Medicare Enrolled
Dr. Brandon Custer, M.D.
Student in an Organized Health Care Education/Training Program · Gainesville, 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. Custer 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. Custer
Dr. Brandon Custer is a student in an organized health care education/training program specialist in Gainesville, FL, with 14 years of NPI registration. Based on federal Medicare data, Dr. Custer performed 1,417 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Custer received a total of $6,967 from 19 pharmaceutical and/or device companies across 102 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. Custer 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.
✓ 14 years of NPI registration
▲ Top 17% volume in FL
$6,967 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,417
Medicare services
Top 17% in FL for student in an organized health care education/training program
Not available
Unique patients (not deduplicated)
$77
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 |
|---|---|---|---|
| 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. |
186 | $11 | $33 |
| 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. |
125 | $13 | $46 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
100 | $20 | $64 |
| 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. |
90 | $55 | $2,512 |
| Radiologist review of additional artery image A radiologist reviews an additional image of an artery. This step involves professional interpretation of the imaging data. |
78 | $34 | $111 |
| Abdominal fluid drainage with imaging guidance Removal of fluid from the abdominal cavity using imaging technology to guide the procedure. |
63 | $75 | $933 |
| Insertion of tunneled central venous catheter for infusion, age 5+ A surgical procedure to place a long-term catheter into a large vein for delivering medications or fluids. The catheter is tunneled under the skin to reduce infection risk and provide stable access for patients aged 5 and older. |
60 | $187 | $949 |
| Radiologist review of abdominal artery image A radiologist reviews images of the arteries in the abdomen to assess their structure and function. |
57 | $71 | $226 |
| Arterial catheter insertion, initial third order branch Insertion of a tube into an abdominal, pelvic, or leg artery, specifically targeting the initial third order branch. |
45 | $123 | $1,489 |
| Central venous port insertion A surgical procedure to place a small reservoir under the skin for long-term access to the bloodstream. The device is connected to a vein to allow for repeated medication administration or blood draws. |
45 | $244 | $855 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
44 | $22 | $72 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
42 | $75 | $572 |
| Abdominal fluid drainage by tube with imaging guidance A procedure to remove fluid from the abdominal cavity using a tube. Imaging guidance is used to direct the placement of the tube. |
34 | $137 | $1,752 |
| Radiologist review of CT-guided needle placement A radiologist reviews the CT imaging used to guide the placement of a needle. |
33 | $52 | $170 |
| 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. |
29 | $9 | $98 |
| Arterial tube insertion, first branch A procedure to insert a tube into the first branch of an artery in the abdomen, pelvis, or leg. |
28 | $92 | $676 |
| CT-guided tissue removal A procedure using computed tomography imaging to guide the removal of tissue from the body. |
24 | $140 | $444 |
| Vessel or growth occlusion with radiologist review A procedure to block blood flow to growths or obstructed vessels, including review by a radiologist. |
23 | $373 | $1,418 |
| Arterial tube insertion, additional vessels This code covers the insertion of a tube into an additional artery in the abdomen, pelvis, or leg during a procedure where other arteries have already been accessed. |
22 | $35 | $314 |
| 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. |
22 | $63 | $208 |
| Radiofrequency ablation of liver tumor A procedure that uses heat generated by radiofrequency energy to destroy abnormal tissue or tumors in the liver through the skin. |
22 | $539 | $1,865 |
| Removal of central venous port or pump A procedure to remove a central venous access device, such as a port or pump, from the body. |
21 | $118 | $1,337 |
| Stomach tube insertion with fluoroscopy and contrast A tube is placed into the stomach while using live X-ray imaging and a contrast dye to guide the procedure. |
21 | $147 | $591 |
| Kidney drainage tube replacement with imaging guidance A radiologist replaces a kidney drainage tube while using imaging guidance to ensure proper placement and reviews the procedure. |
21 | $67 | $301 |
| Radiologist review of stomach or bowel tube placement A radiologist reviews medical images to confirm the correct placement of a tube in the stomach or large bowel. |
20 | $29 | $91 |
