Medicare Enrolled
Dr. Raymond Esper, MD
Hematology · Fort Myers, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Esper 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. Esper
Dr. Raymond Esper is a hematology specialist in Fort Myers, FL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Esper performed 318,346 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Esper received a total of $29,378 from 99 pharmaceutical and/or device companies across 1365 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Esper is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years of NPI registration
▲ Top 8% volume in FL
$29,378 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 | 126015 | Clear | January 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 — 2023
Medicare Utilization ↗318,346
Medicare services
Top 8% in FL for hematology
Not available
Unique patients (not deduplicated)
$9
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Iron infusion (Feraheme) An injection of ferumoxytol used to treat iron deficiency anemia in patients not on dialysis. |
106,590 | $0 | $4 |
| Iron infusion (Injectafer) An intravenous injection of ferric carboxymaltose, an iron replacement medication. |
33,000 | $1 | $3 |
| Epoetin alfa injection (Procrit) for anemia An injection of epoetin alfa containing 1000 units for use in patients not on end-stage renal disease (ESRD) dialysis. |
25,590 | $6 | $23 |
| Azacitidine chemotherapy injection An injection of the medication azacitidine, measured at 1 mg per unit. |
24,300 | $0 | $4 |
| Filgrastim injection (Zarxio) for white blood cells An injection of the biosimilar medication filgrastim-sndz (Zarxio) with a dosage of 1 microgram. |
23,280 | $0 | $2 |
| Pembrolizumab injection (Keytruda) | 19,400 | $43 | $137 |
| Nivolumab injection (Opdivo) | 16,420 | $24 | $72 |
| Luspatercept-aamt injection, 0.25 mg This code represents the administration of a 0.25 mg dose of luspatercept-aamt via injection. |
16,200 | $31 | $89 |
| Daratumumab injection (Darzalex) An injection containing daratumumab and hyaluronidase-fihj administered under the skin. |
8,460 | $38 | $110 |
| Anti-nausea injection (aprepitant) | 7,800 | $1 | $5 |
| Denosumab injection (Prolia/Xgeva) | 6,960 | $18 | $51 |
| Iron sucrose injection (Venofer) An injection of iron sucrose used to replenish iron levels in the body. |
5,000 | $0 | $5 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
2,904 | $0 | $3 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
2,534 | $8 | $29 |
| Immune globulin infusion (Gammagard) An injection of immune globulin (Gammagard Liquid) to provide antibodies. The dose specified is 500 mg. |
2,420 | $36 | $108 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
2,328 | $8 | $9 |
| Bortezomib injection, 0.1 mg Administration of a 0.1 mg dose of bortezomib medication via injection. |
2,170 | $4 | $113 |
| Infliximab infusion (Remicade) An injection of infliximab, excluding biosimilar versions, administered in a 10 mg dose. |
2,040 | $27 | $124 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
1,134 | $11 | $69 |
| Automated red blood cell count with calculations A blood test that automatically counts red blood cells and performs additional calculations to assess blood health. |
1,100 | $5 | $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. |
910 | $100 | $339 |
| Anti-nausea injection (Aloxi/palonosetron) | 900 | $1 | $28 |
| Anti-nausea injection (ondansetron/Zofran) | 684 | $0 | $9 |
| 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. |
615 | $68 | $239 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
549 | $12 | $61 |
| 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. |
537 | $143 | $474 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
528 | $103 | $378 |
| Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg | 447 | $3 | $205 |
| 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. |
430 | $49 | $189 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
368 | $1 | $6 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
252 | $7 | $69 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
231 | $57 | $206 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
223 | $23 | $79 |
| Carboplatin chemotherapy injection, 50 mg Administration of a 50 mg dose of carboplatin, a chemotherapy medication, via injection. |
181 | $2 | $41 |
| Additional hour of intravenous hydration This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy. |
174 | $10 | $42 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
171 | $1 | $3 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
