Medicare Enrolled
Dr. Musib Gappy, MD
Internal Medicine · Hazel Park, 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. Gappy 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. Gappy
Dr. Musib Gappy is an internal medicine specialist in Hazel Park, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gappy performed 2,609 Medicare services across 1,617 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gappy received a total of $10,705 from 63 pharmaceutical and/or device companies across 618 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Gappy 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.
✓ 20 years in practice
▲ Top 7% volume in MI
$10,705 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,609
Medicare services
Top 7% in MI for internal medicine
1,617
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~130 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 (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. |
654 | $56 | $125 |
| 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. |
456 | $77 | $215 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
207 | $113 | $162 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
200 | $0 | $15 |
| 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. |
181 | $10 | $35 |
| 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. |
167 | $9 | $47 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
159 | $20 | $51 |
| 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. |
127 | $36 | $84 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
80 | $1 | $5 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
42 | $145 | $264 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
41 | $30 | $32 |
| Injection, methylprednisolone acetate, 40 mg | 39 | $6 | $19 |
| 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. |
35 | $3 | $10 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
29 | $8 | $10 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
29 | $40 | $71 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
25 | $64 | $65 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
23 | $121 | $249 |
| 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. |
22 | $11 | $109 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
21 | $38 | $99 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
18 | $34 | $85 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
16 | $110 | $274 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
14 | $3 | $15 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
12 | $126 | $500 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
12 | $38 | $100 |
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 ↗$10,705
Total received (2018-2024)
Avg $1,529/year across 7 years
Top 7% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
63
Companies
618
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
$10,705 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,292
2023
$986
2022
$1,454
2021
$2,417
2020
$1,381
2019
$1,965
2018
$1,210
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
IRONWOOD PHARMACEUTICALS, INC
$205
Amgen Inc.
$152
Phathom Pharmaceuticals, Inc.
$151
AstraZeneca Pharmaceuticals LP
$146
Boehringer Ingelheim Pharmaceuticals, Inc.
$89
Madrigal Pharmaceuticals
$82
Exact Sciences Corporation
$80
Novo Nordisk Inc
$66
ABBVIE INC.
$52
Ipsen Biopharmaceuticals, Inc
$51
Ardelyx, Inc.
$44
Lilly USA, LLC
$29
VivaQuant Inc, dba Rhythm Express
$26
Abbott Laboratories
$20
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$20
Axsome Therapeutics, Inc.
$17
Sumitomo Pharma America, Inc.
$17
Novartis Pharmaceuticals Corporation
$16
Janssen Pharmaceuticals, Inc
$15
Dexcom, Inc.
$15
Top 3 companies account for 39.3% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$1,259
Teva Pharmaceuticals USA, Inc.
$1,110
Novo Nordisk Inc
$758
AstraZeneca Pharmaceuticals LP
$594
Ironwood Pharmaceuticals, Inc
$504
PFIZER INC.
$504
Janssen Pharmaceuticals, Inc
$482
GlaxoSmithKline, LLC.
$462
Amarin Pharma Inc.
$375
Boehringer Ingelheim Pharmaceuticals, Inc.
$365
Lilly USA, LLC
$301
Merck Sharp & Dohme Corporation
$284
AbbVie Inc.
$245
Nestle HealthCare Nutrition Inc.
$224
Astellas Pharma US Inc
$217
IRONWOOD PHARMACEUTICALS, INC
$205
ABBVIE INC.
$179
SANOFI-AVENTIS U.S. LLC
$176
Novartis Pharmaceuticals Corporation
$156
Phathom Pharmaceuticals, Inc.
$151
Biohaven Pharmaceuticals, Inc.
$150
Esperion Therapeutics, Inc.
$145
Actelion Pharmaceuticals US, Inc.
$126
Celgene Corporation
$111
Horizon Pharma plc
$96
Romark Laboratories, LC
$95
Bayer HealthCare Pharmaceuticals Inc.
$86
Madrigal Pharmaceuticals
$82
Exact Sciences Corporation
$80
Allergan, Inc.
$80
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$76
Abbott Laboratories
$76
AbbVie, Inc.
$69
Dexcom, Inc.
$63
Ardelyx, Inc.
$58
E.R. Squibb & Sons, L.L.C.
$57
Otsuka America Pharmaceutical, Inc.
$57
Radius Health, Inc.
$55
Ipsen Biopharmaceuticals, Inc
$51
Avanir Pharmaceuticals, Inc.
$50
Sumitomo Pharma America, Inc.
$48
Becton, Dickinson and Company
$46
Biohaven Pharmaceutical Holding Company Ltd.
$41
DEXCOM, INC.
$38
Lundbeck LLC
$37
Shield Therapeutics Inc
$33
VivaQuant Inc, dba Rhythm Express
$26
Concordia Pharmaceuticals Inc.
$20
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$20
Axsome Therapeutics, Inc.
$17
Horizon Therapeutics plc
$15
Ferring Pharmaceuticals Inc.
$15
Metuchen Pharmaceuticals
$14
Supernus Pharmaceuticals, Inc.
$14
Circassia Pharmaceuticals Inc
$13
Kowa Pharmaceuticals America, Inc.
$13
Takeda Pharmaceuticals U.S.A., Inc.
$12
Sunovion Pharmaceuticals Inc.
$12
EVOKE PHARMA, INC.
$12
Xeris Pharmaceuticals, Inc.
$12
Hikma Pharmaceuticals USA
$11
Eyevance Pharmaceuticals LLC
$11
Egalet US Inc
$11
Top 3 companies account for 29.2% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AUSTEDO · Aimovig · Alinia · Alinia Tablets 500mg 30 count bottle · Austedo XR · Auvelity · BASAGLAR · BD Nano · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · CAPLYTA · CHANTIX · COLOGUARD · CREON · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · DIFICID · DONNATAL · DUZALLO · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · GARDASIL · GEMTESA · GIMOTI · GVOKE PFS · IBSRELA · INVOKANA · IQIRVO · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LYRICA · Linzess · MOTEGRITY · MOUNJARO · MYRBETRIQ · Mitigare · Myrbetriq · NEXLETOL · NEXLIZET · NUEDEXTA · NURTEC ODT · Otezla · Ozempic · PREVNAR - 13 · PREVNAR 13 · Prolia · QVAR · RESMETIROM · REXULTI · Repatha · Rhythm Express · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRIX · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · Stendra · TLANDO · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tobradex ST · Tymlos · UBRELVY · UPTRAVI · VESICARE · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Victoza · XARELTO · XIFAXAN · ZENPEP · ZEPOSIA
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. Total industry engagement is in the top 7% for internal medicine in MI.
Geographic Context
Internal medicine physicians within 10 mi
3,065
Per 100K population
240.9
County median income
$95,296
Nearest hospital
HENRY FORD HEALTH BEHAVIORAL HEALTH HOSPITAL
1.9 mi
1.9 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. Gappy is a clinical cardiology specialist, with above-average Medicare volume (top 7% in MI), with low-engagement industry engagement in the top 7% of MI peers, with 20 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. Gappy experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Gappy performed 654 office visit, established patient (20-29 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. Gappy receive payments from pharmaceutical companies?
Yes. Dr. Gappy received a total of $10,705 from 63 companies across 618 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. Gappy's costs compare to other internal medicine physicians in Hazel Park?
Dr. Gappy's average Medicare payment per service is $48. 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. Gappy) 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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