Medicare Enrolled
Dr. Garbis Apelian, MD
Family Medicine · Van Nuys, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Apelian 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. Apelian
Dr. Garbis Apelian is a family medicine specialist in Van Nuys, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Apelian performed 38,608 Medicare services across 20,145 unique beneficiaries.
Between the years covered by Open Payments, Dr. Apelian received a total of $6,643 from 58 pharmaceutical and/or device companies across 319 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Apelian 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.
✓ 18 years in practice
▲ Top 0% volume in CA
$6,643 industry payments
Medicare Practice Summary
Medicare Utilization ↗38,608
Medicare services
Top 0% in CA for family medicine
20,145
Unique beneficiaries
$20
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~2,145 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 (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. |
3,110 | $65 | $151 |
| Liver function blood test panel | 2,364 | $8 | $25 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
2,363 | $7 | $30 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
2,362 | $13 | $40 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
2,362 | $16 | $50 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
2,361 | $8 | $24 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
2,361 | $8 | $40 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
2,361 | $9 | $25 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
2,359 | $13 | $25 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
2,359 | $14 | $30 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
2,359 | $4 | $15 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
2,331 | $8 | $25 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
2,302 | $10 | $40 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
2,243 | $15 | $40 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
746 | $28 | $40 |
| Annual alcohol misuse screening, 5 to 15 minutes | 745 | $21 | $40 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
707 | $25 | $70 |
| Annual depression screening | 658 | $21 | $40 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
631 | $144 | $204 |
| PSA test (prostate cancer screening) | 446 | $18 | $50 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
167 | $16 | $51 |
| 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. |
118 | $12 | $50 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
110 | $12 | $100 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
107 | $4 | $16 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
87 | $1 | $35 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
85 | $217 | $500 |
| 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. |
85 | $139 | $500 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
54 | $183 | $396 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
45 | $83 | $299 |
| 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. |
40 | $166 | $500 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
38 | $126 | $500 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
30 | $34 | $50 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
27 | $76 | $80 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
26 | $242 | $487 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
24 | $183 | $371 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
22 | $104 | $600 |
| 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. |
13 | $89 | $200 |
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
1.1% medium
98.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,643
Total received (2018-2024)
Avg $949/year across 7 years
Top 6% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
58
Companies
319
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
$6,643 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$635
2023
$671
2022
$1,545
2021
$1,573
2020
$589
2019
$895
2018
$734
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$89
Novo Nordisk Inc
$87
Novartis Pharmaceuticals Corporation
$74
Amgen Inc.
$52
Bayer Healthcare Pharmaceuticals Inc.
$49
Phathom Pharmaceuticals, Inc.
$45
ABBVIE INC.
$45
GlaxoSmithKline, LLC.
$44
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$36
Gilead Sciences, Inc.
$26
Lilly USA, LLC
$26
IRONWOOD PHARMACEUTICALS, INC
$22
Ardelyx, Inc.
$21
Xeris Pharmaceuticals, Inc.
$18
Top 3 companies account for 39.5% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$614
Amgen Inc.
$560
KVK-Tech, Inc.
$557
AbbVie Inc.
$517
AstraZeneca Pharmaceuticals LP
$430
ABBVIE INC.
$375
Novo Nordisk Inc
$363
Lilly USA, LLC
$203
Novartis Pharmaceuticals Corporation
$196
Allergan, Inc.
$179
Ironwood Pharmaceuticals, Inc
$176
GlaxoSmithKline, LLC.
$171
Merck Sharp & Dohme LLC
$150
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$133
Takeda Pharmaceuticals U.S.A., Inc.
$132
Abbott Laboratories
$110
PFIZER INC.
$106
Horizon Therapeutics plc
$105
Merck Sharp & Dohme Corporation
$100
Bayer Healthcare Pharmaceuticals Inc.
$99
SANOFI-AVENTIS U.S. LLC
$93
Kowa Pharmaceuticals America, Inc.
$91
Nestle HealthCare Nutrition Inc.
$68
Eisai Inc.
$64
Xeris Pharmaceuticals, Inc.
$59
Sumitomo Pharma America, Inc.
$57
Allergan Inc.
$54
Biohaven Pharmaceuticals, Inc.
$51
UROVANT SCIENCES INC
$48
Corium, LLC
$46
Phathom Pharmaceuticals, Inc.
$45
Astellas Pharma US Inc
$45
Amarin Pharma Inc.
$44
AbbVie, Inc.
$40
Hikma Pharmaceuticals USA
$36
Regeneron Healthcare Solutions, Inc.
$34
ARBOR PHARMACEUTICALS, INC.
$33
E.R. Squibb & Sons, L.L.C.
$31
Biogen, Inc.
$28
Otsuka America Pharmaceutical, Inc.
$27
Gilead Sciences, Inc.
$26
DEXCOM, INC.
$24
Esperion Therapeutics, Inc.
$24
IBSA Pharma Inc.
$23
Evoke Pharma, Inc.
$22
Synergy Pharmaceuticals Inc
$22
IRONWOOD PHARMACEUTICALS, INC
$22
EISAI INC.
$22
IDORSIA PHARMACEUTICALS US INC
$22
Ardelyx, Inc.
$21
Celgene Corporation
$21
Almatica Pharma LLC
$21
Mannkind Corporation
$18
ASCEND Therapeutics US, LLC
$18
Scilex Pharmaceuticals Inc.
$17
TerSera Therapeutics LLC
$17
Noden Pharma USA Inc
$16
Eyevance Pharmaceuticals LLC
$15
Top 3 companies account for 26.1% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AFREZZA · AIRSUPRA · AREXVY · Adlarity · Aduhelm · Aimovig · Amitiza · BELSOMRA · BINOSTO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYDUREON · CREON · Creon · DEXCOM G6 TRANSMITTER · DUEXIS · DUPIXENT · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · FREESTYLE LIBRE 2 · GEMTESA · GIMOTI · GRALISE · GVOKE HYPOPEN · GVOKE PFS · IBSRELA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LYRICA · Licart · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Mitigare · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PENNSAID · PREVNAR - 13 · PREVNAR 13 · Prolia · QMIIZ ODT · QULIPTA · QUVIVIQ · RAYOS · REXULTI · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · TEKTURNA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRIJARDY XR · TRINTELLIX · TRULICITY · Tobradex ST · Trintellix · Trulance · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Victoza · XIFAXAN · ZENPEP · ZTLido
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. Total industry engagement is in the top 6% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
2,398
Per 100K population
24.3
County median income
$87,760
Nearest hospital
VALLEY PRESBYTERIAN 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. Apelian is a mixed practice specialist, with above-average Medicare volume (top 0% in CA), with low-engagement industry engagement in the top 6% of CA peers, with 18 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. Apelian experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Apelian performed 3,110 office visit, established patient (20-29 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. Apelian receive payments from pharmaceutical companies?
Yes. Dr. Apelian received a total of $6,643 from 58 companies across 319 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. Apelian's costs compare to other family medicine physicians in Van Nuys?
Dr. Apelian's average Medicare payment per service is $20. 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. Apelian) 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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