148 | $23 | $84 |
| Fluorouracil injection, 500 mg Administration of a 500 mg dose of fluorouracil medication via injection. |
137 | $2 | $7 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
134 | $52 | $178 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
131 | $29 | $156 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
122 | $2 | $7 |
| Methylprednisolone injection, up to 40 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, administered in a dose of up to 40 mg. |
100 | $3 | $11 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
81 | $16 | $56 |
| 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. |
70 | $86 | $298 |
| Magnesium sulfate injection, per 500 mg An injection of magnesium sulfate administered in 500 mg increments. |
70 | $1 | $2 |
| Intravenous hydration infusion, 31-60 minutes Administration of fluids into a vein to maintain hydration. This procedure involves an infusion lasting between 31 and 60 minutes. |
67 | $25 | $156 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
64 | $17 | $59 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
62 | $25 | $89 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 58 | $134 | $562 |
| Venipuncture for blood collection A procedure to draw blood from a vein for medical testing or analysis. |
46 | $72 | $277 |
| 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. |
46 | $125 | $453 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
39 | $2 | $8 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
33 | $4 | $15 |
| Normal saline infusion, 500 ml Administration of sterile normal saline solution through an intravenous line. This procedure involves the infusion of a 500 ml unit of the solution. |
31 | $1 | $7 |
| Bone marrow biopsy and aspiration A procedure to remove a small sample of bone marrow and liquid for laboratory testing. The sample is analyzed to help diagnose various medical conditions. |
26 | $132 | $467 |
| IV chemotherapy initiation with community continuation Initiation of an intravenous chemotherapy infusion in a clinic using clinic supplies, with continuation of the infusion in a community setting such as home or assisted living. |
21 | $117 | $637 |
| Concurrent intravenous infusion Administration of medication or fluid into a vein for therapy, prevention, or diagnosis while another infusion is being given. |
16 | $15 | $56 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
14 | $223 | $722 |
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. These counts do not measure clinical quality or years of experience.
45.7% high complexity
51.6% medium
2.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$29,378
Total received (2018-2024)
Avg $4,197/year across 7 years
Top 16% in FL for hematology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
99
Companies
1,365
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$7,170
2023
$5,516
2022
$4,130
2021
$2,792
2020
$3,422
2019
$3,356
2018
$2,991
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$1,512
Janssen Biotech, Inc.
$440
Novartis Pharmaceuticals Corporation
$424
Merck Sharp & Dohme LLC
$377
Gilead Sciences, Inc.
$260
BeiGene USA, Inc.
$250
JAZZ PHARMACEUTICALS INC.
$244
Agios Pharmaceuticals, Inc.
$237
PFIZER INC.
$226
Daiichi Sankyo Inc.
$212
Celgene Corporation
$200
Incyte Corporation
$180
Genmab U.S., Inc.
$167
Eisai Inc.
$160
E.R. Squibb & Sons, L.L.C.
$159
GlaxoSmithKline, LLC.
$156
SOBI, INC
$151
Takeda Pharmaceuticals U.S.A., Inc.
$148
TAIHO ONCOLOGY, INC.
$142
BioMarin Pharmaceutical Inc.
$125
ADC Therapeutics America, Inc.
$108
Alexion Pharmaceuticals, Inc.
$96
Bayer Healthcare Pharmaceuticals Inc.
$94
Astellas Pharma US Inc
$85
Regeneron Healthcare Solutions, Inc.
$82
Exelixis Inc.
$80
ARRAY BIOPHARMA INC
$77
Genentech USA, Inc.
$74
Pharmacosmos Therapeutics Inc.
$70
Immunocore Limited
$61
Rigel Pharmaceuticals, Inc.
$59
Sumitomo Pharma America, Inc.
$54
EMD Serono, Inc.
$43
Lilly USA, LLC
$41
Adaptive Biotechnologies Corporation
$36
GENZYME CORPORATION
$33
SUN PHARMACEUTICAL INDUSTRIES INC.
$31
Blueprint Medicines Corporation
$27
Boehringer Ingelheim Pharmaceuticals, Inc.
$26
SERVIER PHARMACEUTICALS LLC
$25
Dendreon Pharmaceuticals LLC
$24
Kite Pharma, Inc.
$24
Mirati Therapeutics, Inc.
$22
Tempus AI, Inc
$21
PUMA BIOTECHNOLOGY, INC.
$19
Aveo Pharmaceuticals, Inc.
$18
PharmaEssentia USA Corporation
$17
Deciphera Pharmaceuticals Inc.
$16
ABBVIE INC.
$16
Sirtex Medical Inc
$12
Veracyte, Inc.
$10
Top 3 companies account for 33.1% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,003
Novartis Pharmaceuticals Corporation
$1,896
Janssen Biotech, Inc.
