Medicare Enrolled

Dr. Leonard Grecul, MD

Cardiovascular Disease · Palm Bay, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
1421 MALABAR RD NE STE 201, Palm Bay, FL 32907
3214348531
In practice since 2005 (20 years)
NPI: 1164412284 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. 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 →
Are you Dr. Grecul? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Grecul

Dr. Leonard Grecul is a cardiovascular disease in Palm Bay, FL, with 20 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)3,687$0$2
Office visit, established patient (30-39 min)1,377$88$255
Hospital follow-up visit, moderate complexity957$61$157
EKG interpretation and report306$6$18
Initial hospital admission, moderate complexity285$95$266
Initial hospital admission, high complexity259$125$360
Echocardiogram, transthoracic239$130$386
Hospital follow-up visit, high complexity236$92$231
Technetium tc-99m sestamibi, diagnostic, per study dose168$87$228
Remote pacemaker/defibrillator monitoring, 90 days167$15$46
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician135$10$28
Electrocardiogram (EKG), 12-lead131$10$33
Remote pacemaker monitoring, 90 days113$20$60
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician110$15$42
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes101$10$26
Programming of dual lead pacemaker system95$57$157
Nuclear medicine studies of heart muscle at rest and with stress and spect85$322$856
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician80$46$139
Cardiac catheterization75$180$608
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec70$26$87
New patient office visit (45-59 min)62$122$335
Evaluation of cardiac rhythm monitor system, remote up to 30 days61$19$53
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days54$27$117
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days52$19$53
Ultrasound of heart, follow-up51$19$50
Programming of multiple lead implantable defibrillator system38$77$209
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional33$17$49
Evaluation of implantable heart and blood vessel monitoring system31$35$104
Electrocardiogram (ecg) 2-day continuous with review by health care professional25$14$54
Ultrasound of heart with probe in esophagus, with report19$83$214
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes18$59$187
Critical care, first 30-74 min14$165$436
External shock to heart to regulate heart beat13$48$218
Ultrasound of heart blood flow, valves and chambers, follow-up12$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
45.5% medium
45.8% 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
Looking for a cardiovascular disease in Palm Bay?
Compare cardiovascular diseases in the Palm Bay area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiovascular Diseases within 10 mi
37
Per 100K population
6.0
County median income
$75,817
Nearest hospital
PALM BAY HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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), and high industry engagement (speaking/promotional, top 7%), with 20 years of practice experience.

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 injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)?
Based on Medicare claims data, Dr. Grecul performed 3,687 injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 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 cardiovascular diseases 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 →
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.

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 →