Medicare Enrolled
Dr. Majed Nounou, M.D.
Internal Medicine · Lapeer, MI
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology 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. Nounou 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. Nounou
Dr. Majed Nounou is an internal medicine specialist in Lapeer, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Nounou performed 9,940 Medicare services across 5,312 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nounou received a total of $12,179 from 56 pharmaceutical and/or device companies across 510 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. Nounou 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 1% volume in MI
$12,179 industry payments
Medicare Practice Summary
Medicare Utilization ↗9,940
Medicare services
Top 1% in MI for internal medicine
5,312
Unique beneficiaries
$102
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~497 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 (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. |
1,156 | $87 | $150 |
| 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. |
1,082 | $55 | $312 |
| 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. |
1,055 | $93 | $240 |
| 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. |
811 | $11 | $45 |
| 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. |
805 | $19 | $60 |
| 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. |
769 | $62 | $120 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
672 | $138 | $360 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
432 | $18 | $60 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
410 | $134 | $456 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
393 | $14 | $84 |
| 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. |
281 | $19 | $84 |
| 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. |
248 | $6 | $20 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
206 | $606 | $2,005 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
184 | $82 | $200 |
| 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. |
182 | $61 | $156 |
| 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. |
170 | $131 | $600 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
136 | $133 | $600 |
| 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. |
126 | $116 | $240 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
120 | $84 | $360 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
112 | $24 | $156 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
89 | $793 | $4,000 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
59 | $172 | $600 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
56 | $3,109 | $9,829 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
56 | $48 | $120 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
55 | $60 | $240 |
| Cardiac catheterization | 53 | $195 | $720 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
36 | $79 | $360 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
30 | $49 | $63 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
29 | $54 | $192 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
29 | $122 | $420 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
24 | $147 | $600 |
| 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. |
22 | $427 | $1,440 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
19 | $82 | $400 |
| 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. |
18 | $10 | $35 |
| 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. |
15 | $328 | $1,200 |
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.
16.0% high complexity
7.0% medium
77.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$12,179
Total received (2018-2024)
Avg $1,740/year across 7 years
Top 6% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
56
Companies
510
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
$11,861 (97.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$318 (2.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,349
2023
$2,629
2022
$1,288
2021
$1,283
2020
$728
2019
$2,099
2018
$2,802
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$220
Merck Sharp & Dohme LLC
$158
CARDIVA MEDICAL, INC.
$124
E.R. Squibb & Sons, L.L.C.
$117
Medtronic, Inc.
$104
Amgen Inc.
$103
Boston Scientific Corporation
$83
Boehringer Ingelheim Pharmaceuticals, Inc.
$60
Kiniksa Pharmaceuticals International, plc
$56
PFIZER INC.
$51
Philips North America LLC
$42
AstraZeneca Pharmaceuticals LP
$36
Janssen Pharmaceuticals, Inc
$36
Kestra Medical Technology Services, Inc.
$32
Daiichi Sankyo Inc.
$19
ABIOMED
$19
Abbott Laboratories
$18
CashFlow Solutions, LLC
$18
VivaQuant Inc, dba Rhythm Express
$18
Bard Peripheral Vascular, Inc.
$16
Esperion Therapeutics, Inc.
$13
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$3
Top 3 companies account for 37.2% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$1,573
Medtronic Vascular, Inc.
$1,546
Novartis Pharmaceuticals Corporation
$1,004
Amgen Inc.
$920
BARD PERIPHERAL VASCULAR, INC.
$920
Janssen Pharmaceuticals, Inc
$554
Merck Sharp & Dohme LLC
$417
E.R. Squibb & Sons, L.L.C.
$414
PFIZER INC.
$388
AstraZeneca Pharmaceuticals LP
$363
Boston Scientific Corporation
$327
Medtronic, Inc.
$318
SANOFI-AVENTIS U.S. LLC
$293
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$288
Lundbeck LLC
$221
CARDIVA MEDICAL, INC.
$188
BOSTON SCIENTIFIC CORPORATION
$173
Amarin Pharma Inc.
$171
Boehringer Ingelheim Pharmaceuticals, Inc.
$169
Astellas Pharma US Inc
$165
Actelion Pharmaceuticals US, Inc.
$158
Bard Peripheral Vascular, Inc.
$151
Merck Sharp & Dohme Corporation
$144
Venclose Inc.
