Medicare Enrolled
Dr. Dale Leffler, D.O.
Cardiovascular Disease · Holland, MI
Practice pattern: Cardiac & Cardiac
— Practice combining cardiac and cardiac services
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. Leffler 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. Leffler
Dr. Dale Leffler is a cardiovascular disease specialist in Holland, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Leffler performed 2,306 Medicare services across 1,800 unique beneficiaries.
Between the years covered by Open Payments, Dr. Leffler received a total of $18,244 from 43 pharmaceutical and/or device companies across 338 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Leffler 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 25% volume in MI
$18,244 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,306
Medicare services
Top 25% in MI for cardiovascular disease
1,800
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~121 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 |
|---|---|---|---|
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
321 | $48 | $199 |
| 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. |
227 | $86 | $249 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
206 | $4 | $20 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
172 | $10 | $46 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
167 | $55 | $279 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
144 | $58 | $455 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
142 | $19 | $84 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
93 | $10 | $56 |
| 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. |
90 | $9 | $63 |
| 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. |
89 | $80 | $251 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
77 | $2 | $18 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
68 | $102 | $405 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
67 | $90 | $303 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
56 | $5 | $30 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
54 | $13 | $180 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
53 | $77 | $646 |
| Cardiac catheterization | 39 | $174 | $1,124 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
34 | $17 | $78 |
| 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. |
30 | $59 | $212 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
23 | $17 | $84 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
21 | $9 | $112 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
21 | $20 | $98 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
21 | $22 | $84 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
21 | $5 | $28 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
19 | $421 | $2,100 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
18 | $144 | $676 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
17 | $48 | $280 |
| 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. |
16 | $65 | $168 |
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.
21.6% high complexity
22.6% medium
55.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$18,244
Total received (2018-2024)
Avg $2,606/year across 7 years
Top 15% in MI for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
338
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
$18,217 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$26 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,445
2023
$1,717
2022
$6,012
2021
$634
2020
$645
2019
$4,116
2018
$1,674
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$2,090
Boston Scientific Corporation
$464
ShockWave Medical, Inc
$151
E.R. Squibb & Sons, L.L.C.
$140
Medtronic, Inc.
$102
Terumo Medical Corporation
$94
Novartis Pharmaceuticals Corporation
$84
PFIZER INC.
$70
Merck Sharp & Dohme LLC
$53
AstraZeneca Pharmaceuticals LP
$51
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
Philips North America LLC
$23
Amgen Inc.
$22
Becton, Dickinson and Company
$22
SCPHARMACEUTICALS INC.
$17
Bayer Healthcare Pharmaceuticals Inc.
$16
Janssen Pharmaceuticals, Inc
$16
Top 3 companies account for 78.5% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$7,259
Medtronic, Inc.
$3,299
Medtronic Vascular, Inc.
$2,623
Boston Scientific Corporation
$1,321
Janssen Pharmaceuticals, Inc
$385
Novartis Pharmaceuticals Corporation
$328
Amgen Inc.
$261
ShockWave Medical, Inc
$242
Biosense Webster, Inc.
$234
Shockwave Medical, Inc
$227
Boehringer Ingelheim Pharmaceuticals, Inc.
$197
PFIZER INC.
$194
E.R. Squibb & Sons, L.L.C.
$184
Philips Electronics North America Corporation
$175
BOSTON SCIENTIFIC CORPORATION
$174
AstraZeneca Pharmaceuticals LP
$167
Terumo Medical Corporation
$94
ABIOMED
$80
Amarin Pharma Inc.
$79
Inari Medical, Inc.
$75
AngioDynamics, Inc.
$64
Bayer HealthCare Pharmaceuticals Inc.
$56
Merck Sharp & Dohme LLC
$53
Preventice Services, LLC
$52
Actelion Pharmaceuticals US, Inc.
$45
SCPHARMACEUTICALS INC.
$38
GE HEALTHCARE
$34
Cardiovascular Systems Inc.
$33
Daiichi Sankyo Inc.
$28
Philips North America LLC
$23
Cardinal Health 200, LLC
$23
Becton, Dickinson and Company
$22
Lexicon Pharmaceuticals, Inc.
$19
Alexion Pharmaceuticals, Inc.
$18
CARDIVA MEDICAL, INC.
$18
iRhythm Technologies, Inc.
$17
HeartFlow, Inc.
$17
Chiesi USA, Inc.
$16
Bayer Healthcare Pharmaceuticals Inc.
$16
Gilead Sciences, Inc.
$15
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$14
Alnylam Pharmaceuticals Inc.
$13
Esperion Therapeutics, Inc.
$12
Top 3 companies account for 72.3% of all-time payments
Associated products mentioned in payments ›
(4066) Tack Endo Sys ATK · (6575) Coronary Undivided · (AZ7) Lasers · AVVIGO Guidance System · AZUR CX DETACHABLE · Advisa · Asahi Fielder coronary guide wire · BRILINTA · CAMZYOS · CARDIOMEMS · CARTO 3 · COMET · COREVALVE EVOLUT R · CROSSBOSS · Cardiva VASCADE MVP VVCS 6-12F · Coronary Orbital Atherectomy System · DIAMONDBACK PERIPHERAL · ELIQUIS · ELUVIA · ENTRESTO · ESPRIT · EkoSonic · Euphora · FARXIGA · FUROSCIX · Fighter · FlowTriever · Fox Sv PTA catheter and Armada 14 percutaneous catheter and Viatrac 14 Plus peripheral catheter · GELFOAM · GENERAL ATHERECTOMY · GENERAL STENTS · GENERAL - ATHERECTOMY · GENERAL - STRUCTURAL HEART · GUIDEZILLA · General - Therapies · Guidezilla · INJECTAFER · Impella · Inpefa · JARDIANCE · KENGREAL · Kerendia · LEQVIO · LINQ II · LifeVest · MICRA · Micra · NEXLETOL · OMNILINK ELITE · ONPATTRO · ONYX FRONTIER · OPSUMIT · OPTIS · OptiCross · Optis Coronary Imaging System · PERCLOSE PROGLIDE · PRADAXA · Perclose ProGlide suture mediated closure system · Peripheral Orbital Atherectomy System · RESOLUTE ONYX · ROTABLATOR · ROTAPRO · Ranger · Repatha · Resolute · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SYNERGY · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Supera peripheral stent system · TELEMARK MICROCATHETER · TELESCOPE · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · Ultomiris · VENACURE 1470 PRO · VENASEAL · VERQUVO · Vascepa · Vascular Lithotripsy · Venovo · Verquvo · Visia AF · WAINUA · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · WOLVERINE CORONARY CUTTING BALLOON · XARELTO · Xience V coronary stent system · ZIO XT Patch
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.
Geographic Context
Cardiologists within 10 mi
15
Per 100K population
12.4
County median income
$80,255
Nearest hospital
HOLLAND COMMUNITY HOSPITAL
0.0 mi
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. Leffler is a cardiac & cardiac specialist, with above-average Medicare volume (top 25% in MI), with low-engagement industry engagement in the top 15% 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. Leffler experienced with echocardiogram, transthoracic?
Based on Medicare claims data, Dr. Leffler performed 321 echocardiogram, transthoracic 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. Leffler receive payments from pharmaceutical companies?
Yes. Dr. Leffler received a total of $18,244 from 43 companies across 338 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. Leffler's costs compare to other cardiologists in Holland?
Dr. Leffler's average Medicare payment per service is $47. 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. Leffler) 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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