Christopher Michael Lebel

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Henry Ford Health St John Hospital Hospital · Detroit, MI

Colleagues at Henry Ford Health St John Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 330 clinicians in the practice; 12 are shown here.

• Dr. Ammar Y Ali, MD Infectious Disease Physician · Bingham Farms, MI
• Valerie Marie Figueras, PA Physician Assistant · Detroit, MI
• Madison Elizabeth Gabrysh, ACNP-AG Acute Care Nurse Practitioner · Detroit, MI
• Dr. Farah Kamran, MD Internal Medicine Physician · Troy, MI
• Reshma Marri-Gottam, MD Rheumatology Physician · Bingham Farms, MI
• Holly McDougall, NP Nurse Practitioner · Bingham Farms, MI
• Jessica V Misich-Jabiro, MD Internal Medicine Physician · Grosse Pointe Woods, MI
• MS. Deborah Anne Mulawa, CRNA Certified Registered Nurse Anesthetist · Detroit, MI
• Mrs. Danielle Kardynski Pacifici, CRNA Certified Registered Nurse Anesthetist · Detroit, MI
• Dr. Leo Edward Reap, DO Internal Medicine Physician · Bingham Farms, MI
• Dr. Adam D Rubin, MD Otolaryngology Physician · Saint Clair Shores, MI
• Deepti Zutshi, MD Neurology Physician · Detroit, MI

Other providers in Grosse Pointe Woods

• Olivia Dallaire

  Individual Certified Registered Nurse Anesthetist · NPI 1699490094

  1200 Roslyn Rd, Grosse Pointe Woods, MI 48236-1384 · (313) 244-6426

• Stephanie Marie Michaels

  Individual Certified Registered Nurse Anesthetist · NPI 1326436106

  19927 W Doyle Pl, Grosse Pointe Woods, MI 48236-2408 · (586) 899-8696