Medicare Enrolled
Dr. Munier Nazzal, M.D.
Surgery · Toledo, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Nazzal 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. Nazzal
Dr. Munier Nazzal is a surgery specialist in Toledo, OH, with 21 years of NPI registration. Based on federal Medicare data, Dr. Nazzal performed 525 Medicare services across 465 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nazzal received a total of $12,859 from 28 pharmaceutical and/or device companies across 97 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in 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. Nazzal 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.
✓ 21 years in practice
▲ Top 13% volume in OH
$12,859 industry payments
Medicare Practice Summary
Medicare Utilization ↗525
Medicare services
Top 13% in OH for surgery
465
Unique beneficiaries
$143
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~25 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. |
55 | $65 | $191 |
| 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. |
38 | $97 | $274 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
36 | $82 | $306 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
33 | $9 | $32 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
33 | $17 | $59 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
30 | $139 | $464 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
30 | $94 | $253 |
| 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. |
29 | $78 | $236 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
28 | $86 | $292 |
| 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. |
24 | $131 | $473 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
21 | $797 | $3,065 |
| Radiologist review of abdominal aorta image A radiologist reviews images of the abdominal aorta to evaluate the blood vessel. |
21 | $53 | $172 |
| Central venous port insertion A surgical procedure to place a small reservoir under the skin for long-term access to the bloodstream. The device is connected to a vein to allow for repeated medication administration or blood draws. |
19 | $249 | $2,599 |
| 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. |
19 | $125 | $354 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
18 | $41 | $157 |
| Hemodialysis circuit intervention with balloon dilation A procedure to insert a needle or tube into a hemodialysis circuit and dilate the dialysis segment using a balloon, with radiological review. |
17 | $898 | $3,150 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
14 | $62 | $176 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
13 | $167 | $601 |
| Balloon dilation of leg artery A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter to restore blood flow. |
12 | $189 | $986 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
12 | $11 | $34 |
| 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. |
12 | $137 | $491 |
| 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. |
11 | $103 | $334 |
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 ↗$12,859
Total received (2018-2024)
Avg $1,837/year across 7 years
Top 14% in OH for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
97
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
$6,594 (51.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,478 (42.6%)
Other
Charitable contributions, space rental, and other categories
$787 (6.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,435
2023
$327
2022
$355
2021
$370
2020
$175
2019
$1,578
2018
$8,618
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Integra LifeSciences Corporation
$787
Inari Medical, Inc.
$295
Bolton Medical Inc
$144
Medtronic, Inc.
$65
AngioDynamics, Inc.
$49
Smith+Nephew, Inc.
$31
Kerecis Limited
$23
Bard Peripheral Vascular, Inc.
$21
Amgen Inc.
$19
Top 3 companies account for 85.5% of 2024 payments
All-time payments by company (2018-2024) ›
Integra LifeSciences Corporation
$7,284
Medline Industries, Inc.
$1,578
Silk Road Medical, Inc.
$792
Medtronic Vascular, Inc.
$623
Inari Medical, Inc.
$358
BOSTON SCIENTIFIC CORPORATION
$349
Medtronic, Inc.
$297
Bard Peripheral Vascular, Inc.
$225
Cook Medical LLC
$167
Bolton Medical Inc
$144
Kerecis Limited
$132
Smith & Nephew, Inc.
$117
Cardiovascular Systems Inc.
$102
Organogenesis Inc.
$101
Janssen Pharmaceuticals, Inc
$96
Baxter Healthcare
$73
Boston Scientific Corporation
$69
Novo Nordisk Inc
$62
W. L. Gore & Associates, Inc.
$60
AngioDynamics, Inc.
$49
BAXTER HEALTHCARE
$35
Smith+Nephew, Inc.
$31
BARD PERIPHERAL VASCULAR, INC.
$29
ORGANOGENESIS INC.
$19
E.R. Squibb & Sons, L.L.C.
$19
Amgen Inc.
$19
Tactile Systems Technology Inc
$16
Ethicon US, LLC
$12
Top 3 companies account for 75.1% of all-time payments
Associated products mentioned in payments ›
ACell · AURYON LASER SYSTEM 100-120 VAC · Apligraf · BILAYER WOUND MATRIX BWM · Beacon Tip Torcon NB · COOK MEDICAL FILTERS · COOK MEDICAL ZILVER PTX · COVERA · Cook Medical Custom Made Device · Cook Medical Embolization · Cook Medical Zilver PTX · Crosser iQ · DERMABOND · Diamondback Peripheral · ELIQUIS · ENDURANT IIS · ENROUTE Transcarotid Neuroprotection System · EXCLUDER Iliac Branch Endoprosthesis · Endurant · FLEXITOUCH · FLOSEAL · FLOWTRIEVER CATHETER · GENERAL THERAPIES · GENERAL - THERAPIES · HawkOne · Hyalomatrix Wound Device · IN.PACT Admiral · INNOVA · Integra · KRYSTEXXA · Kerecis Omega3 SurgiClose · LUTONIX · OASIS · OMNIGRAFT · PERI-STRIPS DRY · PICO · Puraply · S · TREO ABDOMINAL STENT-GRAFT SYSTEM · VALIANT CAPTIVIA · VenaSeal · XARELTO
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 (51%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in surgery and does not inherently indicate bias, but patients may wish to be aware.
Geographic Context
Surgerists within 10 mi
70
Per 100K population
16.3
County median income
$60,095
Nearest hospital
UNIVERSITY OF TOLEDO MEDICAL CENTER
0.0 mi
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. Nazzal is a clinical cardiology specialist, with above-average Medicare volume (top 13% in OH), with speaking/promotional industry engagement in the top 14% of OH peers, with 21 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. Nazzal experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Nazzal performed 55 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. Nazzal receive payments from pharmaceutical companies?
Yes. Dr. Nazzal received a total of $12,859 from 28 companies across 97 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. Nazzal's costs compare to other surgerists in Toledo?
Dr. Nazzal's average Medicare payment per service is $143. 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. Nazzal) 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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