Medicare Enrolled

Dr. Ronald Gregush, M.D.

Optician · Kirkland, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
12911 120TH AVE. NE, Kirkland, WA 98034
4258234000
In practice since 2006 (19 years)
NPI: 1275625584 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. Gregush 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. Gregush

Dr. Ronald Gregush is an optician specialist in Kirkland, WA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gregush performed 783 Medicare services across 416 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gregush received a total of $2,865 from 12 pharmaceutical and/or device companies across 192 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. Gregush 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 45% volume in WA $2,865 industry payments

Medicare Practice Summary

Medicare Utilization ↗
783
Medicare services
Top 45% in WA for optician
416
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~41 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
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
351 $1 $5
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
97 $56 $231
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.
64 $69 $175
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.
50 $98 $249
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.
44 $88 $237
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
39 $37 $114
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
36 $39 $105
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
29 $45 $120
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
15 $30 $87
MRI of leg joint, without contrast
A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye.
13 $141 $1,181
Total knee replacement 12 $1,087 $5,024
Musculoskeletal surgical navigation with imaging guidance
A surgical procedure that uses imaging technology to guide orthopedic operations on the musculoskeletal system.
11 $186 $500
CT scan of leg, without contrast
A computed tomography scan of the leg performed without the use of contrast dye. This imaging test uses X-rays to create detailed cross-sectional images of the leg's internal structures.
11 $40 $153
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.
11 $106 $361
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.
1.5% high complexity
61.7% medium
36.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,865
Total received (2018-2024)
Avg $409/year across 7 years
Top 23% in WA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
12
Companies
192
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
$1,950 (68.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$915 (31.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$131
2023
$512
2022
$165
2021
$151
2020
$238
2019
$1,273
2018
$396

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
DJO, LLC
$131
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Smith+Nephew, Inc.
$1,137
DJO, LLC
$915
Linvatec Corporation
$249
Pacira Pharmaceuticals Incorporated
$149
ORTHALIGN INC
$111
Stryker Corporation
$83
Bioventus LLC
$61
DePuy Synthes Sales Inc.
$52
Zimmer Biomet Holdings, Inc.
$42
Orthofix Medical, Inc.
$26
Smith & Nephew, Inc.
$22
Heron Therapeutics, Inc.
$20
Top 3 companies account for 80.3% of all-time payments
Associated products mentioned in payments ›
AIRCAST Bracing & Supports · BIOBRACE 23MM · BIOCRYL · Durolane · EXPAREL · INSIGNIA · IVS - IVAS · Journey II XR · N/A · NAVIO · Navio Surgical System · OrthAlign Plus System · PEAK · PROCARE · PROCARE Bracing & Supports · Persona · Physio-Stim · Physio-Stim Osteogenesis Stimulator · VISIONAIRE Cutting Guides · Zynrelef
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 (68%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an optician specialist in Kirkland?
Compare opticians in the Kirkland area by procedure volume, costs, and industry payment transparency.
Browse opticians nearby

Geographic Context

Opticians within 10 mi
1,197
Per 100K population
52.9
County median income
$122,148
Nearest hospital
EVERGREENHEALTH MEDICAL 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. Gregush is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, 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. Gregush experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Gregush performed 351 steroid injection (triamcinolone) 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. Gregush receive payments from pharmaceutical companies?
Yes. Dr. Gregush received a total of $2,865 from 12 companies across 192 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. Gregush's costs compare to other opticians in Kirkland?
Dr. Gregush's average Medicare payment per service is $54. 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. Gregush) 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 →