Medicare Enrolled
Dr. Nicholas Orow, M.D.
Family Medicine · Bay City, 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. Orow 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. Orow
Dr. Nicholas Orow is a family medicine specialist in Bay City, MI, with 15 years of NPI registration. Based on federal Medicare data, Dr. Orow performed 3,693 Medicare services across 1,685 unique beneficiaries.
Between the years covered by Open Payments, Dr. Orow received a total of $3,424 from 38 pharmaceutical and/or device companies across 275 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Orow 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.
✓ 15 years in practice
▲ Top 2% volume in MI
$3,424 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,693
Medicare services
Top 2% in MI for family medicine
1,685
Unique beneficiaries
$36
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~246 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. |
557 | $87 | $155 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
548 | $57 | $75 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
280 | $0 | $2 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
273 | $25 | $42 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
212 | $10 | $40 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
202 | $1 | $2 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
175 | $3 | $10 |
| 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. |
171 | $63 | $105 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
136 | $8 | $10 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
92 | $3 | $10 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
92 | $14 | $25 |
| 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. |
91 | $10 | $35 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
75 | $7 | $10 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
60 | $0 | $10 |
| Health risk assessment administration and interpretation This procedure involves administering a health risk assessment to a patient and interpreting the results. |
59 | $2 | $50 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
59 | $77 | $92 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
58 | $18 | $55 |
| Annual depression screening | 55 | $17 | $20 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
53 | $123 | $190 |
| Annual alcohol misuse screening, 5 to 15 minutes | 48 | $17 | $30 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
46 | $4 | $5 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
45 | $30 | $50 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
38 | $49 | $89 |
| COVID-19 antibody test A blood test that detects antibodies to the coronavirus that causes COVID-19. It provides a qualitative or semi-quantitative result to indicate whether antibodies are present. |
36 | $37 | $50 |
| 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. |
36 | $122 | $206 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
33 | $9 | $20 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
32 | $4 | $10 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
22 | $29 | $35 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
17 | $40 | $90 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
16 | $16 | $25 |
| Inhalation treatment for airway obstruction or sputum production A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production. |
15 | $7 | $30 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
13 | $69 | $70 |
| 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. |
13 | $69 | $155 |
| Substance misuse assessment and brief intervention A structured assessment of alcohol or substance misuse combined with a brief intervention lasting 15 to 30 minutes. |
13 | $27 | $55 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
11 | $24 | $30 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
11 | $209 | $290 |
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 ↗$3,424
Total received (2018-2024)
Avg $489/year across 7 years
Top 12% in MI for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
275
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
$3,424 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$60
2023
$324
2022
$246
2021
$901
2020
$311
2019
$716
2018
$866
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Phathom Pharmaceuticals, Inc.
$46
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$432
Lilly USA, LLC
$291
Astellas Pharma US Inc
$266
Horizon Therapeutics plc
$241
Boehringer Ingelheim Pharmaceuticals, Inc.
$190
Horizon Pharma plc
$161
Takeda Pharmaceuticals U.S.A., Inc.
$155
PFIZER INC.
$151
AstraZeneca Pharmaceuticals LP
$126
GlaxoSmithKline, LLC.
$119
Janssen Pharmaceuticals, Inc
$103
Biohaven Pharmaceuticals, Inc.
$91
Allergan Inc.
$87
Axsome Therapeutics, Inc.
$85
AbbVie Inc.
$84
Orexo US, Inc.
$80
Teva Pharmaceuticals USA, Inc.
$64
ABBVIE INC.
$64
Abbott Laboratories
$61
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$58
Otsuka America Pharmaceutical, Inc.
$54
Eisai Inc.
$52
DEXCOM, INC.
$51
Phathom Pharmaceuticals, Inc.
$46
Amgen Inc.
$43
Mylan Specialty L.P.
$34
Daiichi Sankyo Inc.
$30
Circassia Pharmaceuticals Inc
$26
Novartis Pharmaceuticals Corporation
$25
Supernus Pharmaceuticals, Inc.
$24
Xeris Pharmaceuticals, Inc.
$23
Esperion Therapeutics, Inc.
$20
Biogen, Inc.
$18
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Neurocrine Biosciences, Inc.
$15
BioDelivery Sciences International, Inc.
$14
ITI, Inc.
$13
SANOFI-AVENTIS U.S. LLC
$12
Top 3 companies account for 28.9% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AIRSUPRA · AJOVY · ANORO · Aimovig · AirDuo Digihaler · Auvelity · BASAGLAR · BELBUCA · BREZTRI · CAPLYTA · CHANTIX · COMIRNATY · DEXCOM G6 TRANSMITTER · DUEXIS · Dayvigo · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FreeStyle Libre 2 · GLASSIA · GVOKE HYPOPEN · HUMALOG · INGREZZA · JARDIANCE · KRYSTEXXA · LYRICA · MYRBETRIQ · Morphabond ER · Myrbetriq · NEXLETOL · NO_PRODUCT · NUCALA · NURTEC ODT · Ozempic · PENNSAID · PREMARIN · QELBREE · QULIPTA · RAYOS · REXULTI · SOLIQUA · STIOLTO RESPIMAT · Saxenda · TEPEZZA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TUDORZA PRESSAIR · TYSABRI · Tresiba · Trintellix · UBRELVY · VIMOVO · VOQUEZNA · VRAYLAR · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Yupelri · Zubsolv
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.
Geographic Context
Family medicine physicians within 10 mi
339
Per 100K population
328.4
County median income
$60,523
Nearest hospital
MCLAREN BAY REGION
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. Orow is a clinical cardiology specialist, with above-average Medicare volume (top 2% in MI), with low-engagement industry engagement in the top 12% of MI peers, with 15 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. Orow experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Orow performed 557 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. Orow receive payments from pharmaceutical companies?
Yes. Dr. Orow received a total of $3,424 from 38 companies across 275 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. Orow's costs compare to other family medicine physicians in Bay City?
Dr. Orow's average Medicare payment per service is $36. 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. Orow) 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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