Medicare Enrolled
Dr. Nabil Nouna, MD
Internal Medicine · Allegan, MI
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. Nouna 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. Nouna
Dr. Nabil Nouna is an internal medicine specialist in Allegan, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Nouna performed 1,759 Medicare services across 867 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nouna received a total of $15,694 from 60 pharmaceutical and/or device companies across 1050 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Nouna 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.
✓ 20 years in practice
▲ Top 12% volume in MI
$15,694 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,759
Medicare services
Top 12% in MI for internal medicine
867
Unique beneficiaries
$52
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~88 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 |
|---|---|---|---|
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
396 | $43 | $68 |
| 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. |
385 | $85 | $147 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
153 | $34 | $53 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
134 | $8 | $18 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
118 | $10 | $30 |
| 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. |
73 | $62 | $120 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
62 | $29 | $40 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
55 | $76 | $85 |
| 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. |
55 | $6 | $32 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
55 | $125 | $150 |
| Annual depression screening | 51 | $18 | $25 |
| 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. |
47 | $55 | $109 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
36 | $90 | $170 |
| 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. |
29 | $137 | $310 |
| 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. |
22 | $139 | $217 |
| Nursing facility visit, established patient, straightforward A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes. |
22 | $31 | $175 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
15 | $8 | $35 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
14 | $3 | $15 |
| 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. |
13 | $9 | $60 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
13 | $40 | $143 |
| Nursing facility discharge management, more than 30 minutes This service involves care coordination and management activities performed by a healthcare professional to prepare a patient for discharge from a nursing facility. It requires more than 30 minutes of time spent on these activities. |
11 | $103 | $150 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$15,694
Total received (2018-2024)
Avg $2,242/year across 7 years
Top 5% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
60
Companies
1,050
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
$15,694 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,385
2023
$2,453
2022
$2,378
2021
$2,357
2020
$1,867
2019
$1,965
2018
$2,290
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lundbeck LLC
$244
AstraZeneca Pharmaceuticals LP
$244
Inspire Medical Systems, Inc.
$213
Novo Nordisk Inc
$189
GlaxoSmithKline, LLC.
$180
PFIZER INC.
$161
Boehringer Ingelheim Pharmaceuticals, Inc.
$152
Bayer Healthcare Pharmaceuticals Inc.
$138
ABBVIE INC.
$137
Astellas Pharma US Inc
$117
Amgen Inc.
$106
Sumitomo Pharma America, Inc.
$92
Merck Sharp & Dohme LLC
$89
Lilly USA, LLC
$77
Xeris Pharmaceuticals, Inc.
$72
Grifols USA, LLC
$56
Teva Pharmaceuticals USA, Inc.
$39
Radius Health, Inc.
$36
Boston Scientific Corporation
$23
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$20
Top 3 companies account for 29.4% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,948
AstraZeneca Pharmaceuticals LP
$1,941
GlaxoSmithKline, LLC.
$1,298
Boehringer Ingelheim Pharmaceuticals, Inc.
$901
PFIZER INC.
$809
Amgen Inc.
$763
Grifols USA, LLC
$691
Astellas Pharma US Inc
$639
Lilly USA, LLC
$629
ABBVIE INC.
$564
Janssen Pharmaceuticals, Inc
$468
Novartis Pharmaceuticals Corporation
$376
Bayer Healthcare Pharmaceuticals Inc.
$325
Lundbeck LLC
$300
Xeris Pharmaceuticals, Inc.
$293
SANOFI-AVENTIS U.S. LLC
$276
Kowa Pharmaceuticals America, Inc.
$243
Takeda Pharmaceuticals U.S.A., Inc.
$239
Inspire Medical Systems, Inc.
$213
Teva Pharmaceuticals USA, Inc.
$180
Bayer HealthCare Pharmaceuticals Inc.
$178
Merck Sharp & Dohme LLC
$175
Amarin Pharma Inc.
$170
AbbVie, Inc.
$162
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$155
E.R. Squibb & Sons, L.L.C.
$119
Radius Health, Inc.
$110
Esperion Therapeutics, Inc.
$106
Medtronic MiniMed, Inc.
$97
Medtronic, Inc.
$92
Sumitomo Pharma America, Inc.
$92
Philips Electronics North America Corporation
$88
Nabriva Therapeutics, plc
$84
Sunovion Pharmaceuticals Inc.
$81
Eisai Inc.
$72
Merck Sharp & Dohme Corporation
$63
Nestle HealthCare Nutrition Inc.
$63
Electromed, Inc.
$62
Allergan, Inc.
$57
Mylan Specialty L.P.
$55
IDORSIA PHARMACEUTICALS US INC
$48
Jazz Pharmaceuticals Inc.
$45
Biohaven Pharmaceuticals, Inc.
$43
Shire North American Group Inc
$41
Otsuka America Pharmaceutical, Inc.
$41
Dexcom, Inc.
$38
JAZZ PHARMACEUTICALS INC.
$34
Circassia Pharmaceuticals Inc
$30
Daiichi Sankyo Inc.
$27
Boston Scientific Corporation
$23
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$20
AbbVie Inc.
$17
Medtronic USA, Inc.
$17
Actelion Pharmaceuticals US, Inc.
$17
Biohaven Pharmaceutical Holding Company Ltd.
$15
Exact Sciences Corporation
$14
Neurocrine Biosciences, Inc.
$14
ARBOR PHARMACEUTICALS, INC.
$13
Purdue Pharma L.P.
$12
Allergan Inc.
$11
Top 3 companies account for 33.1% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ACTIVA · ADVAIR · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · AUSTEDO · Aimovig · Austedo XR · BREO · BREZTRI · BYDUREON · CAMZYOS · CAPLYTA · CAPVAXIVE · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · COUMADIN · CREON · Cologuard Collection Kit · Creon · DIFICID · Dayvigo · Dexcom G6 Transmitter · Dymista · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · FARXIGA · FORTEO · GEMTESA · GVOKE HYPOPEN · GVOKE PFS · INGREZZA · INJECTAFER · INPEN SMART INSULIN DELIVERY SYSTEM · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · JYNARQUE · Kerendia · LEQVIO · LINZESS · LONHALA MAGNAIR · LYRICA · Lexiscan · Livalo · MINIMED 770G · MOUNJARO · MOVANTIK · MYRBETRIQ · Minimed 670G System · Minimed 770G System · Myrbetriq · NEXLETOL · NURTEC ODT · OFEV · OPSUMIT · OXYCONTIN · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRADAXA · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolastin-C · Prolastin-C Liquid · Prolia · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SMARTVEST · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STEGLUJAN · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Saxenda · Seglentis · Sivextro · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · Tymlos · UBRELVY · UTIBRON · Utibron · VAXNEUVANCE · VESICARE · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · Xenleta · Yupelri · ZENPEP
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for internal medicine in MI.
Geographic Context
Internal medicine physicians within 10 mi
205
Per 100K population
169.5
County median income
$80,255
Nearest hospital
ASCENSION BORGESS ALLEGAN 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. Nouna is a clinical cardiology specialist, with above-average Medicare volume (top 12% in MI), with low-engagement industry engagement in the top 5% of MI peers, with 20 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. Nouna experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Nouna performed 396 chronic care management, first 20 min/month 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. Nouna receive payments from pharmaceutical companies?
Yes. Dr. Nouna received a total of $15,694 from 60 companies across 1,050 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. Nouna's costs compare to other internal medicine physicians in Allegan?
Dr. Nouna's average Medicare payment per service is $52. 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. Nouna) 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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