$1,703
Celgene Corporation
$1,597
Merck Sharp & Dohme LLC
$1,416
E.R. Squibb & Sons, L.L.C.
$1,416
SERVIER PHARMACEUTICALS LLC
$1,392
GENZYME CORPORATION
$1,277
Merck Sharp & Dohme Corporation
$1,197
Incyte Corporation
$956
Genentech USA, Inc.
$900
PFIZER INC.
$821
Astellas Pharma US Inc
$701
Ipsen Biopharmaceuticals, Inc
$659
GlaxoSmithKline, LLC.
$554
Gilead Sciences, Inc.
$552
Daiichi Sankyo Inc.
$506
Agios Pharmaceuticals, Inc.
$480
Seagen Inc.
$477
Puma Biotechnology, Inc.
$459
Amgen Inc.
$441
Rigel Pharmaceuticals, Inc.
$366
ARRAY BIOPHARMA INC
$362
Lilly USA, LLC
$361
JAZZ PHARMACEUTICALS INC.
$354
Regeneron Healthcare Solutions, Inc.
$340
Exelixis Inc.
$318
Takeda Pharmaceuticals U.S.A., Inc.
$317
BeiGene USA, Inc.
$317
NanoString Technologies, Inc.
$290
SOBI, INC
$227
Bayer HealthCare Pharmaceuticals Inc.
$222
Eisai Inc.
$219
Foundation Medicine, Inc.
$199
Genmab U.S., Inc.
$184
Alexion Pharmaceuticals, Inc.
$181
Mirati Therapeutics, Inc.
$166
ADC Therapeutics America, Inc.
$164
Boehringer Ingelheim Pharmaceuticals, Inc.
$149
Stemline Therapeutics Inc.
$146
Kyowa Kirin, Inc.
$143
TAIHO ONCOLOGY, INC.
$142
Pharmacyclics LLC, An AbbVie Company
$134
EMD Serono, Inc.
$128
Sumitomo Pharma America, Inc.
$126
BioMarin Pharmaceutical Inc.
$125
Bayer Healthcare Pharmaceuticals Inc.
$110
Kite Pharma, Inc.
$106
CTI BioPharma Corp.
$104
EISAI INC.
$88
PharmaEssentia USA Corporation
$85
AbbVie Inc.
$77
Adaptive Biotechnologies Corporation
$76
ABBVIE INC.
$74
Pharmacosmos Therapeutics Inc.
$70
Taiho Oncology, Inc.
$67
Pharmacyclics LLC, an AbbVie Company
$67
PUMA BIOTECHNOLOGY, INC.
$65
G1 Therapeutics, Inc.
$65
Immunocore Limited
$61
Dendreon Pharmaceuticals LLC
$60
Alnylam Pharmaceuticals Inc.
$56
Jazz Pharmaceuticals Inc.
$51
Aurobindo Pharma USA, Inc.
$51
Janssen Pharmaceuticals, Inc
$49
Lexicon Pharmaceuticals, Inc.
$47
Epizyme, Inc.,
$47
Helsinn Therapeutics (U.S.), Inc.
$46
Karyopharm Therapeutics Inc.
$46
Acrotech Biopharma LLC
$42
MorphoSys, US Inc.
$41
Heron Therapeutics, Inc.
$40
CSL Behring
$38
Blueprint Medicines Corporation
$38
Sirtex Medical Inc
$37
TerSera Therapeutics LLC
$35
Teva Pharmaceuticals USA, Inc.
$35
Deciphera Pharmaceuticals Inc.
$34
Aveo Pharmaceuticals, Inc.
$33
SUN PHARMACEUTICAL INDUSTRIES INC.
$31
Spectrum Pharmaceuticals Inc.
$25
Veracyte, Inc.
$24
Secura Bio, Inc.
$24
EUSA Pharma (US) LLC
$24
Janssen Scientific Affairs, LLC
$23
Dova Pharmaceuticals
$22
Tempus AI, Inc
$21
Sobi, Inc
$18
Blue Earth Diagnostics Limited
$18
Seattle Genetics, Inc.
$17
GE HealthCare
$16
BIOVERATIV THERAPEUTICS INC.
$14
Horizon Therapeutics plc
$14
INSYS Therapeutics Inc
$12
Octapharma USA, Inc.
