Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Ann Narmi

Interventional Cardiology Council Bluffs, IA Medical Doctor

NPI 1134348071 CMS profile 5821

1 Edmundson Pl Ste 306, Ste 306, Council Bluffs, IA 51503

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General payments

$2,645

82 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Ann Narmi of Council Bluffs, IA is reported in the CMS Open Payments database as having received $2,645 across 82 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 24th percentile of Interventional Cardiology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $766 13
2024 General $380 11
2023 General $51 2
2022 General $503 15
2021 General $349 13
2020 General $227 9
2019 General $371 19

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Ann Narmi
  • Interventional Cardiology median
  • Middle half of Interventional Cardiology
  • National median

In program year 2025, general payments to Ann Narmi were reported at $766. Among 6,173 Interventional Cardiology profiles paid that year, the median was $1,092 and the middle half received between $366 and $3,019.

Show as a table
Year Ann Narmi Interventional Cardiology median Middle half National median
2019 $371 $1,097 $329–$3,048 $163
2020 $227 $473 $161–$1,480 $114
2021 $349 $677 $233–$1,827 $132
2022 $503 $978 $333–$2,724 $149
2023 $51 $1,136 $382–$2,986 $160
2024 $380 $1,181 $395–$3,326 $164
2025 $766 $1,092 $366–$3,019 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Medtronic, Inc. $591 9 payments
  2. Boston Scientific Corporation $453 8 payments
  3. Shockwave Medical, Inc $449 12 payments
  4. Abiomed $353 5 payments
  5. Chiesi USA, Inc. $186 10 payments
  6. Novartis Pharmaceuticals Corporation $184 9 payments
  7. Pfizer Inc. $69 5 payments
  8. Janssen Pharmaceuticals, Inc $61 4 payments
  9. Abbott Laboratories $48 2 payments
  10. Amgen Inc. $44 3 payments
  11. Other $208 15 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $2,633 81 payments
  2. Education $12 1 payment
Products named General payments · program years 2019–2025
  1. Impella $353 5 payments
  2. Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Lithoplasty $350 9 payments
  3. SYMPLICITY G3 $221 6 payments
  4. AURORA EV-ICD MRI SURESCAN $173 1 payment
  5. Micra $172 1 payment
  6. General - Therapies General - Therapies_IC $146 1 payment
  7. ENTRESTO $145 7 payments
  8. KENGREAL $107 6 payments
  9. Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Cardiology $98 3 payments
  10. General - Therapies Therapies $97 1 payment
  11. Other $850 47 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 42 drugs

Part D claims

3,415

Median for Interventional Cardiology: 2,236

Drug cost

$490,687

Median for Interventional Cardiology: $380,412

Branded share of claims

22.1%

Median for Interventional Cardiology: 27.8%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Eliquis Apixaban Brand 264 $249,692
Xarelto Rivaroxaban Brand 75 $74,437
Entresto Sacubitril/Valsartan Brand 37 $64,316
Mounjaro Tirzepatide Brand 46 $51,659
Brilinta Ticagrelor Brand 12 $8,813
Repatha Sureclick Evolocumab Brand 12 $7,881
Metoprolol Succinate Generic 513 $5,332
Flecainide Acetate Generic 44 $3,796
Amiodarone Hcl Generic 135 $2,992
Atorvastatin Calcium Generic 311 $2,892

The 10 drugs with the highest cost, of 42 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 4,694 Part D prescribers listed as Interventional Cardiology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 63 billing codes

Paid by Medicare

$129,723

Medicare's payments for the services billed

Medicare patients

1,345

Average age 76

Services billed

2,586

677 women, 668 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 53%
Ischemic heart disease 49%
Atrial fibrillation 45%
Heart failure 44%
Chronic kidney disease 44%
Diabetes 36%
COPD 29%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Records

82 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Interventional Cardiology in Iowa

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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