Medicare Enrolled
Dr. Frank Diponio, DO
Family Medicine · Sterling Heights, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Diponio 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. Diponio
Dr. Frank Diponio is a family medicine specialist in Sterling Heights, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Diponio performed 4,585 Medicare services across 3,464 unique beneficiaries.
Between the years covered by Open Payments, Dr. Diponio received a total of $1,426 from 21 pharmaceutical and/or device companies across 70 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Diponio 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
$1,426 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,585
Medicare services
Top 1% in MI for family medicine
3,464
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~229 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 (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. |
719 | $62 | $130 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
709 | $8 | $16 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
494 | $7 | $35 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
344 | $4 | $15 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
301 | $23 | $92 |
| 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. |
243 | $10 | $75 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
216 | $17 | $35 |
| Annual alcohol misuse screening, 5 to 15 minutes | 215 | $18 | $30 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
212 | $4 | $25 |
| 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. |
193 | $93 | $180 |
| 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. |
170 | $122 | $200 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
129 | $132 | $185 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
114 | $10 | $36 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
60 | $31 | $40 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
56 | $72 | $75 |
| 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. |
36 | $29 | $79 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
35 | $21 | $79 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
29 | $165 | $190 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
27 | $71 | $100 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
24 | $33 | $60 |
| 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. |
24 | $73 | $175 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
23 | $92 | $290 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
23 | $27 | $50 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
22 | $29 | $81 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
21 | $21 | $93 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
20 | $34 | $75 |
| 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. |
20 | $43 | $101 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
18 | $160 | $1,000 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
18 | $160 | $352 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
16 | $25 | $71 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
15 | $36 | $101 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
14 | $85 | $176 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
13 | $16 | $44 |
| 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. |
12 | $145 | $376 |
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.
0.4% high complexity
1.1% medium
98.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,426
Total received (2018-2024)
Avg $204/year across 7 years
Top 23% in MI for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
70
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
$1,324 (92.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$102 (7.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$403
2023
$348
2022
$153
2021
$122
2020
$67
2019
$156
2018
$176
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Astellas Pharma US Inc
$102
ALK-Abello, Inc
$60
PFIZER INC.
$39
GlaxoSmithKline, LLC.
$39
Novo Nordisk Inc
$24
Optinose US, Inc.
$21
Exact Sciences Corporation
$20
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$20
Lilly USA, LLC
$19
IBSA Pharma Inc.
$15
Amgen Inc.
$15
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
Esperion Therapeutics, Inc.
$14
Top 3 companies account for 49.9% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$236
PFIZER INC.
$220
Inspire Medical Systems, Inc.
$186
Regeneron Healthcare Solutions, Inc.
$122
Astellas Pharma US Inc
$102
Novartis Pharmaceuticals Corporation
$75
Exact Sciences Corporation
$71
ALK-Abello, Inc
$60
Lilly USA, LLC
$56
AstraZeneca Pharmaceuticals LP
$53
Novo Nordisk Inc
$39
GlaxoSmithKline, LLC.
$39
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
Amarin Pharma Inc.
$27
Optinose US, Inc.
$21
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$20
IBSA Pharma Inc.
$15
Horizon Therapeutics plc
$15
Esperion Therapeutics, Inc.
$14
DERMIRA, INC.
$14
Medtronic MiniMed, Inc.
$11
Top 3 companies account for 45.1% of all-time payments
Associated products mentioned in payments ›
Aimovig · CHANTIX · Cologuard Collection Kit · DUPIXENT · ENTRESTO · EVENITY · EVUSHELD · Grastek · INSPIRE · JARDIANCE · LYRICA · MOUNJARO · NEXLETOL · NURTEC ODT · Odactra · Otezla · PAXLOVID · Prolia · QBREXZA · RAYOS · Repatha · Rybelsus · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tirosint · Vascepa · Veozah · Wegovy · XIFAXAN · Xhance · iPro2
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 (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
1,593
Per 100K population
181.5
County median income
$76,399
Nearest hospital
HENRY FORD MACOMB HOSPITAL
2.9 mi
2.9 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. Diponio is a clinical cardiology specialist, with above-average Medicare volume (top 1% in MI), with low-engagement industry engagement, 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. Diponio experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Diponio performed 719 office visit, established patient (20-29 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. Diponio receive payments from pharmaceutical companies?
Yes. Dr. Diponio received a total of $1,426 from 21 companies across 70 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. Diponio's costs compare to other family medicine physicians in Sterling Heights?
Dr. Diponio's average Medicare payment per service is $35. 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. Diponio) 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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