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Dr. David Roger Grech, MD

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Specializes in: Interventional Cardiology and Adult Cardiology

University of Michigan Medical School

Professional interests include: ambulatory event monitoring (AEM), percutaneous transluminal coronary artery angioplasty, resuscitation, and more.

1679 Eagle Harbor Parkway Suite B
Orange Park, FL 32003

(904) 375-8100

Dr. David Roger Grech, MD is an interventional cardiologist in Palm Coast, FL specializing in interventional cardiology and adult cardiology. He graduated from University of Michigan Medical School. Dr. David Roger Grech, MD is affiliated with HCA Florida Healthcare, Ascension, Ascension St. Vincent's Southside Hospital and HCA Florida Orange Park Hospital.

Office Locations

HCA Florida Orange Park Hospital

14 Office Park Drive Suite 1
Palm Coast, FL 32137

(386) 446-9966

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1679 Eagle Harbor Parkway Suite B
Orange Park, FL 32003

(904) 375-8100

(904) 375-8101

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3901 University Boulevard S Suite 221
Jacksonville, FL 32216

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400 Health Park Boulevard
Saint Augustine, FL 32086

(904) 819-5155

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Some issues Dr. David Roger Grech, MD can help you with:

Biopsy

A biopsy is a procedure performed to remove a small sample of cells for testing. The cells are examined in a laboratory to check for disease, or sometimes to see how badly a known disease is affecting them. Biopsy can be performed on any part of the body.

Although biopsy is most often associated with cancer, it can also be used to check for other diseases, such as infections. A biopsy sample can be scraped, cut, collected with a needle, taken with a machine that punches out a tiny piece, or removed with the tiny tools in an endoscope.

In most cases, a biopsy is a simple outpatient procedure. Depending on the procedure, patients may need to stop taking certain medications beforehand, such as blood thinners. It is important for patients to tell doctors if they are pregnant, as certain biopsies require the use of x-rays to guide the needle to the right location. There is usually very little pain associated with a biopsy. Patients will have to wait a few days to hear the results.

Heart Attack

A heart attack is a serious medical event that happens when the blood supplying oxygen to the heart is cut off, usually because of a blockage in an artery. This results in damage or death of part of the heart muscle. The heart can heal, but like any part of the body that was injured it leaves a scar. This scar tissue does not contract effectively, so the ability of the heart to pump is lowered after a heart attack.

A heart attack, sometimes called a myocardial infarction, can happen without warning. However there are certain factors that raise the risk of heart attack. Some of these are:

Age
Gender (most heart attack sufferers are male)
A family history of heart attacks
Smoking
Obesity
High cholesterol
High blood pressure
Diabetes
Unhealthy lifestyle choices (lack of exercise, poor diet, too much alcohol or stress)

Heart attacks typically feel like pain or pressure in the chest that can radiate out to the back, arm, or jaw. Some other symptoms can include fatigue or weakness, shortness of breath, sweating, and nausea.

Treatment aims to increase blood flow to the heart muscle by opening up blocked blood vessels. Medications are sometimes used to dissolve clots in the arteries. Aspirin and other medications such as Plavix can thin the blood and make clots less likely to form. Dilators can widen blood vessels to make room for more blood to flow. Doctors can also use a procedure called catheterization to look at the blood vessels around the heart directly, place stents, or widen vessels using angioplasty. In extreme cases bypass surgery can be used to help blood flow better. After recovery, it is important to lead a healthy lifestyle and take any prescribed medications in order to protect the heart.

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

Noteworthy Medicare Patient Procedures Performed by Dr. David Roger Grech, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 10%

By Volume:

vascular procedures

vascular ultrasound

In 2023, Dr. David Roger Grech, MD performed more vascular procedures, and vascular ultrasound procedures for Medicare patients than 90% of providers in related specialties within Florida.

