Medicare Enrolled

Dr. Brian Gelb, MD

Emergency Medical Services (Emergency Medicine) Physician · Alpena, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
105 ARBOR LN, Alpena, MI 49707
9898840139
In practice since 2006 (20 years)
NPI: 1194771873 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. Gelb 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. Gelb

Dr. Brian Gelb is an emergency medical services physician in Alpena, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gelb performed 5,179 Medicare services across 3,316 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gelb received a total of $3,514 from 23 pharmaceutical and/or device companies across 205 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency medical services (emergency medicine) 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. Gelb 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 1% volume in MI $3,514 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,179
Medicare services
Top 1% in MI for emergency medical services (emergency medicine) physician
3,316
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~259 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
Destruction of precancerous skin growths, 2-14
This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer.
1,695 $5 $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.
1,132 $56 $318
Destruction of precancerous skin growth, 1
Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer.
586 $37 $245
Skin biopsy, tangential
A procedure to remove a sample of the first identified skin growth for laboratory examination.
406 $60 $380
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.
305 $81 $446
Destruction of skin growths (warts/lesions), 1-14
This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface.
269 $74 $420
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
148 $62 $393
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
129 $38 $201
Intermediate wound repair, 2.6-7.5 cm
A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing.
70 $211 $1,113
Additional skin growth biopsy
Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session.
63 $36 $189
Surgical removal of skin cancer, 1.1-2.0 cm
Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs.
51 $94 $891
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.
46 $87 $582
Punch biopsy of first skin growth
A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination.
42 $80 $472
Ear tissue biopsy
A procedure to remove a small sample of tissue from the ear for laboratory examination.
34 $63 $355
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
31 $35 $258
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
31 $1 $4
Surgical removal of facial skin cancer, 1.1-2.0 cm
This procedure involves the surgical excision of a cancerous skin growth located on the face, ears, eyelids, nose, lips, or mouth. The size of the removed tissue is between 1.1 and 2.0 centimeters.
23 $108 $974
Emergency department visit, moderate complexity
An emergency department visit for an established or new patient involving a moderate level of medical decision making.
23 $94 $573
Intermediate wound repair, 2.6-7.5 cm
This procedure involves stitching a wound on the neck, hands, feet, or genitals that measures between 2.6 and 7.5 centimeters. It is classified as an intermediate repair requiring layered closure.
20 $213 $1,139
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 20 $216 $1,158
Destruction of cancer skin growth, 1.1-2.0 cm
Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters.
19 $119 $651
Surgical removal of skin cancer, 1.1-2.0 cm
Surgical excision of a cancerous skin growth measuring 1.1 to 2.0 centimeters from the scalp, neck, hands, feet, or genitals.
18 $114 $919
Injection into skin growths, 1-7
A procedure involving the injection of medication into one to seven skin growths.
18 $33 $207
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 ↗
$3,514
Total received (2018-2024)
Avg $502/year across 7 years
Top 4% in MI for emergency medical services (emergency medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
205
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
$3,342 (95.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$172 (4.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$783
2023
$935
2022
$602
2021
$130
2020
$224
2019
$494
2018
$345

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
E.R. Squibb & Sons, L.L.C.
$213
Novartis Pharmaceuticals Corporation
$173
ABBVIE INC.
$163
Amgen Inc.
$110
Boehringer Ingelheim Pharmaceuticals, Inc.
$43
GENZYME CORPORATION
$39
Regeneron Healthcare Solutions, Inc.
$22
Lilly USA, LLC
$20
Top 3 companies account for 70.1% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$1,027
ABBVIE INC.
$487
E.R. Squibb & Sons, L.L.C.
$393
Celgene Corporation
$274
GENZYME CORPORATION
$267
Amgen Inc.
$224
AbbVie, Inc.
$122
PFIZER INC.
$113
Incyte Corporation
$112
PruGen, Inc. Pharmaceuticals
$71
Boehringer Ingelheim Pharmaceuticals, Inc.
$68
Lilly USA, LLC
$60
NOVARTIS PHARMACEUTICALS CORPORATION
$60
Genentech USA, Inc.
$54
Regeneron Healthcare Solutions, Inc.
$38
Paratek Pharmaceuticals, Inc.
$27
AbbVie Inc.
$20
DUSA Pharmaceuticals, Inc.
$20
UCB, Inc.
$19
Sun Pharmaceutical Industries Inc.
$16
Janssen Biotech, Inc.
$15
Dermavant Sciences, Inc.
$15
Galderma Laboratories, L.P.
$13
Top 3 companies account for 54.3% of all-time payments
Associated products mentioned in payments ›
BLU-U · COSENTYX · Cimzia · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · EPIDUO FORTE · EUCRISA · Erivedge · Humira · ILUMYA · NUZYRA · OPZELURA · Otezla · RINVOQ · SKYRIZI · SPEVIGO · Sotyktu · TALTZ · TREMFYA · VTAMA · XOLAIR
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 (95%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for emergency medical services (emergency medicine) physician in MI.

Looking for an emergency medical services physician in Alpena?
Compare emergency medical services physicians in the Alpena area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Emergency medical services physicians within 10 mi
3
Per 100K population
10.4
County median income
$51,909
Nearest hospital
MYMICHIGAN MEDICAL CENTER ALPENA
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. Gelb is a clinical cardiology specialist, with above-average Medicare volume (top 1% in MI), with low-engagement industry engagement in the top 4% 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. Gelb experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Gelb performed 1,695 destruction of precancerous skin growths, 2-14 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. Gelb receive payments from pharmaceutical companies?
Yes. Dr. Gelb received a total of $3,514 from 23 companies across 205 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. Gelb's costs compare to other emergency medical services physicians in Alpena?
Dr. Gelb's average Medicare payment per service is $44. 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. Gelb) 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. 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. 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 →