Medicare Enrolled
Dr. Bilal Shafi, MD
Surgery · Santa Cruz, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Shafi 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. Shafi
Dr. Bilal Shafi is a surgery specialist in Santa Cruz, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shafi performed 722 Medicare services across 684 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shafi received a total of $206,152 from 27 pharmaceutical and/or device companies across 415 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. 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. Shafi 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 13% volume in CA
$206,152 industry payments
Medicare Practice Summary
Medicare Utilization ↗722
Medicare services
Top 13% in CA for surgery
684
Unique beneficiaries
$369
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~38 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 |
|---|---|---|---|
| New patient office visit, complex (60-74 min) | 171 | $189 | $697 |
| 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. |
103 | $153 | $704 |
| 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. |
70 | $69 | $252 |
| 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. |
59 | $79 | $247 |
| Endoscopic vein harvest A surgical procedure to remove a vein using an endoscope, which is a thin, lighted tube inserted through small incisions. |
48 | $13 | $78 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
46 | $605 | $2,509 |
| Coronary artery bypass graft, 1 artery Surgical procedure to bypass a blocked coronary artery using a graft from another artery. This restores blood flow to the heart muscle. |
38 | $1,288 | $7,478 |
| 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. |
21 | $122 | $489 |
| Aortic valve replacement surgery Surgical replacement of the aortic valve using a heart-lung machine to maintain blood circulation during the procedure. |
19 | $1,556 | $8,839 |
| Coronary artery bypass graft, 2 grafts A surgical procedure to restore blood flow to the heart by creating bypasses using two vein or artery grafts. |
19 | $331 | $1,855 |
| Extensive heart surgery on heart-lung machine Major surgical procedure to repair or reconstruct the right upper chamber of the heart while the patient is connected to a heart-lung machine. |
16 | $704 | $3,808 |
| Aortic arch repair with graft Surgical repair of the aortic arch using a graft to replace or reinforce the damaged section of the artery. |
16 | $732 | $3,919 |
| Endoscopic removal of chest lymph nodes A surgical procedure to remove lymph nodes from the chest cavity using an endoscope, a thin tube with a camera inserted through small incisions. |
15 | $173 | $773 |
| Coronary artery bypass graft, 2 grafts using arteries A surgical procedure to restore blood flow to the heart by creating bypasses using two arterial grafts. |
15 | $1,550 | $8,213 |
| 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. |
15 | $116 | $364 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
15 | $71 | $252 |
| Coronary artery bypass graft, 3 grafts A surgical procedure to restore blood flow to the heart by creating bypasses using vein or artery grafts. This specific code covers the placement of three grafts. |
13 | $433 | $2,182 |
| Radical mitral valve reconstruction on heart-lung machine Surgical repair of the mitral valve using a heart-lung machine to maintain circulation during the procedure. |
12 | $1,895 | $10,246 |
| Lung exam with lobe removal via endoscope This procedure involves examining the lung and removing a lobe using an endoscope. It is performed to inspect the lung tissue and surgically remove a section of the lung. |
11 | $1,159 | $6,010 |
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.
24.7% high complexity
0.0% medium
75.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$206,152
Total received (2018-2024)
Avg $29,450/year across 7 years
Top 2% in CA for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
415
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
$152,559 (74.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$37,177 (18.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$16,416 (8.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$30,178
2023
$33,725
2022
$26,018
2021
$14,815
2020
$23,472
2019
$63,705
2018
$14,239
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Edwards Lifesciences Corporation
$26,372
W. L. Gore & Associates, Inc.
$2,265
Artivion, Inc.
$1,016
ATRICURE, INC.
$336
INTUITIVE SURGICAL, INC.
$106
Ethicon US, LLC
$36
E.R. Squibb & Sons, L.L.C.
$26
AngioDynamics, Inc.
