Medicare Enrolled
Dr. Nathan Bloch, D.O.
Family Medicine · Farmington Hills, 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. Bloch 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. Bloch?
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What this data tells you about Dr. Bloch
Dr. Nathan Bloch is a family medicine specialist in Farmington Hills, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Bloch performed 4,186 Medicare services across 2,335 unique beneficiaries.
Between the years covered by Open Payments, Dr. Bloch received a total of $13,448 from 59 pharmaceutical and/or device companies across 578 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. Bloch 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.
✓ 19 years in practice
▲ Top 2% volume in MI
$13,448 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,186
Medicare services
Top 2% in MI for family medicine
2,335
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~220 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. |
536 | $95 | $292 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
350 | $8 | $16 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
315 | $10 | $31 |
| 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. |
308 | $8 | $20 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
289 | $4 | $18 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
198 | $13 | $40 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
174 | $38 | $79 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
165 | $4 | $13 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
158 | $16 | $50 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
157 | $9 | $20 |
| 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. |
129 | $69 | $206 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
128 | $1 | $12 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
106 | $130 | $298 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
100 | $6 | $13 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
97 | $9 | $25 |
| Annual depression screening | 97 | $18 | $43 |
| Annual alcohol misuse screening, 5 to 15 minutes | 96 | $18 | $43 |
| Health risk assessment administration and interpretation This procedure involves administering a health risk assessment to a patient and interpreting the results. |
64 | $2 | $7 |
| 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. |
49 | $11 | $32 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
48 | $4 | $8 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
45 | $6 | $12 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
45 | $5 | $11 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
39 | $72 | $122 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
39 | $31 | $50 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
35 | $52 | $147 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
35 | $28 | $60 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
33 | $6 | $30 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
31 | $1 | $19 |
| 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. |
29 | $10 | $34 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
28 | $4 | $9 |
| 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. |
28 | $15 | $35 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
23 | $18 | $37 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
21 | $30 | $50 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
20 | $11 | $40 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
20 | $2 | $5 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
20 | $268 | $450 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
19 | $38 | $83 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
16 | $15 | $60 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
16 | $18 | $40 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
14 | $14 | $30 |
| Iron level test | 14 | $6 | $25 |
| Transferrin level test A blood test that measures the amount of transferrin, a protein that binds to and transports iron in the body. |
14 | $12 | $26 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
13 | $13 | $28 |
| PSA test (prostate cancer screening) | 13 | $18 | $40 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
12 | $18 | $36 |
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 ↗$13,448
Total received (2018-2024)
Avg $1,921/year across 7 years
Top 2% in MI for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
59
Companies
578
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
$9,758 (72.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,689 (27.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,429
2023
$1,811
2022
$5,232
2021
$1,929
2020
$1,132
2019
$1,022
2018
$893
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$223
Boehringer Ingelheim Pharmaceuticals, Inc.
$213
Amgen Inc.
$161
Novo Nordisk Inc
$152
Lilly USA, LLC
$81
Novartis Pharmaceuticals Corporation
$78
PFIZER INC.
$69
GlaxoSmithKline, LLC.
$69
UCB, Inc.
$50
Bayer Healthcare Pharmaceuticals Inc.
$45
ABBVIE INC.
$44
Paratek Pharmaceuticals, Inc.
$37
Teva Pharmaceuticals USA, Inc.
$34
Bioventus LLC
$30
Astellas Pharma US Inc
$23
Merck Sharp & Dohme LLC
$22
Corium, LLC
$22
Otsuka America Pharmaceutical, Inc.
$22
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$21
ConvaTec Inc.
$18
Abbott Laboratories
$13
Top 3 companies account for 41.8% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$3,733
AstraZeneca Pharmaceuticals LP
$1,209
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,024
Novo Nordisk Inc
$1,012
GlaxoSmithKline, LLC.
$801
Lilly USA, LLC
$708
AbbVie Inc.
$478
Janssen Pharmaceuticals, Inc
$445
Teva Pharmaceuticals USA, Inc.
$359
Bayer HealthCare Pharmaceuticals Inc.
$250
Amgen Inc.
$242
PFIZER INC.
