Medicare Enrolled

Dr. Jon Frankel, MD

Pathology - Anatomic · Crystal River, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
6201 N SUNCOAST BLVD, Crystal River, FL 34428
3527958379
In practice since 2006 (19 years)
NPI: 1568496636 verify on NPPES ↗
High
DATA COVERAGE
Data in 3 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. Frankel 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. Frankel

Dr. Jon Frankel is a pathology - anatomic in Crystal River, FL, with 19 years in practice. Based on federal Medicare data, Dr. Frankel performed 2,079 Medicare services across 1,368 unique beneficiaries.

The Data Coverage level for Dr. Frankel is 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 36% volume in FL

Medicare Practice Summary

Medicare Utilization ↗
2,079
Medicare services
Top 36% in FL for pathology - anatomic
1,368
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~109 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
Tissue pathology examination, moderate complexity605$28$257
Tissue staining for diagnosis, additional261$22$229
Pathology examination of tissue using a microscope, moderately high complexity178$62$407
Pathology examination of tissue using a microscope, moderately low complexity157$9$171
Microscopic genetic analysis of tumor, manual145$32$262
Special stained specimen slides to identify organisms including interpretation and report96$20$121
Tissue staining for diagnosis, initial96$26$213
Preparation of tissue for examination by removing any calcium present79$10$74
Cell examination of body fluid, smears71$21$113
Special stained specimen slides to examine tissue including interpretation and report57$9$99
Pathology examination of specimen during surgery, first tissue block55$47$325
Cell examination of specimen, concentration technique53$17$147
Pathology examination of specimen during surgery, each additional tissue block49$23$195
Pathology examination of tissue using a microscope44$5$120
Blood smear interpretation by physician with written report33$19$133
Evaluation of fine needle aspirate with interpretation and report31$53$354
Evaluation of fine needle aspirate22$27$194
Pathology examination of tissue using a microscope, limited examination20$4$76
Examination of archival tissue for genetic analysis14$15$134
Pathology examination of tissue using a microscope, high complexity13$110$524
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.
5.0% high complexity
0.0% medium
95.0% routine
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Geographic Context

Pathology - Anatomics within 10 mi
8
Per 100K population
5.0
County median income
$55,355
Nearest hospital
TAMPA GENERAL HOSPITAL CRYSTAL RIVER
0.0 mi

Data Sources

Provider Registry✓ NPPESWeekly updates
Medicare Enrollment✓ PECOSMonthly updates
Practice Data✓ Medicare Util.Annual (CY lag)
Industry Payments— No paymentsN/A
Disciplinary History— Not publicN/A

This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Frankel is a mixed practice specialist, with moderate Medicare volume, 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. Frankel experienced with tissue pathology examination, moderate complexity?
Based on Medicare claims data, Dr. Frankel performed 605 tissue pathology examination, moderate complexity 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.
How do Dr. Frankel's costs compare to other pathology - anatomics in Crystal River?
Dr. Frankel's average Medicare payment per service is $27. 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 High for Dr. Frankel) 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 ↗, 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 →