Medicare Enrolled
Dr. Alan Miller, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Fernandina Beach, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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. Alan Miller is a pain medicine physician in Fernandina Beach, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Miller performed 20,008 Medicare services across 6,557 unique beneficiaries.
Between the years covered by Open Payments, Dr. Miller received a total of $20,170 from 55 pharmaceutical and/or device companies across 414 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine (physical medicine & rehabilitation) physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. 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. 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 1% volume in FL
$20,170 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 102751 | Clear | January 31, 2027 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗20,008
Medicare services
Top 1% in FL for pain medicine (physical medicine & rehabilitation) physician
6,557
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,053 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
5,145 | $5 | $19 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
4,272 | $0 | $1 |
| 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. |
2,643 | $90 | $372 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
1,012 | $60 | $186 |
| 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. |
990 | $65 | $263 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
571 | $9 | $36 |
| 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. |
561 | $151 | $470 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
461 | $0 | $2 |
| Joint lubricant injection (Synvisc) | 448 | $7 | $32 |
| 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. |
444 | $191 | $596 |
| 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. |
297 | $215 | $1,013 |
| 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. |
279 | $117 | $488 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
239 | $44 | $181 |
| Injection, methylprednisolone acetate, 40 mg | 231 | $6 | $18 |
| 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. |
169 | $179 | $917 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
166 | $91 | $450 |
| 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. |
152 | $96 | $490 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
151 | $94 | $397 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
142 | $1 | $4 |
| 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. |
135 | $84 | $377 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
133 | $52 | $222 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
121 | $41 | $169 |
| 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. |
96 | $194 | $754 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
92 | $82 | $333 |
| Nerve conduction studies, 11-12 A diagnostic test that measures how well nerves send electrical signals. It involves performing 11 to 12 separate nerve conduction studies. |
81 | $179 | $713 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
74 | $3 | $10 |
| 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. |
69 | $186 | $893 |
| 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. |
68 | $95 | $452 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
67 | $142 | $675 |
| 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. |
60 | $187 | $742 |
| 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. |
59 | $466 | $2,516 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
58 | $256 | $1,378 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
51 | $124 | $522 |
| Spinal or brain drug pump maintenance A healthcare professional performs maintenance on a drug infusion pump implanted in the spinal canal or brain. |
45 | $68 | $318 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
36 | $1,276 | $6,524 |
| New patient office visit, complex (60-74 min) | 36 | $167 | $645 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
33 | $207 | $1,003 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
32 | $42 | $167 |
| 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. |
28 | $43 | $164 |
| 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. |
27 | $86 | $329 |
| 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. |
24 | $34 | $131 |
| Cefazolin sodium injection, 500 mg An injection of 500 mg of cefazolin sodium, an antibiotic medication, administered into the body. |
24 | $1 | $3 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 22 | $63 | $273 |
| Nerve conduction studies, 5-6 tests A series of 5 to 6 tests that measure how well nerves send electrical signals. The procedure evaluates nerve function and helps identify damage or dysfunction. |
19 | $95 | $385 |
| Injection of anesthetic or steroid into upper neck and back of head nerve An injection of an anesthetic agent and/or steroid into a nerve located in the upper neck and back of the head. |
18 | $78 | $376 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
18 | $111 | $476 |
| 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. |
18 | $112 | $343 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
17 | $44 | $182 |
| Ultrasound-guided small joint aspiration or injection This procedure involves removing fluid from or injecting medication into a small joint while using ultrasound imaging to guide the needle placement. |
13 | $66 | $260 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
13 | $162 | $608 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
13 | $103 | $386 |
| Tendon injection at attachment site A procedure involving the injection of medication into a tendon where it attaches to bone or muscle. |
12 | $38 | $171 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
12 | $45 | $177 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
11 | $41 | $202 |
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.
0.1% high complexity
65.8% medium
34.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$20,170
Total received (2018-2024)
Avg $2,881/year across 7 years
Top 7% in FL for pain medicine (physical medicine & rehabilitation) physician
55
Companies
414
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$11,550 (57.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,620 (42.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,412
2023
$1,673
2022
$1,113
2021
$1,274
2020
$12,500
2019
$899
2018
$1,300
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$11,821
Boston Scientific Corporation
$2,207
Amgen Inc.
$806
Medtronic, Inc.
