Medicare Enrolled

Dr. David Vance, DPM

Podiatrist · Grand Blanc, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1 GENESYS PKWY, Grand Blanc, MI 48439
8106065000
In practice since 2018 (8 years)
NPI: 1043703176 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. Vance 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. Vance? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Vance

Dr. David Vance is a podiatrist in Grand Blanc, MI, with 8 years of NPI registration. Based on federal Medicare data, Dr. Vance performed 1,621 Medicare services across 764 unique beneficiaries.

Between the years covered by Open Payments, Dr. Vance received a total of $4,343 from 20 pharmaceutical and/or device companies across 72 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in podiatrist. 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. Vance 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.

✓ 8 years in practice ▲ Top 34% volume in MI $4,343 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,621
Medicare services
Top 34% in MI for podiatrist
764
Unique beneficiaries
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~203 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
Toenail/fingernail removal, 6+ nails
Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session.
585 $28 $50
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.
367 $60 $135
Toenail/fingernail removal, 1-5 nails
This procedure involves the removal of one to five fingernails or toenails.
313 $21 $49
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.
95 $71 $190
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.
47 $65 $200
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.
46 $37 $90
Skin and tissue removal, 20 sq cm or less
This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller.
44 $93 $185
X-ray of foot, 2 views
An X-ray imaging test of the foot using two different angles to create pictures of the bones and joints.
42 $18 $55
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.
34 $88 $205
Foot X-ray, 3+ views
An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints.
25 $21 $65
Ankle or foot strapping
Application of supportive bandages or tape to the ankle or foot to provide stability and protection.
23 $18 $63
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 ↗
$4,343
Total received (2018-2024)
Avg $620/year across 7 years
Top 22% in MI for podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
72
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
$4,036 (92.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$307 (7.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$345
2023
$405
2022
$464
2021
$691
2020
$637
2019
$1,423
2018
$378

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Organogenesis Inc.
$285
Nevro Corp.
$32
Amgen Inc.
$28
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Organogenesis Inc.
$826
Horizon Therapeutics plc
$486
Wright Medical Technology, Inc.
$399
Smith+Nephew, Inc.
$330
Osteomed LLC
$307
DePuy Synthes Sales Inc.
$298
Paragon 28, Inc.
$293
Horizon Pharma plc
$241
Integra LifeSciences Corporation
$198
Zimmer Biomet Holdings, Inc.
$194
Cardiovascular Systems Inc.
$171
Bioventus LLC
$109
ORGANOGENESIS INC.
$105
Pacira Pharmaceuticals Incorporated
$102
Melinta Therapeutics, Inc.
$84
KCI USA, Inc
$69
In2Bones USA, LLC
$42
Nevro Corp.
$32
ABBVIE INC.
$28
Amgen Inc.
$28
Top 3 companies account for 39.4% of all-time payments
Associated products mentioned in payments ›
ACTICOAT 4" X 4" · AUGMENT · Affinity · BILAYER WOUND MATRIX (BWM) · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Baxdela · CROSSCHECK · CYGNUS DUAL · CoLink · DALVANCE · EXPAREL · EXT-ExtremiLock Ankle · EXT-Extremilock Foot · EXT-Staple · Exogen Ultrasound Bone Healing System · GRAFIX · GRAFIX PL · KRYSTEXXA · MICA · MTP · NuShield · OMNIGRAFT · PICO · Peripheral Orbital Atherectomy System · Puraply · Puraply Antimicrobial · RAYOS · SALVATION · SCP Bone Substitute · Senza · Subchondroplasty · TCC-EZ · VAC VERAFLO CLEANSE CHOICE
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 (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a podiatrist in Grand Blanc?
Compare podiatrists in the Grand Blanc area by procedure volume, costs, and industry payment transparency.
Browse podiatrists nearby

Geographic Context

Podiatrists within 10 mi
30
Per 100K population
7.4
County median income
$60,673
Nearest hospital
ASCENSION GENESYS HOSPITAL
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. Vance is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Vance experienced with toenail/fingernail removal, 6+ nails?
Based on Medicare claims data, Dr. Vance performed 585 toenail/fingernail removal, 6+ nails 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. Vance receive payments from pharmaceutical companies?
Yes. Dr. Vance received a total of $4,343 from 20 companies across 72 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. Vance's costs compare to other podiatrists in Grand Blanc?
Dr. Vance's average Medicare payment per service is $40. 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. Vance) 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 →