$12
Horizon Pharma plc
$12
Sysmex America, Inc.
$11
GE HEALTHCARE
$9
Clovis Oncology, Inc.
$7
Top 3 companies account for 19.1% of all-time payments
Associated products mentioned in payments ›
ABECMA · ADAKVEO · ADCETRIS · AFINITOR · AKYNZEO · ALIMTA · ALUNBRIG · AYVAKIT · Abraxane · Alecensa · Aliqopa · Avastin · Axumin · BAVENCIO · BELEODAQ · BENDEKA · BESREMI · BLENREP · BOSULIF · BRAFTOVI · BRUKINSA · Bavencio · Blincyto · CABLIVI · CABOMETYX · CALQUENCE · CERDELGA · CEREZYME · CINVANTI · COSELA · CREON · CYRAMZA · Cabometyx · Cinvanti · DARZALEX · DOPTELET · Doptelet · ELIQUIS · ELITEK · ELOCTATE · ELREXFIO · EMPLICITI · ENHERTU · ENJAYMO · EPKINLY · ERBITUX · ERLEADA · Enhertu · Epkinly · Erleada · FOTIVDA · FOUNDATIONONE · FRUZAQLA · Fabhalta · Farydak · Folotyn · GAZYVA · GILOTRIF · Halaven · IBRANCE · IDHIFA · IMBRUVICA · IMFINZI · INJECTAFER · INLYTA · INREBIC · Idelvion · Imbruvica · JADENU · JAKAFI · JAYPIRCA · JEMPERLI · JEVTANA · KEYTRUDA · KIMMTRAK · KISQALI · KRAZATI · KRYSTEXXA · Kyprolis · LENVIMA · LIBTAYO · LIBTAYO CEMIPLIMAB-RWLC INJECTION · LONSURF · LORBRENA · LUMAKRAS · LUTATHERA · LYNPARZA · Lenvima · Lonsurf · Lunsumio · MEKINIST · MONJUVI · MONOFERRIC · MVASI · Marqibo · NERLYNX · NINLARO · Nerlynx · Neulasta · Nexavar · Nplate · Nubeqa · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OJJAARA · ONIVYDE · ONPATTRO · ONUREG · OPDIVO · OPDUALAG · ORGOVYX · Odomzo · Orserdu · PADCEV · PEMAZYRE · PIQRAY · PLUVICTO · POTELIGEO · PROMACTA · PROSIGNA ASSAY · PROVENGE · PYRUKYND · Padcev · Perjeta · Phesgo · Polivy · Pomalyst · Poteligeo · Prolia · QINLOCK · REBLOZYL · RETACRIT · RETEVMO · ROCTAVIAN · RYBREVANT · RYDAPT · Revlimid · Rezlidhia · Rubraca · SANDOSTATIN LAR · SARCLISA · SCEMBLIX · SHINGRIX · SIR-Spheres Microspheres · SOMATULINE DEPOT · SPRYCEL · SUSTOL · SYNDROS · Stivarga · Sylvant · TABRECTA · TAGRISSO · TASIGNA · TAZVERIK · TECVAYLI · TEVIMBRA · TIBSOVO · TIVDAK · TUKYSA · Tavalisse · Tibsovo · Trodelvy · ULTOMIRIS · Ultomiris · VENCLEXTA · VERZENIO · VONJO · Venclexta · Vonjo · Vyloy · XALKORI · XARELTO · XGEVA · XN Series · XOSPATA · XPOVIO · XTANDI · Xermelo · Xolair · Xospata · Yescarta · ZEJULA · ZEPZELCA · ZOLADEX · ZYKADIA · ZYTIGA · Zevalin · clonoSEQ
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Hematologists in nearby ZIP areas
15
County median income
$73,099
Nearest hospital to ZIP centroid (approximate)
PARK ROYAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Esper is a mixed practice specialist, with above-average Medicare volume (top 8% in FL), with 17 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Esper experienced with iron infusion (feraheme)?
Based on Medicare claims data, Dr. Esper performed 106,590 iron infusion (feraheme) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Esper receive payments from pharmaceutical companies?
Yes. Dr. Esper received a total of $29,378 from 99 companies across 1,365 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Esper's costs compare to other hematologists in Fort Myers?
Dr. Esper's average Medicare payment per service is $9. 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. Esper) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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