$237
Amarin Pharma Inc.
$231
Bayer Healthcare Pharmaceuticals Inc.
$209
Novartis Pharmaceuticals Corporation
$194
Indivior Inc.
$173
Otsuka America Pharmaceutical, Inc.
$168
Esperion Therapeutics, Inc.
$125
Merck Sharp & Dohme Corporation
$125
Dexcom, Inc.
$122
Allergan, Inc.
$99
Biohaven Pharmaceutical Holding Company Ltd.
$94
Takeda Pharmaceuticals U.S.A., Inc.
$90
Merck Sharp & Dohme LLC
$85
SANOFI PASTEUR INC.
$80
IDORSIA PHARMACEUTICALS US INC
$76
Abbott Laboratories
$75
Exact Sciences Corporation
$67
Biohaven Pharmaceuticals, Inc.
$63
Astellas Pharma US Inc
$62
DEXCOM, INC.
$55
Regeneron Healthcare Solutions, Inc.
$50
Lundbeck LLC
$50
UCB, Inc.
$50
Allergan Inc.
$50
Bioventus LLC
$48
E.R. Squibb & Sons, L.L.C.
$45
Paratek Pharmaceuticals, Inc.
$37
Horizon Therapeutics plc
$32
Circassia Pharmaceuticals Inc
$31
Nestle HealthCare Nutrition Inc.
$30
Orexo US, Inc.
$27
US WorldMeds, LLC
$26
Hologic, LLC
$23
AbbVie, Inc.
$23
Corium, LLC
$22
Integra LifeSciences Corporation
$22
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$21
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$19
ConvaTec Inc.
$18
Sanofi Pasteur Inc.
$17
ARBOR PHARMACEUTICALS, INC.
$16
Inari Medical, Inc.
$16
Bausch Health US, LLC
$15
Avanir Pharmaceuticals, Inc.
$15
Horizon Pharma plc
$14
Promius Pharma LLC
$14
Kowa Pharmaceuticals America, Inc.
$12
Gilead Sciences, Inc.
$11
Top 3 companies account for 44.4% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APLENZIN · AREXVY · AUSTEDO · Aimovig · AirDuo Digihaler · Aptima HPV · Azstarys · BASAGLAR · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BRINTELLIX · CAPLYTA · CHANTIX · COMIRNATY · CREON · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · Descovy · Dexcom G6 Transmitter · Durolane · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLOWTRIEVER CATHETER · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL · GARDASIL 9 · GLYXAMBI · HUMALOG · INNOVAMATRIX AC · INVEGA SUSTENNA · INVOKANA · Integra · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · Livalo · Lucemyra/Lofexidine · MENACTRA · MOUNJARO · MYRBETRIQ · NEXLETOL · NUEDEXTA · NURTEC ODT · NUZYRA · Nayzilam · OFEV · Otezla · Ozempic · PENNSAID · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · QUADRACEL · QULIPTA · QUVIVIQ · RAYOS · REXULTI · ROTATEQ · RYBELSUS · Repatha · Rybelsus · S · SHINGRIX · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUBLOCADE · SUPARTZ FX SODIUM HYALURONATE · SYMBICORT · SYNJARDY · Saxenda · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · UBRELVY · VERQUVO · VIBERZI · VRAYLAR · VYNDAMAX · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · ZEMBRACE SYMTOUCH · ZENPEP · 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 (73%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in MI.
Geographic Context
Family medicine physicians within 10 mi
2,058
Per 100K population
161.8
County median income
$95,296
Nearest hospital
BEAUMONT HOSPITAL - FARMINGTON HILLS
2.9 mi
2.9 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. Bloch is a clinical cardiology specialist, with above-average Medicare volume (top 2% in MI), with low-engagement industry engagement in the top 2% of MI peers, with 19 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. Bloch experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Bloch performed 536 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. Bloch receive payments from pharmaceutical companies?
Yes. Dr. Bloch received a total of $13,448 from 59 companies across 578 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. Bloch's costs compare to other family medicine physicians in Farmington Hills?
Dr. Bloch's average Medicare payment per service is $29. 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. Bloch) 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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