$133
Cardiovascular Systems Inc.
$101
Philips Electronics North America Corporation
$100
ABIOMED
$88
Kiniksa Pharmaceuticals, Ltd.
$70
Kestra Medical Technology Services, Inc.
$58
Kiniksa Pharmaceuticals International, plc
$56
Edwards Lifesciences Corporation
$55
Novo Nordisk Inc
$49
AngioDynamics, Inc.
$48
United Therapeutics Corporation
$46
Cook Medical LLC
$46
Philips North America LLC
$42
BIOTRONIK INC.
$41
Daiichi Sankyo Inc.
$41
Regeneron Healthcare Solutions, Inc.
$32
CORDIS US CORP.
$31
CVRx, Inc.
$30
Esperion Therapeutics, Inc.
$28
ARBOR PHARMACEUTICALS, INC.
$27
iRhythm Technologies, Inc.
$20
HeartFlow, Inc.
$19
CashFlow Solutions, LLC
$18
VivaQuant Inc, dba Rhythm Express
$18
ShockWave Medical, Inc
$15
Tactile Systems Technology Inc
$15
Alnylam Pharmaceuticals Inc.
$15
bsn medical inc
$14
Amryt Pharma Holdings Ltd
$13
Kowa Pharmaceuticals America, Inc.
$13
Arbor Pharmaceuticals, Inc.
$12
Bardy Diagnostics, Inc.
$11
Penumbra, Inc.
$10
Top 3 companies account for 33.9% of all-time payments
Associated products mentioned in payments ›
(CK4) MCOT · ACTIMOVE · AMPLATZER AMULET · ATLAS · Advisa · Advisor Catheter · Amplia MRI · Arcalyst · Assure WCD · BIOMONITOR · BRILINTA · Barostim Neo System · Bidil · CAMZYOS · CARDIOMEMS · CARDIVA VASCADE 6/7F VCS · CHANTIX · CLOSUREFAST · COOK MEDICAL ZILVER PTX · COREVALVE EVOLUT R · CardioMEMS HF System · Cardiva VASCADE MVP VVCS 6-12F · Carnation Ambulatory Monitor · ClosureFast · CoreValve Evolut · Corlanor · Coronary Orbital Atherectomy System · Crosser iQ · DIAMONDBACK PERIPHERAL · Diamondback Peripheral · ELIQUIS · ELUVIA · ENTRESTO · EVKEEZA · EVRSF · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · Flexitouch Plus · GENERAL THERAPIES · HawkOne · HeartMate 3 Left Ventricular Assist Device · IGT Device Undivided · INJECTAFER · Image Guided Therapy Devices _ Coronary · Impella · Indigo · JARDIANCE · JETI ALL IN ONE NON-STERILE KIT · JOT DX · JUXTAPID · LEQVIO · LEXISCAN · LUX DX · LUX-Dx Insertable Cardiac Monitor · LYMPHA PRESS OPTIMAL PLUS(US) BT · LifeVest · Livalo · MULTAQ · Micra · MitraClip System · NEXLETOL · NORTHERA · ONPATTRO · OPSUMIT · Ozempic · PRALUENT · Peripheral Orbital Atherectomy System · REVEAL LINQ · Repatha · Reveal LINQ · Rhythm Express · SAVVYWIRE · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · TURBOHAWK · TYVASO · TurboHawk · VARITHENA · VENACURE 1470 PRO · VENASEAL · VENOVO · VERQUVO · VYNDAQEL · Varithena Administration Pack · Vascepa · VenaCure 1470 Pro · VenaSeal · WATCHMAN · WATCHMAN FLX · XARELTO · ZEPHYR · 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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for internal medicine in MI.
Geographic Context
Internal medicine physicians within 10 mi
347
Per 100K population
391.2
County median income
$76,228
Nearest hospital
MCLAREN LAPEER REGION
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. Nounou is a remote & electrophysiology specialist, with above-average Medicare volume (top 1% in MI), with low-engagement industry engagement in the top 6% 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. Nounou experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nounou performed 1,156 office visit, established patient (30-39 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. Nounou receive payments from pharmaceutical companies?
Yes. Dr. Nounou received a total of $12,179 from 56 companies across 510 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. Nounou's costs compare to other internal medicine physicians in Lapeer?
Dr. Nounou's average Medicare payment per service is $102. 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. Nounou) 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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