Medicare Enrolled

Dr. Michael Plainse, M.D.

Cardiovascular Disease · Carmel, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
MISSION & 4TH STREET, STE. 3, Carmel, CA 93921
8316252665
In practice since 2007 (19 years)
NPI: 1508919432 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. Plainse 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 →
Are you Dr. Plainse? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Plainse

Dr. Michael Plainse is a cardiovascular disease specialist in Carmel, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Plainse performed 8,684 Medicare services across 3,709 unique beneficiaries.

Between the years covered by Open Payments, Dr. Plainse received a total of $21,577 from 16 pharmaceutical and/or device companies across 93 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Plainse 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 8% volume in CA $21,577 industry payments

Medicare Practice Summary

Medicare Utilization ↗
8,684
Medicare services
Top 8% in CA for cardiovascular disease
3,709
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~457 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.
1,876 $97 $195
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
1,277 $45 $87
EKG interpretation and report
A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report.
1,110 $7 $42
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
985 $8 $22
Prothrombin time test (blood clotting)
A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process.
985 $4 $30
Limited abdominal ultrasound
A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures.
377 $78 $300
Echocardiogram, transthoracic
An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function.
377 $162 $1,400
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
267 $98 $175
Continuous ECG monitoring, up to 30 days
Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results.
166 $21 $100
30-day continuous ECG with patient-triggered event transmission and review
This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report.
166 $763 $1,500
2-day continuous ECG with review and report
A two-day continuous electrocardiogram recording that includes a professional review and written report of the results.
160 $60 $150
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
157 $164 $400
Cardiac rhythm monitor programming
Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection.
139 $50 $75
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision.
104 $18 $139
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results.
104 $12 $153
Pacemaker programming, dual lead system
Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings.
99 $63 $110
Ultrasound of arm or leg veins
An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages.
90 $17 $67
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
67 $142 $300
Ultrasound of arm or leg veins
An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers.
53 $28 $90
Critical care, first 30-74 min
Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient.
52 $174 $380
New patient office visit, complex (60-74 min) 39 $169 $305
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
18 $65 $150
Sedation by physician, initial 15 minutes
Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older.
16 $10 $100
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.
5.5% high complexity
10.2% medium
84.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$21,577
Total received (2018-2024)
Avg $3,082/year across 7 years
Top 16% in CA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
93
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18,887 (87.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,691 (12.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$764
2023
$511
2022
$278
2021
$61
2020
$4,015
2019
$5,077
2018
$10,871

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$300
Edwards Lifesciences Corporation
$177
Kiniksa Pharmaceuticals International, plc
$160
AstraZeneca Pharmaceuticals LP
$126
Top 3 companies account for 83.5% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$17,851
Otsuka America Pharmaceutical, Inc.
$1,062
Abbott Laboratories
$417
Medtronic Vascular, Inc.
$411
AstraZeneca Pharmaceuticals LP
$385
Janssen Pharmaceuticals, Inc
$255
BIOTRONIK INC.
$245
Edwards Lifesciences Corporation
$177
Kiniksa Pharmaceuticals International, plc
$160
Boehringer Ingelheim Pharmaceuticals, Inc.
$160
Medtronic, Inc.
$142
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$122
Regeneron Healthcare Solutions, Inc.
$71
PFIZER INC.
$66
Novartis Pharmaceuticals Corporation
$31
Allergan Inc.
$21
Top 3 companies account for 89.6% of all-time payments
Associated products mentioned in payments ›
ACCENT · ADAPTA · AVEIR · AZURE XT DR MRI SURESCAN · Arcalyst · Azure · BRILINTA · BYSTOLIC · CareLink · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ENTRESTO · Edora 8 DR-T · FARXIGA · HeartMate 3 Left Ventricular Dev · JARDIANCE · LINQ II · LifeVest · PRADAXA · PRALUENT ALIROCUMAB INJECTION · Repatha · Reveal LINQ · SAMSCA · VYNDAQEL · Visia AF · XARELTO
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 →

The majority of payments (88%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware.

Looking for a cardiovascular disease specialist in Carmel?
Compare cardiologists in the Carmel area by procedure volume, costs, and industry payment transparency.
Browse cardiologists nearby

Geographic Context

Cardiologists within 10 mi
21
Per 100K population
4.8
County median income
$94,486
Nearest hospital
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
6.5 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. Plainse is a clinical cardiology specialist, with above-average Medicare volume (top 8% in CA), with speaking/promotional industry engagement in the top 16% of CA 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. Plainse experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Plainse performed 1,876 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. Plainse receive payments from pharmaceutical companies?
Yes. Dr. Plainse received a total of $21,577 from 16 companies across 93 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. Plainse's costs compare to other cardiologists in Carmel?
Dr. Plainse's average Medicare payment per service is $68. 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. Plainse) 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 →