Medicare Enrolled
Dr. Michael Jugan, D.O.
Orthopedic Surgery · Fort Myers, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed 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. Jugan 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. Jugan
Dr. Michael Jugan is an orthopedic surgery specialist in Fort Myers, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Jugan performed 5,322 Medicare services across 3,034 unique beneficiaries.
Between the years covered by Open Payments, Dr. Jugan received a total of $25,566 from 20 pharmaceutical and/or device companies across 63 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Jugan 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.
✓ 20 years in practice
▲ Top 14% volume in FL
$25,566 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 |
|---|---|---|---|---|
| Osteopathic Physician | 6104 | Clear | March 31, 2028 | — |
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 ↗5,322
Medicare services
Top 14% in FL for orthopedic surgery
3,034
Unique beneficiaries
$60
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~266 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 960 | $18 | $38 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
752 | $46 | $250 |
| 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. |
748 | $66 | $195 |
| Injection, methylprednisolone acetate, 40 mg | 516 | $6 | $20 |
| 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. |
401 | $88 | $275 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
271 | $35 | $155 |
| 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. |
215 | $77 | $240 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
193 | $35 | $145 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
178 | $26 | $160 |
| Viscosupplementation injection for joint An injection of hyaluronic acid or a derivative into a joint to provide lubrication and cushioning. |
166 | $56 | $325 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
109 | $25 | $120 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
105 | $1 | $15 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
73 | $42 | $140 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
69 | $93 | $290 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
61 | $31 | $141 |
| Total knee replacement | 59 | $1,100 | $5,800 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
57 | $32 | $110 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
49 | $136 | $1,495 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
48 | $29 | $120 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
42 | $36 | $180 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
37 | $31 | $118 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
37 | $136 | $1,700 |
| Total hip replacement Surgical procedure to replace the thigh bone and hip joint with artificial components. |
27 | $1,063 | $6,260 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
25 | $25 | $120 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
24 | $25 | $125 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
20 | $35 | $120 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
14 | $30 | $155 |
| X-ray of finger, minimum of 2 views An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures. |
14 | $27 | $80 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
14 | $24 | $120 |
| Tendon injection at attachment site A procedure involving the injection of medication into a tendon where it attaches to bone or muscle. |
13 | $46 | $178 |
| Hand nerve release or relocation A surgical procedure to release or reposition a nerve in the hand. |
13 | $330 | $1,795 |
| X-ray of middle and lower spine, 2 views An X-ray imaging test that captures two views of the middle and lower sections of the spine to visualize the bones and joints. |
12 | $28 | $160 |
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.
1.6% high complexity
51.1% medium
47.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$25,566
Total received (2018-2024)
Avg $3,652/year across 7 years
Top 22% in FL for orthopedic surgery
20
Companies
63
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.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$21,413 (83.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,760 (10.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,393 (5.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$10,183
2023
$11,721
2022
$30
2021
$148
2020
$146
2019
$117
2018
$3,221
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ENCORE MEDICAL, LP
$21,430
Arthrex, Inc.
$2,760
Stryker Corporation
$389
Radius Health, Inc.
$190
Mallinckrodt LLC
$139
Amgen Inc.
$136
Bioventus LLC
$98
Heron Therapeutics, Inc.
$94
DJO, LLC
$80
PFIZER INC.
$65
Solventum Corporation
$28
Ferring Pharmaceuticals Inc.
$23
Zimmer Biomet Holdings, Inc.
$20
HERAEUS MEDICAL, LLC.
$20
DePuy Synthes Sales Inc.
$20
ERMI Inc.
$19
FIDIA PHARMA USA INC.
$16
Fidia Pharma USA Inc.
$15
Smith+Nephew, Inc.
$13
Baxter Healthcare
$12
Top 3 companies account for 96.1% of total payments
Associated products mentioned in payments ›
ACTIV.A.C. · AXSOS · Bioinductive Implant with Arthroscopic Delivery System - Medium · Bone Healing Product Portfolio · CHANTIX · CMF · CMF OL1000 · DJO SURGICAL · DJO Surgical Empowr Knee System · ELIQUIS · EUFLEXXA · EVENITY · EXOGEN ULTRASOUND BONE HEALING SYSTEM · Exogen Ultrasound Bone Healing System · GAMMA · HYM/HYN · Hymovis · MOBILE BEARING HIP SYSTEM · MONOVISC · OFIRMEV · PALACOS · Prolia · REUNION · TISSEEL · Tymlos · VARIAX · Zynrelef
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 →
Payments are distributed across multiple categories with no single dominant type.
Equivalent to $480 per 100 Medicare services performed
Geographic Context
Orthopedic surgeons within 10 mi
56
Per 100K population
7.1
County median income
$73,099
Nearest hospital
LEE MEMORIAL HOSPITAL
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. Jugan is a clinical cardiology specialist, with above-average Medicare volume (top 14% in FL), with mixed engagement industry engagement, with 20 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. Jugan experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Jugan performed 960 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. Jugan receive payments from pharmaceutical companies?
Yes. Dr. Jugan received a total of $25,566 from 20 companies across 63 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. Jugan's costs compare to other orthopedic surgeons in Fort Myers?
Dr. Jugan's average Medicare payment per service is $60. 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. Jugan) 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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