Medicare Enrolled

Dr. Mark Messinese, MD

Internal Medicine · Atlantic Beach, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
1 FLEET LANDING BLVD, Atlantic Beach, FL 32233
9042469900
In practice since 2006 (19 years)
NPI: 1922021104 verify on NPPES ↗
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. Messinese 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. Messinese

Dr. Mark Messinese is an internal medicine in Atlantic Beach, FL, with 19 years in practice. Based on federal Medicare data, Dr. Messinese performed 7,973 Medicare services across 2,172 unique beneficiaries.

Between the years covered by Open Payments, Dr. Messinese received a total of $7,246 from 28 pharmaceutical and/or device companies across 79 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Messinese is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ Top 4% volume in FL$ $7,246 industry payments

Medicare Practice Summary

Medicare Utilization ↗
7,973
Medicare services
Top 4% in FL for internal medicine
2,172
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~420 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.

ProcedureVolumeAvg. paidAvg. submitted
Denosumab injection (Prolia/Xgeva)2,820$18$56
Nursing facility visit, moderate complexity2,009$84$226
Office visit, established patient (20-29 min)826$63$228
Office visit, established patient (30-39 min)594$88$320
Flu vaccine, high-dose280$72$164
Flu vaccine administration271$30$74
Annual wellness visit, follow-up222$126$326
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes163$144$412
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and143$41$132
Drug injection, under skin or into muscle125$10$36
Nursing facility discharge management, more than 30 minutes101$105$258
Urinalysis, manual71$3$9
Prothrombin time test (blood clotting)70$4$11
Electrocardiogram (EKG), 12-lead60$11$69
Home visit, established patient, moderate complexity41$91$319
Steroid injection (triamcinolone)37$1$4
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional25$17$57
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a24$32$102
Hemoglobin A1c test (diabetes monitoring)18$10$25
Transitional care management services for problem of high complexity18$217$692
Administration of vaccine16$15$42
Removal of impacted ear wax14$25$143
Removal of impacted ear wax by washing13$11$53
Home visit, established patient, low complexity12$50$208
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 ↗
$7,246
Total received (2018-2024)
Avg $1,208/year across 6 years
Top 10% in FL for internal medicine
28
Companies
79
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$5,882 (81.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,364 (18.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$148
2023
$141
2022
$137
2020
$1,298
2019
$1,619
2018
$3,904

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Astellas Pharma US Inc
$5,882
AstraZeneca Pharmaceuticals LP
$289
Amgen Inc.
$119
Novo Nordisk Inc
$114
ABBVIE INC.
$103
Otsuka America Pharmaceutical, Inc.
$99
SANOFI-AVENTIS U.S. LLC
$95
Avanir Pharmaceuticals, Inc.
$78
Lilly USA, LLC
$73
Novartis Pharmaceuticals Corporation
$37
Radius Health, Inc.
$36
Takeda Pharmaceuticals U.S.A., Inc.
$34
GlaxoSmithKline, LLC.
$28
Merck Sharp & Dohme Corporation
$27
ARBOR PHARMACEUTICALS, INC.
$26
Lundbeck LLC
$24
Organogenesis Inc.
$24
Exact Sciences Corporation
$20
Endo Pharmaceuticals Inc.
$16
Amarin Pharma Inc.
$16
Indivior Inc.
$16
Pernix Therapeutics Holdings, Inc.
$15
Bausch Health US, LLC
$14
PFIZER INC.
$14
Kowa Pharmaceuticals America, Inc.
$13
SANOFI PASTEUR INC.
$12
Nabriva Therapeutics, plc
$12
Boehringer Ingelheim Pharmaceuticals, Inc.
$11
Top 3 companies account for 86.8% of total payments
Associated products mentioned in payments ›
AVEED · Aimovig · BEVESPI AEROSPHERE · BREO · BREZTRI · Cologuard Collection Kit · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · FORTEO · JANUVIA · JARDIANCE · Livalo · MIRABEGRON · MYRBETRIQ · NUEDEXTA · Prolia · REXULTI · Repatha · SILENOR · SOLIQUA 100/33 · SUBLOCADE · SYMBICORT · Saxenda · Sivextro · TOUJEO · TOVIAZ · TRULICITY · Tresiba · Trintellix · Tymlos · VRAYLAR · Vascepa · WELLBUTRIN XL
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 →

The majority of payments (81%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 10% for internal medicine in FL.

Equivalent to $91 per 100 Medicare services performed
Looking for a internal medicine in Atlantic Beach?
Compare internal medicines in the Atlantic Beach area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal Medicines within 10 mi
916
Per 100K population
90.9
County median income
$68,447
Nearest hospital
BAPTIST MEDICAL CENTER BEACHES
5.5 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Messinese is a clinical cardiology specialist, with above-average Medicare volume (top 4% in FL), and high industry engagement (speaking/promotional, top 10%), with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Messinese experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Messinese performed 2,820 denosumab injection (prolia/xgeva) 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. Messinese receive payments from pharmaceutical companies?
Yes. Dr. Messinese received a total of $7,246 from 28 companies across 79 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. Messinese's costs compare to other internal medicines in Atlantic Beach?
Dr. Messinese's average Medicare payment per service is $54. 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. Messinese) 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 →
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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →