Medicare Enrolled

Dr. Anna Spivak, D.O.

Colon & Rectal Surgery · Cleveland, OH
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
9500 E 100 ST, Cleveland, OH 44195
2164457330
In practice since 2014 (12 years)
NPI: 1801216106 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. Spivak 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. Spivak

Dr. Anna Spivak is a colon & rectal surgery specialist in Cleveland, OH, with 12 years of NPI registration. Based on federal Medicare data, Dr. Spivak performed 841 Medicare services across 827 unique beneficiaries.

Between the years covered by Open Payments, Dr. Spivak received a total of $22,791 from 16 pharmaceutical and/or device companies across 96 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in colon & rectal 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. Spivak 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.

✓ 12 years in practice ▲ Top 4% volume in OH $22,791 industry payments

Medicare Practice Summary

Medicare Utilization ↗
841
Medicare services
Top 4% in OH for colon & rectal surgery
827
Unique beneficiaries
$60
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~70 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
Non-needle muscle activity measurement of bladder and bowel openings
This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles.
237 $27 $602
Rectal sensitivity and function study
A test to evaluate the sensitivity and functional performance of the rectum.
218 $64 $660
Rectal and anal tone and sensation test
A physical examination to assess muscle tone and sensory function in the rectum and anus.
217 $36 $352
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.
47 $69 $419
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.
40 $44 $270
Anoscopy
A diagnostic exam of the anus using a thin, lighted tube called an endoscope to look inside.
27 $32 $205
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.
20 $103 $603
Rectal prolapse repair using endoscope
A surgical procedure to correct a rectal prolapse by using an endoscope to access and repair the affected area.
13 $890 $7,193
New patient office visit, complex (60-74 min) 11 $125 $788
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.
11 $112 $591
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 ↗
$22,791
Total received (2018-2024)
Avg $3,256/year across 7 years
Top 9% in OH for colon & rectal surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
96
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
$18,317 (80.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,475 (19.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$17,389
2023
$1,501
2022
$2,166
2021
$1,309
2020
$147
2019
$216
2018
$64

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$17,044
GENZYME CORPORATION
$129
RTI SURGICAL, INC
$126
INTUITIVE SURGICAL, INC.
$90
Top 3 companies account for 99.5% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$20,349
Intuitive Surgical, Inc.
$1,273
Allergan Inc.
$180
Boston Scientific Corporation
$132
GENZYME CORPORATION
$129
RTI SURGICAL, INC
$126
Ethicon US, LLC
$123
Aroa Biosurgery Incorporated
$121
Baxter Healthcare
$118
INTUITIVE SURGICAL, INC.
$90
CONMED Corporation
$63
Integra LifeSciences Corporation
$22
Edwards Lifesciences Corporation
$20
E.R. Squibb & Sons, L.L.C.
$16
AbbVie Inc.
$15
THD America, Inc.
$14
Top 3 companies account for 95.7% of all-time payments
Associated products mentioned in payments ›
BIODESIGN · CEREZYME · Da Vinci Surgical System · EEA · ELIQUIS · HUMIRA · INTEGRA MESHED BILAYER WOUND MATRIX · INTERSTIM · RESOLUTION CLIP · STRATTICE · SURGICEL NU-KNIT · TISSEEL
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 (80%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in colon & rectal surgery and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 9% for colon & rectal surgery in OH.

Looking for a colon & rectal surgery specialist in Cleveland?
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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. Spivak is a clinical cardiology specialist, with above-average Medicare volume (top 4% in OH), with speaking/promotional industry engagement in the top 9% of OH peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Spivak experienced with non-needle muscle activity measurement of bladder and bowel openings?
Based on Medicare claims data, Dr. Spivak performed 237 non-needle muscle activity measurement of bladder and bowel openings 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. Spivak receive payments from pharmaceutical companies?
Yes. Dr. Spivak received a total of $22,791 from 16 companies across 96 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. Spivak's costs compare to other colon & rectal surgerists in Cleveland?
Dr. Spivak's average Medicare payment per service is $60. 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. Spivak) 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 →