Medicare Enrolled
Dr. Ayman Gebrail, M.D.
Internal Medicine · Wilmington, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Gebrail 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. Gebrail
Dr. Ayman Gebrail is an internal medicine specialist in Wilmington, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gebrail performed 7,748 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Gebrail received a total of $17,646 from 83 pharmaceutical and/or device companies across 972 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. Gebrail 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.
✓ 20 years of NPI registration
▲ Top 4% volume in NC
$17,646 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗7,748
Medicare services
Top 4% in NC for internal medicine
Not available
Unique patients (not deduplicated)
$48
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 |
|---|---|---|---|
| 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. |
1,863 | $82 | $265 |
| 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. |
1,234 | $57 | $182 |
| Denosumab injection (Prolia/Xgeva) | 665 | $17 | $36 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
570 | $9 | $42 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
401 | $123 | $281 |
| Annual depression screening | 396 | $17 | $44 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
307 | $9 | $36 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
266 | $0 | $19 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
218 | $2 | $12 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
207 | $24 | $64 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
128 | $35 | $125 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
121 | $8 | $10 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
120 | $6 | $23 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
118 | $12 | $125 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
102 | $1 | $44 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
100 | $16 | $45 |
| 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. |
97 | $10 | $62 |
| 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. |
87 | $129 | $356 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
84 | $9 | $23 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
66 | $210 | $593 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
54 | $14 | $37 |
| Lung cancer screening counseling visit A visit to discuss the need for lung cancer screening using a low-dose CT scan. This service is used to determine eligibility and facilitate shared decision making. |
52 | $26 | $72 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
48 | $35 | $147 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
48 | $1 | $12 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
42 | $154 | $449 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
37 | $35 | $123 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
30 | $39 | $130 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
28 | $59 | $210 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
26 | $27 | $117 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
24 | $40 | $152 |
| 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. |
23 | $31 | $110 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
22 | $152 | $415 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
21 | $153 | $405 |
| 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 | $104 | $400 |
| Stool test for hidden blood (FIT) A laboratory test that analyzes a stool sample to detect hidden blood using an immunoassay method. |
17 | $16 | $68 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
15 | $16 | $66 |
| Intravenous hydration infusion, 31-60 minutes Administration of fluids into a vein to maintain hydration. This procedure involves an infusion lasting between 31 and 60 minutes. |
15 | $24 | $81 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
15 | $14 | $44 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
14 | $117 | $500 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
13 | $2 | $25 |
| 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. |
12 | $8 | $45 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
11 | $16 | $141 |
| Home sleep study test with type II portable monitor An unattended sleep study performed at home using a portable monitor that records at least seven channels, including brain activity, eye movement, muscle activity, heart rate, airflow, breathing effort, and oxygen levels. |
11 | $108 | $300 |
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.
0.5% high complexity
19.3% medium
80.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$17,646
Total received (2018-2024)
Avg $2,521/year across 7 years
Top 6% in NC for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
83
Companies
972
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
$2,778
2023
$2,484
2022
$2,143
2021
$2,211
2020
$1,645
2019
$3,559
2018
$2,826
Payments by company (2024)
Novo Nordisk Inc
$333
Axsome Therapeutics, Inc.
$324
GlaxoSmithKline, LLC.
$302
AstraZeneca Pharmaceuticals LP
$266
PFIZER INC.
$187
ABBVIE INC.
$170
HARMONY BIOSCIENCES LLC
$125
Lilly USA, LLC
$118
Boehringer Ingelheim Pharmaceuticals, Inc.
$118
Abbott Laboratories
$113
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$105
Merck Sharp & Dohme LLC
$95
Bayer Healthcare Pharmaceuticals Inc.
$70
Astellas Pharma US Inc
$60
Phathom Pharmaceuticals, Inc.
$45
Exact Sciences Corporation
$44
Esperion Therapeutics, Inc.
$43
Mylan Specialty L.P.
$39
Amgen Inc.
$35
IRONWOOD PHARMACEUTICALS, INC
$29
Janssen Pharmaceuticals, Inc
$28
Otsuka America Pharmaceutical, Inc.
$25
Xeris Pharmaceuticals, Inc.
$24
AIMMUNE THERAPEUTICS, INC.
$22
Ardelyx, Inc.
$21
VERTEX PHARMACEUTICALS INCORPORATED
$20
Takeda Pharmaceuticals U.S.A., Inc.
$16
Top 3 companies account for 34.5% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$2,646
AstraZeneca Pharmaceuticals LP
$2,323
GlaxoSmithKline, LLC.
$1,819
PFIZER INC.
$1,160
Amgen Inc.
$855
Boehringer Ingelheim Pharmaceuticals, Inc.
$702
Janssen Pharmaceuticals, Inc
$513
Merck Sharp & Dohme Corporation
$508
Lilly USA, LLC
$490
ABBVIE INC.
$444
Astellas Pharma US Inc
$371
Abbott Laboratories
$357
Axsome Therapeutics, Inc.
$353
Takeda Pharmaceuticals U.S.A., Inc.
$346
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$338
Amarin Pharma Inc.
$230
SANOFI-AVENTIS U.S. LLC
$220
AbbVie Inc.
$211
Merck Sharp & Dohme LLC
$208
JAZZ PHARMACEUTICALS INC.
$198
Teva Pharmaceuticals USA, Inc.
$170
Corcept Therapeutics
$149
Purdue Pharma L.P.
