Medicare Enrolled
Dr. David Pegouske, M.D.
Dermatology · Livonia, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Pegouske 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. Pegouske?
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What this data tells you about Dr. Pegouske
Dr. David Pegouske is a dermatology specialist in Livonia, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Pegouske performed 2,598 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Pegouske received a total of $20,523 from 46 pharmaceutical and/or device companies across 928 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 Dr. Pegouske 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 of NPI registration
▲ Top 28% volume in MI
$20,523 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,598
Medicare services
Top 28% in MI for dermatology
Not available
Unique patients (not deduplicated)
$54
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 |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
1,088 | $5 | $10 |
| Tissue pathology examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue. |
366 | $52 | $146 |
| 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. |
293 | $64 | $110 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
213 | $44 | $110 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
145 | $72 | $128 |
| 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. |
131 | $80 | $150 |
| 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. |
104 | $82 | $165 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
66 | $523 | $900 |
| 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. |
55 | $63 | $135 |
| Injection into skin growths, more than 7 A procedure involving the injection of medication into more than seven skin growths. |
49 | $46 | $90 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
29 | $33 | $75 |
| Pathology tissue examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to identify abnormalities. This specific level indicates a moderate degree of complexity in the analysis. |
22 | $33 | $90 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
19 | $499 | $835 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 18 | $320 | $570 |
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 ↗$20,523
Total received (2018-2024)
Avg $2,932/year across 7 years
Top 10% in MI for dermatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
928
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
$5,351
2023
$2,238
2022
$2,955
2021
$2,004
2020
$1,427
2019
$3,310
2018
$3,237
Payments by company (2024)
SUN PHARMACEUTICAL INDUSTRIES INC.
$3,377
ABBVIE INC.
$423
Regeneron Healthcare Solutions, Inc.
$248
E.R. Squibb & Sons, L.L.C.
$199
Lilly USA, LLC
$193
GENZYME CORPORATION
$163
Amgen Inc.
$143
LEO Pharma Inc.
$137
Novartis Pharmaceuticals Corporation
$83
PFIZER INC.
$74
UCB, Inc.
$59
Dermavant Sciences, Inc.
$40
Tactile Systems Technology Inc
$34
ConvaTec Inc.
$29
Verrica Pharmaceuticals Inc.
$28
Janssen Biotech, Inc.
$26
Kerecis Limited
$24
Arcutis Biotherapeutics, Inc.
$22
Genentech USA, Inc.
$20
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
CashFlow Solutions, LLC
$13
Top 3 companies account for 75.7% of 2024 payments
All-time payments by company (2018-2024) ›
SUN PHARMACEUTICAL INDUSTRIES INC.
$3,466
Regeneron Healthcare Solutions, Inc.
$1,430
Janssen Biotech, Inc.
$1,419
Novartis Pharmaceuticals Corporation
$1,406
ABBVIE INC.
$1,266
AbbVie, Inc.
$1,234
PFIZER INC.
$1,199
Lilly USA, LLC
$1,073
Sun Pharmaceutical Industries Inc.
$1,003
UCB, Inc.
$808
GENZYME CORPORATION
$716
Celgene Corporation
$710
Amgen Inc.
$573
LEO Pharma Inc.
$543
Almirall LLC
$392
E.R. Squibb & Sons, L.L.C.
$379
Ortho Dermatologics, a division of Bausch Health US, LLC
$364
AbbVie Inc.
$349
Hill Dermaceuticals, Inc.
$332
Janssen Scientific Affairs, LLC
$282
Dermavant Sciences, Inc.
$234
Genentech USA, Inc.
$213
Incyte Corporation
$126
Galderma Laboratories, L.P.
$123
DUSA Pharmaceuticals, Inc.
$117
EPI Health, LLC
$88
Biofrontera Inc.
$82
DERMIRA, INC.
$64
Allergan Inc.
$55
Kerecis Limited
$50
Journey Medical Corporation
$45
Boehringer Ingelheim Pharmaceuticals, Inc.
$41
Merck Sharp & Dohme Corporation
$40
Tactile Systems Technology Inc
$34
Sandoz Inc.
$29
ConvaTec Inc.
$29
Verrica Pharmaceuticals Inc.
$28
Novum Pharma, LLC
$27
Bayer HealthCare Pharmaceuticals Inc.
$24
Mayne Pharma Inc.
$22
Arcutis Biotherapeutics, Inc.
$22
VYNE Pharmaceuticals Inc.
$21
Organon LLC
$20
PruGen, Inc. Pharmaceuticals
$16
Allergan, Inc.
$15
CashFlow Solutions, LLC
$13
Top 3 companies account for 30.8% of all-time payments
Associated products mentioned in payments ›
ABSORICA (isotretinoin) · ABSORICA LD · ADBRY · AKLIEF · ALTRENO · AMELUZ · AMZEEQ · APEXICON E · ARAZLO · Acticlate · Alcortin A · Ameluz · BLU-U · BLU-U Blue Light Photodynamic Therapy Illuminator Model 4170 · BOTOX · BOTOX COSMETIC · BRYHALI · Bimzelx · CIBINQO · COSENTYX · CYLTEZO · Cimzia · Cordran Tape · DORYX · DUOBRII · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · EFFEXOR XR · EFUDEX · ENSTILAR · EPIDUO FORTE · EUCRISA · Enbrel · Erivedge · Finacea · Flexitouch Plus · HADLIMA · HUMIRA · Humira · ILUMYA · ILUMYA (tildrakizumab-asmn) injection · INNOVAMATRIX AC · Ilumya · JUBLIA · Kerecis Omega3 SurgiClose · LEVULAN KERASTICK · LIBTAYO · LYMPHA PRESS OPTIMAL PLUS(US) BT · ODOMZO · OLUMIANT · OPZELURA · ORACEA · Otezla · QBREXZA · REMICADE · RETIN-A-MICRO · RINVOQ · SILIQ · SIVEXTRO · SKYRIZI · SOOLANTRA · Seysara · Sitavig · Skyrizi · Sotyktu · TALTZ · TREMFYA · Tolak · Tremfya · VTAMA · WYNZORA · Winlevi · XELJANZ · Xolair · YCANTH · Zoryve
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 →
Geographic Context
Dermatologists in nearby ZIP areas
264
County median income
$59,521
Nearest hospital to ZIP centroid (approximate)
ST JOE MERCY HOSPITAL SYSTEM LIVONIA
0.0 mi
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
Dr. Pegouske is a clinical cardiology specialist, with above-average Medicare volume (top 28% in MI), 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. Pegouske experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Pegouske performed 1,088 destruction of precancerous skin growths, 2-14 services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Pegouske receive payments from pharmaceutical companies?
Yes. Dr. Pegouske received a total of $20,523 from 46 companies across 928 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 Dr. Pegouske's costs compare to other dermatologists in Livonia?
Dr. Pegouske's average Medicare payment per service is $54. 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. Pegouske) 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 →
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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.
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