Medicare Enrolled

Gustavo Cumbo-Nacheli

Critical Care Medicine · Grand Rapids, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
4100 LAKE DR SE, Grand Rapids, MI 49546
6162678244
Registered in NPPES since 2007
NPI: 1013124312 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 Cumbo-Nacheli 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 Cumbo-Nacheli

Gustavo Cumbo-Nacheli is a critical care medicine specialist in Grand Rapids, MI, with 19 years of NPI registration. Based on federal Medicare data, Cumbo-Nacheli performed 232 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Cumbo-Nacheli received a total of $573,936 from 25 pharmaceutical and/or device companies across 578 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Cumbo-Nacheli 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 of NPI registration ▲ 232 Medicare services $573,936 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
232
Medicare services
Bottom 27% in MI for critical care medicine
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$93
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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, 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.
44 $115 $268
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
40 $62 $153
Bronchoscopy with ultrasound and lymph node sampling
A procedure using a scope and ultrasound to examine the airways and collect tissue samples from three or more lymph nodes.
35 $175 $588
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.
33 $81 $196
Bronchial irrigation and suction for cell collection
This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing.
31 $53 $378
Bronchoscopy with ultrasound and growth treatment
A procedure using a flexible tube with a camera and ultrasound to examine the lung airways and treat any growths found.
13 $52 $169
Lung biopsy via endoscope, 1 lobe
A procedure to remove a small sample of lung tissue from one lobe using an endoscope for examination.
12 $23 $489
Endoscopic needle biopsy of windpipe, airway, or lung
A procedure where a needle is inserted through an endoscope to collect tissue samples from the windpipe, airway, or lung.
12 $88 $529
New patient office visit, complex (60-74 min) 12 $131 $372
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$573,936
Total received (2018-2024)
Avg $81,991/year across 7 years
Top 1% in MI for critical care medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
578
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$141,009
2023
$128,179
2022
$110,492
2021
$115,739
2020
$60,635
2019
$10,443
2018
$7,438

Payments by company (2024)

Medical Device Business Services, Inc.
$77,811
Ethicon Inc.
$31,485
GE HEALTHCARE
$16,244
AstraZeneca Pharmaceuticals LP
$11,868
Ethicon Endo-Surgery Inc.
$3,305
Regeneron Pharmaceuticals, Inc.
$172
Pulmonx Corporation
$68
Siemens Medical Solutions USA, Inc.
$57
Top 3 companies account for 89.0% of 2024 payments
All-time payments by company (2018-2024) ›
Ethicon Inc.
$219,089
AstraZeneca Pharmaceuticals LP
$147,394
Medical Device Business Services, Inc.
$92,390
Ethicon Endo-Surgery Inc.
$72,423
GE HEALTHCARE
$16,244
Siemens Medical Solutions USA, Inc.
$9,577
Auris Health, Inc.
$4,932
Pulmonx Corporation
$3,574
Pinnacle Biologics, Inc
$2,190
Regeneron Healthcare Solutions, Inc.
$1,938
AstraZeneca UK Limited
$1,860
Intuitive Surgical, Inc.
$837
CSA Medical, Inc
$528
Boston Scientific Corporation
$260
Regeneron Pharmaceuticals, Inc.
$172
Noah Medical Corporation
$128
Covidien LP
$100
Sunovion Pharmaceuticals Inc.
$99
Ambu Inc.
$51
Mauna Kea Technologies, Inc.
$50
PENTAX of America, Inc.
$33
Ethicon US, LLC
$22
Takeda Pharmaceuticals U.S.A., Inc.
$17
GENZYME CORPORATION
$15
Medtronic, Inc.
$13
Top 3 companies account for 80.0% of all-time payments
Associated products mentioned in payments ›
Artis icono floor · CERTUS 140 MICROWAVE ABLATION SYSTEM · CHARTIS CATHETER · Cios Spin · Da Vinci Surgical System · EXALT Model D · GENERAL PULMONARY · GLASSIA · General - Pulmonary · IMFINZI · LIBTAYO · LONHALA MAGNAIR · MONARCH · Monarch · Monarch Platform · OEC · Photofrin · Pulmonx Endobronchial Valve EBV · SEEBRI · Silicone connection set for video- bronchoscopes PENTAX J10 series · SpyGlass · SuperDimension · TAGRISSO · Utibron · ZEPHYR DELIVERY CATHETER · ZEPHYR ENDOBRONCHIAL VALVE · superDimension
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a critical care medicine specialist in Grand Rapids?
Compare critical care medicines in the Grand Rapids area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Critical care medicines in nearby ZIP areas
23
County median income
$80,390
Nearest hospital to ZIP centroid (approximate)
FOREST VIEW PSYCHIATRIC HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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

Cumbo-Nacheli is a clinical cardiology specialist, with moderate Medicare volume, 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 Cumbo-Nacheli experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Cumbo-Nacheli performed 44 office visit, established patient, complex (40-54 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Cumbo-Nacheli receive payments from pharmaceutical companies?
Yes. Cumbo-Nacheli received a total of $573,936 from 25 companies across 578 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Cumbo-Nacheli's costs compare to other critical care medicines in Grand Rapids?
Cumbo-Nacheli's average Medicare payment per service is $93. 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 Cumbo-Nacheli) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →