Medicare Enrolled
Dr. Nayan Agarwal, M.D.
Cardiovascular Disease · Saint Augustine, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Agarwal 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. Agarwal
Dr. Nayan Agarwal is a cardiovascular disease specialist in Saint Augustine, FL, with 15 years of NPI registration. Based on federal Medicare data, Dr. Agarwal performed 5,073 Medicare services across 4,492 unique beneficiaries.
Between the years covered by Open Payments, Dr. Agarwal received a total of $15,453 from 47 pharmaceutical and/or device companies across 353 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. Agarwal 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.
✓ 15 years in practice
▲ Top 21% volume in FL
$15,453 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,073
Medicare services
Top 21% in FL for cardiovascular disease
4,492
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~338 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 (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. |
935 | $97 | $320 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
628 | $52 | $175 |
| 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. |
390 | $62 | $179 |
| 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. |
299 | $11 | $69 |
| 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. |
240 | $30 | $101 |
| 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. |
226 | $10 | $126 |
| 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. |
209 | $11 | $36 |
| 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. |
204 | $117 | $423 |
| Cardiac catheterization | 163 | $197 | $788 |
| 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. |
157 | $93 | $258 |
| 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. |
137 | $16 | $55 |
| 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. |
137 | $11 | $37 |
| 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. |
129 | $139 | $499 |
| 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. |
113 | $104 | $341 |
| 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. |
108 | $58 | $195 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
84 | $19 | $63 |
| Heart muscle strain imaging | 69 | $9 | $94 |
| 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. |
63 | $172 | $705 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
61 | $76 | $456 |
| 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. |
60 | $29 | $99 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
50 | $2 | $8 |
| 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. |
49 | $6 | $19 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
48 | $21 | $66 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
47 | $443 | $1,587 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
45 | $4 | $11 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
45 | $9 | $29 |
| 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. |
34 | $18 | $63 |
| Additional blood vessel ultrasound evaluation An ultrasound exam of a blood vessel that includes a radiologist's review. This code applies to each additional vessel evaluated beyond the initial one. |
30 | $55 | $431 |
| 2-day continuous ECG with professional review A two-day continuous electrocardiogram recording that includes a review by a healthcare professional. |
30 | $15 | $47 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
29 | $40 | $377 |
| Ultrasound of abdominal aorta An imaging test that uses sound waves to create pictures of the abdominal aorta, the large blood vessel that carries blood from the heart to the lower body. |
27 | $27 | $68 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 22 | $223 | $891 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
21 | $71 | $2,433 |
| Radiologist review of arm or leg artery images A radiologist reviews images of the arteries in one or both arms or legs to assess blood flow and vessel health. |
20 | $71 | $242 |
| Ultrasound of leg arteries at rest and after exercise This test uses sound waves to create images of the blood vessels in the legs while the patient is resting and after physical activity to assess blood flow. |
17 | $19 | $65 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
16 | $15 | $56 |
| 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. |
16 | $72 | $228 |
| Review by radiologist of both arms and legs veins of both arms or legs image | 15 | $52 | $177 |
| Radiologist review of lower body vein image A radiologist reviews images of the major veins in the lower body to assess their structure and function. |
15 | $41 | $169 |
| Physician review of home INR testing A physician reviews, interprets, and manages home INR testing results for patients with mechanical heart valves, chronic atrial fibrillation, or venous thromboembolism who meet Medicare coverage criteria. |
15 | $7 | $21 |
| Stent placement and plaque removal in one vessel A procedure to clear plaque and blood clots from a single blood vessel, followed by the insertion of a stent and/or balloon dilation to keep the vessel open. |
13 | $536 | $1,799 |
| Arterial catheter insertion, initial third order branch Insertion of a tube into an abdominal, pelvic, or leg artery, specifically targeting the initial third order branch. |
12 | $190 | $3,963 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 12 | $256 | $986 |
| Vein catheterization, first order branch Insertion of a tube into a vein that is a primary branch of a larger vessel. |
11 | $97 | $2,566 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
11 | $15 | $68 |
| 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. |
11 | $130 | $454 |
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.
18.6% high complexity
25.5% medium
55.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,453
Total received (2018-2024)
Avg $2,208/year across 7 years
Top 17% in FL for cardiovascular disease
47
Companies
353
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
$15,227 (98.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$226 (1.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,698
2023
$5,680
2022
$1,134
2021
$858
2020
$857
2019
$2,734
2018
$1,493
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Penumbra, Inc.
$2,444
Surmodics, Inc.
$1,720
Medtronic Vascular, Inc.
