Medicare Enrolled

Dr. Carl Pesta, D.O.

Surgery · Mount Clemens, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1030 HARRINGTON ST, Mount Clemens, MI 48043
5867592005
Registered in NPPES since 2006
NPI: 1114983913 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 Dr. Pesta 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. Pesta

Dr. Carl Pesta is a surgery specialist in Mount Clemens, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Pesta performed 365 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Pesta received a total of $104,504 from 29 pharmaceutical and/or device companies across 291 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. Pesta 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 23% volume in MI $104,504 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
365
Medicare services
Top 23% in MI for surgery
Not available
Unique patients (not deduplicated)
$83
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
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 $64 $111
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.
52 $94 $152
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.
47 $97 $193
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.
27 $141 $372
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.
25 $103 $193
Hospital discharge day management, 30 minutes or less
This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less.
20 $65 $187
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.
12 $112 $231
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 ↗
$104,504
Total received (2018-2024)
Avg $14,929/year across 7 years
Top 2% in MI for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
291
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
$12,242
2023
$24,611
2022
$12,536
2021
$2,887
2020
$17,688
2019
$8,119
2018
$26,422

Payments by company (2024)

Medtronic, Inc.
$6,368
INTUITIVE SURGICAL, INC.
$3,637
Boston Scientific Corporation
$1,291
ABBVIE INC.
$354
Integra LifeSciences Corporation
$179
KLS-Martin L.P.
$144
Teleflex LLC
$141
Ethicon US, LLC
$46
CSL Behring
$40
ReShape Lifesciences Inc.
$25
Merck Sharp & Dohme LLC
$16
Top 3 companies account for 92.3% of 2024 payments
All-time payments by company (2018-2024) ›
Apollo Endosurgery US Inc
$54,895
Intuitive Surgical, Inc.
$11,516
W. L. Gore & Associates, Inc.
$9,476
Medtronic, Inc.
$9,394
ReShape Lifesciences Inc.
$8,108
INTUITIVE SURGICAL, INC.
$3,637
Medical Device Business Services, Inc.
$1,686
Boston Scientific Corporation
$1,291
Stryker Corporation
$968
Senseonics, Incorporated
$800
Ethicon US, LLC
$638
ABBVIE INC.
$516
Endo Pharmaceuticals Inc.
$214
Integra LifeSciences Corporation
$203
Novo Nordisk Inc
$160
Zimmer Biomet Holdings, Inc.
$146
KLS-Martin L.P.
$144
Teleflex LLC
$141
Allergan, Inc.
$100
Endogastric Solutions, Inc
$75
Takeda Pharmaceuticals U.S.A., Inc.
$66
Allergan Inc.
$62
Bard Access Systems, Inc.
$59
Heron Therapeutics, Inc.
$48
Becton, Dickinson and Company
$48
CSL Behring
$40
Shire North American Group Inc
$35
ACACIA PHARMA INC
$22
Merck Sharp & Dohme LLC
$16
Top 3 companies account for 72.6% of all-time payments
Associated products mentioned in payments ›
1588 · 1588 HD 3 CHIP CAMERA · ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY · APOLLO ESG System · BARHEMSYS · BOTOX · BRIDION · DERMABOND PRINEO · Da Vinci Surgical System · ECHELON FLEX Stapler · ESOPHYX · Echelon; Endopath · Eversense · GATTEX · GORE SEAMGUARD Bioabsorbable Staple Line Reinforce · GORE SYNECOR Biomaterial · HARMONIC Product Family · Integra · Kcentra · LIGASURE · LINX Reflux Management System · LapBand · NASCOBAL · NATRELLE · NATRELLE SALINE-FILLED BREAST IMPLANTS · ORBERA Intragastric Balloon System · Omni Max · Orbera · OverStitch Endoscopic Suturing System · Overstitch · PROGEL · Product in Development · SEAMGUARD · SEAMGUARD Bioabsorbable Staple Line Reinforcement · SEAMGUARD Staple Line Reinforcement · SIGNIA · SONICISION · SURGICEL Family of Absorbable Hemostats · Saxenda · Surgicel Powder · Titan SGS · ZYNRELEF · Zynrelef
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 surgery specialist in Mount Clemens?
Compare surgerists in the Mount Clemens area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerists in nearby ZIP areas
454
County median income
$76,399
Nearest hospital to ZIP centroid (approximate)
MCLAREN MACOMB
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. Pesta is a clinical cardiology specialist, with above-average Medicare volume (top 23% 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. Pesta experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Pesta performed 182 hospital follow-up visit, moderate complexity 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. Pesta receive payments from pharmaceutical companies?
Yes. Dr. Pesta received a total of $104,504 from 29 companies across 291 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. Pesta's costs compare to other surgerists in Mount Clemens?
Dr. Pesta's average Medicare payment per service is $83. 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. Pesta) 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 →