Medicare Enrolled
Dr. Vittorio Morreale, M.D.
Neurological Surgery · Shelby Twp, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed 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. Morreale 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. Morreale
Dr. Vittorio Morreale is a neurological surgery specialist in Shelby Twp, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Morreale performed 1,454 Medicare services across 1,025 unique beneficiaries.
Between the years covered by Open Payments, Dr. Morreale received a total of $509,109 from 38 pharmaceutical and/or device companies across 210 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Morreale 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 3% volume in MI
$509,109 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,454
Medicare services
Top 3% in MI for neurological surgery
1,025
Unique beneficiaries
$177
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~77 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 |
|---|---|---|---|
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
224 | $41 | $205 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
122 | $180 | $1,220 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
120 | $340 | $2,270 |
| 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. |
109 | $68 | $390 |
| X-ray of lower and sacral spine, minimum 6 views An X-ray imaging test that captures at least six views of the lower back and sacral spine to evaluate bone structure and alignment. |
103 | $43 | $450 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
71 | $134 | $750 |
| 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. |
71 | $105 | $725 |
| 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. |
59 | $143 | $1,061 |
| 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. |
58 | $99 | $565 |
| X-ray of upper spine, 6 or more views An X-ray imaging test of the upper spine using six or more separate views to capture detailed images of the bones and structures in that area. |
47 | $41 | $400 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
46 | $42 | $175 |
| Placement of mesh or cage device into spine disc space | 45 | $275 | $1,945 |
| 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. |
45 | $124 | $860 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
37 | $693 | $4,420 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
36 | $43 | $235 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
29 | $224 | $1,500 |
| New patient office visit, complex (60-74 min) | 27 | $174 | $1,085 |
| Graft of donor bone to spine | 26 | $99 | $645 |
| 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. |
26 | $82 | $560 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
25 | $29 | $250 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
24 | $22 | $225 |
| Spinal fracture treatment, each additional segment This procedure involves the treatment of a broken or dislocated spine bone for each additional spinal segment beyond the initial one. |
18 | $243 | $1,635 |
| Fusion of spine in lower back | 17 | $1,330 | $9,025 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
16 | $466 | $6,275 |
| Treatment of broken or dislocated middle spine bone This procedure involves the medical or surgical management of a fracture or dislocation in the middle section of the spine. |
15 | $1,293 | $8,620 |
| Treatment of broken or dislocated lower spine bone This procedure involves the medical or surgical management of a fracture or dislocation in the lower spine. It focuses on stabilizing the injury and addressing the structural damage to the vertebrae. |
13 | $1,144 | $8,260 |
| Partial removal of spine bone with nerve release, 1 segment Surgical removal of part of the spinal bone to relieve pressure on the spinal cord or nerves in one segment. |
13 | $548 | $7,385 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
12 | $30 | $225 |
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.
11.4% high complexity
0.0% medium
88.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$509,109
Total received (2018-2024)
Avg $72,730/year across 7 years
Top 2% in MI for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
210
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.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$372,641 (73.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$123,899 (24.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,549 (2.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$20 (0.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$17,400
2023
$31,599
2022
$85,628
2021
$79,535
2020
$76,129
2019
$140,512
2018
$78,306
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
XTANT MEDICAL INC
$16,929
SPINAL ELEMENTS, INC.
$322
Medtronic, Inc.
$32
Aesculap, Inc.
$32
icotec Medical Inc.
$31
CSL Behring
$20
Kuros Biosciences USA, Inc
$20
Providence Medical Technology, Inc.
$14
Top 3 companies account for 99.3% of 2024 payments
All-time payments by company (2018-2024) ›
Surgalign Spine Technologies, Inc.
$127,837
Spineart SA
$114,735
RTI Surgical, Inc.
$78,942
Spineart USA Inc
$71,329
SPINEART SA
$64,994
SPINAL ELEMENTS, INC.
$16,971
XTANT MEDICAL INC
$16,929
Amendia, Inc.
$5,239
Spinal Elements, Inc.
$3,592
SPINEART USA INC
$3,500
Stryker Corporation
$2,815
Cerapedics, Inc.