$143
Novartis Pharmaceuticals Corporation
$128
Regeneron Healthcare Solutions, Inc.
$128
US WorldMeds, LLC
$125
HARMONY BIOSCIENCES LLC
$125
Ironwood Pharmaceuticals, Inc
$119
Bayer Healthcare Pharmaceuticals Inc.
$117
Otsuka America Pharmaceutical, Inc.
$116
Horizon Pharma plc
$114
Paratek Pharmaceuticals, Inc.
$107
Exact Sciences Corporation
$95
Mylan Specialty L.P.
$92
Bayer HealthCare Pharmaceuticals Inc.
$89
Esperion Therapeutics, Inc.
$86
Boston Scientific Corporation
$85
Eisai Inc.
$70
Xeris Pharmaceuticals, Inc.
$69
Radius Health, Inc.
$66
Biohaven Pharmaceuticals, Inc.
$66
Supernus Pharmaceuticals, Inc.
$65
Grifols USA, LLC
$60
ARBOR PHARMACEUTICALS, INC.
$59
Biohaven Pharmaceutical Holding Company Ltd.
$51
Allergan, Inc.
$50
IRONWOOD PHARMACEUTICALS, INC
$46
Phathom Pharmaceuticals, Inc.
$45
Shield Therapeutics Inc
$37
AbbVie, Inc.
$36
Baxter Healthcare
$34
Arbor Pharmaceuticals, Inc.
$31
EISAI INC.
$30
Vanda Pharmaceuticals Inc.
$29
Dexcom, Inc.
$29
Neos Therapeutics, LP
$29
Kowa Pharmaceuticals America, Inc.
$27
Insulet Corporation
$24
Strongbridge US INC.
$23
Nestle HealthCare Nutrition Inc.
$22
Horizon Therapeutics plc
$22
AIMMUNE THERAPEUTICS, INC.
$22
Ardelyx, Inc.
$21
VERTEX PHARMACEUTICALS INCORPORATED
$20
Intra-Sana Laboratories
$19
BOSTON SCIENTIFIC CORPORATION
$18
Daiichi Sankyo Inc.
$18
Azurity Pharmaceuticals, Inc.
$18
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$17
Shire North American Group Inc
$17
Inspire Medical Systems, Inc.
$17
Currax Pharmaceuticals LLC
$16
Jazz Pharmaceuticals Inc.
$16
Orexigen Therapeutics, Inc.
$14
QIAGEN SCIENCES LLC
$13
CMP Pharma, Inc.
$13
Sunovion Pharmaceuticals Inc.
$13
IDORSIA PHARMACEUTICALS US INC
$13
Alnylam Pharmaceuticals Inc.
$13
Aytu Bioscience, Inc
$13
E.R. Squibb & Sons, L.L.C.
$12
Synergy Pharmaceuticals Inc
$12
Allergan Inc.
$12
Top 3 companies account for 38.5% of all-time payments
Associated products mentioned in payments ›
ABRYSVO · ACCRUFER · AIMOVIG · AIRSUPRA · AJOVY · AMS · ANORO · ANORO ELLIPTA · AREXVY · AUSTEDO · Adzenys XR-ODT · Aimovig · Amitiza · Auvelity · BASAGLAR · BELSOMRA · BREO · BREZTRI · BUNAVAIL · Belviq · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · CaroSpir · Cologuard Collection Kit · Creon · DUZALLO · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · ETERNA · EUCRISA · EVENITY · Edarbi · Edarbyclor · FARXIGA · FASENRA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · GARDASIL · GARDASIL 9 · GENERAL PAIN MANAGEMENT · GVOKE HYPOPEN · HETLIOZ · Hillrom - Vest System Model 105 Home Care · Horizant · IBSRELA · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · KEVEYIS · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINZESS · LONHALA MAGNAIR · LYRICA · Linzess · Livalo · Lucemyra/Lofexidine · MDx Quantiferon · MOUNJARO · MOVANTIK · MYDAYIS · MYRBETRIQ · Morphabond ER · Myrbetriq · NEXLETOL · NURTEC ODT · NUZYRA · Natesto · ONPATTRO · Omnipod · Otezla · Ozempic · PAXLOVID · PENNSAID · PNEUMOVAX 23 · PRALUENT · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolastin-C Liquid · Prolia · QULIPTA · QUVIVIQ · RELTONE 200 MG · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA · SPIRIVA RESPIMAT · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYMPROIC · Saxenda · Sunosi · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · WAKIX · WaveWriter Alpha Prime 16 · Wegovy · XARELTO · XIFAXAN · YUPELRI · Yupelri · ZENPEP · ZOSTAVAX
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
Internal medicine physicians in nearby ZIP areas
156
County median income
$72,892
Nearest hospital to ZIP centroid (approximate)
WILMINGTON TREATMENT CENTER
0.0 mi
0.0 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. Gebrail is a clinical cardiology specialist, with above-average Medicare volume (top 4% in NC), with 20 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. Gebrail experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gebrail performed 1,863 office visit, established patient (30-39 min) 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. Gebrail receive payments from pharmaceutical companies?
Yes. Dr. Gebrail received a total of $17,646 from 83 companies across 972 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. Gebrail's costs compare to other internal medicine physicians in Wilmington?
Dr. Gebrail's average Medicare payment per service is $48. 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. Gebrail) 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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