · WaveWriter Alpha Prime 16 · Wegovy · mild Device Kit
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.

Looking for a pain medicine specialist in Apple Valley?
Compare pain medicines in the Apple Valley area by procedure volume, costs, and industry payment transparency.
Browse pain medicines nearby

Geographic Context

Pain medicines within 10 mi
4
Per 100K population
0.2
County median income
$82,184
Nearest hospital
PROVIDENCE ST MARY MEDICAL CENTER
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. Karimian is a clinical cardiology specialist, with above-average Medicare volume (top 22% in CA), with low-engagement industry engagement in the top 16% of CA peers, with 18 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. Karimian experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Karimian performed 1,153 office visit, established patient (20-29 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. Karimian receive payments from pharmaceutical companies?
Yes. Dr. Karimian received a total of $12,109 from 16 companies across 203 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. Karimian's costs compare to other pain medicines in Apple Valley?
Dr. Karimian's average Medicare payment per service is $46. 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. Karimian) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →