Medicare Enrolled
Dr. Firas El Sabbagh, MD
Cardiovascular Disease · Fleming Island, FL
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology services
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. El Sabbagh 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. El Sabbagh
Dr. Firas El Sabbagh is a cardiovascular disease specialist in Fleming Island, FL, with 18 years of NPI registration. Based on federal Medicare data, Dr. El Sabbagh performed 7,757 Medicare services across 4,532 unique beneficiaries.
Between the years covered by Open Payments, Dr. El Sabbagh received a total of $33,386 from 43 pharmaceutical and/or device companies across 387 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. El Sabbagh is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years in practice
▲ Top 11% volume in FL
$33,386 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,757
Medicare services
Top 11% in FL for cardiovascular disease
4,532
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~431 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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
2,218 | $6 | $11 |
| 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. |
1,172 | $96 | $249 |
| 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. |
871 | $20 | $53 |
| 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. |
530 | $11 | $29 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
308 | $60 | $151 |
| 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. |
260 | $54 | $163 |
| Cardiac rhythm monitor evaluation Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity. |
192 | $38 | $93 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
163 | $20 | $53 |
| 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. |
154 | $64 | $158 |
| 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. |
152 | $9 | $25 |
| 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. |
117 | $135 | $382 |
| 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. |
103 | $93 | $227 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
95 | $15 | $45 |
| 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. |
86 | $80 | $203 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
67 | $21 | $51 |
| 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. |
66 | $649 | $1,655 |
| 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. |
66 | $12 | $47 |
| 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. |
60 | $26 | $80 |
| 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. |
54 | $141 | $353 |
| 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. |
52 | $9 | $25 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
52 | $254 | $711 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
51 | $19 | $47 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
48 | $105 | $264 |
| Evaluation of implantable heart and blood vessel monitoring system This procedure involves checking the function and data of an implanted device used to monitor heart and blood vessel activity. |
47 | $42 | $100 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
47 | $257 | $712 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
45 | $81 | $247 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
45 | $2 | $16 |
| 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. |
43 | $67 | $198 |
| 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. |
40 | $68 | $179 |
| 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. |
38 | $213 | $534 |
| 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. |
36 | $22 | $60 |
| 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. |
35 | $780 | $2,069 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
34 | $64 | $161 |
| 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. |
32 | $114 | $333 |
| Measurement of heart blood flow and respiration This procedure measures blood flow within the heart and tracks breathing patterns. |
30 | $20 | $51 |
| 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. |
30 | $15 | $30 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
29 | $53 | $130 |
| Programming of single lead implantable defibrillator system Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function. |
29 | $62 | $156 |
| 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. |
28 | $3,227 | $8,343 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
26 | $6 | $22 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
23 | $162 | $384 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
21 | $93 | $223 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
20 | $13 | $55 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
17 | $16 | $54 |
| 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. |
16 | $364 | $1,026 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
16 | $87 | $220 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
16 | $10 | $26 |
| 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. |
15 | $72 | $265 |
| 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. |
14 | $65 | $157 |
| 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 | $755 | $1,909 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
12 | $702 | $1,762 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
12 | $26 | $140 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
11 | $54 | $133 |
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.
12.8% high complexity
2.0% medium
85.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$33,386
Total received (2018-2024)
Avg $4,769/year across 7 years
Top 10% in FL for cardiovascular disease
43
Companies
387
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
$23,891 (71.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$5,912 (17.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$3,582 (10.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$20,482
2023
$2,710
2022
$2,353
2021
$851
2020
$382
2019
$2,730
2018
$3,878
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$12,093
Boston Scientific Corporation
$7,844
Biosense Webster, Inc.
$5,141
Medtronic Vascular, Inc.
$2,479
Medical Device Business Services, Inc.
$2,023
Abbott Laboratories
$898
PFIZER INC.
$424
Novartis Pharmaceuticals Corporation
$317
Impulse Dynamics (USA) Inc.
$220
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$175
CVRx, Inc.
$163
Merck Sharp & Dohme LLC
$160
iRhythm Technologies, Inc.
$130
E.R. Squibb & Sons, L.L.C.
$124
Actelion Pharmaceuticals US, Inc.
$103
CardioFocus, Inc.
