Has David Appel, MD received payments from drug or device companies?

Yes. Drug and device makers reported $2,377 in general payments to David Appel, MD across 33 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean David Appel, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about David Appel, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

David Appel, MD

Interventional Cardiology · Spokane, WANPI 1528285509

Payments from drug & device makers

$2,377in general payments, 2019–2025

Across 33 payments — averaging $72.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Edwards Lifesciences$1K
Medtronic$775
Abiomed$238
Shockwave Medical, Inc$21

What the payments were for

Travel & lodging$1,00342%
Food & beverage$1,37458%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

Company	Payments	Total
Edwards Lifesciences	20	$1,342
Medtronic(2 entities)	10	$775
Abiomed	2	$238
Shockwave Medical, Inc	1	$21

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

Edwards SAPIEN 3 Transcatheter Heart Valve$1,003
CoreValve Evolut$460
Impella$238

How this compares

$2,377 in reported general payments places this provider in the 35th percentile of 125 interventional cardiology providers in Washington.

See all interventional cardiology providers in Washington →

Medicare billing

Part B allowed, 2024

$168,738

Medicare patients

1,946

Services billed

3,305

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

Drug	Claims	Cost to plans & patients
EliquisApixaban	147	$169,330
Repatha SureclickEvolocumab	44	$50,756
XareltoRivaroxaban	33	$37,661
JardianceEmpagliflozin	17	$15,809
EntrestoSacubitril/Valsartan	14	$13,466
Praluent PenAlirocumab	11	$6,081
Ezetimibe	140	$5,467
Atorvastatin Calcium	275	$3,971
Metoprolol Succinate	270	$3,759
ClopidogrelClopidogrel Bisulfate	155	$3,727
Rosuvastatin Calcium	141	$2,788
Prasugrel Hcl	28	$2,213
Amlodipine Besylate	188	$1,916
Ranolazine ErRanolazine	22	$1,653
Losartan Potassium	116	$1,533

Paid to pharmacies, not to this prescriber.

Other interventional cardiology in Spokane

Andrew ColettiSpokane$355K
Philip HuberSpokane$170K
Brydan CurtisSpokane$151K
Mohit JainSpokane$98K
Michael RingSpokane$69K
Jonathan HansenSpokane$19K
Joel GallowaySpokane$12K
Robert HillSpokane$10K
Stephen ThewSpokane$8K
Dieter LubbeSpokane$7K

See the full list for Washington →

Where these figures come from

Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
Identity: NPPES NPI Registry, July 2026.

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