Medicare Enrolled
Dr. Vishakha Gigler, MD
MOHS-Micrographic Surgery Physician · Encinitas, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Gigler 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. Gigler
Dr. Vishakha Gigler is a mohs-micrographic surgery physician in Encinitas, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gigler performed 6,427 Medicare services across 3,088 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gigler received a total of $4,219 from 28 pharmaceutical and/or device companies across 175 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in mohs-micrographic surgery physician. 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. Gigler 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 27% volume in CA
$4,219 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,427
Medicare services
Top 27% in CA for mohs-micrographic surgery physician
3,088
Unique beneficiaries
$84
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~338 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 |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
2,205 | $6 | $17 |
| 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. |
651 | $95 | $312 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
580 | $39 | $171 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
570 | $72 | $263 |
| 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. |
552 | $66 | $221 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
333 | $97 | $295 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
300 | $45 | $129 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
234 | $568 | $1,722 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
224 | $136 | $431 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 136 | $368 | $1,053 |
| Complex wound repair, 1.1-2.5 cm A surgical procedure to close a complex wound measuring between 1.1 and 2.5 centimeters on areas such as the face, neck, hands, or feet. |
130 | $178 | $984 |
| 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. |
106 | $43 | $140 |
| Complicated wound repair, scalp/arms/legs, 1.1-2.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 1.1 and 2.5 centimeters. |
92 | $257 | $905 |
| Surgical removal of skin cancer, 1.1-2.0 cm Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs. |
88 | $109 | $621 |
| Complex repair of eyelid, nose, ear, or lip wound, 1.1-2.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 1.1 and 2.5 centimeters. |
33 | $192 | $1,069 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
31 | $59 | $246 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
27 | $129 | $454 |
| Removal of noncancer skin growth, 1.1-2.0 cm This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The growth measured between 1.1 and 2.0 centimeters in diameter. |
24 | $76 | $437 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
24 | $345 | $1,080 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
24 | $260 | $1,189 |
| Complex wound repair of trunk, 1.1-2.5 cm A surgical procedure to close a complex wound on the trunk that measures between 1.1 and 2.5 centimeters. |
17 | $277 | $869 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
17 | $555 | $1,622 |
| Complicated wound repair of trunk, 2.6-7.5 cm A surgical procedure to close a complex wound on the trunk that measures between 2.6 and 7.5 centimeters in length. |
16 | $305 | $1,010 |
| All potassium hydroxide (koh) preparations | 13 | $6 | $12 |
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 ↗$4,219
Total received (2018-2024)
Avg $603/year across 7 years
Top 36% in CA for mohs-micrographic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
175
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
$4,219 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,227
2023
$713
2022
$620
2021
$426
2020
$78
2019
$374
2018
$780
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$503
Dermavant Sciences, Inc.
$126
PFIZER INC.
$125
LEO Pharma Inc.
$109
E.R. Squibb & Sons, L.L.C.
$86
Arcutis Biotherapeutics, Inc.
$55
Galderma Laboratories, L.P.
$47
REVANCE THERAPEUTICS, INC.
$36
SUN PHARMACEUTICAL INDUSTRIES INC.
$35
Boehringer Ingelheim Pharmaceuticals, Inc.
$32
Lilly USA, LLC
$24
Amgen Inc.
$17
Janssen Biotech, Inc.
$16
GENZYME CORPORATION
$15
Top 3 companies account for 61.5% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$829
PFIZER INC.
$492
LEO Pharma Inc.
$294
Sun Pharmaceutical Industries Inc.
$271
Galderma Laboratories, L.P.
$268
Regeneron Healthcare Solutions, Inc.
$208
E.R. Squibb & Sons, L.L.C.
$186
AbbVie, Inc.
$164
GENZYME CORPORATION
$164
Dermavant Sciences, Inc.
$142
Amgen Inc.
$127
Regeneron Pharmaceuticals, Inc.
$126
Novartis Pharmaceuticals Corporation
$122
Arcutis Biotherapeutics, Inc.
$114
SANOFI-AVENTIS U.S. LLC
$111
Incyte Corporation
$90
PruGen, Inc. Pharmaceuticals
$89
SUN PHARMACEUTICAL INDUSTRIES INC.
$89
AbbVie Inc.
$69
Ortho Dermatologics, a division of Bausch Health US, LLC
$48
Lilly USA, LLC
$44
REVANCE THERAPEUTICS, INC.
$36
Taro Pharmaceuticals USA, Inc.
$32
Boehringer Ingelheim Pharmaceuticals, Inc.
$32
Almirall LLC
$23
Allergan, Inc.
$18
Janssen Biotech, Inc.
$16
Allergan Inc.
$15
Top 3 companies account for 38.3% of all-time payments
Associated products mentioned in payments ›
0.25% · ABSORICA · ABSORICA (isotretinoin) · ADBRY · AKLIEF · BOTOX · BOTOX COSMETIC · CIBINQO · COSENTYX · Cordran · DAXXIFY · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · ENSTILAR · EPIDUO FORTE · EUCRISA · Enbrel · FINACEA · HYLATOPIC · Humira · ILUMYA · Ilumya · JUBLIA · LIBTAYO · OPZELURA · Odomzo · Otezla · RETIN-A-MICRO · RINVOQ · SKYRIZI · SPEVIGO · Sotyktu · TALTZ · TOPICORT (desoximetasone) Topical Spray · TREMFYA · VTAMA · Winlevi · Zoryve
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.
Geographic Context
Mohs-micrographic surgery physicians within 10 mi
21
Per 100K population
0.6
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
0.0 mi
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. Gigler is a clinical cardiology specialist, with above-average Medicare volume (top 27% in CA), with low-engagement industry engagement, 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. Gigler experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Gigler performed 2,205 destruction of precancerous skin growths, 2-14 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. Gigler receive payments from pharmaceutical companies?
Yes. Dr. Gigler received a total of $4,219 from 28 companies across 175 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. Gigler's costs compare to other mohs-micrographic surgery physicians in Encinitas?
Dr. Gigler's average Medicare payment per service is $84. 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. Gigler) 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 →
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By company
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By company
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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.
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