$103
SANOFI-AVENTIS U.S. LLC
$88
AtriCure, Inc.
$71
Amgen Inc.
$70
AstraZeneca Pharmaceuticals LP
$60
Innovation Technologies Inc
$59
United Therapeutics Corporation
$50
ABIOMED
$48
BIOTRONIK INC.
$47
Janssen Pharmaceuticals, Inc
$44
Lundbeck LLC
$42
Alnylam Pharmaceuticals Inc.
$41
Philips Electronics North America Corporation
$40
Amarin Pharma Inc.
$34
MEDICOMP INC
$31
Boehringer Ingelheim Pharmaceuticals, Inc.
$29
Merck Sharp & Dohme Corporation
$27
Bardy Diagnostics, Inc.
$25
Novo Nordisk Inc
$24
Covidien LP
$22
Philips North America LLC
$22
Acutus Medical, Inc.
$22
Regeneron Healthcare Solutions, Inc.
$18
Aziyo Biologics, Inc.
$16
Kiniksa Pharmaceuticals, Ltd.
$16
Braemar Manufacturing, LLC
$15
Astellas Pharma US Inc
$14
ARBOR PHARMACEUTICALS, INC.
$12
Top 3 companies account for 75.1% of total payments
Associated products mentioned in payments ›
(5044) MCOT · (5091) Amb Mon & Diag Und · (CK4) MCOT · ABRE · ABSORBATACK · ADAPTA · AFFERA MAPPING SYSTEM · AMPLATZER AMULET · AVEIR · Accent Pacemaker · Adapta · Arcalyst · Arctic Front · Assurity Pacemaker · Attain · Azure · BIOMONITOR · BRILINTA · Barostim Neo System · CAMZYOS · CARDIOMEMS · CARTO 3 · CHANTIX · CLARIA MRI QUAD CRT-D SURESCAN · COBALT DR MRI SURESCAN · COMPIA MRI QUAD CRT-D SURESCAN · Cardiac Monitor · Cardiac Monitoring Suite · Carnation Ambulatory Monitor · Carto 3 · Carto 3 System · CartoSound · Confirm Rx · Corlanor · ECM · ELIQUIS · EMBLEM · ENSITE PRECISION · ENTRESTO · EVERA MRI XT DR SURESCAN · Edarbyclor · Epi-Sense Guided Coagulation System with VisiTrax · FARXIGA · GENERAL THERAPIES · GENERAL - THERAPIES · HEARTLIGHT SYSTEM · IRRISEPT · Impella · JARDIANCE · LEQVIO · LEXISCAN · LINQ II · LUX-Dx Insertable Cardiac Monitor · LifeVest · MICRA · MULTAQ · Merlin Connectivity and Remote · Micra · MitraClip System · Models · NA · NORTHERA · ONPATTRO · OPSUMIT · OPTIMIZER · Optimizer · Ozempic · PRADAXA · PRALUENT · PULSESELECT · Paso · QDOT MICRO Catheter · Quadra Assura CRT Defibrillator · REVEAL LINQ · Repatha · Reveal LINQ · Rhythmia Mapping System · THERMOCOOL SMARTTOUCH · TYVASO · UPTRAVI · V-Loc · VERQUVO · VYNDAQEL · Vascepa · Visitag · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · ZIO Patch · ZIO XT Patch
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 (72%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for cardiovascular disease in FL.
Equivalent to $430 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
149
Per 100K population
66.7
County median income
$86,094
Nearest hospital
HCA FLORIDA ORANGE PARK HOSPITAL
5.3 mi
5.3 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. El Sabbagh is a remote & electrophysiology specialist, with above-average Medicare volume (top 11% in FL), with low-engagement industry engagement in the top 10% of FL peers, with 18 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. El Sabbagh experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. El Sabbagh performed 2,218 ekg interpretation and report 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. El Sabbagh receive payments from pharmaceutical companies?
Yes. Dr. El Sabbagh received a total of $33,386 from 43 companies across 387 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. El Sabbagh's costs compare to other cardiologists in Fleming Island?
Dr. El Sabbagh's average Medicare payment per service is $65. 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. El Sabbagh) 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. The Transparency Score measures 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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