Top 25%

By Volume:

abdominal duplex ultrasound

carotid duplex ultrasound

inpatient hospital care

lower extremity arterial duplex

lower extremity venous duplex

pelvic duplex ultrasound

testicular duplex ultrasound

ultrasound

By Affordability:

cardiac imaging

In 2012, among providers in related specialties within Florida, Dr. David Roger Grech, MD performed more abdominal duplex ultrasound, carotid duplex ultrasound, inpatient hospital care (for patient admitted to hospital), lower extremity arterial duplex, lower extremity venous duplex, pelvic duplex ultrasound, testicular duplex ultrasound, and ultrasound (sonogram) procedures for Medicare patients than 75% of them and he also had a list price for cardiac imaging that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2012 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

cardiac procedures	1778
cardioversion	16
doctor visit	1015
hospital care	2569
inpatient care	2569
lab tests	535
minimally invasive procedures	51
nuclear scan	179
stress testing	368
ultrasound (sonogram)	1552
vascular procedures	142

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2013 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

cardiac procedures	1813
cardioversion	14
doctor visit	940
hospital care	2001
inpatient care	1984
lab tests	323
minimally invasive procedures	26
nuclear scan	319
outpatient care	17
stress testing	707
ultrasound (sonogram)	1138
vascular procedures	32

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	951
Female	1137

**Ethnicity**
Non-Hispanic White	1746
Black	212
Hispanic	64
Asian	37
Other	0
Native American	0

**Age**
From 65 to 74	886
From 75 to 84	593
85 and over	284
Less than 65	325

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2013

Hypertension	75
High Cholesterol	70
Stroke	12
Ischemic Heart Disease	72
Depression	31
Chronic Kidney Disease	44
Asthma	11
Osteoperosis	10
Atrial Fibrilation	28
Heart Failure	42
Chronic Obstructive Pulmonary Disease	35
Diabetes	48
Dementia	19
Cancer	13

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2014 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

cardiac procedures	1467
doctor visit	862
hospital care	2770
inpatient care	2770
lab tests	151
minimally invasive procedures	19
nuclear scan	288
stress testing	623
ultrasound (sonogram)	863
vascular procedures	19

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	782
Female	850

**Ethnicity**
Non-Hispanic White	1346
Black	184
Hispanic	55
Asian	28
Other	19
Native American	0

**Age**
From 65 to 74	641
From 75 to 84	515
85 and over	235
Less than 65	241

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2014

Hypertension	75
High Cholesterol	71
Stroke	13
Ischemic Heart Disease	72
Depression	29
Chronic Kidney Disease	46
Asthma	11
Osteoperosis	9
Atrial Fibrilation	31
Heart Failure	44
Chronic Obstructive Pulmonary Disease	34
Diabetes	48
Dementia	18
Cancer	12

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2015 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

abdominal imaging	36
cardiac procedures	1257
cardioversion	16
doctor visit	993
hospital care	2182
inpatient care	2182
lab tests	83
minimally invasive procedures	16
nuclear scan	245
pelvic imaging	36
stress testing	512
ultrasound (sonogram)	987
vascular procedures	242

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	1608
Female	1840

**Ethnicity**
Non-Hispanic White	2868
Black	394
Hispanic	106
Asian	0
Other	40
Native American	0

**Age**
From 65 to 74	1390
From 75 to 84	1054
85 and over	532
Less than 65	472

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2015

Hypertension	75
High Cholesterol	71
Stroke	15
Ischemic Heart Disease	72
Depression	32
Chronic Kidney Disease	47
Asthma	26
Osteoperosis	9
Atrial Fibrilation	32
Heart Failure	44
Chronic Obstructive Pulmonary Disease	37
Diabetes	49
Dementia	18
Cancer	12

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2016 were ultrasound (sonogram), cardiac procedures, vascular procedures and hospital care.

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

abdominal imaging	161
cardiac procedures	1615
cardioversion	15
doctor visit	1662
hospital care	998
inpatient care	998
lab tests	174
minimally invasive procedures	26
nuclear scan	379
pelvic imaging	161
stress testing	832
ultrasound (sonogram)	1860
vascular procedures	1077

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	1183
Female	1270

**Ethnicity**
Non-Hispanic White	2096
Black	208
Hispanic	85
Asian	0
Other	40
Native American	0

**Age**
From 65 to 74	1104
From 75 to 84	769
85 and over	325
Less than 65	255

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2016

Hypertension	75
High Cholesterol	72
Stroke	12
Ischemic Heart Disease	70
Depression	24
Chronic Kidney Disease	42
Asthma	31
Osteoperosis	7
Atrial Fibrilation	30
Heart Failure	35
Chronic Obstructive Pulmonary Disease	29
Diabetes	42
Dementia	13
Cancer	12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2017 were ultrasound (sonogram), vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

abdominal imaging	201
cardiac procedures	1101
cardioversion	25
doctor visit	1350
hospital care	1272
inpatient care	1272
lab tests	449
minimally invasive procedures	43
nuclear scan	247
pelvic imaging	201
stress testing	557
ultrasound (sonogram)	1875
vascular procedures	1331

