Medicare Enrolled
Dr. Vivek Iyer, MD
Clinical Cardiac Electrophysiology Physician · Larkspur, CA
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology services
Consulting-driven
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. Iyer 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. Iyer
Dr. Vivek Iyer is a clinical cardiac electrophysiology physician in Larkspur, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Iyer performed 4,478 Medicare services across 2,204 unique beneficiaries.
Between the years covered by Open Payments, Dr. Iyer received a total of $76,501 from 14 pharmaceutical and/or device companies across 322 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in clinical cardiac electrophysiology physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Iyer 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.
✓ 17 years in practice
▲ Top 20% volume in CA
$76,501 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,478
Medicare services
Top 20% in CA for clinical cardiac electrophysiology physician
2,204
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~263 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 |
|---|---|---|---|
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
1,352 | $20 | $138 |
| 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. |
607 | $109 | $577 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
500 | $22 | $157 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
389 | $29 | $298 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
169 | $31 | $357 |
| 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. |
160 | $13 | $93 |
| 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. |
102 | $147 | $1,033 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
99 | $248 | $2,105 |
| 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. |
96 | $135 | $867 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
76 | $88 | $560 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
76 | $3 | $16 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
74 | $15 | $92 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
71 | $767 | $5,551 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
68 | $141 | $773 |
| 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. |
53 | $101 | $532 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
52 | $47 | $330 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
50 | $67 | $23,262 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
47 | $50 | $359 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
40 | $397 | $2,618 |
| Cardiac rhythm monitor programming Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection. |
36 | $21 | $149 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
36 | $248 | $2,101 |
| New patient office visit, complex (60-74 min) | 33 | $185 | $1,085 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
31 | $22 | $138 |
| 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. |
26 | $193 | $1,428 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
25 | $28 | $186 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
22 | $61 | $434 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
21 | $74 | $926 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
20 | $20 | $126 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
18 | $366 | $3,935 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
16 | $374 | $2,319 |
| Ultrasound of heart blood vessels with radiologist review An ultrasound exam that evaluates blood vessels within the heart, including a review of the results by a radiologist. |
16 | $64 | $900 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
15 | $12 | $90 |
| Online digital E/M service, established patient, 11-20 min An online digital evaluation and management service for an established patient. The service involves a total time of 11 to 20 minutes over a period of up to 7 days. |
15 | $24 | $158 |
| Removal and replacement of dual lead permanent pacemaker This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system. |
14 | $277 | $1,793 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
14 | $12 | $90 |
| Heart rhythm ablation for ventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the lower chambers that causes rapid or irregular heartbeats. This is done using a catheter during an electrophysiologic evaluation. |
14 | $815 | $5,534 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
13 | $704 | $4,611 |
| Permanent leadless pacemaker insertion A small, self-contained pacemaker is placed directly into the heart without using wires. The procedure is guided by imaging to ensure correct positioning. |
12 | $277 | $2,472 |
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.
35.6% high complexity
3.8% medium
60.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$76,501
Total received (2018-2024)
Avg $10,929/year across 7 years
Top 17% in CA for clinical cardiac electrophysiology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
322
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$45,241 (59.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18,713 (24.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,547 (16.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,686
2023
$8,829
2022
$17,319
2021
$18,041
2020
$8,975
2019
$3,965
2018
$15,686
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$2,407
Boston Scientific Corporation
$609
HEARTFLOW, INC.
$263
Medtronic, Inc.
$230
Biosense Webster, Inc.
$163
Baxter Healthcare
$14
Top 3 companies account for 89.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medical Device Business Services, Inc.
$34,612
Medtronic Vascular, Inc.
$15,261
Biosense Webster, Inc.
$10,968
Boston Scientific Corporation
$8,097
Abbott Laboratories
$5,692
Medtronic, Inc.
$1,058
HEARTFLOW, INC.
$263
BIOTRONIK INC.
$218
Penumbra, Inc.
$160
Medtronic USA, Inc.
$82
BOSTON SCIENTIFIC CORPORATION
$32
Bardy Diagnostics, Inc.
$28
Janssen Pharmaceuticals, Inc
$15
Baxter Healthcare
$14
Top 3 companies account for 79.5% of all-time payments
Associated products mentioned in payments ›
ACCOLADE SR · AMPLATZER · AMPLATZER AMULET · ASSURITY · AURORA EV-ICD MRI SURESCAN · AVEIR · AZURE XT DR MRI SURESCAN · Advisa · Allure CRT Pacemaker · Amplia MRI · Arctic Front · Azure · BioMonitor 2 · CARTO 3 · COBALT DR MRI SURESCAN · CONFIRM RX · CareLink · Carnation Ambulatory Monitor · Carto 3 · Carto 3 System · CartoSound · Claria MRI · Confidense · Confirm Rx · EMBLEM MRI S-ICD · EMBLEM S ICD ELECTRODE DELIVERY SYSTEM · ENSITE PRECISION · Edora · Ensite Cardiac Mapping System · Evera · FFRct · FlexAbility Ablation Catheter · GALLANT · GENERAL THERAPIES · General - Therapies · Hillrom - Carnation Ambulatory Monitor · INGEVITY · INTELLIS · JOT DX · LINQ II · MICRA · Micra · Mitra Clip system · OCTARAY MAPPING CATHETER · QDOT MICRO Catheter · Quadra Assura CRT Defibrillator · Quartet CRT Lead · RESONATE · RUBY Coil · SELECTSECURE · SQRX PULSE GENERATOR · SelectSecure · Smartablate · TYRX · Visia AF · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · 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 (59%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.
Geographic Context
Clinical cardiac electrophysiology physicians within 10 mi
10
Per 100K population
3.9
County median income
$142,785
Nearest hospital
MARINHEALTH MEDICAL CENTER
1.1 mi
1.1 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. Iyer is a remote & electrophysiology specialist, with above-average Medicare volume (top 20% in CA), with consulting-driven industry engagement in the top 17% of CA peers, with 17 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. Iyer experienced with remote cardiac rhythm monitor evaluation, up to 30 days?
Based on Medicare claims data, Dr. Iyer performed 1,352 remote cardiac rhythm monitor evaluation, up to 30 days 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. Iyer receive payments from pharmaceutical companies?
Yes. Dr. Iyer received a total of $76,501 from 14 companies across 322 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. Iyer's costs compare to other clinical cardiac electrophysiology physicians in Larkspur?
Dr. Iyer's average Medicare payment per service is $77. 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. Iyer) 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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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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