Medicare Enrolled
Dr. Paul Chacko, M.D.
Cardiovascular Disease · Toledo, OH
Practice pattern: Electrophysiology & Device
— Practice focused on heart rhythm disorders and cardiac device management
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. Chacko 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. Chacko
Dr. Paul Chacko is a cardiovascular disease specialist in Toledo, OH, with 19 years of NPI registration. Based on federal Medicare data, Dr. Chacko performed 3,922 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Chacko received a total of $23,914 from 39 pharmaceutical and/or device companies across 361 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Chacko 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 of NPI registration
▲ Top 10% volume in OH
$23,914 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,922
Medicare services
Top 10% in OH for cardiovascular disease
Not available
Unique patients (not deduplicated)
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
2,179 | $6 | $21 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
233 | $26 | $95 |
| 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 | $83 | $272 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
127 | $10 | $121 |
| 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. |
91 | $62 | $176 |
| 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. |
86 | $137 | $491 |
| 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. |
82 | $60 | $191 |
| 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. |
74 | $111 | $354 |
| 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. |
74 | $94 | $253 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
72 | $42 | $153 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
66 | $11 | $66 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
64 | $71 | $262 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
49 | $39 | $141 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
48 | $24 | $108 |
| Left heart catheterization with pacing and arrhythmia induction A procedure where catheters are inserted to record electrical activity and pace the left lower chamber of the heart. It also involves intentionally inducing an abnormal heart rhythm for diagnostic purposes. |
47 | $133 | $1,379 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
38 | $63 | $387 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
35 | $62 | $222 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
32 | $744 | $2,834 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
28 | $74 | $387 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
27 | $403 | $1,314 |
| 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. |
26 | $11 | $46 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
24 | $713 | $2,316 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
24 | $242 | $1,073 |
| 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. |
23 | $98 | $334 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
22 | $6 | $18 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
22 | $2 | $8 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
20 | $19 | $62 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
19 | $644 | $2,110 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
19 | $242 | $1,074 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
18 | $11 | $59 |
| Ultrasound of heart blood vessels with radiologist review An ultrasound exam that evaluates blood vessels within the heart, including a review of the results by a radiologist. |
18 | $57 | $372 |
| Programming of single lead implantable defibrillator system Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function. |
16 | $26 | $105 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
14 | $353 | $1,185 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
12 | $79 | $268 |
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. These counts do not measure clinical quality or years of experience.
19.5% high complexity
1.8% medium
78.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$23,914
Total received (2018-2024)
Avg $3,416/year across 7 years
Top 14% in OH for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
361
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,203
2023
$1,713
2022
$2,053
2021
$8,538
2020
$3,109
2019
$1,989
2018
$4,310
Payments by company (2024)
Boston Scientific Corporation
$1,183
Biosense Webster, Inc.
$283
ATRICURE, INC.
$192
Medtronic, Inc.
$159
Kestra Medical Technology Services, Inc.
$137
Haemonetics Corporation
$81
BIOTRONIK INC.
$78
HEARTFLOW, INC.
$39
Philips North America LLC
$30
Inari Medical, Inc.
$20
Top 3 companies account for 75.3% of 2024 payments
All-time payments by company (2018-2024) ›
SANOFI-AVENTIS U.S. LLC
$3,999
Biosense Webster, Inc.
$3,195
Abbott Laboratories
$2,774
Medtronic, Inc.
$2,537
Boston Scientific Corporation
$2,498
Medtronic Vascular, Inc.
$1,839
BIOTRONIK INC.
$1,317
Philips Electronics North America Corporation
$771
E.R. Squibb & Sons, L.L.C.
$605
CardioFocus, Inc.
$502
BOSTON SCIENTIFIC CORPORATION
$485
Janssen Pharmaceuticals, Inc
$391
ATRICURE, INC.
$367
Amgen Inc.
$327
Kestra Medical Technology Services, Inc.