$918
Medtronic, Inc.
$214
Xtant Medical Inc
$204
Terumo Cardiovascular Systems Corporation
$120
Zimmer Biomet Holdings, Inc.
$106
ARBOR PHARMACEUTICALS, INC.
$75
Aesculap, Inc.
$59
DePuy Synthes Sales Inc.
$51
BAXTER HEALTHCARE
$49
Alphatec Spine, Inc
$46
Kuros Biosciences USA, Inc
$42
Baxter Healthcare
$40
Providence Medical Technology, Inc.
$32
icotec Medical Inc.
$31
Brainlab, Inc.
$30
Orthofix Medical, Inc.
$24
Smith+Nephew, Inc.
$23
CSL Behring
$20
Arbor Pharmaceuticals, Inc.
$20
SI-BONE, INC.
$18
KCI USA, Inc.
$16
Pacira Pharmaceuticals Incorporated
$15
Circassia Pharmaceuticals Inc
$15
Sanara MedTech Inc.
$15
Boston Scientific Corporation
$15
PORTOLA PHARMACEUTICALS, INC.
$14
CoreLink, LLC
$13
Top 3 companies account for 63.2% of all-time payments
Associated products mentioned in payments ›
12.5MM X 50MM · AESCULAP · ANDEXXA · ARAI SURGICAL NAVIGATION SYSTEM · ASPECT ANTERIOR CERVICAL PLATE · AUTOPLEX · Allograft · Allograft * · BIOCLEANSE ACC BLOCK · BULLET-TIP VBR/IBF SYSTEM · CERVALIGN ANTERIOR CERVICAL PLATE SYSTEM · CellerateRx · CervAlign Anterior Cervical Plate · Cervical-Stim · Covered-Style Anterior Cervical Plate* · Curve · EVEREST SPINAL SYSTEM · EXPAREL · FIBERGRAFT · FLOSEAL · FORTILINK · FORTILINK-A IBF SYSTEM · FORTILINK-C IBF SYSTEM · FORTILINK-TS IBF SYSTEM · FORTILINK-TS IBF SYSTEM WITH TETRAFUSE 3D TECHNOLOGY · Fortilink-TS IBF System · GENERAL - DBS · Gliadel · HTR-PEKK · Harvest · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · INTELLIS · IVS - IVAS · IVS - NEW PRODUCT DEVELOPMENT · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Invictus MIS · Kcentra · MAGNETOS · MAP3 CELLULAR ALLOGENEIC BONE GRAFT · MATRIXNEURO · Medical Device · Medical Devices · NANOSS ABGS FAMILY · NAV - SPINEMAP 3D NAVIGATION SOFTWARE AND INSTRUMENTATION · Navigation · O-ARM · PAEDIGAV · PERLA C · PERLA C - CERVICAL POSTERIOR FIXATION · PICO 7 · PREVENA · PROGAV2 · Pekk Htr Cranioplasty · Perla - C post · Perla C Post · ROMEO 2 · SIMMETRY IMPLANT · SPINEJACK · STREAMLINE OCT SYSTEM · STREAMLINE TL SPINAL FIXATION SYSTEM · Sentio · TISSEEL · TUDORZA PRESSAIR · UNID_PASS · VERTAPLEX · Vader Pedicle System · Walter · i-FACTOR Putty
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 2% for neurological surgery in MI.
Geographic Context
Neurological surgerists within 10 mi
94
Per 100K population
10.7
County median income
$76,399
Nearest hospital
HENRY FORD MACOMB HOSPITAL
5.5 mi
5.5 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. Morreale is a clinical cardiology specialist, with above-average Medicare volume (top 3% in MI), with mixed engagement industry engagement in the top 2% 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. Morreale experienced with hospital follow-up visit, low complexity?
Based on Medicare claims data, Dr. Morreale performed 224 hospital follow-up visit, low 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. Morreale receive payments from pharmaceutical companies?
Yes. Dr. Morreale received a total of $509,109 from 38 companies across 210 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. Morreale's costs compare to other neurological surgerists in Shelby Twp?
Dr. Morreale's average Medicare payment per service is $177. 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. Morreale) 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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