Medicare Enrolled

Dr. Paul Garell, MD

Case Manager/Care Coordinator · Carmel, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
667 STONELEIGH AVE STE 118, Carmel, NY 10512
8452440488
In practice since 2006 (20 years)
NPI: 1053384453 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. Garell 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. Garell

Dr. Paul Garell is a case manager/care coordinator specialist in Carmel, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Garell performed 888 Medicare services across 471 unique beneficiaries.

Between the years covered by Open Payments, Dr. Garell received a total of $1,911 from 9 pharmaceutical and/or device companies across 23 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in case manager/care coordinator. 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. Garell 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 20% volume in NY $1,911 industry payments

Medicare Practice Summary

Medicare Utilization ↗
888
Medicare services
Top 20% in NY for case manager/care coordinator
471
Unique beneficiaries
$71
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~44 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
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
170 $53 $419
Spinal drug pump reprogramming and refill
A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir.
156 $73 $1,066
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.
120 $72 $944
Compounded drug, not otherwise classified
A medication prepared specifically for an individual patient by a pharmacist or physician, tailored to meet unique needs that cannot be fulfilled by commercially available products.
87 $96 $124
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
86 $40 $384
Complex chronic care management, first 60 minutes
This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort.
70 $112 $936
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.
67 $105 $1,339
Additional chronic care management time, 60 minutes
This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month.
47 $59 $451
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.
27 $42 $593
Electronic analysis of spinal drug pump
An electronic evaluation of a spinal canal drug infusion pump to check its function and settings.
21 $28 $344
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.
19 $127 $1,875
Cerebrospinal fluid aspiration and shunt injection
This procedure involves removing cerebrospinal fluid and injecting medication or fluid into a shunt tube or reservoir.
18 $37 $595
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 2023 ↗
$1,911
Total received (2018-2023)
Avg $318/year across 6 years
0.5× state median for specialty
9
Companies
23
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
$1,911 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$52
2022
$65
2021
$44
2020
$25
2019
$1,291
2018
$434

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$52
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
GE HEALTHCARE
$921
Medtronic USA, Inc.
$594
Nevro Corp.
$133
Medtronic, Inc.
$108
SI-BONE, Inc.
$50
PORTOLA PHARMACEUTICALS, INC.
$36
GRT US Holding, Inc.
$29
BAXTER HEALTHCARE
$25
PFIZER INC.
$15
Top 3 companies account for 86.2% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · AUTOFILL · FLOSEAL · INTELLIS · INTELLIS ADAPTIVESTIM · Omnia · Qutenza · RESTORE · SYNCHROMED · SYNCHROMEDII · Senza Spinal Cord Stimulation System · THROMBIN · iFuse Implant
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 case manager/care coordinator specialist in Carmel?
Compare case manager/care coordinators in the Carmel area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Case manager/care coordinators within 10 mi
206
Per 100K population
210.2
County median income
$127,405
Nearest hospital
PUTNAM HOSPITAL CENTER
0.0 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 2023
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. Garell is a clinical cardiology specialist, with above-average Medicare volume (top 20% in NY), 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. Garell experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Garell performed 170 chronic care management, first 20 min/month 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. Garell receive payments from pharmaceutical companies?
Yes. Dr. Garell received a total of $1,911 from 9 companies across 23 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. Garell's costs compare to other case manager/care coordinators in Carmel?
Dr. Garell's average Medicare payment per service is $71. 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. Garell) 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 →