$296
AstraZeneca Pharmaceuticals LP
$288
Impulse Dynamics (USA) Inc.
$151
AtriCure, Inc.
$142
Medical Device Business Services, Inc.
$134
Edwards Lifesciences Corporation
$126
Penumbra, Inc.
$125
Preventice Services, LLC
$124
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$117
CARDIVA MEDICAL, INC.
$96
Merit Medical Systems Inc
$83
Haemonetics Corporation
$81
ABIOMED
$79
Cardiovascular Systems Inc.
$77
PFIZER INC.
$72
Inari Medical, Inc.
$58
Gilead Sciences, Inc.
$57
Cook Medical LLC
$43
HEARTFLOW, INC.
$39
Novartis Pharmaceuticals Corporation
$31
Philips North America LLC
$30
Lilly USA, LLC
$22
Smith+Nephew, Inc.
$15
Amarin Pharma Inc.
$13
iRhythm Technologies, Inc.
$12
Top 3 companies account for 41.7% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · (5050) Extended Holter · (AO0) IGT Devices Intracardiac · AVEIR · Achieve · Acticor · Acticor 7 VR-T DX · Advisor Catheter · Allure Quadra RF CRT Pacemaker · Arctic Front · Assure WCD · Assurity Pacemaker · AtriCure Synergy Ablation System · Azure · BG Mini Plus · BIOMONITOR · BRILINTA · BioMonitor · CAMZYOS · CARTO 3 · CHANTIX · CVX-300 · CardioMEMS HF System · CareLink · Carto 3 · Carto 3 System · Carto Smarttouch · CartoSound · Confidense · Confirm Rx · Cook Medical Lead Management - Lead Extraction · Corlanor · CryoConsole · DecaNav · DiamondTemp · ELIQUIS · EMBLEM · EMBLEM MRI S-ICD · ENSOETM · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edwards SAPIEN 3 Transcatheter Heart Valve · Ellipse ICD · EnSite Precision Cardiac Mapping System · Ensite Cardiac Mapping System · FARXIGA · FFRct · FLOWTRIEVER CATHETER · Fortify Assura · GENERAL TACHY · GENERAL - EP · GENERAL - TACHY · GENERAL - THERAPIES · GENERAL EP · GRAFIX · General - Brady · General - Therapies · GlideLight · HEARTLIGHT SYSTEM · HUMULIN · HeartMate 3 Left Ventricular Assist Device · ICDs · IGT_D Systems · IGT_D Therapy · INGEVITY · INGEVITY+ · INVOKANA · Impella · Indigo System · LATITUDE · LATITUDE Communicator Power Supply · LUX DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · MICRA · Micra · NA · OCTARAY MAPPING CATHETER · Optimizer · PRALUENT · Pentaray · Pentaray Nav · Peripheral Orbital Atherectomy System · Q TRAK ELECTRODE · Quadra Assura CRT Defibrillator · RHYTHMIA · Ranexa · Repatha · Reveal LINQ · Rivacor · S · S-ICD System Magnet · Smartablate · Solia · Soundstar · THERMOCOOL SMARTTOUCH · TYRX · TactiCath Quartz CFA Catheter · VIGILANT X4 CRT-D · Vascepa · WATCHMAN FLX · Worley Adv Coronary Sinus Gde · XARELTO · ZIO Patch
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Cardiologists in nearby ZIP areas
74
County median income
$60,095
Nearest hospital to ZIP centroid (approximate)
PROMEDICA TOLEDO HOSPITAL
2.9 mi
2.9 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Chacko is an electrophysiology & device specialist, with above-average Medicare volume (top 10% in OH), 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. Chacko experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Chacko performed 2,179 ekg interpretation and report services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Chacko receive payments from pharmaceutical companies?
Yes. Dr. Chacko received a total of $23,914 from 39 companies across 361 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Chacko's costs compare to other cardiologists in Toledo?
Dr. Chacko's average Medicare payment per service is $47. 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. Chacko) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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