Medicare Enrolled

Dr. Roy Braunstein, MD

Ophthalmology · Lake Wales, FL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
749 STATE ROAD 60 E, Lake Wales, FL 33853
8636767624
In practice since 2007 (18 years)
NPI: 1235328444 verify on NPPES ↗
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. Braunstein 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. Braunstein

Dr. Roy Braunstein is an ophthalmology specialist in Lake Wales, FL, with 18 years of NPI registration. Based on federal Medicare data, Dr. Braunstein performed 3,896 Medicare services across 3,012 unique beneficiaries.

Between the years covered by Open Payments, Dr. Braunstein received a total of $325 from 9 pharmaceutical and/or device companies across 17 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Braunstein 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.

✓ 18 years in practice ▲ Top 33% volume in FL $325 industry payments

Florida License Status

FL DOH · MQA
1
Active license
Yes
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 42087 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

Medicare Utilization ↗
3,896
Medicare services
Top 33% in FL for ophthalmology
3,012
Unique beneficiaries
$67
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~216 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
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
1,040 $82 $232
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
884 $28 $94
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
471 $65 $160
Eye drainage system examination
An examination of the internal drainage system of the eye to assess how fluid flows and drains from the eye.
377 $19 $55
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
272 $25 $86
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
184 $44 $165
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
150 $90 $285
Tear duct plug insertion
A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface.
124 $87 $442
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
72 $26 $182
Complex cataract removal with lens implant
A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision.
56 $586 $2,214
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.
55 $44 $138
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
34 $253 $425
Removal of chronic eyelid growth
This procedure involves the surgical removal of a long-standing growth on the eyelid.
26 $90 $227
Eyelash removal with forceps
This procedure involves the manual removal of eyelashes using forceps. It is a mechanical extraction method performed on the eyelid area.
23 $14 $73
Laser repair to improve eye fluid flow
A laser procedure used to enhance the drainage of fluid within the eye.
22 $189 $1,000
Ultrasound of eye tissue and structures
A diagnostic imaging test that uses sound waves to create pictures of the eye's internal tissues and structures.
22 $40 $154
Eye photography
Photographic imaging of the interior structures of the eye.
21 $15 $97
Removal of excessive skin and fat of upper eyelid 18 $646 $2,252
Visual field test, intermediate
A test that measures your side vision to check for blind spots or other vision changes.
17 $32 $219
Corneal foreign body removal using slit lamp
A procedure to remove a foreign object from the surface of the eye's cornea. The removal is performed using a slit lamp microscope to visualize and extract the object.
14 $45 $85
Corneal conjunctiva removal or relocation
A surgical procedure to remove or reposition the conjunctiva tissue on the cornea.
14 $418 $643
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$325
Total received (2018-2024)
Avg $54/year across 6 years
Bottom 18% in FL for ophthalmology
9
Companies
17
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
$307 (94.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18 (5.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$20
2023
$18
2021
$82
2020
$64
2019
$68
2018
$73

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Kala Pharmaceuticals, Inc.
$98
Shire North American Group Inc
$44
Alcon Laboratories Inc
$40
Bausch & Lomb Americas Inc.
$38
Sun Pharmaceutical Industries Inc.
$34
Dompe US, Inc.
$24
Alcon Vision LLC
$20
Novartis Pharmaceuticals Corporation
$15
Akorn, Inc.
$13
Top 3 companies account for 55.9% of total payments
Associated products mentioned in payments ›
AcrySof · BromSite (bromfenac ophthalmic solution) 0.075% · CEQUA · INVELTYS · MIEBO · OXERVATE · VYZULTA · XIIDRA
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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $8 per 100 Medicare services performed
Looking for an ophthalmology specialist in Lake Wales?
Compare ophthalmologists in the Lake Wales area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
37
Per 100K population
4.9
County median income
$63,644
Nearest hospital
ADVENTHEALTH LAKE WALES
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. Braunstein is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement, with 18 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. Braunstein experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Braunstein performed 1,040 comprehensive eye exam, established patient 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. Braunstein receive payments from pharmaceutical companies?
Yes. Dr. Braunstein received a total of $325 from 9 companies across 17 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. Braunstein's costs compare to other ophthalmologists in Lake Wales?
Dr. Braunstein's average Medicare payment per service is $67. 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. Braunstein) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →