Medicare Enrolled
Dr. Derek Florek, D.P.M.
Foot & Ankle Surgery Podiatrist · Visalia, 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. Florek 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. Florek
Dr. Derek Florek is a foot & ankle surgery podiatrist in Visalia, CA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Florek performed 9,083 Medicare services across 4,480 unique beneficiaries.
Between the years covered by Open Payments, Dr. Florek received a total of $2,103 from 11 pharmaceutical and/or device companies across 61 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in foot & ankle surgery podiatrist. 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. Florek 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.
✓ 14 years in practice
▲ Top 4% volume in CA
$2,103 industry payments
Medicare Practice Summary
Medicare Utilization ↗9,083
Medicare services
Top 4% in CA for foot & ankle surgery podiatrist
4,480
Unique beneficiaries
$59
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~649 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 |
|---|---|---|---|
| Special stain test for organisms A laboratory test using special stains on tissue slides to identify microorganisms. The process includes the technical preparation of the slides and a professional interpretation of the results. |
914 | $97 | $358 |
| Toenail/fingernail removal, 6+ nails Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session. |
843 | $35 | $217 |
| Trimming of dystrophic nails Trimming of dystrophic nails, any number |
802 | $15 | $175 |
| Toenail/fingernail removal, 1-5 nails This procedure involves the removal of one to five fingernails or toenails. |
742 | $27 | $147 |
| Epifix, per square centimeter | 557 | $118 | $419 |
| 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. |
534 | $68 | $215 |
| Removal of thickened skin growths, 2-4 This procedure involves the removal of two to four benign, thickened skin growths. It is a minor surgical intervention to eliminate non-cancerous skin lesions. |
522 | $69 | $313 |
| Tissue pathology examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue. |
457 | $61 | $225 |
| Tissue preparation to remove calcium A laboratory procedure that removes calcium from a tissue sample to prepare it for microscopic examination. |
457 | $17 | $66 |
| Special tissue stain and interpretation A laboratory test using special stains to examine tissue samples, including the pathologist's review and written report of the findings. |
457 | $71 | $259 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
434 | $45 | $135 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
343 | $0 | $10 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
330 | $85 | $277 |
| Removal of noncancer thickened skin growth, 1 growth This procedure involves the removal of a single benign, thickened skin growth. It is a minor surgical intervention to eliminate the lesion. |
186 | $59 | $275 |
| 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. |
166 | $99 | $274 |
| Skin and tissue removal, 20 sq cm or less This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller. |
150 | $107 | $488 |
| Removal of more than 4 noncancerous thickened skin growths This procedure involves the removal of more than four noncancerous thickened skin growths. It is a surgical intervention to eliminate benign skin lesions. |
150 | $75 | $222 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
144 | $5 | $53 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 123 | $65 | $155 |
| Wound tissue removal, 20 sq cm or less This procedure involves the removal of tissue from a wound area measuring 20 square centimeters or less. |
108 | $84 | $400 |
| Repair of multiple toe tendons Surgical repair of several tendons in the toes. This procedure restores the function of the tendons that move the toes. |
106 | $170 | $1,721 |
| Initial nursing facility care, moderate complexity Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes. |
67 | $107 | $220 |
| 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. |
63 | $119 | $873 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
59 | $43 | $324 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
59 | $69 | $220 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
50 | $38 | $137 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
44 | $61 | $91 |
| Nursing facility visit, established patient, straightforward A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes. |
43 | $32 | $67 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes. The wound area covered is 25.0 square centimeters or less. |
39 | $134 | $704 |
| Permanent removal fingernail or toenail | 31 | $105 | $456 |
| Simple separation of fingernail or toenail from nail bed, first nail A procedure to separate the first fingernail or toenail from the underlying nail bed. |
26 | $95 | $289 |
| Foot nerve injection with anesthetic and/or steroid An injection of an anesthetic and/or steroid medication into a nerve in the foot. |
25 | $43 | $137 |
| Toe tendon repair Surgical repair of a damaged tendon in the toe to restore function and stability. |
24 | $132 | $438 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
14 | $56 | $181 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
14 | $126 | $286 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$2,103
Total received (2018-2024)
Avg $300/year across 7 years
Top 48% in CA for foot & ankle surgery podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
11
Companies
61
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
$2,087 (99.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$16 (0.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$276
2023
$852
2022
$177
2021
$46
2020
$175
2019
$271
2018
$307
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$180
Smith+Nephew, Inc.
$30
Cornerstone Medical Associates, Inc.
$23
Medtronic, Inc.
$22
Organogenesis Inc.
$20
Top 3 companies account for 84.8% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$1,204
Wright Medical Technology, Inc.
$656
ORGANOGENESIS INC.
$49
Organogenesis Inc.
$36
Smith+Nephew, Inc.
$30
Cornerstone Medical Associates, Inc.
$23
Horizon Therapeutics plc
$22
Nevro Corp.
$22
Medtronic, Inc.
$22
Averitas Pharma Inc.
$21
Orthofix Medical, Inc.
$18
Top 3 companies account for 90.8% of all-time payments
Associated products mentioned in payments ›
AFFINITY · ALLOMATRIX · ALLOPURE · ALLOWRAP · AUGMENT · AUGMENT INJECTABLE · Actishield · Apligraf · BIOskin · CAROLINA · CARTIVA · CHARLOTTE · COLLAGENASE SANTYL · DART-FIRE · FUSEFORCE · GRAVITY · INTELLIS ADAPTIVESTIM · KRYSTEXXA · MICA · N/A · ORTHOLOC · ORTHOLOC 2 LAPIFUSE · ORTHOLOC 3DI · PROPHECY · PROSTEP · Physio-Stim Osteogenesis Stimulator · Puraply · Puraply Antimicrobial · QUTENZA · SALVATION · Senza · Trinity ELITE · VALOR
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Foot & ankle surgery podiatrists within 10 mi
6
Per 100K population
1.3
County median income
$69,489
Nearest hospital
KAWEAH HEALTH MEDICAL CENTER
0.0 mi
0.0 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. Florek is a clinical cardiology specialist, with above-average Medicare volume (top 4% in CA), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Florek experienced with special stain test for organisms?
Based on Medicare claims data, Dr. Florek performed 914 special stain test for organisms 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. Florek receive payments from pharmaceutical companies?
Yes. Dr. Florek received a total of $2,103 from 11 companies across 61 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. Florek's costs compare to other foot & ankle surgery podiatrists in Visalia?
Dr. Florek's average Medicare payment per service is $59. 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. Florek) 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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