Medicare Enrolled

Dr. Leopold Kretsch, M.D.

Family Medicine · Palm Coast, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
33 OLD KINGS RD N STE 3, Palm Coast, FL 32137
3864451100
Registered in NPPES since 2017
NPI: 1982136115 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. Kretsch 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. Kretsch

Dr. Leopold Kretsch is a family medicine specialist in Palm Coast, FL, with 9 years of NPI registration. Based on federal Medicare data, Dr. Kretsch performed 1,422 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Kretsch received a total of $2,846 from 16 pharmaceutical and/or device companies across 119 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kretsch 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.

✓ 9 years of NPI registration ▲ Top 25% volume in FL $2,846 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,422
Medicare services
Top 25% in FL for family medicine
Not available
Unique patients (not deduplicated)
$78
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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 (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.
483 $86 $305
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.
332 $58 $211
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
161 $126 $317
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
82 $10 $22
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
66 $30 $108
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
56 $76 $186
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
47 $30 $108
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.
35 $96 $372
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.
32 $150 $479
Pneumococcal conjugate vaccine (PCV20)
An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria.
31 $282 $811
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
27 $18 $113
Pneumococcal vaccine, 23-valent
A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria.
18 $131 $410
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.
18 $9 $34
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
17 $33 $116
Respiratory virus detection test
A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses.
17 $33 $74
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,846
Total received (2018-2024)
Avg $474/year across 6 years
Top 17% in FL for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
119
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$486
2023
$715
2022
$938
2021
$629
2019
$59
2018
$19

Payments by company (2024)

Novo Nordisk Inc
$213
Boehringer Ingelheim Pharmaceuticals, Inc.
$79
ABBVIE INC.
$61
Amgen Inc.
$47
Otsuka America Pharmaceutical, Inc.
$23
Abbott Laboratories
$19
Exact Sciences Corporation
$17
Bayer Healthcare Pharmaceuticals Inc.
$13
IDORSIA PHARMACEUTICALS US INC
$13
Top 3 companies account for 72.6% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,346
Lilly USA, LLC
$265
Otsuka America Pharmaceutical, Inc.
$224
Bayer HealthCare Pharmaceuticals Inc.
$196
IDORSIA PHARMACEUTICALS US INC
$184
Boehringer Ingelheim Pharmaceuticals, Inc.
$133
ABBVIE INC.
$124
Amgen Inc.
$82
Bayer Healthcare Pharmaceuticals Inc.
$50
Abbott Laboratories
$49
GlaxoSmithKline, LLC.
$48
Ethicon US, LLC
$41
VIVUS LLC
$39
Exact Sciences Corporation
$35
PFIZER INC.
$15
Regeneron Healthcare Solutions, Inc.
$14
Top 3 companies account for 64.5% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · BEXSERO · Cologuard Collection Kit · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · JARDIANCE · Kerendia · MOUNJARO · Otezla · Ozempic · PRALUENT · PREMARIN · Proclaim IPG · QUVIVIQ · Qsymia · REXULTI · RYBELSUS · Rybelsus · TRULICITY · UBRELVY · VRAYLAR · Wegovy
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a family medicine specialist in Palm Coast?
Compare family medicine physicians in the Palm Coast area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians in nearby ZIP areas
149
County median income
$72,923
Nearest hospital to ZIP centroid (approximate)
ADVENTHEALTH PALM COAST PARKWAY
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Kretsch is a clinical cardiology specialist, with above-average Medicare volume (top 25% in FL).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Kretsch experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kretsch performed 483 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Kretsch receive payments from pharmaceutical companies?
Yes. Dr. Kretsch received a total of $2,846 from 16 companies across 119 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Kretsch's costs compare to other family medicine physicians in Palm Coast?
Dr. Kretsch's average Medicare payment per service is $78. 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. Kretsch) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →