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Dr. Robert Noel Piana, MD

Accepting New Patients
(Robert N. Piana, MD)
Specializes in: General Practice, Interventional Cardiology and Vascular Medicine (Blood Vessel Disease)
University of Pennsylvania School of Medicine (1987)
Professional interests include: aortic dissection, peripheral vascular disease, angina, and more.
1215 21st Avenue South 5th Floor
Nashville, TN 37232

Dr. Robert Noel Piana, MD is a general practitioner in Nashville, TN specializing in general practice, interventional cardiology and vascular medicine (blood vessel disease). He graduated from University of Pennsylvania School of Medicine in 1987 and has 39 years of experience. Dr. Robert Noel Piana, MD is affiliated with Vanderbilt Health.

View Doctor's Full Profile (615) 322-5000

Office Locations

1215 21st Avenue South 5th Floor
Nashville, TN 37232
(615) 322-2318
open_in_new

Some issues Dr. Robert Noel Piana, MD can help you with:

Cardiac Resynchronization Therapy (CRT)

A cardiac resynchronization therapy device, also known as a CRT or biventricular pacemaker, is a kind of pacemaker that can help the heart work more effectively. In certain kinds of heart failure, the ventricles, or larger chambers in the heart, stop working together. When they are no longer in synch, the heart can't pump enough blood to meet the body's needs. CRT can help keep the heartbeat regular and the ventricles contracting at the same time.

Just as with a standard pacemaker, a biventricular pacemaker consists of a small battery pack and electrical leads, or small wires that conduct electricity to the heart. CRT pacemakers have two or three leads, placed in the upper and lower chambers of the heart. The device measures the contractions of the heart, and if the heart begins to beat out of time it will send small, rhythmic pulses of electricity to resynchronize (hence the name 'cardiac resynchronization therapy) the contractions. This allows the heart to pump blood to the rest of the body more efficiently. Sometimes a CRT is combined with a different kind of device called an implantable cardioverter-defibrillator or ICD, which uses a higher burst of energy to restart the heart if it stops suddenly.

When a biventricular pacemaker is inserted, the wire leads are usually placed via a small incision near the shoulder, then threaded through a vein to the heart. The battery pack is placed under the skin of the chest near the collarbone. Once everything is in place, the leads are connected to the battery, and the CRT can begin helping the heart beat correctly.

It is normal to experience swelling and discomfort as the incisions from surgery heal. It takes time for the heart to adjust to the pacemaker, so vigorous activity should be kept to a minimum for the first few weeks. Strong magnetic fields may affect how the CRT functions, so patients may be advised to avoid them. As patients heart begins to pump blood more effectively, they should soon begin to feel stronger and less fatigued.

Coronary Artery Disease

Coronary artery disease (CAD) is the most common type of heart disease. It happens when the blood vessels carrying blood to the heart, called coronary arteries, narrow and harden. This occurs when cholesterol, a type of fat found in the blood, builds up to form plaque, which sticks to the inner walls of the arteries. As plaque accumulates, less blood can flow through the arteries, which may lead to the following:

  • Angina, which is chest pain that occurs when the heart does not receive enough blood flow.
  • Heart attack, which happens if the arteries leading to the heart are completely blocked.
  • Arrhythmia, or irregular heartbeat, which can develop if the heart does not have enough blood supply.
  • Heart failure, which may occur if a heart attack damages the heart and it becomes too weak to pump enough blood to the rest of the body.

Certain factors may increase risk for the disease, like smoking, lack of exercise, being overweight, high cholesterol, high blood pressure, and diabetes. CAD tends to develop over decades, so it can go undetected until it has become quite severe. A diagnosis may be established using such tests as:

  • Electrocardiogram (ECG), which records the heart's electrical activity over a period of time. ECGs can detect whether there is enough blood flow to the heart or if a heart attack has occurred.
  • Echocardiogram (echo), which creates images of the heart using sound waves. Echos can show whether the heart is able to pump blood normally.
  • Stress tests, where an ECG or echo is combined with exercise, like riding a stationary bike or walking on a treadmill. This test is done to find out if the heart can function properly while performing a strenuous activity.

Treatments for the disease include medications such as vasodilators, like nitroglycerin, which dilates (widens) the coronary arteries. CAD may also be treated by a procedure called angioplasty with stent placement, where a balloon is inflated inside a diseased artery to flatten the plaque deposits against the artery walls, creating more room for blood to flow.

In some severe cases of the disease, multiple arteries may be blocked, and an open heart surgery called coronary artery bypass surgery may be necessary. This operation transplants a vessel from another part of the body to form a graft that goes past the narrowed arteries, thus enabling blood to flow around those arteries.

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. Robert Noel Piana, MD in 2023

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

Top 5%

By Volume:

diagnostic right heart catheterization

In 2023, Dr. Robert Noel Piana, MD performed more diagnostic right heart catheterization procedures for Medicare patients than 95% of providers in related specialties within Tennessee.

Top 10%

By Volume:

cardiac catheterization
diagnostic cardiac catheterization

In 2023, Dr. Robert Noel Piana, MD performed more cardiac catheterization, and diagnostic cardiac catheterization procedures for Medicare patients than 90% of providers in related specialties within Tennessee.

Top 25%

By Volume:

coronary angiogram
coronary angioplasty with stent
inpatient hospital care

In 2012, Dr. Robert Noel Piana, MD performed more coronary angiogram, coronary angioplasty with stent, and inpatient hospital care (for patient admitted to hospital) procedures for Medicare patients than 75% of providers in related specialties within Tennessee.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2012 were hospital care, cardiac procedures, minimally invasive procedures and catheterization.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

cardiac procedures 261
catheterization 243
diagnostic procedures 184
doctor visit 298
hospital care 289
inpatient care 219
minimally invasive procedures 243
outpatient care 70
stent placement (stenting) 72
vascular procedures 154

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2013 were cardiac procedures, minimally invasive procedures, catheterization and hospital care.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 106
cardiac procedures 385
catheterization 369
diagnostic procedures 229
doctor visit 308
hospital care 249
inpatient care 182
minimally invasive procedures 369
outpatient care 67
stent placement (stenting) 106
vascular procedures 183

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 309
Female 200
Ethnicity
Non-Hispanic White 453
Black 42
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 204
From 75 to 84 142
85 and over 44
Less than 65 119

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2013

Hypertension 75
High Cholesterol 75
Stroke 11
Ischemic Heart Disease 75
Depression 28
Chronic Kidney Disease 45
Asthma 9
Osteoperosis 6
Atrial Fibrilation 26
Heart Failure 55
Chronic Obstructive Pulmonary Disease 24
Diabetes 46
Dementia 10
Cancer 10

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2014 were hospital care, cardiac procedures, minimally invasive procedures and catheterization.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 88
cardiac procedures 299
catheterization 287
diagnostic procedures 166
doctor visit 344
hospital care 312
inpatient care 228
minimally invasive procedures 287
outpatient care 84
stent placement (stenting) 88
vascular procedures 131

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 292
Female 196
Ethnicity
Non-Hispanic White 423
Black 49
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 207
From 75 to 84 130
85 and over 34
Less than 65 117

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2014

Hypertension 75
High Cholesterol 75
Stroke 11
Ischemic Heart Disease 75
Depression 29
Chronic Kidney Disease 44
Asthma 9
Osteoperosis 7
Atrial Fibrilation 26
Heart Failure 55
Chronic Obstructive Pulmonary Disease 26
Diabetes 44
Dementia 9
Cancer 8

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2015 were cardiac procedures, minimally invasive procedures, catheterization and hospital care.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 84
cardiac procedures 316
catheterization 305
diagnostic procedures 180
doctor visit 300
hospital care 250
inpatient care 169
minimally invasive procedures 305
outpatient care 81
stent placement (stenting) 84
vascular procedures 142

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 572
Female 422
Ethnicity
Non-Hispanic White 892
Black 78
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 446
From 75 to 84 280
85 and over 68
Less than 65 200

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2015

Hypertension 75
High Cholesterol 73
Stroke 11
Ischemic Heart Disease 75
Depression 29
Chronic Kidney Disease 44
Asthma 17
Osteoperosis 7
Atrial Fibrilation 30
Heart Failure 54
Chronic Obstructive Pulmonary Disease 27
Diabetes 42
Dementia 9
Cancer 9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2016 were minimally invasive procedures, catheterization, cardiac procedures and diagnostic procedures.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 92
cardiac procedures 339
catheterization 339
diagnostic procedures 226
doctor visit 358
hospital care 185
inpatient care 102
minimally invasive procedures 339
outpatient care 83
stent placement (stenting) 92
vascular procedures 141

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 286
Female 234
Ethnicity
Non-Hispanic White 468
Black 37
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 237
From 75 to 84 156
85 and over 25
Less than 65 102

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2016

Hypertension 75
High Cholesterol 75
Stroke 11
Ischemic Heart Disease 75
Depression 25
Chronic Kidney Disease 49
Asthma 25
Osteoperosis 7
Atrial Fibrilation 25
Heart Failure 48
Chronic Obstructive Pulmonary Disease 23
Diabetes 41
Dementia 8
Cancer 10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2017 were minimally invasive procedures, catheterization, cardiac procedures and hospital care.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 100
cardiac procedures 348
catheterization 348
diagnostic procedures 198
doctor visit 405
hospital care 312
inpatient care 232
minimally invasive procedures 348
outpatient care 80
stent placement (stenting) 100
vascular procedures 141

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 331
Female 243
Ethnicity
Non-Hispanic White 519
Black 39
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 271
From 75 to 84 169
85 and over 47
Less than 65 87

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2017

Hypertension 75
High Cholesterol 72
Stroke 9
Ischemic Heart Disease 75
Depression 26
Chronic Kidney Disease 53
Asthma 7
Osteoperosis 6
Atrial Fibrilation 29
Heart Failure 59
Chronic Obstructive Pulmonary Disease 24
Diabetes 41
Dementia 12
Cancer 11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2018 were cardiac procedures, minimally invasive procedures, catheterization and hospital care.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 96
cardiac procedures 308
catheterization 297
diagnostic procedures 153
doctor visit 356
hospital care 251
inpatient care 187
minimally invasive procedures 297
outpatient care 64
stent placement (stenting) 96
vascular procedures 128

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 316
Female 231
Ethnicity
Non-Hispanic White 486
Black 35
Hispanic 0
Asian 0
Other 15
Native American 0
Age
From 65 to 74 252
From 75 to 84 165
85 and over 41
Less than 65 89

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2018

Hypertension 75
High Cholesterol 75
Stroke 9
Ischemic Heart Disease 75
Depression 26
Chronic Kidney Disease 53
Asthma 8
Osteoperosis 5
Atrial Fibrilation 29
Heart Failure 59
Chronic Obstructive Pulmonary Disease 19
Diabetes 43
Dementia 12
Cancer 9

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2019 were minimally invasive procedures, catheterization, cardiac procedures and hospital care.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 76
cardiac procedures 250
catheterization 250
diagnostic procedures 136
doctor visit 427
hospital care 213
inpatient care 174
minimally invasive procedures 250
outpatient care 39
stent placement (stenting) 76
vascular procedures 111

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 312
Female 223
Ethnicity
Non-Hispanic White 459
Black 48
Hispanic 0
Asian 0
Other 13
Native American 0
Age
From 65 to 74 243
From 75 to 84 178
85 and over 44
Less than 65 70

