Medicare Enrolled
Dr. Leonard Grecul, MD
Cardiovascular Disease · Palm Bay, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Grecul 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. Grecul
Dr. Leonard Grecul is a cardiovascular disease specialist in Palm Bay, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Grecul performed 9,159 Medicare services across 3,755 unique beneficiaries.
Between the years covered by Open Payments, Dr. Grecul received a total of $54,767 from 24 pharmaceutical and/or device companies across 530 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Grecul 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.
✓ 20 years in practice
▲ Top 8% volume in FL
$54,767 industry payments
Medicare Practice Summary
Medicare Utilization ↗9,159
Medicare services
Top 8% in FL for cardiovascular disease
3,755
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~458 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 |
|---|---|---|---|
| Adenosine injection, 1 mg Administration of a 1 mg dose of adenosine medication. This code is specifically for adenosine and excludes adenosine phosphate compounds. |
3,687 | $0 | $2 |
| 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. |
1,377 | $88 | $255 |
| 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. |
957 | $61 | $157 |
| 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. |
306 | $6 | $18 |
| 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. |
285 | $95 | $266 |
| 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. |
259 | $125 | $360 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
239 | $130 | $386 |
| 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. |
236 | $92 | $231 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
168 | $87 | $228 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
167 | $15 | $46 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
135 | $10 | $28 |
| 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. |
131 | $10 | $33 |
| 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. |
113 | $20 | $60 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
110 | $15 | $42 |
| 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. |
101 | $10 | $26 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
95 | $57 | $157 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
85 | $322 | $856 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
80 | $46 | $139 |
| Cardiac catheterization | 75 | $180 | $608 |
| 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. |
70 | $26 | $87 |
| 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. |
62 | $122 | $335 |
| 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. |
61 | $19 | $53 |
| 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. |
54 | $27 | $117 |
| 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. |
52 | $19 | $53 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
51 | $19 | $50 |
| 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. |
38 | $77 | $209 |
| Continuous ECG monitoring with transmission and review Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report. |
33 | $17 | $49 |
| 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. |
31 | $35 | $104 |
| 2-day continuous ECG with professional review A two-day continuous electrocardiogram recording that includes a review by a healthcare professional. |
25 | $14 | $54 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
19 | $83 | $214 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
18 | $59 | $187 |
| 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. |
14 | $165 | $436 |
| 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. |
13 | $48 | $218 |
| 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. |
12 | $6 | $15 |
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.
8.7% high complexity
47.3% medium
44.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$54,767
Total received (2018-2024)
Avg $7,824/year across 7 years
Top 7% in FL for cardiovascular disease
24
Companies
530
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$45,555 (83.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,728 (15.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$484 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$167
2023
$546
2022
$2,020
2021
$1,515
2020
$969
2019
$28,435
2018
$21,115
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Janssen Pharmaceuticals, Inc
$34,200
Boehringer Ingelheim Pharmaceuticals, Inc.
$13,259
Medtronic Vascular, Inc.
$1,884
BIOTRONIK INC.
$1,195
Novartis Pharmaceuticals Corporation
$789
Abbott Laboratories
$508
PFIZER INC.
$411
Amgen Inc.
$402
Boston Scientific Corporation
$394
Medtronic, Inc.
$342
E.R. Squibb & Sons, L.L.C.
$298
SANOFI-AVENTIS U.S. LLC
$227
AstraZeneca Pharmaceuticals LP
$173
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$143
Merck Sharp & Dohme LLC
$142
iRhythm Technologies, Inc.
$132
Bayer HealthCare Pharmaceuticals Inc.
$70
CARDIVA MEDICAL, INC.
$67
Braemar Manufacturing, LLC
$46
Esperion Therapeutics, Inc.
$25
Amarin Pharma Inc.
$19
PORTOLA PHARMACEUTICALS, INC.
$16
ABIOMED
$14
Kowa Pharmaceuticals America, Inc.
$10
Top 3 companies account for 90.1% of total payments
Associated products mentioned in payments ›
AMVIA EDGE · Acticor · Acticor 7 VR-T DX · BEVYXXA · BRILINTA · BioMonitor · CAMZYOS · CARDIVA VASCADE 6/7F VCS · CHANTIX · Cardiac Monitoring Suite · Claria MRI · Cobalt · Corlanor · ELIQUIS · ENTRESTO · FARXIGA · INVOKANA · Impella · JARDIANCE · LEQVIO · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livalo · MICRA · MINI TREK · MITRACLIP · MULTAQ · Merlin Connectivity and Remote · Micra · MitraClip System · NEXLETOL · PRADAXA · PRALUENT · REVEAL LINQ · Repatha · Rivacor · Rivacor 7 DR-T · Sentus · Solia · VERQUVO · VYNDAQEL · Vascepa · Vascular Closure Device · Verquvo · VisiPro · WATCHMAN · WATCHMAN Access System · XARELTO · XIENCE SIERRA · ZIO 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 →
The majority of payments (83%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for cardiovascular disease in FL.
Equivalent to $598 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
37
Per 100K population
6.0
County median income
$75,817
Nearest hospital
PALM BAY 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Grecul is a clinical cardiology specialist, with above-average Medicare volume (top 8% in FL), with speaking/promotional industry engagement in the top 7% of FL peers, with 20 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. Grecul experienced with adenosine injection, 1 mg?
Based on Medicare claims data, Dr. Grecul performed 3,687 adenosine injection, 1 mg 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. Grecul receive payments from pharmaceutical companies?
Yes. Dr. Grecul received a total of $54,767 from 24 companies across 530 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. Grecul's costs compare to other cardiologists in Palm Bay?
Dr. Grecul's average Medicare payment per service is $43. 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. Grecul) 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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