Medicare Enrolled
Dr. Mark Metzl, MD
Internal Medicine · Evanston, IL
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
Mixed 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. Metzl 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. Metzl
Dr. Mark Metzl is an internal medicine specialist in Evanston, IL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Metzl performed 1,798 Medicare services across 1,574 unique beneficiaries.
Between the years covered by Open Payments, Dr. Metzl received a total of $698,384 from 37 pharmaceutical and/or device companies across 929 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Payments are distributed across multiple categories and often reflect legitimate professional engagement with the medical industry. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Metzl 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.
✓ 17 years in practice
▲ Top 18% volume in IL
$698,384 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,798
Medicare services
Top 18% in IL for internal medicine
1,574
Unique beneficiaries
$130
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~106 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 |
|---|---|---|---|
| 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. |
329 | $21 | $118 |
| 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. |
174 | $7 | $32 |
| 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. |
168 | $111 | $371 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
117 | $21 | $85 |
| 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. |
96 | $19 | $95 |
| 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. |
96 | $11 | $43 |
| 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. |
75 | $27 | $221 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
69 | $19 | $78 |
| New patient office visit, complex (60-74 min) | 68 | $147 | $500 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
66 | $850 | $3,877 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
52 | $24 | $112 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
47 | $276 | $1,279 |
| Ultrasound of heart blood vessels with radiologist review An ultrasound exam that evaluates blood vessels within the heart, including a review of the results by a radiologist. |
46 | $61 | $539 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
36 | $45 | $188 |
| 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. |
34 | $77 | $226 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
33 | $274 | $1,540 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
32 | $454 | $2,864 |
| 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. |
27 | $48 | $225 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
25 | $400 | $1,924 |
| Permanent leadless pacemaker insertion A small, self-contained pacemaker is placed directly into the heart without using wires. The procedure is guided by imaging to ensure correct positioning. |
25 | $408 | $1,741 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
22 | $813 | $3,333 |
| 2-day continuous ECG with professional review A two-day continuous electrocardiogram recording that includes a review by a healthcare professional. |
19 | $15 | $124 |
| Heart rhythm ablation for ventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the lower chambers that causes rapid or irregular heartbeats. This is done using a catheter during an electrophysiologic evaluation. |
19 | $913 | $4,046 |
| 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. |
18 | $147 | $428 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
17 | $415 | $1,700 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
15 | $24 | $115 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
13 | $35 | $133 |
| 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. |
13 | $113 | $380 |
| Removal of dual electrodes from right heart This procedure involves the extraction of dual electrodes located in the right side of the heart. |
12 | $482 | $2,324 |
| Insertion of catheter into left heart chamber through septum A procedure to place a tube into the left side of the heart by passing it through the wall separating the heart chambers. |
12 | $190 | $755 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
12 | $749 | $2,904 |
| Removal of permanent pacemaker pulse generator This procedure involves the surgical removal of the pulse generator component of a permanent pacemaker. The pulse generator is the device that sends electrical impulses to regulate the heart's rhythm. |
11 | $105 | $913 |
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.
46.5% high complexity
2.6% medium
50.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$698,384
Total received (2018-2024)
Avg $99,769/year across 7 years
Top 0% in IL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
929
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.
Other
Charitable contributions, space rental, and other categories
$358,020 (51.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$147,163 (21.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$143,117 (20.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$50,084 (7.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$417,113
2023
$38,871
2022
$82,299
2021
$56,259
2020
$37,111
2019
$39,470
2018
$27,261
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Haemonetics Corporation
$358,020
Volta Medical Inc
$18,377
Medtronic, Inc.
$18,364
Philips North America LLC
$11,109
SANOFI-AVENTIS U.S. LLC
$7,318
Biosense Webster, Inc.
$2,277
Abbott Laboratories
$500
Medical Device Business Services, Inc.
$450
Boston Scientific Corporation
$191
CardioFocus, Inc.
$160
Boehringer Ingelheim Pharmaceuticals, Inc.
$89
Janssen Pharmaceuticals, Inc
$66
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$50
PFIZER INC.
$31
Actelion Pharmaceuticals US, Inc.
$22
Alnylam Pharmaceuticals Inc.
$20
E.R. Squibb & Sons, L.L.C.
$20
Kiniksa Pharmaceuticals International, plc
$19
Elutia, Inc.
$15
Cook Medical LLC
$15
Top 3 companies account for 94.6% of 2024 payments
All-time payments by company (2018-2024) ›
Haemonetics Corporation
$358,020
Medtronic, Inc.
$86,613
SANOFI-AVENTIS U.S. LLC
$53,915
Biosense Webster, Inc.
$52,574
Abbott Laboratories
$32,275
Philips Electronics North America Corporation
$32,133
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$24,908
Volta Medical Inc
$18,720
Medtronic Vascular, Inc.
$16,531
Philips North America LLC
$11,109
Medical Device Business Services, Inc.
$4,675
Boston Scientific Corporation
$3,264
AtriCure, Inc.