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2019

Hypertension 75
High Cholesterol 75
Stroke 12
Ischemic Heart Disease 75
Depression 23
Chronic Kidney Disease 54
Asthma 7
Osteoperosis 8
Atrial Fibrilation 28
Heart Failure 57
Chronic Obstructive Pulmonary Disease 22
Diabetes 41
Dementia 13
Cancer 12

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2020 were minimally invasive procedures, catheterization, cardiac procedures and hospital care.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 60
cardiac procedures 223
catheterization 223
diagnostic procedures 133
doctor visit 339
hospital care 202
inpatient care 167
minimally invasive procedures 223
outpatient care 35
stent placement (stenting) 60
vascular procedures 104

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 288
Female 198
Ethnicity
Non-Hispanic White 421
Black 39
Hispanic 0
Asian 0
Other 15
Native American 0
Age
From 65 to 74 224
From 75 to 84 155
85 and over 29
Less than 65 78

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2020

Hypertension 75
High Cholesterol 75
Stroke 10
Ischemic Heart Disease 75
Depression 27
Chronic Kidney Disease 57
Asthma 7
Osteoperosis 6
Atrial Fibrilation 29
Heart Failure 56
Chronic Obstructive Pulmonary Disease 18
Diabetes 45
Dementia 12
Cancer 12

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2021 were hospital care, minimally invasive procedures, catheterization and cardiac procedures.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 60
cardiac procedures 208
catheterization 208
diagnostic procedures 118
doctor visit 360
hospital care 232
inpatient care 198
minimally invasive procedures 208
outpatient care 34
stent placement (stenting) 60
vascular procedures 100

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 252
Female 225
Ethnicity
Non-Hispanic White 429
Black 27
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 216
From 75 to 84 156
85 and over 36
Less than 65 69

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2021

Hypertension 75
High Cholesterol 75
Stroke 10
Ischemic Heart Disease 75
Depression 24
Chronic Kidney Disease 55
Asthma 8
Osteoperosis 8
Atrial Fibrilation 26
Heart Failure 53
Chronic Obstructive Pulmonary Disease 16
Diabetes 39
Dementia 13
Cancer 11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN during 2022 were minimally invasive procedures, catheterization, cardiac procedures and hospital care.

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

angioplasty 66
cardiac procedures 247
catheterization 247
diagnostic procedures 166
doctor visit 321
hospital care 183
inpatient care 159
minimally invasive procedures 247
outpatient care 24
stent placement (stenting) 66
vascular procedures 121

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 275
Female 209
Ethnicity
Non-Hispanic White 434
Black 25
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 221
From 75 to 84 179
85 and over 35
Less than 65 49

Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD in 2022

Hypertension 75
High Cholesterol 75
Stroke 18
Ischemic Heart Disease 73
Depression 24
Chronic Kidney Disease 40
Asthma 12
Osteoperosis 11
Atrial Fibrilation 39
Heart Failure 52
Chronic Obstructive Pulmonary Disease 21
Diabetes 41
Dementia 7
Cancer 18

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Robert Noel Piana, MD for Medicare patients.

The highest averages for the top procedures that Dr. Robert Noel Piana, MD treated as a general practitioner in Nashville, TN were cardiac procedures, minimally invasive procedures, catheterization and hospital care.

angioplasty 82
cardiac procedures 289
catheterization 283
diagnostic procedures 171
doctor visit 346
hospital care 243
inpatient care 183
minimally invasive procedures 283
outpatient care 60
stent placement (stenting) 81
vascular procedures 132

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Robert Noel Piana, MD.

Gender
Male 293
Female 216
Ethnicity
Black / African American 38
Asian / Pacific Islander 0
Non-Hispanic White 453
Native American / Alaskan Native 0
Hispanic 0
Other 3
Age
75 to 84 155
85 and over 36
Less than 65 89
65 to 74 229

Average of Total of Conditions of Medicare patients treated by Dr. Robert Noel Piana, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Robert Noel Piana, MD treated were high cholesterol, hypertension, ischemic heart disease and heart failure.

