Medicare Enrolled

Dr. Howard Riina, M.D.

Neurological Surgery · New York, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
530 1ST AVE, New York, NY 10016
2122635382
In practice since 2006 (19 years)
NPI: 1639199367 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. Riina 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. Riina

Dr. Howard Riina is a neurological surgery specialist in New York, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Riina performed 225 Medicare services across 203 unique beneficiaries.

Between the years covered by Open Payments, Dr. Riina received a total of $104,623 from 15 pharmaceutical and/or device companies across 146 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Riina 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 44% volume in NY $104,623 industry payments

Medicare Practice Summary

Medicare Utilization ↗
225
Medicare services
Top 44% in NY for neurological surgery
203
Unique beneficiaries
$216
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~12 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
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.
52 $143 $997
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.
40 $108 $550
Neck artery catheter insertion with radiology review
A tube is inserted into an artery in the neck for diagnostic or treatment purposes. A radiologist reviews the procedure.
25 $345 $24,920
Brain artery catheterization
A tube is inserted into an artery in the brain for diagnosis or treatment, with review by a radiologist.
20 $212 $23,189
Radiologist review of image for embolization
A radiologist reviews medical images to guide the insertion of material designed to block blood flow.
20 $68 $546
Blood vessel imaging
Imaging test to visualize the blood vessels.
20 $87 $721
Arterial catheter insertion in neck
A tube is inserted into an artery in the neck for diagnostic or treatment purposes. A radiologist reviews the procedure.
19 $137 $4,293
Occlusion of central nervous system or spinal cord artery 16 $1,117 $17,147
3D radiographic procedure with computerized image postprocessing
A radiographic imaging procedure that creates three-dimensional images using computerized processing of the captured data.
13 $34 $230
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.
28.4% high complexity
8.9% medium
62.7% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$104,623
Total received (2018-2024)
Avg $14,946/year across 7 years
Top 11% in NY for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
146
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$57,933 (55.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$26,116 (25.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$20,574 (19.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$9,180
2023
$16,791
2022
$22,360
2021
$21,082
2020
$15,563
2019
$2,454
2018
$17,192

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Siemens Medical Solutions USA, Inc.
$7,826
Medtronic, Inc.
$1,246
Route 92 Medical, Inc.
$108
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$59,179
Siemens Medical Solutions USA, Inc.
$13,083
Medtronic USA, Inc.
$11,746
Brainlab, Inc.
$10,830
Stryker Corporation
$5,999
MicroVention, Inc.
$2,625
Balt USA, LLC
$221
Leica Microsystems Cambridge Limited
$165
Imperative Care, Inc
$149
Leica Microsystems (Schweiz) AG
$123
Rapid Medical Ltd
$122
Route 92 Medical, Inc.
$108
Penumbra, Inc.
$100
Medical Device Business Services, Inc.
$90
phenox Inc.
$84
Top 3 companies account for 80.3% of all-time payments
Associated products mentioned in payments ›
8F BASE CAMP SHEATH SYSTEM · ATLAS · AXIUM PRIMETM · Artis Q · Artis Q.zen · Arveo 8 · Avenir Coils · Axium · BALLOON CATHETER · CorPath GRX · CorPath Imaging System · KYPHON Balloon Kyphoplasty · LVIS · MAGNETOM Skyra · Novalis · OSTEOCOOL RF ABLATION SYSTEM · Optima Coil System · PIPELINE · Penumbra SMART Coil · Pipeline · RIST · Rist-5F · SOFIA · SOLITAIRE X · SURPASS EVOLVE · Solitaire · Surgical Microscopes · TARGET · TIGERTRIEVER 17 REVASCULARIZATION DEVICE · TRUFILL · WEB · WEB ANEURYSM EMBOLIZATION SYSTEM · ZOOM REPERFUSION CATHETER
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 →

The majority of payments (55%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neurological surgery and does not inherently indicate bias, but patients may wish to be aware.

Looking for a neurological surgery specialist in New York?
Compare neurological surgerists in the New York area by procedure volume, costs, and industry payment transparency.
Browse neurological surgerists nearby

Geographic Context

Neurological surgerists within 10 mi
373
Per 100K population
22.9
County median income
$104,553
Nearest hospital
BELLEVUE 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 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. Riina is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 11% of NY 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. Riina experienced with new patient office visit (45-59 min)?
Based on Medicare claims data, Dr. Riina performed 52 new patient office visit (45-59 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. Riina receive payments from pharmaceutical companies?
Yes. Dr. Riina received a total of $104,623 from 15 companies across 146 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. Riina's costs compare to other neurological surgerists in New York?
Dr. Riina's average Medicare payment per service is $216. 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. Riina) 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 →