$600
ABBVIE INC.
$550
Allergan, Inc.
$399
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$363
Novartis Pharmaceuticals Corporation
$351
Collegium Pharmaceutical, Inc.
$321
Scilex Pharmaceuticals Inc.
$194
Daiichi Sankyo Inc.
$188
AbbVie Inc.
$173
PFIZER INC.
$133
Edwards Lifesciences Corporation
$123
Biohaven Pharmaceutical Holding Company Ltd.
$122
Lilly USA, LLC
$118
Orexo US, Inc.
$115
BOSTON SCIENTIFIC CORPORATION
$111
Nevro Corp.
$109
SCILEX PHARMACEUTICALS INC.
$103
Takeda Pharmaceuticals U.S.A., Inc.
$83
PORTOLA PHARMACEUTICALS, INC.
$83
Kowa Pharmaceuticals America, Inc.
$75
Eisai Inc.
$69
ABIOMED
$60
Allergan Inc.
$60
IDORSIA PHARMACEUTICALS US INC
$58
Biohaven Pharmaceuticals, Inc.
$55
BioDelivery Sciences International, Inc.
$55
Flowonix Medical Incorporated
$54
RedHill Biopharma Inc.
$51
Bioventus LLC
$48
SPR Therapeutics, Inc
$45
Horizon Therapeutics plc
$43
Indivior Inc.
$40
Egalet US Inc
$38
Purdue Pharma L.P.
$36
Almatica Pharma LLC
$30
DePuy Synthes Sales Inc.
$29
Zyla Life Sciences
$25
Flexion Therapeutics, Inc.
$20
Vanda Pharmaceuticals Inc.
$18
Teva Pharmaceuticals USA, Inc.
$18
Amneal Pharmaceuticals LLC
$17
Jazz Pharmaceuticals Inc.
$17
Shionogi Inc
$16
Pernix Therapeutics Holdings, Inc.
$15
ARBOR PHARMACEUTICALS, INC.
$15
SANOFI-AVENTIS U.S. LLC
$14
Valinor Pharma, LLC
$14
Smith+Nephew, Inc.
$13
Nalu Medical, Inc.
$13
Horizon Pharma plc
$12
IBSA Pharma Inc.
$12
AstraZeneca Pharmaceuticals LP
$12
Top 3 companies account for 73.5% of total payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · Aimovig · Amitiza · BELBUCA · BEVYXXA · BIONIC NAVIGATOR · BOTOX · BOTOX THERAPEUTIC · Bionic Navigator · COMIRNATY · CardioMEMS HF System · DUEXIS · DUROLANE · Dayvigo · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EMGALITY · ETERNA · Fanapt · GELSYN-3 · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GRALISE · Horizant · INTELLIS ADAPTIVESTIM · Impella · Infinion 16 · KRYSTEXXA · LYRICA · LYVISPAH · Licart · Livalo · MONOVISC · MOTEGRITY · MOVANTIK · Morphabond ER · Motegrity · Movantik · NURTEC ODT · Nalu Neurostimulation System · Omnia · PICO 7 Single Use Negative Pressure Wound Therapy · PROCLAIM · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · QULIPTA · QUVIVIQ · RAPAMUNE · RELISTOR · RELISTOR ORAL · REYVOW · SEGLENTIS · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SYMPROIC · SYNCHROMEDII · SYNVISC-ONE · Seglentis · Senza · Senza Spinal Cord Stimulation System · Spectra WaveWriter · Symproic · UBRELVY · VRAYLAR · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zubsolv
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 (57%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 7% for pain medicine (physical medicine & rehabilitation) physician in FL.
Equivalent to $101 per 100 Medicare services performed
Geographic Context
Pain medicine physicians within 10 mi
7
Per 100K population
7.4
County median income
$88,900
Nearest hospital
BAPTIST MEDICAL CENTER - NASSAU
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Miller is a clinical cardiology specialist, with above-average Medicare volume (top 1% in FL), with consulting-driven industry engagement in the top 7% of FL peers, with 19 years of NPI registration.
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. Miller experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Miller performed 5,145 botox injection, per unit 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 $20,170 from 55 companies across 414 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 medicine physicians in Fernandina Beach?
Dr. Miller's average Medicare payment per service is $49. 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. 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.
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