Medicare Enrolled

Dr. Andrew Nimmich, M.D.

Vascular Surgery Physician · Napa, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
4 FINANCIAL PLZ, Napa, CA 94558
8434699196
In practice since 2018 (7 years)
NPI: 1396238945 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. Nimmich 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. Nimmich? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Nimmich

Dr. Andrew Nimmich is a vascular surgery physician in Napa, CA, with 7 years of NPI registration. Based on federal Medicare data, Dr. Nimmich performed 11,126 Medicare services across 319 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nimmich received a total of $6,110 from 25 pharmaceutical and/or device companies across 74 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in vascular 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. Nimmich 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.

✓ 7 years in practice ▲ Top 0% volume in CA $6,110 industry payments

Medicare Practice Summary

Medicare Utilization ↗
11,126
Medicare services
Top 0% in CA for vascular surgery physician
319
Unique beneficiaries
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,589 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
Contrast dye for imaging (iodine-based)
A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures.
10,816 $0 $1
Ultrasound guidance for blood vessel access
Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood.
86 $31 $119
Ultrasound of blood vessel, initial vessel
An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel.
34 $775 $2,964
Radiologist review of arm or leg artery images
A radiologist reviews images of the arteries in one or both arms or legs to assess blood flow and vessel health.
32 $126 $488
Arterial plaque removal in leg
A procedure to remove plaque buildup from the arteries in the leg to restore blood flow.
31 $6,789 $26,888
Radiologist review of arm or leg artery image
A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels.
30 $115 $452
Arterial plaque removal, initial vessel
A procedure to remove plaque buildup from an artery in the leg. This is performed on the first vessel treated during the session.
27 $7,040 $27,420
Additional blood vessel ultrasound evaluation
An ultrasound exam of a blood vessel that includes a radiologist's review. This code applies to each additional vessel evaluated beyond the initial one.
17 $138 $530
Balloon dilation of leg artery
A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter to restore blood flow.
16 $1,412 $9,150
Balloon dilation of leg artery, each additional vessel
This procedure involves using a balloon catheter to widen an additional artery in the leg. It is performed after the initial vessel has been treated.
13 $657 $2,515
Arterial catheter insertion, initial second order branch
A procedure to insert a tube into a secondary branch of an artery in the abdomen, pelvis, or leg.
12 $616 $2,469
Balloon angioplasty of leg artery, initial vessel
A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter. This is performed on the first vessel treated during the session.
12 $1,977 $13,022
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.
0.1% high complexity
98.4% medium
1.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$6,110
Total received (2018-2024)
Avg $873/year across 7 years
Top 33% in CA for vascular surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
74
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
$5,094 (83.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,016 (16.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$134
2023
$2,444
2022
$1,074
2021
$915
2020
$365
2019
$719
2018
$458

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Philips North America LLC
$86
Medtronic, Inc.
$27
AngioDynamics, Inc.
$22
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Penumbra, Inc.
$1,384
W. L. Gore & Associates, Inc.
$974
Medtronic Vascular, Inc.
$613
Silk Road Medical, Inc.
$599
Endologix LLC
$463
Cardiovascular Systems Inc.
$224
Medtronic, Inc.
$213
Endologix, LLC
$187
Abbott Laboratories
$183
Cook Medical LLC
$165
Janssen Pharmaceuticals, Inc
$145
ShockWave Medical, Inc
$122
AngioDynamics, Inc.
$115
Philips Electronics North America Corporation
$112
Sanara MedTech Inc.
$104
Inari Medical, Inc.
$92
Philips North America LLC
$86
Boston Scientific Corporation
$71
CORDIS US CORP.
$68
Tactile Systems Technology Inc
$52
Bolton Medical Inc
$46
BAXTER HEALTHCARE
$26
TOLMAR Pharmaceuticals, Inc.
$24
Ethicon US, LLC
$22
Shockwave Medical, Inc
$21
Top 3 companies account for 48.6% of all-time payments
Associated products mentioned in payments ›
(6577) Visions 014 · (BR8) Peripheral Thrombectomy · AFX2 Bifurcated Endograft System · ALPHAVAC · AURYON LASER SYSTEM 100-120 VAC · Alto Abdominal Stent Graft System · CellerateRx · Cook Medical AFEN · Cook Medical Micropuncture · Diamondback Peripheral · ELIGARD · ENDURANT IIS · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · EXCLUDER Iliac Branch Endoprosthesis · Endurant · FLEXITOUCH · FLOWTRIEVER CATHETER · Flexitouch Plus · GORE EXCLUDER AAA Endoprosthesis · GORE PROPATEN Vascular Graft · GORE VIABAHN Endoprosthesis · GORE VIABAHN Endoprosthesis with Heparin · GORE VIABAHN VBX Balloon Expandable Endo · Grafts · HAWKONE · IGT D Peripheral · Indigo System · Ovation · Ovation iX Iliac Stent Graft · PREVELEAK · PROCLAIM · PROLENE · S · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · TURBOHAWK · VIABAHN Endoprosthesis with Heparin Bioactive Surface · VIABAHN VBX Balloon Expandable Endoprosthesis · Vascular Lithotripsy · XARELTO · ZENITH
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 (83%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a vascular surgery physician in Napa?
Compare vascular surgery physicians in the Napa area by procedure volume, costs, and industry payment transparency.
Browse vascular surgery physicians nearby

Geographic Context

Vascular surgery physicians within 10 mi
14
Per 100K population
10.3
County median income
$108,970
Nearest hospital
PROVIDENCE QUEEN OF THE VALLEY 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. Nimmich is a mixed practice specialist, with above-average Medicare volume (top 0% in CA), with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Nimmich experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Nimmich performed 10,816 contrast dye for imaging (iodine-based) 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. Nimmich receive payments from pharmaceutical companies?
Yes. Dr. Nimmich received a total of $6,110 from 25 companies across 74 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. Nimmich's costs compare to other vascular surgery physicians in Napa?
Dr. Nimmich's average Medicare payment per service is $45. 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. Nimmich) 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 →