Medicare Enrolled

Dr. Irena Zalewska, MD

Gastroenterology · St Clair Shores, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
28963 LITTLE MACK AVE, St Clair Shores, MI 48081
5864470700
In practice since 2005 (20 years)
NPI: 1407846751 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. Zalewska 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. Zalewska? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Zalewska

Dr. Irena Zalewska is a gastroenterology specialist in St Clair Shores, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Zalewska performed 971 Medicare services across 692 unique beneficiaries.

Between the years covered by Open Payments, Dr. Zalewska received a total of $9,127 from 43 pharmaceutical and/or device companies across 474 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Zalewska 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 17% volume in MI $9,127 industry payments

Medicare Practice Summary

Medicare Utilization ↗
971
Medicare services
Top 17% in MI for gastroenterology
692
Unique beneficiaries
$90
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~49 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
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.
400 $24 $145
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.
142 $97 $175
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
123 $216 $675
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
89 $88 $382
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.
75 $95 $650
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.
53 $67 $120
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.
34 $124 $210
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
31 $189 $550
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
13 $190 $550
Endoscopy of digestive tract
Imaging of the digestive tract performed from the inside using an endoscope.
11 $575 $1,350
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 ↗
$9,127
Total received (2018-2024)
Avg $1,304/year across 7 years
Top 16% in MI for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
474
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
$9,101 (99.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$26 (0.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,965
2023
$2,162
2022
$988
2021
$818
2020
$254
2019
$1,787
2018
$1,152

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$524
Janssen Biotech, Inc.
$504
Takeda Pharmaceuticals U.S.A., Inc.
$174
Janssen Scientific Affairs, LLC
$160
Celgene Corporation
$143
Gilead Sciences, Inc.
$105
GENZYME CORPORATION
$67
PFIZER INC.
$60
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$50
Regeneron Healthcare Solutions, Inc.
$42
Ipsen Biopharmaceuticals, Inc
$31
QOL Medical, LLC
$26
Intercept Pharmaceuticals, Inc.
$18
Lilly USA, LLC
$17
Amgen Inc.
$15
Phathom Pharmaceuticals, Inc.
$15
Ardelyx, Inc.
$13
Top 3 companies account for 61.2% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Biotech, Inc.
$1,337
Takeda Pharmaceuticals U.S.A., Inc.
$869
Celgene Corporation
$849
Gilead Sciences, Inc.
$814
ABBVIE INC.
$808
AbbVie Inc.
$591
Janssen Scientific Affairs, LLC
$512
PFIZER INC.
$470
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$454
Allergan Inc.
$305
GENZYME CORPORATION
$211
QOL Medical, LLC
$197
Cook Medical LLC
$193
Regeneron Healthcare Solutions, Inc.
$175
Boston Scientific Corporation
$154
RedHill Biopharma Inc.
$145
AbbVie, Inc.
$141
E.R. Squibb & Sons, L.L.C.
$122
Romark Laboratories, LC
$101
Merck Sharp & Dohme Corporation
$64
Ardelyx, Inc.
$63
UCB, Inc.
$59
INTERCEPT PHARMACEUTICALS, INC.
$42
Synergy Pharmaceuticals Inc
$38
Allergan, Inc.
$37
Nestle HealthCare Nutrition Inc.
$36
Amgen Inc.
$33
Merck Sharp & Dohme LLC
$32
Ipsen Biopharmaceuticals, Inc
$31
IRONWOOD PHARMACEUTICALS, INC
$29
Shionogi Inc
$27
Organon LLC
$24
Ferring Pharmaceuticals Inc.
$24
Intercept Pharmaceuticals, Inc.
$18
Lilly USA, LLC
$17
Teva Pharmaceuticals USA, Inc.
$17
Concordia Pharmaceuticals Inc.
$15
Phathom Pharmaceuticals, Inc.
$15
Alexion Pharmaceuticals, Inc.
$14
Braintree Laboratories, Inc.
$14
Daiichi Sankyo Inc.
$13
AMAG Pharmaceuticals, Inc.
$12
Shire North American Group Inc
$11
Top 3 companies account for 33.5% of all-time payments
Associated products mentioned in payments ›
AUSTEDO · AVSOLA · AXIOS · Alinia · Amitiza · CIMZIA · CREON · Cimzia · Cook Medical Hemospray · Cook Medical Metal Stents - Non-Biliary · Creon · DIFICID · DUPIXENT · Donnatal · ENTYVIO · EOHILIA · Entyvio · FERAHEME · GATTEX · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · IQIRVO · Kanuma · LINZESS · Linzess · MAVYRET · MOVIPREP · Mulpleta · OCALIVA · OMVOH · REMICADE · RENFLEXIS · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUTAB · Sucraid · TREMFYA · TRULANCE · Talicia · Trulance · VIBERZI · VOQUEZNA · Vemlidy · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA · ZERIT
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.

Looking for a gastroenterology specialist in St Clair Shores?
Compare gastroenterologists in the St Clair Shores area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
137
Per 100K population
15.6
County median income
$76,399
Nearest hospital
HENRY FORD HEALTH ST JOHN HOSPITAL
5.0 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. Zalewska is a clinical cardiology specialist, with above-average Medicare volume (top 17% in MI), with low-engagement industry engagement in the top 16% 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. Zalewska experienced with tissue pathology examination, moderate complexity?
Based on Medicare claims data, Dr. Zalewska performed 400 tissue pathology examination, moderate complexity 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. Zalewska receive payments from pharmaceutical companies?
Yes. Dr. Zalewska received a total of $9,127 from 43 companies across 474 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. Zalewska's costs compare to other gastroenterologists in St Clair Shores?
Dr. Zalewska's average Medicare payment per service is $90. 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. Zalewska) 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 →
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.

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. Payments from industry are legal and do not indicate wrongdoing. 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 →