$21
Top 3 companies account for 98.3% of 2024 payments
All-time payments by company (2018-2024) ›
Edwards Lifesciences Corporation
$96,800
W. L. Gore & Associates, Inc.
$83,462
Intuitive Surgical, Inc.
$17,695
Abbott Laboratories
$2,582
ATRICURE, INC.
$1,334
Medtronic Vascular, Inc.
$1,214
Artivion, Inc.
$1,016
AtriCure, Inc.
$854
ClearFlow, Inc.
$168
Aziyo Biologics, Inc.
$133
AngioDynamics, Inc.
$117
INTUITIVE SURGICAL, INC.
$106
Ethicon US, LLC
$103
Philips Electronics North America Corporation
$92
LivaNova USA, Inc.
$68
HemoSonics LLC
$64
KLS-Martin L.P.
$54
Janssen Pharmaceuticals, Inc
$49
Bolton Medical Inc
$48
Haemonetics Corporation
$43
Cook Medical LLC
$43
E.R. Squibb & Sons, L.L.C.
$26
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$21
BAXTER HEALTHCARE
$20
PORTOLA PHARMACEUTICALS, INC.
$20
ShockWave Medical, Inc
$11
CryoLife, Inc.
$9
Top 3 companies account for 96.0% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · ANGIOVAC · ATRICLIP LAA EXCLUSION SYSTEM · ATRICURE ATRICLIP LAA EXCLUSION · ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2) · ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM · ATRICURE CRYOSURGICAL SYSTEM · CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL BIOPROSTHESIS - AORTIC · COOK MEDICAL ZENITH · Cardiac non-SynerGraft · Cobra Fusion Ablation System · CoreValve Evolut · Da Vinci Surgical System · ECHELON FLEX Stapler · ECM · ECM Patch · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · EPI-SENSE GUIDED COAGULATION SYS · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · EPIC · EVARREST · EVOQUE · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Endurant · Epi-Sense Guided Coagulation System with VisiTrax · Epic Stented Tissue Valve · FLOSEAL · GORE DRYSEAL Sheath · GORE TAG Conformable Thoracic Endoprosthesis · GORE TAG Thoracic Branch Endoprosthesis · GORE TAG Thoracic Endoprosthesis · HeartMate 3 Left Ventricular Dev · INSPIRIS RESILIA AORTIC VALVE · INSPIRIS RESILIA aortic valve · KONECT RESILIA · LifeVest · MITRIS RESILIA Mitral Valve · MODELS · Mitra Clip system · MitraClip System · Models · On-X · PROCEL Cast Liner · PROLENE · PleuraFlow · Pouch · Product in Development · ProtekDuo Kit · QUANTRA QPLUS SYSTEM · QUNATRA QPLUS SYSTEM · Relay Grafts · Relay Plus · Resolute · SAPIEN 3 Ultra RESILIA · STRATAFIX · SURGICEL Family of Absorbable Hemostats · SYNERGY ABLATION SYSTEM · Spectranetics Undiv · TAG Thoracic Endoprosthesis · TEG · THRUPORT SYSTEMS INTRACLUDE INTRA-AORTIC OCCLUSION DEVICE · VNS Therapy · Valiant Captivia · Vascular Lithotripsy · 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 (74%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 2% for surgery in CA.
Geographic Context
Surgerists within 10 mi
145
Per 100K population
54.5
County median income
$109,266
Nearest hospital
DOMINICAN HOSPITAL
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. Shafi is a clinical cardiology specialist, with above-average Medicare volume (top 13% in CA), with consulting-driven industry engagement in the top 2% 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. Shafi experienced with new patient office visit, complex (60-74 min)?
Based on Medicare claims data, Dr. Shafi performed 171 new patient office visit, complex (60-74 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. Shafi receive payments from pharmaceutical companies?
Yes. Dr. Shafi received a total of $206,152 from 27 companies across 415 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. Shafi's costs compare to other surgerists in Santa Cruz?
Dr. Shafi's average Medicare payment per service is $369. 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. Shafi) 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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