Medicare Enrolled
Dr. Nathan Miller, MD
Pain Medicine · Carlsbad, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Miller from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Miller
Dr. Nathan Miller is a pain medicine specialist in Carlsbad, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Miller performed 6,107 Medicare services across 1,887 unique beneficiaries.
Between the years covered by Open Payments, Dr. Miller received a total of $18,352 from 59 pharmaceutical and/or device companies across 509 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Miller is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 14% volume in CA
$18,352 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,107
Medicare services
Top 14% in CA for pain medicine
1,887
Unique beneficiaries
$125
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~321 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,968 | $103 | $888 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
740 | $0 | $1 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
655 | $65 | $603 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
548 | $60 | $399 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
411 | $238 | $1,590 |
| Compounded drug, not otherwise classified A medication prepared specifically for an individual patient by a pharmacist or physician, tailored to meet unique needs that cannot be fulfilled by commercially available products. |
307 | $670 | $1,100 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
304 | $51 | $412 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
292 | $80 | $658 |
| Injection, methylprednisolone acetate, 40 mg | 117 | $6 | $48 |
| Electronic analysis and reprogramming of spinal drug pump This procedure involves electronically analyzing and reprogramming a spinal canal drug infusion pump. It does not include the surgical insertion or removal of the device. |
97 | $36 | $301 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
62 | $134 | $1,134 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
56 | $227 | $1,253 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
55 | $117 | $634 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
54 | $112 | $727 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
50 | $227 | $1,345 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
48 | $116 | $669 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
33 | $365 | $3,178 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
33 | $107 | $884 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
32 | $60 | $459 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
32 | $259 | $1,787 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
32 | $539 | $3,139 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
31 | $302 | $1,743 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
30 | $234 | $1,902 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
29 | $226 | $1,883 |
| Minimally invasive spine decompression, lower spine A minimally invasive procedure to remove bone from the lower spine to relieve pressure on nerve tissue, guided by imaging and accessed through the skin. |
26 | $476 | $4,231 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
24 | $210 | $1,875 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
15 | $77 | $733 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
15 | $9 | $77 |
| Insertion of programmable spinal drug infusion pump A surgical procedure to implant a programmable pump into the spinal canal for delivering medication. |
11 | $233 | $2,568 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.2% high complexity
24.8% medium
75.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$18,352
Total received (2018-2024)
Avg $2,622/year across 7 years
Top 10% in CA for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
59
Companies
509
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$17,830 (97.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$522 (2.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,515
2023
$1,372
2022
$1,424
2021
$3,291
2020
$1,659
2019
$5,016
2018
$4,075
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$585
PAINTEQ LLC
$182
Boston Scientific Corporation
$134
DePuy Synthes Sales Inc.
$130
Abbott Laboratories
$78
Curonix LLC
$65
SI-BONE, INC.
$61
Vertos Medical, Inc.
$54
Nalu Medical, Inc.
$50
SPR Therapeutics, Inc
$32
TerSera Therapeutics LLC
$29
Averitas Pharma Inc.
$29
PFIZER INC.
$21
Ethicon US, LLC
$20
ABBVIE INC.
$18
Nevro Corp.
$15
Azurity Pharmaceuticals, Inc.
$14
Top 3 companies account for 59.5% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$5,119
Medtronic USA, Inc.
$4,383
Medtronic, Inc.
$2,365
Boston Scientific Corporation
$1,630
Pacira Pharmaceuticals Incorporated
$508
Flowonix Medical Incorporated
$469
BOSTON SCIENTIFIC CORPORATION
$456
Nevro Corp.
$328
PAINTEQ LLC
$266
TerSera Therapeutics LLC
$220
GRT US Holding, Inc.
$205
DePuy Synthes Sales Inc.
$169
MML US, Inc.
$164
ARBOR PHARMACEUTICALS, INC.
$141
Electronic Waveform Lab, Inc.
$128
Curonix LLC
$126
BIOTISSUE HOLDINGS, INC.