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	1222
Female	1234

**Ethnicity**
Non-Hispanic White	2144
Black	175
Hispanic	72
Asian	0
Other	40
Native American	0

**Age**
From 65 to 74	1038
From 75 to 84	861
85 and over	345
Less than 65	212

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2017

Hypertension	75
High Cholesterol	66
Stroke	11
Ischemic Heart Disease	71
Depression	23
Chronic Kidney Disease	44
Asthma	8
Osteoperosis	7
Atrial Fibrilation	30
Heart Failure	34
Chronic Obstructive Pulmonary Disease	28
Diabetes	39
Dementia	14
Cancer	13

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2018 were ultrasound (sonogram), cardiac procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

abdominal imaging	113
cardiac procedures	1173
cardioversion	24
doctor visit	1580
emergency care	16
hospital care	1156
inpatient care	1120
lab tests	570
minimally invasive procedures	53
nuclear scan	251
outpatient care	36
pelvic imaging	113
stress testing	587
ultrasound (sonogram)	1295
vascular procedures	709

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	1276
Female	1200

**Ethnicity**
Non-Hispanic White	2140
Black	168
Hispanic	75
Asian	23
Other	70
Native American	0

**Age**
From 65 to 74	993
From 75 to 84	911
85 and over	389
Less than 65	183

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	69
Depression	24
Chronic Kidney Disease	45
Asthma	7
Osteoperosis	8
Atrial Fibrilation	32
Heart Failure	35
Chronic Obstructive Pulmonary Disease	25
Diabetes	39
Dementia	16
Cancer	14

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2019 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

abdominal imaging	82
cardiac procedures	530
cardioversion	55
doctor visit	1162
hospital care	1298
inpatient care	1145
lab tests	357
minimally invasive procedures	90
nuclear scan	49
outpatient care	153
pelvic imaging	82
stress testing	135
ultrasound (sonogram)	932
vascular procedures	537

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	1491
Female	1365

**Ethnicity**
Non-Hispanic White	2481
Black	204
Hispanic	96
Asian	0
Other	56
Native American	0

**Age**
From 65 to 74	1078
From 75 to 84	1018
85 and over	499
Less than 65	261

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	68
Depression	29
Chronic Kidney Disease	49
Asthma	8
Osteoperosis	8
Atrial Fibrilation	31
Heart Failure	37
Chronic Obstructive Pulmonary Disease	28
Diabetes	40
Dementia	19
Cancer	14

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2020 were ultrasound (sonogram), vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

abdominal imaging	142
cardiac procedures	341
cardioversion	23
doctor visit	1066
hospital care	965
inpatient care	814
lab tests	297
minimally invasive procedures	30
nuclear scan	33
outpatient care	151
pelvic imaging	142
stress testing	70
ultrasound (sonogram)	1273
vascular procedures	1002

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	1202
Female	1113

**Ethnicity**
Non-Hispanic White	2048
Black	141
Hispanic	59
Asian	0
Other	47
Native American	0

**Age**
From 65 to 74	926
From 75 to 84	852
85 and over	397
Less than 65	140

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	71
Depression	25
Chronic Kidney Disease	51
Asthma	8
Osteoperosis	8
Atrial Fibrilation	28
Heart Failure	36
Chronic Obstructive Pulmonary Disease	26
Diabetes	40
Dementia	16
Cancer	15

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2021 were ultrasound (sonogram), hospital care, vascular procedures and inpatient care.

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

abdominal imaging	173
cardiac procedures	808
cardioversion	24
doctor visit	1164
hospital care	1023
inpatient care	861
lab tests	248
minimally invasive procedures	30
nuclear scan	200
outpatient care	162
pelvic imaging	173
stress testing	423
ultrasound (sonogram)	1398
vascular procedures	1013

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	1131
Female	1117

**Ethnicity**
Non-Hispanic White	1968
Black	118
Hispanic	70
Asian	0
Other	63
Native American	0

**Age**
From 65 to 74	914
From 75 to 84	874
85 and over	357
Less than 65	103

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	72
Depression	25
Chronic Kidney Disease	49
Asthma	7
Osteoperosis	9
Atrial Fibrilation	28
Heart Failure	35
Chronic Obstructive Pulmonary Disease	24
Diabetes	36
Dementia	17
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL during 2022 were hospital care, ultrasound (sonogram), inpatient care and vascular procedures.

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

abdominal imaging	100
cardiac procedures	407
cardioversion	21
doctor visit	953
hospital care	964
inpatient care	827
lab tests	18
minimally invasive procedures	29
nuclear scan	55
outpatient care	137
pelvic imaging	100
stress testing	119
ultrasound (sonogram)	898
vascular procedures	610

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	897
Female	851

**Ethnicity**
Non-Hispanic White	1522
Black	97
Hispanic	62
Asian	0
Other	48
Native American	0

**Age**
From 65 to 74	667
From 75 to 84	704
85 and over	281
Less than 65	96

Conditions of Medicare patients treated by Dr. David Roger Grech, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	17
Ischemic Heart Disease	57
Depression	24
Chronic Kidney Disease	34
Asthma	11
Osteoperosis	13
Atrial Fibrilation	38
Heart Failure	33
Chronic Obstructive Pulmonary Disease	28
Diabetes	35
Dementia	9
Cancer	17

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. David Roger Grech, MD for Medicare patients.

The highest averages for the top procedures that Dr. David Roger Grech, MD treated as an interventional cardiologist in Palm Coast, FL were hospital care, inpatient care, ultrasound (sonogram) and cardiac procedures.

abdominal imaging	126
cardiac procedures	1117
cardioversion	23
doctor visit	1158
emergency care	16
hospital care	1563
inpatient care	1503
lab tests	291
minimally invasive procedures	37
nuclear scan	204
outpatient care	109
pelvic imaging	126
stress testing	448
ultrasound (sonogram)	1279
vascular procedures	610

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. David Roger Grech, MD.

**Gender**
Male	1067
Female	1088

**Ethnicity**
Black / African American	172
Asian / Pacific Islander	8
Non-Hispanic White	1850
Native American / Alaskan Native	0
Hispanic	67
Other	38

**Age**
75 to 84	741
85 and over	331
Less than 65	208
65 to 74	876

Average of Total of Conditions of Medicare patients treated by Dr. David Roger Grech, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. David Roger Grech, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	68
High Cholesterol	65
Stroke	11
Ischemic Heart Disease	63
Depression	24
Chronic Kidney Disease	41
Asthma	11
Osteoporosis	8
Heart Failure	34
Chronic Obstructive Pulmonary Disease	26
Diabetes	37
Atrial Fibrillation	28
Dementia	14
Cancer	12

Education & Training

Dr. David Roger Grech, MD graduated from University of Michigan Medical School. He completed residency at Cleveland Clinic. He is certified by the Internal Medicine and Cardiovascular Diseases and holds certificates in the subspecialties of nuclear cardiology and echocardiography and has a state license in Ohio.

Medical School: University of Michigan Medical School

Residency: Cleveland Clinic (1989)

Board Certification: Internal Medicine and Cardiovascular Diseases and holds certificates in the subspecialties of nuclear cardiology and echocardiography

Licensed In: Ohio

Affiliations & Hospitals

Dr. David Roger Grech, MD is associated with these hospitals and organizations:

HCA Florida Healthcare

Ascension

Ascension St. Vincent's Southside Hospital

HCA Florida Orange Park Hospital

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General Payments

These charts describe general payments received by Dr. David Roger Grech, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
E.R. Squibb & Sons, L.L.C.	$900 ELIQUIS $831	CAMZYOS $69
Janssen Pharmaceuticals, Inc	$712 XARELTO $712
SANOFI-AVENTIS U.S. LLC	$459 MULTAQ $248	DISEASE STATE $124	PRALUENT $87
Medtronic, Inc.	$369 LINQ II $175	ONYX FRONTIER $107	Micra $75	VenaSeal $12
Boston Scientific Corporation	$362 THE LATITUDE PATIENT MANAGEMENT SYSTEM $87	SYNERGY $85	Tachy System $79	OTHER- BSC PRODUCT NOT LISTED $73	WOLVERINE $36
Other	$2,120 ENTRESTO $285	VERQUVO $166	LifeVest $145	Repatha $141	Cardiac Monitoring Suite $119	Other $1,263

**Types of Payments**
Food and Beverage	$4,777
Education	$145

Biography

Dr. David Grech is an adult cardiology and interventional cardiology specialist. Before completing his residency at Cleveland Clinic, Dr. Grech attended medical school at the University of Michigan Medical School. Clinical interests for Dr. Grech include myocarditis, cardioversion, and pericarditis. Dr. Grech (or staff) speaks the following languages: Gujarati and Persian. Dr. Grech's hospital/clinic affiliations include Ascension and HCA Florida Healthcare.