Hypertension 68
High Cholesterol 67
Stroke 10
Ischemic Heart Disease 68
Depression 23
Chronic Kidney Disease 44
Asthma 9
Osteoporosis 6
Heart Failure 49
Chronic Obstructive Pulmonary Disease 20
Diabetes 38
Atrial Fibrillation 26
Dementia 9
Cancer 10

Education & Training

Dr. Robert Noel Piana, MD graduated from University of Pennsylvania School of Medicine in 1987. He completed residency at Massachusetts General Hospital. He is certified by the American Board of Internal Medicine: Cardiovascular Disease and has a state license in Massachusetts.

Medical School: University of Pennsylvania School of Medicine (1987)

Residency: Massachusetts General Hospital (1990)

Board Certification: American Board of Internal Medicine: Cardiovascular Disease

Licensed In: Massachusetts

Affiliations & Hospitals

Dr. Robert Noel Piana, MD is associated with these hospitals and organizations:

Vanderbilt Health

Ratings & Reviews

Dr. Robert Noel Piana, MD has an exceptional overall rating with an average of 4.9 out of 5 stars based on 324 ratings. We collect ratings and reviews of Dr. Robert Noel Piana, MD from all over the web to help you find the right in Nashville, TN. 

4.9
Overall Rating
Leave a Review
Reviews From Around The Web
Overall Rating: 5.0 2025-04-07
Patient verified via Press Ganey
Dr Piana's focus is always 100% on the patient. He understands his patients. He listens to his patients in the most caring way.
Overall Rating: 5.0 2025-03-21
Patient verified via Press Ganey
Dr. Piana listens to me, shares his knowledge, and takes time to explain prognosis and options. I highly recommend him!
Overall Rating: 5.0 2025-09-17
Patient verified via Press Ganey
Dr Piana is a brilliant and compassionate doctor. We love him !!
Overall Rating: 5.0 2025-02-20
Patient verified via Press Ganey
I would highly recommend Dr Piana
Overall Rating: 5.0 2025-11-13
Patient verified via Press Ganey
The best!

General Payments

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

Payments by Company
Abbott Laboratories $30,467 Vascular
$18,000 		Xience cornary stent systems
$7,100 		Mitra Clip system
$2,500 		ABSORB
$1,800 		Neuromodulation Dspsbls and Accs
$750 		Other
$317
W. L. Gore & Associates, Inc. $21,700 Carotid Stent
$12,250 		Product in Development
$9,450
Boston Scientific Corporation $3,334 CLINICAL TRIAL PRODUCT
$1,658 		Watchman Device
$35
$1,642
Edwards Lifesciences Corporation $1,780 EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV)
$1,501 		Edwards SAPIEN 3 Transcatheter Heart Valve
$222
$57
Lutonix, Inc. $750 Vascular
$750
Other $1,211 Impella
$176 		Biograph Horizon-3R
$161 		GUIDELINER
$144 		TRAPLINER
$130 		TURNPIKE
$128 		Other
$473
Types of Payments
Consulting Fee $49,350
Travel and Lodging $4,019
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $3,250
Food and Beverage $2,584
Education $40

Research Payments

Dr. Robert Noel Piana, MD has received 66 research payments totaling $177,447.

Biography

Dr. Robert Piana's areas of specialization are general practice, interventional cardiology, and vascular medicine (blood vessel disease). He is rated highly by his patients. Clinical interests for Dr. Piana include cardiac resynchronization therapy (CRT), angina, and abdominal aortic aneurysm (AAA). Dr. Piana is affiliated with Vanderbilt University Medical Center (VUMC). Dr. Piana has an open panel in Nashville, TN according to Doctor.com. After attending the University of Pennsylvania School of Medicine, he completed his residency training at Beth Israel Deaconess Medical Center and Massachusetts General Hospital. He speaks French.

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