Medicare Enrolled
Dr. Kinesh Changela, M.D.
Gastroenterology · Jacksonville, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Changela 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 →
Are you Dr. Changela?
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What this data tells you about Dr. Changela
Dr. Kinesh Changela is a gastroenterology specialist in Jacksonville, FL, with 13 years of NPI registration. Based on federal Medicare data, Dr. Changela performed 1,347 Medicare services across 1,218 unique beneficiaries.
Between the years covered by Open Payments, Dr. Changela received a total of $5,410 from 39 pharmaceutical and/or device companies across 262 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Changela 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 23% volume in FL
$5,410 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 | 130897 | 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 ↗1,347
Medicare services
Top 23% in FL for gastroenterology
1,218
Unique beneficiaries
$128
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~104 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 |
|---|---|---|---|
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
207 | $95 | $250 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
176 | $65 | $650 |
| 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. |
127 | $105 | $300 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
124 | $80 | $850 |
| Endoscopic ultrasound of esophagus, stomach, or upper small bowel An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope. |
96 | $164 | $669 |
| Endoscopic ultrasound-guided needle biopsy A procedure using an ultrasound-equipped endoscope to guide a needle for tissue sampling of the esophagus, stomach, or upper small bowel. |
86 | $196 | $883 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
74 | $186 | $1,214 |
| 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. |
74 | $140 | $400 |
| Endoscopic removal of bile or pancreatic duct stone A flexible endoscope is used to remove stones or debris from the bile or pancreatic ducts. |
69 | $54 | $1,547 |
| Pancreatic or bile duct stent insertion A flexible endoscope is used to place a stent into the pancreatic or bile duct to keep it open. |
58 | $346 | $1,536 |
| 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. |
47 | $63 | $199 |
| 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. |
46 | $83 | $275 |
| Upper endoscopy (EGD) A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope. |
41 | $90 | $623 |
| Removal of large bowel tissue using flexible endoscope A procedure to remove tissue from the large intestine using a flexible tube with a camera. The endoscope allows the provider to access and excise the tissue directly. |
41 | $275 | $1,256 |
| Endoscopic removal of pancreatic or bile duct stent A flexible endoscope is used to remove a stent from the pancreatic or bile duct. This procedure accesses the ducts internally to extract the device. |
22 | $277 | $1,489 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
20 | $139 | $800 |
| 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. |
15 | $113 | $400 |
| Endoscopic exam of bile or pancreatic duct A procedure using a flexible tube with a camera to examine the common bile duct and/or pancreatic duct. |
13 | $96 | $500 |
| Endoscopic control of small bowel bleeding A procedure using an endoscope to stop bleeding in the small intestine. |
11 | $310 | $1,173 |
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.
5.9% high complexity
40.3% medium
53.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,410
Total received (2018-2024)
Avg $773/year across 7 years
Top 32% in FL for gastroenterology
39
Companies
262
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
$5,288 (97.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$122 (2.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,061
2023
$1,008
2022
$757
2021
$773
2020
$465
2019
$1,159
2018
$188
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$937
AbbVie Inc.
$562
ABBVIE INC.
$437
Janssen Biotech, Inc.
$430
AbbVie, Inc.
$302
Takeda Pharmaceuticals U.S.A., Inc.
$263
Apollo Endosurgery US Inc
$229
Celgene Corporation
$211
Intercept Pharmaceuticals, Inc.
$204
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$204
Olympus America Inc.
$180
Regeneron Healthcare Solutions, Inc.
$180
Janssen Scientific Affairs, LLC
$165
BOSTON SCIENTIFIC CORPORATION
$150
GENZYME CORPORATION
$92
AIMMUNE THERAPEUTICS, INC.
$88
Phathom Pharmaceuticals, Inc.
$81
Allergan Inc.
$81
Mallinckrodt Hospital Products Inc.
$68
PFIZER INC.
$65
Ironwood Pharmaceuticals, Inc
$58
Merck Sharp & Dohme Corporation
$55
Braintree Laboratories, Inc.
$46
RedHill Biopharma Inc.
$39
Madrigal Pharmaceuticals
$26
Lilly USA, LLC
$25
Mirum Pharmaceuticals, Inc.
$25
Teva Pharmaceuticals USA, Inc.
$24
Endo Pharmaceuticals Inc.
$23
Smith+Nephew, Inc.
$22
Gilead Sciences, Inc.
$21
VIVUS LLC
$19
Alfasigma USA, Inc.
$18
Ambu Inc.
$16
Echosens North America, Inc.
$16
NESTLE HEALTHCARE NUTRITION INC.
$16
Allergan, Inc.
$12
Cook Medical LLC
$11
Merit Medical Systems Inc
$8
Top 3 companies account for 35.8% of total payments
Associated products mentioned in payments ›
6.0 X 26 CM WO/GW · ACQUIRE · APRISO · AXIOS · Agile Esophageal · Autotome RX 49 · BIG60 Inflation device · COLLAGENASE SANTYL · CREON · Creon · DIFICID · DUPIXENT · Duodenoscopes · ENTYVIO · EVIS X1 VIDEO SYSTEM CENTER · EXALT BX 2 · EXALT BX 4 · EXALT Model D · EndoClot PHS · Entyvio · FibroScan · GATTEX · GENERAL BILIARY DEVICES · GENERAL ENTERAL FEEDING · GENERAL BILIARY DEVICES · GENERAL METAL STENTS GI · GENERAL - BILIARY DEVICES · GENERAL - HEMOSTASIS · General - Biliary Devices · HANAROSTENT Esophagus TTS(CCC) · HUMIRA · Hemospray · Humira · INFLECTRA · LINZESS · Linzess · Livmarli · MAVYRET · Mavyret · Motegrity · NASCOBAL · NvisionVLE Imaging System · OCALIVA · OMVOH · ORBERA Intragastric Balloon System · ORCAPOD · ORISE · Olympus Capital Accessories · Olympus Endoscopic Ultrasound Scopes · OrcaPod · OverStitch Endoscopic Suturing System · Overstitch · Qsymia · RENFLEXIS · RESMETIROM · RINVOQ · SIMLANDI · SKYRIZI · STELARA · SUPREP BOWEL PREP · SUTAB · TERLIVAZ · TREMFYA · TRULANCE · Talicia · UROPASS II · Ultrasound Processors · VIBERZI · VISIGLIDE · VOQUEZNA · X-Tack Endoscopic HeliX Tacking System · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $402 per 100 Medicare services performed
Geographic Context
Gastroenterologists within 10 mi
136
Per 100K population
13.5
County median income
$68,447
Nearest hospital
MAYO CLINIC
5.7 mi
5.7 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. Changela is a mixed practice specialist, with above-average Medicare volume (top 23% 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. Changela experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Changela performed 207 hospital follow-up visit, high complexity 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. Changela receive payments from pharmaceutical companies?
Yes. Dr. Changela received a total of $5,410 from 39 companies across 262 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. Changela's costs compare to other gastroenterologists in Jacksonville?
Dr. Changela's average Medicare payment per service is $128. 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. Changela) 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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