Medicare Enrolled
Dr. Adam Zivin, M.D.
Cardiovascular Disease · Bellevue, WA
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
Low-engagement
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. Zivin 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. Zivin
Dr. Adam Zivin is a cardiovascular disease specialist in Bellevue, WA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Zivin performed 4,416 Medicare services across 2,361 unique beneficiaries.
Between the years covered by Open Payments, Dr. Zivin received a total of $20,156 from 15 pharmaceutical and/or device companies across 165 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Zivin 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 9% volume in WA
$20,156 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,416
Medicare services
Top 9% in WA for cardiovascular disease
2,361
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~232 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 |
|---|---|---|---|
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
1,330 | $21 | $100 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
812 | $24 | $104 |
| 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. |
523 | $29 | $204 |
| 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. |
216 | $100 | $312 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
209 | $22 | $78 |
| 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. |
173 | $144 | $438 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
168 | $69 | $221 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
156 | $5 | $42 |
| 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. |
150 | $71 | $221 |
| 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. |
83 | $87 | $273 |
| 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. |
75 | $7 | $28 |
| New patient office visit, complex (60-74 min) | 75 | $180 | $595 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
45 | $55 | $185 |
| 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. |
39 | $134 | $480 |
| 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. |
37 | $91 | $296 |
| 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. |
36 | $91 | $713 |
| 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. |
33 | $22 | $85 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
32 | $38 | $58 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
30 | $19 | $71 |
| 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. |
26 | $70 | $224 |
| 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. |
24 | $13 | $70 |
| 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. |
23 | $444 | $1,507 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
18 | $656 | $2,230 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
18 | $11 | $46 |
| 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. |
17 | $801 | $3,174 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
16 | $12 | $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. |
14 | $770 | $2,610 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
14 | $259 | $1,203 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
13 | $79 | $213 |
| Heart conduction tissue destruction A procedure that destroys heart conduction tissue to create a heart block. |
11 | $493 | $1,556 |
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.
70.3% high complexity
0.0% medium
29.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$20,156
Total received (2018-2024)
Avg $2,879/year across 7 years
Top 9% in WA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
165
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
$14,800 (73.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$5,356 (26.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,068
2023
$2,243
2022
$1,827
2021
$1,404
2020
$6,433
2019
$2,697
2018
$1,483
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ATRICURE, INC.
$2,613
AltaThera Pharmaceuticals LLC
$600
Abbott Laboratories
$495
Boston Scientific Corporation
$361
Top 3 companies account for 91.1% of 2024 payments
All-time payments by company (2018-2024) ›
Philips Electronics North America Corporation
$4,260
Boston Scientific Corporation
$3,461
ATRICURE, INC.
$3,416
Medtronic Vascular, Inc.
$2,324
Abbott Laboratories
$2,161
Siemens Medical Solutions USA, Inc.
$1,175
Acutus Medical, Inc.
$962
Medtronic, Inc.
$932
AltaThera Pharmaceuticals LLC
$600
BOSTON SCIENTIFIC CORPORATION
$389
Medical Device Business Services, Inc.
$172
Biosense Webster, Inc.
$114
BIOTRONIK INC.
$92
Stereotaxis Inc
$82
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$16
Top 3 companies account for 55.3% of all-time payments
Associated products mentioned in payments ›
(9210) EPD Solutions Und · (9310) EPD KODEX Innovations software · ACCOLADE SR · ARCTIC FRONT ADVANCE · ATRICLIP LAA EXCLUSION SYSTEM · AVEIR · Arctic Front · Carto 3 System · Claria MRI · EMBLEM MRI S-ICD · ENSITE · ENSITE PRECISION · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · GENERAL BRADY · GENERAL TACHY · General - Tachy · INGEVITY · INGEVITY MRI · INGEVITY+ · INTELLANAV · INTELLATIP · LUX-Dx Insertable Cardiac Monitor · LifeVest · MICRA · MITRACLIP · Micra · Niobe · Occluders · Perclose ProGlide suture mediated closure system · RELIANCE 4-FRONT · RESONATE EL ICD VR · RHYTHMIA · SC2000 · SQ RX PULSE GENERATOR · SYNERGY ABLATION SYSTEM · Sotalol Hydrochloride · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX
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 (73%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for cardiovascular disease in WA.
Geographic Context
Cardiologists within 10 mi
250
Per 100K population
11.0
County median income
$122,148
Nearest hospital
OVERLAKE HOSPITAL 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. Zivin is an electrophysiology & remote specialist, with above-average Medicare volume (top 9% in WA), with low-engagement industry engagement in the top 9% of WA 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. Zivin experienced with remote pacemaker/defibrillator monitoring, 90 days?
Based on Medicare claims data, Dr. Zivin performed 1,330 remote pacemaker/defibrillator monitoring, 90 days 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. Zivin receive payments from pharmaceutical companies?
Yes. Dr. Zivin received a total of $20,156 from 15 companies across 165 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. Zivin's costs compare to other cardiologists in Bellevue?
Dr. Zivin's average Medicare payment per service is $53. 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. Zivin) 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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