Medicare Enrolled
Dr. Duke Pfitzinger, DO
Vascular Surgery Physician · Fort Myers, FL
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. Pfitzinger 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. Pfitzinger
Dr. Duke Pfitzinger is a vascular surgery physician in Fort Myers, FL, with 13 years of NPI registration. Based on federal Medicare data, Dr. Pfitzinger performed 1,979 Medicare services across 1,383 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pfitzinger received a total of $12,604 from 32 pharmaceutical and/or device companies across 245 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in vascular surgery physician. 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. Pfitzinger 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.
✓ 13 years in practice
▲ Top 18% volume in FL
$12,604 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,979
Medicare services
Top 18% in FL for vascular surgery physician
1,383
Unique beneficiaries
$94
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~152 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 (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. |
531 | $71 | $200 |
| 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. |
256 | $99 | $296 |
| 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. |
149 | $86 | $298 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
141 | $28 | $127 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
131 | $17 | $65 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
91 | $35 | $141 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
88 | $32 | $89 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
84 | $9 | $28 |
| 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. |
84 | $124 | $456 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
62 | $131 | $567 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
46 | $31 | $121 |
| Ultrasound of hemodialysis access An ultrasound imaging test used to evaluate the blood flow and structure of a hemodialysis access site. |
42 | $21 | $82 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
37 | $65 | $203 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
30 | $41 | $132 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
28 | $19 | $66 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
25 | $886 | $3,379 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
24 | $34 | $119 |
| Ultrasound-guided injection into a single leg vein A chemical agent is injected into one incompetent vein in the leg while using ultrasound to guide the needle placement. |
21 | $1,057 | $3,901 |
| Hemodialysis circuit intervention with balloon dilation A procedure to insert a needle or tube into a hemodialysis circuit and dilate the dialysis segment using a balloon, with radiological review. |
21 | $956 | $3,333 |
| Ultrasound of head and neck blood flow, one side An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels on one side of the head and neck. |
20 | $22 | $79 |
| Fluoroscopic guidance for central vein access device Use of live X-ray imaging to guide the placement or removal of a central vein access device. |
17 | $81 | $139 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
16 | $47 | $207 |
| 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. |
13 | $10 | $35 |
| Infusion tube insertion with imaging guidance A radiologist inserts an infusion tube into the body while using imaging guidance to ensure proper placement and reviews the procedure. |
11 | $311 | $968 |
| Pre-op ultrasound of artery and vein blood flow for hemodialysis access An ultrasound exam to assess blood flow in the arteries and veins on both sides of the body before surgery for hemodialysis access. |
11 | $32 | $106 |
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.
1.8% high complexity
33.8% medium
64.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$12,604
Total received (2018-2024)
Avg $1,801/year across 7 years
Top 29% in FL for vascular surgery physician
32
Companies
245
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
$12,129 (96.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$475 (3.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,382
2023
$2,165
2022
$3,593
2021
$1,137
2020
$308
2019
$544
2018
$475
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$3,107
Inari Medical, Inc.
$2,265
Cook Medical LLC
$1,396
Medtronic Vascular, Inc.
$1,327
Penumbra, Inc.
$1,101
Silk Road Medical, Inc.
$725
W. L. Gore & Associates, Inc.
$626
BOSTON SCIENTIFIC CORPORATION
$372
Boston Scientific Corporation
$354
Cardiovascular Systems Inc.
$268
Acera Surgical, Inc.
$147
Shockwave Medical, Inc
$129
Mozarc Medical US LLC
$96
Janssen Pharmaceuticals, Inc
$80
Terumo Medical Corporation
$79
Kerecis Limited
$63
CVRx, Inc.
$63
Organogenesis Inc.
$62
Baxter Healthcare
$38
Bard Peripheral Vascular, Inc.
$36
Smith+Nephew, Inc.
$34
Bolton Medical Inc
$30
AngioDynamics, Inc.
$27
Reflow Medical Inc
$25
CashFlow Solutions, LLC
$20
Sanara MedTech Inc.
$20
Ethicon US, LLC
$20
Philips Electronics North America Corporation
$19
CARDIVA MEDICAL, INC.
$19
KCI USA, Inc.
$18
Imperative Care, Inc
$18
Avinger Inc.
$17
Top 3 companies account for 53.7% of total payments
Associated products mentioned in payments ›
(6582) Visions 035 · ACTIV.A.C. · AURYON LASER SYSTEM 100-120 VAC · AZUR CX DETACHABLE · Azur CX Detachable · Barostim Neo System · CARDIVA VASCADE 6/7F VCS · CHAMELEON · CLOSUREFAST · COLLAGENASE SANTYL · COOK · COOK CELECT · CT THROMBECTOMY SYSTEM KIT · CellerateRx · ClosureFast · Diamondback Peripheral · ENDURANT IIS · ENHANCE Transcarotid Peripheral Access Kit · ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · EXCLUDER Conformable AAA Endoprosthesis with Active Control · EXPRESS · Endurant · FLOWTRIEVER CATHETER · GENERAL VASCULAR INTERVENTION · GORE EXCLUDER Iliac Branch Endoprosthesis · GORE TAG Conformable Thoracic Endoprosthesis · GORE TAG Conformable Thoracic Stent Graft · GORE TAG Thoracic Branch Endoprosthesis · GORE VIABAHN VBX Balloon Expandable Endo · GRAFIX PL · General - Thrombectomy · Indigo System · Kerecis Omega3 SurgiClose · Lympha Press Optimal Plus(US) BT · NAVICROSS · PALINDROME · PANTHERIS · PREVELEAK · PRODIGY CATHETER · Penumbra System · Peripheral RotaLink Plus · Puraply · RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM · ROSEN · Restrata Wound Matrix · S · TISSEEL · Tornado · VARITHENA · VENASEAL · VISTASEAL · Valiant Captivia · Varithena Administration Pack · Vascular Lithotripsy · VenaSeal · XARELTO · ZENITH ALPHA · ZENITH SPIRAL-Z · ZILVER 635 · ZILVER PTX
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 (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $637 per 100 Medicare services performed
Geographic Context
Vascular surgery physicians within 10 mi
18
Per 100K population
2.3
County median income
$73,099
Nearest hospital
LEE MEMORIAL HOSPITAL
4.8 mi
4.8 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. Pfitzinger is a clinical cardiology specialist, with above-average Medicare volume (top 18% in FL), with low-engagement industry engagement.
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. Pfitzinger experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Pfitzinger performed 531 office visit, established patient (20-29 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. Pfitzinger receive payments from pharmaceutical companies?
Yes. Dr. Pfitzinger received a total of $12,604 from 32 companies across 245 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. Pfitzinger's costs compare to other vascular surgery physicians in Fort Myers?
Dr. Pfitzinger's average Medicare payment per service is $94. 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. Pfitzinger) 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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