$1,612
ABIOMED
$1,500
Amgen Inc.
$763
Edwards Lifesciences Corporation
$674
W. L. Gore & Associates, Inc.
$642
Boston Scientific Corporation
$626
Janssen Pharmaceuticals, Inc
$503
Abbott Laboratories
$485
Novartis Pharmaceuticals Corporation
$453
Inari Medical, Inc.
$428
Medtronic, Inc.
$379
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$354
PFIZER INC.
$305
CARDIVA MEDICAL, INC.
$262
AstraZeneca Pharmaceuticals LP
$254
ShockWave Medical, Inc
$193
Philips Electronics North America Corporation
$189
BOSTON SCIENTIFIC CORPORATION
$162
AngioDynamics, Inc.
$156
CeloNova BioSciences, Inc.
$122
Astellas Pharma US Inc
$119
Recor Medical Inc
$108
Esperion Therapeutics, Inc.
$102
Philips North America LLC
$100
Bard Peripheral Vascular, Inc.
$85
Novo Nordisk Inc
$85
Terumo Medical Corporation
$72
Merck Sharp & Dohme Corporation
$68
Amarin Pharma Inc.
$57
Biosense Webster, Inc.
$52
E.R. Squibb & Sons, L.L.C.
$49
Chiesi USA, Inc.
$46
Cardiovascular Systems Inc.
$38
Merck Sharp & Dohme LLC
$32
Kiniksa Pharmaceuticals, Ltd.
$30
Bayer Healthcare Pharmaceuticals Inc.
$25
Regeneron Healthcare Solutions, Inc.
$25
Teleflex LLC
$22
PORTOLA PHARMACEUTICALS, INC.
$20
Relypsa, Inc.
$20
Kiniksa Pharmaceuticals International, plc
$17
Kowa Pharmaceuticals America, Inc.
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$14
Cook Medical LLC
$13
Gilead Sciences, Inc.
$12
Top 3 companies account for 37.4% of total payments
Associated products mentioned in payments ›
(0778) Core M2 · (4067) Tack Endo Sys BTK · (P88) IGT Devices FM · ABRE · ANDEXXA · AURYON LASER SYSTEM 100-120 VAC · Arcalyst · BRILINTA · CAMZYOS · CARDIOFORM Septal Occluder · CARDIVA VASCADE 6/7F VCS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · CHANTIX · COMPIA MRI QUAD CRT-D SURESCAN · CONCERTOTM · COOK MEDICAL ZILVER PTX · CT THROMBECTOMY SYSTEM KIT · CardioMEMS HF System · Circulatory Support · CoreValve Evolut · Corlanor · DIAMONDBACK CORONARY · Diamondback Peripheral · ELIQUIS · ELUVIA · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · FARXIGA · FLOWTRIEVER CATHETER · GENERAL STRUCTURAL HEART · GENERAL - VASCULAR INTERVENTION · IGT_D Peripheral · IN.PACT ADMIRAL · Impella · Indigo System · JARDIANCE · KENGREAL · Kerendia · LEQVIO · LEXISCAN · LINQ II · LifeVest · Livalo · METACROSS OTW · MICRA · MITRACLIP · Mitra Clip system · NEXLETOL · OPTOWIRE · PARADISE RENAL DENERVATION SYSTEM · PRALUENT ALIROCUMAB INJECTION · Penumbra System · Perclose ProGlide suture mediated closure system · PressureWire FFR · ROTAPRO · RUBY Coil · Repatha · Reveal LINQ · S · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SUPERCROSS · SYNERGY · Smart Coil · Sublime 014 Rx PTA Balloon Dilatation Catheter · Supera peripheral stent system · TYRX · VENASEAL · VERQUVO · VYNDAQEL · Vascepa · Veltassa · ViewMate Intracardiac Echo · WALLSTENT · Wegovy · XARELTO · XIENCE SIERRA
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $305 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
140
Per 100K population
47.9
County median income
$106,169
Nearest hospital
ASCENSION ST VINCENT'S ST JOHNS COUNTY
9.5 mi
9.5 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. Agarwal is a clinical cardiology specialist, with above-average Medicare volume (top 21% in FL), with low-engagement industry engagement in the top 17% of FL peers, with 15 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. Agarwal experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Agarwal performed 935 office visit, established patient (30-39 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. Agarwal receive payments from pharmaceutical companies?
Yes. Dr. Agarwal received a total of $15,453 from 47 companies across 353 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. Agarwal's costs compare to other cardiologists in Saint Augustine?
Dr. Agarwal's average Medicare payment per service is $68. 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. Agarwal) 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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