$102
PFIZER INC.
$93
Vertos Medical, Inc.
$85
Ziehm Imaging, Inc.
$72
ORTHOSCAN, INC.
$72
Stimwave Technologies Incorporated
$70
ABBVIE INC.
$69
Collegium Pharmaceutical, Inc.
$68
Nalu Medical, Inc.
$66
SI-BONE, INC.
$61
Flexion Therapeutics, Inc.
$52
AbbVie Inc.
$52
SPR Therapeutics, Inc
$51
Azurity Pharmaceuticals, Inc.
$48
Shionogi Inc
$42
Relievant Medsystems, Inc.
$42
Hikma Pharmaceuticals USA
$39
Daiichi Sankyo Inc.
$39
Masimo Corporation
$37
Purdue Pharma L.P.
$37
Pernix Therapeutics Holdings, Inc.
$36
Vertiflex, Inc.
$34
Takeda Pharmaceuticals U.S.A., Inc.
$33
Scilex Pharmaceuticals Inc.
$31
Averitas Pharma Inc.
$29
Orthogenrx Inc.
$27
Teva Pharmaceuticals USA, Inc.
$24
Neuronetics, Inc.
$24
Indivior Inc.
$23
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$20
Saluda Medical Americas, Inc.
$20
Ethicon US, LLC
$20
Jazz Pharmaceuticals Inc.
$19
Amgen Inc.
$18
Pacira Therapeutics, Inc.
$17
Stratus Medical, LLC
$17
Lilly USA, LLC
$16
Stryker Corporation
$15
Virtus Pharmaceuticals LLC
$14
Novartis Pharmaceuticals Corporation
$14
Orexo US, Inc.
$13
Kaleo, Inc.
$11
Nuvectra Corporation
$4
Top 3 companies account for 64.7% of all-time payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIMOVIG · AJOVY · Algovita · Amitiza · Axium INS DRG IPG · Belbuca · CLINICAL TRIAL PRODUCT · ETERNA · EVENITY · EVZIO · EXPAREL · Evoke SCS · Exparel · FORTEO · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GenVisc 850 · General - Pain Management · HORIZANT · Harmonic · Horizant · INTELLIS · INTELLIS ADAPTIVESTIM · IVAS · Infinion 16 · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · Kloxxado · LEVORPHANOL TARTRATE · LYRICA · Morphabond ER · NEOX · NEUROSTAR TMS THERAPY SYSTEM · NURTEC ODT · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · Neuromodulation-Research Only · Nimbus · OCTRODE · ORTHOVISC · OXYCONTIN · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · PRODIGY · PlasmaBlade · Prialt · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · QULIPTA · QUTENZA · Qutenza · RELISTOR · RESTORE · ReActiv8 · SPECTRA WAVEWRITER · SPRINT PNS System · SUBLOCADE · SUPERION · SYMPROIC · SYNCHROMED · SYNCHROMEDII · SedLine · Senza · Senza Spinal Cord Stimulation System · StimQ Receiver Stimulator Kit Channel A US w Receiver · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion · Superion ISS · Superion Indirect Decompression System · Symproic · TARGETSTIM · UBRELVY · VANTA ADAPTIVESTIM · VECTRIS · Vanta · WaveWriter Alpha Prime 16 · XTAMPZA · ZOHYDRO ER · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zubsolv · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for pain medicine in CA.
Geographic Context
Pain medicines within 10 mi
7
Per 100K population
0.2
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
2.7 mi
2.7 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Miller is a clinical cardiology specialist, with above-average Medicare volume (top 14% in CA), with low-engagement industry engagement in the top 10% of CA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Miller experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Miller performed 1,968 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Miller receive payments from pharmaceutical companies?
Yes. Dr. Miller received a total of $18,352 from 59 companies across 509 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Miller's costs compare to other pain medicines in Carlsbad?
Dr. Miller's average Medicare payment per service is $125. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Miller) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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