Medicare Enrolled

Dr. Zachary Grabel, MD

Orthopaedic Surgery of the Spine Physician · West Palm Beach, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1411 N FLAGLER DR STE 5900, West Palm Beach, FL 33401
5618336388
In practice since 2015 (11 years)
NPI: 1326433632 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. Grabel 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. Grabel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Grabel

Dr. Zachary Grabel is an orthopaedic surgery of the spine physician in West Palm Beach, FL, with 11 years of NPI registration. Based on federal Medicare data, Dr. Grabel performed 1,407 Medicare services across 1,210 unique beneficiaries.

Between the years covered by Open Payments, Dr. Grabel received a total of $14,937 from 10 pharmaceutical and/or device companies across 56 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. 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. Grabel 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.

✓ 11 years in practice ▲ Top 37% volume in FL $14,937 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 146181 Clear January 31, 2028
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
1,407
Medicare services
Top 37% in FL for orthopaedic surgery of the spine physician
1,210
Unique beneficiaries
$220
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~128 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.
379 $98 $291
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.
280 $128 $596
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
113 $32 $114
Partial removal of spine bone with nerve release, each additional segment
This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment.
91 $188 $2,153
Spine fusion with cage or mesh device insertion
A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space.
72 $230 $3,198
Imaging guidance for procedure, 60 minutes or less
Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less.
69 $13 $750
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.
69 $73 $232
Partial removal of spine bone with nerve release, 1 segment
A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment.
52 $900 $9,252
X-ray of upper spine, 2-3 views
An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures.
33 $32 $114
Fusion of spine in lower back 31 $1,348 $16,597
Computer-assisted spinal procedure
A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution.
30 $206 $965
Anterior lumbar interbody fusion with partial disc removal
A surgical procedure to fuse the lower spine bones by accessing the area through the abdomen and partially removing a spinal disc.
28 $623 $14,004
Harvest of bone fragment for spine bone graft
A surgical procedure to remove a piece of bone from the patient's body to be used as a graft during spine surgery.
21 $143 $1,500
New patient office visit, complex (60-74 min) 21 $179 $752
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.
20 $136 $453
Spinal fusion with disc removal and nerve release, 1 disc
This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve.
19 $1,534 $11,890
Placement of stabilizing device to back of 1 spine bone in neck
A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck.
19 $651 $5,875
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc 17 $358 $2,643
Spinal stabilization device placement, 3-6 segments
Surgical placement of a device to stabilize three to six vertebrae in the back.
16 $636 $5,862
Spinal fusion of additional segment
A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column.
14 $310 $2,543
Spinal stabilization device placement, 2-3 segments
Surgical placement of a device to stabilize the front of two to three spinal segments.
13 $657 $5,775
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.
12.9% high complexity
4.9% medium
82.2% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$14,937
Total received (2019-2024)
Avg $2,490/year across 6 years
Bottom 44% in FL for orthopaedic surgery of the spine physician
10
Companies
56
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
$14,338 (96.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$500 (3.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$99 (0.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$931
2023
$4,386
2022
$6,168
2021
$3,311
2020
$112
2019
$29

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alphatec Spine, Inc
$8,864
Stryker Corporation
$5,240
Zavation LLC
$500
Cerapedics Inc.
$99
Medtronic, Inc.
$64
Integrity Implants Inc.
$61
Smith+Nephew, Inc.
$40
Medtronic USA, Inc.
$29
SI-BONE, Inc.
$21
Globus Medical, Inc.
$20
Top 3 companies account for 97.8% of total payments
Associated products mentioned in payments ›
ADHERUS AUTOSPRAY DURAL SEALANT · CAPRI · CASCADIA INTERBODY SYSTEM · CATALYST · EVEREST SPINAL SYSTEM · EVOS · ExcelsiusGPS Robotic Navigation System · FlareHawk · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · MESA SMALL STATURE SPINAL SYSTEM · N/A · OZARK CERVICAL PLATE SYSTEM · Other - Miscellaneous · PASSPORT SMARTTIP TROCAR · SERRATO · TRITANIUM · UNID_PASS · Zavation · iFuse Implant
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 (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $1,062 per 100 Medicare services performed
Looking for an orthopaedic surgery of the spine physician in West Palm Beach?
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Geographic Context

Orthopaedic surgery of the spine physicians within 10 mi
27
Per 100K population
1.8
County median income
$81,115
Nearest hospital
GOOD SAMARITAN MEDICAL CENTER
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. Grabel is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

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. Grabel experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Grabel performed 379 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. Grabel receive payments from pharmaceutical companies?
Yes. Dr. Grabel received a total of $14,937 from 10 companies across 56 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. Grabel's costs compare to other orthopaedic surgery of the spine physicians in West Palm Beach?
Dr. Grabel's average Medicare payment per service is $220. 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. Grabel) 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 →