Medicare Enrolled

Dr. Fayez Kotob, M.D., M.B.A.

Interventional Pain Medicine Physician · Flint, MI
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
5050 VILLA LINDE PKWY STE A, Flint, MI 48532
8102307400
In practice since 2011 (15 years)
NPI: 1346549219 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. Kotob 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. Kotob

Dr. Fayez Kotob is an interventional pain medicine physician in Flint, MI, with 15 years of NPI registration. Based on federal Medicare data, Dr. Kotob performed 1,845 Medicare services across 366 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kotob received a total of $1,026 from 18 pharmaceutical and/or device companies across 24 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain 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. Kotob 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 32% volume in MI $1,026 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,845
Medicare services
Top 32% in MI for interventional pain medicine physician
366
Unique beneficiaries
$36
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~123 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
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
665 $1 $40
Contrast dye for imaging (iodine-based)
A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures.
416 $0 $40
Injection, methylprednisolone acetate, 40 mg 125 $6 $80
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.
75 $68 $212
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
72 $5 $100
Fluoroscopic guidance for needle placement
Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure.
66 $86 $264
Injection of anesthetic or steroid into sacroiliac joint with imaging guidance
This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection.
64 $158 $442
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
60 $55 $356
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.
53 $94 $312
Sacral spine nerve root injection with imaging guidance
An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement.
47 $255 $1,278
Prolonged office E/M service, first 15 minutes
This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service.
46 $24 $105
Additional sacral spine nerve root injection with imaging
An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging.
41 $121 $518
Spinal injection with imaging guidance
A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location.
33 $167 $702
Spine facet joint injection with imaging guidance, single level
An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement.
26 $188 $1,010
Facet joint injection, second level, with imaging guidance
An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated.
26 $101 $512
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.
16 $121 $422
New patient office visit, complex (60-74 min) 14 $149 $700
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 ↗
$1,026
Total received (2018-2024)
Avg $171/year across 6 years
Bottom 38% in MI for interventional pain medicine physician
18
Companies
24
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
$810 (78.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$216 (21.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$33
2023
$27
2022
$64
2021
$169
2019
$184
2018
$548

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$20
Bioventus LLC
$13
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$231
Boehringer Ingelheim Pharmaceuticals, Inc.
$179
Janssen Pharmaceuticals, Inc
$154
AstraZeneca Pharmaceuticals LP
$94
Medtronic MiniMed, Inc.
$94
ABBVIE INC.
$37
Allergan, Inc.
$35
Purdue Pharma L.P.
$28
Fidia Pharma USA Inc.
$23
Neurocrine Biosciences, Inc.
$20
Collegium Pharmaceutical, Inc.
$20
Boston Scientific Corporation
$20
Biohaven Pharmaceutical Holding Company Ltd.
$18
Daiichi Sankyo Inc.
$16
PFIZER INC.
$15
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Bioventus LLC
$13
Amgen Inc.
$13
Top 3 companies account for 55.0% of all-time payments
Associated products mentioned in payments ›
BOTOX · EVENITY · FARXIGA · GELSYN-3 · HYM/HYN · INVOKANA · JARDIANCE · LYRICA · Morphabond ER · NA · NURTEC ODT · ONGENTYS · Proclaim Family of SCS IPGs · SYMPROIC · UBRELVY · XIFAXAN · XTAMPZA · iPro2
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 (79%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an interventional pain medicine physician in Flint?
Compare interventional pain medicine physicians in the Flint area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Interventional pain medicine physicians within 10 mi
4
Per 100K population
1.0
County median income
$60,673
Nearest hospital
MCLAREN FLINT
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. Kotob is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement, 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. Kotob experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Kotob performed 665 steroid injection (triamcinolone) 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. Kotob receive payments from pharmaceutical companies?
Yes. Dr. Kotob received a total of $1,026 from 18 companies across 24 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. Kotob's costs compare to other interventional pain medicine physicians in Flint?
Dr. Kotob'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. Kotob) 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 →