$1,114
Janssen Pharmaceuticals, Inc
$637
Boehringer Ingelheim Pharmaceuticals, Inc.
$258
Edwards Lifesciences Corporation
$186
CardioFocus, Inc.
$160
E.R. Squibb & Sons, L.L.C.
$144
Covidien LP
$134
CVRx, Inc.
$127
AstraZeneca Pharmaceuticals LP
$117
ATRICURE, INC.
$113
Novartis Pharmaceuticals Corporation
$104
Amgen Inc.
$94
PFIZER INC.
$93
BOSTON SCIENTIFIC CORPORATION
$85
Novo Nordisk Inc
$60
Aziyo Biologics, Inc.
$47
Kestra Medical Technology Services, Inc.
$26
Lexicon Pharmaceuticals, Inc.
$24
Actelion Pharmaceuticals US, Inc.
$22
BIOTRONIK INC.
$20
Alnylam Pharmaceuticals Inc.
$20
Kiniksa Pharmaceuticals International, plc
$19
Elutia, Inc.
$15
Cook Medical LLC
$15
Chiesi USA, Inc.
$14
Top 3 companies account for 71.4% of all-time payments
Associated products mentioned in payments ›
(5028) IGT Devices Systems Undivided · (6557) Mechanical Tools · (6571) Eagle Eye · (8334) IGT_D Peripheral · (9016) GlideLight · (9017) CVX-300 · (9124) LM Undivided · (9148) ICE 3D · (9266) ELCA · (9274) LLD · (9275) TightRail · (9278) Bridge · (9520) IGT Devices Undivided · (AM5) Lead management · (BH4) IGT Devices Undivided · (BS2) LM Undivided · AMPLATZER · ARCTIC FRONT ADVANCE · ATRIAL FIBRILLATION - DISEASE · ATRICLIP LAA EXCLUSION SYSTEM · ATRICURE ATRICLIP LAA EXCLUSION · AURORA EV-ICD MRI SURESCAN · AVEIR · Advisa · Amplia MRI · Arcalyst · Arctic Front · Assure WCD · Attain · BRILINTA · Barostim Neo System · Bridge · CAMZYOS · CARDIOMEMS · CARTO 3 · CLEVIPREX · COBALT DR MRI SURESCAN · COROFLOW · CVX-300 · Carto 3 · Carto 3 System · CartoSound · Claria MRI · Cobalt · Connect HF · Corlanor · CryoConsole · DIAMONDTEMP BIDIRECTIONAL ABLATION CATHETER · DISEASE STATE · ECM Patch · ELIQUIS · EMBLEM · ENSITE · ENSITE PRECISION · ENSOETM · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYS · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · EPSILA EV · EVERA MRI XT DR SURESCAN · EVOLUTION · Edora 8 DR-T · Ellipse ICD · EnSite Precision Cardiac Mapping System · EnSite X · Ensite Cardiac Mapping System · Epi-Sense Guided Coagulation System with VisiTrax · FORTIFY ASSURA · Fortify Assura · GALLANT · GENERAL THERAPIES · General - Therapies · GlideLight · HeartLight System · IGT D Therapy · IGT Device Undivided · IGT_D Therapy · Inpefa · JARDIANCE · LINQ II · Lasers · LifeVest · MAMBA · MICRA · MULTAQ · Micra · Models · NA · NUVISION ICE CATHETER · OCTARAY MAPPING CATHETER · ONPATTRO · OPSUMIT · Ozempic · PRADAXA · PULSESELECT · Pentaray Nav · PillCam · Pouch · RHYTHMIA · Repatha · Reveal LINQ · Reveal XT · Rhythmia Mapping System · Rybelsus · S-ICD System Magnet · SAPIEN 3 Ultra RESILIA · SELECTSECURE · SELECTSITE · SENSOR ENABLED · SYNERGY · SelectSecure · Smartablate · TACTICATH ABLATION CATHETER · THERMOCOOL SMARTTOUCH · TYRX · Thermocool · UPTRAVI · VIEWMATE · VIGILANT X4 CRT-D · VX1 · VYNDAQEL · VersaCross Large Access Solution · Visia AF · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · myLUX Patient Kit with mobile device
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 0% for internal medicine in IL.
Geographic Context
Internal medicine physicians within 10 mi
5,701
Per 100K population
109.9
County median income
$81,797
Nearest hospital
NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Metzl is an electrophysiology & remote specialist, with above-average Medicare volume (top 18% in IL), with mixed engagement industry engagement in the top 0% of IL peers, with 17 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Metzl experienced with remote pacemaker monitoring, 90 days?
Based on Medicare claims data, Dr. Metzl performed 329 remote pacemaker monitoring, 90 days 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. Metzl receive payments from pharmaceutical companies?
Yes. Dr. Metzl received a total of $698,384 from 37 companies across 929 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. Metzl's costs compare to other internal medicine physicians in Evanston?
Dr. Metzl's average Medicare payment per service is $130. 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. Metzl) 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. 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.
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