| Insertion of non-tunneled central venous catheter A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin. |
19 | $63 | $534 |
| Liver needle biopsy through skin A procedure in which a needle is inserted through the skin to remove a small sample of liver tissue for examination. |
19 | $56 | $228 |
| Lumbar puncture with imaging guidance A procedure to remove spinal fluid from the lower back for diagnostic testing, performed using imaging guidance. |
16 | $65 | $210 |
| Ultrasound-guided fine needle aspiration biopsy, first lesion A biopsy procedure where a thin needle is used to collect tissue samples from a growth, guided by ultrasound imaging. This code applies to the first lesion or mass sampled during the session. |
15 | $56 | $591 |
| Core needle biopsy of lung or mediastinum A procedure to remove a small tissue sample from the lung or the space between the lungs using a needle inserted through the skin. |
15 | $115 | $1,223 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
15 | $62 | $195 |
| Aspiration of abscess, blood, or cyst A procedure to remove fluid, pus, or blood from an abscess, hematoma, or cyst using a needle. |
14 | $66 | $428 |
| Removal of tunneled central venous tube This procedure involves the removal of a catheter that has been surgically placed under the skin and threaded into a large vein. |
13 | $98 | $575 |
| Needle biopsy of abdominal cavity growth A needle is inserted into a growth within the abdominal cavity to remove a small tissue sample for laboratory analysis. |
13 | $60 | $421 |
| Chest fluid drainage with tube insertion using imaging guidance This procedure removes fluid from the chest cavity and places a tube to stay in place for ongoing drainage. Imaging guidance is used to help position the tube accurately. |
12 | $108 | $486 |
| 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. |
11 | $74 | $182 |
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.
13.3% high complexity
38.7% medium
47.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,967
Total received (2018-2024)
Avg $995/year across 7 years
Top 5% in FL for student in an organized health care education/training program
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
102
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
$837
2023
$307
2022
$594
2021
$1,360
2020
$209
2019
$361
2018
$3,299
Payments by company (2024)
Balt USA, LLC
$711
TriSalus Life Sciences, Inc.
$78
Abbott Laboratories
$49
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Penumbra, Inc.
$3,191
Balt USA, LLC
$1,746
Abbott Laboratories
$472
TriSalus Life Sciences, Inc.
$357
Covidien LP
$240
Medtronic, Inc.
$216
Boston Scientific Corporation
$173
Bard Peripheral Vascular, Inc.
$101
W. L. Gore & Associates, Inc.
$96
Terumo Medical Corporation
$90
AngioDynamics, Inc.
$89
Philips Electronics North America Corporation
$46
Cardiovascular Systems Inc.
$43
Inari Medical, Inc.
$28
Ethicon US, LLC
$20
APPLIED MEDICAL TECHNOLOGY INC
$16
Applied Medical Technology Inc
$15
Cook Medical LLC
$15
Sirtex Medical Inc
$13
Top 3 companies account for 77.6% of all-time payments
Associated products mentioned in payments ›
ALPHAVAC · AMT BRIDLE · ANGIOVAC · Abre · Absolute Pro vascular stent system · BioSentry Tract Sealant System · Bridle · CERTUS 140 MICROWAVE ABLATION SYSTEM · DIAMONDBACK PERIPHERAL · DIREXION · Diamondback Peripheral · Emprint · FLOWTRIEVER CATHETER · GORE VIABAHN Endoprosthesis with Heparin · General - Embolics · IGT_D Peripheral · IN.PACT Admiral · Indigo · Indigo System · LUTONIX · Lunderquist · NANOKNIFE · Optitorque · POD · Penumbra Ruby Coil · Peripheral Orbital Atherectomy System · Prestige Coil System · RUBY Coil · Ruby · S · SIR-Spheres Microspheres · Supera peripheral stent system · TRINAV INFUSION SYSTEM · VIABAHN VBX Balloon Expandable Endoprosthesis
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
Student in an organized health care education/training programs in nearby ZIP areas
1,363
County median income
$59,659
Nearest hospital to ZIP centroid (approximate)
UF HEALTH SHANDS 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. Custer is a mixed practice specialist, with above-average Medicare volume (top 17% in FL).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Custer experienced with ultrasound guidance for blood vessel access?
Based on Medicare claims data, Dr. Custer performed 186 ultrasound guidance for blood vessel access 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. Custer receive payments from pharmaceutical companies?
Yes. Dr. Custer received a total of $6,967 from 19 companies across 102 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. Custer's costs compare to other student in an organized health care education/training programs in Gainesville?
Dr. Custer's average Medicare payment per service is $77. 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. Custer) 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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