Medicare Enrolled
Dr. Giancarlo Speziani, MD
Cardiovascular Disease · Lakeland, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Consulting-driven
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. Speziani 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. Speziani
Dr. Giancarlo Speziani is a cardiovascular disease specialist in Lakeland, FL, with 18 years of NPI registration. Based on federal Medicare data, Dr. Speziani performed 3,180 Medicare services across 2,276 unique beneficiaries.
Between the years covered by Open Payments, Dr. Speziani received a total of $77,980 from 42 pharmaceutical and/or device companies across 623 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Speziani 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 38% volume in FL
$77,980 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,180
Medicare services
Top 38% in FL for cardiovascular disease
2,276
Unique beneficiaries
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~177 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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
1,728 | $7 | $25 |
| New patient office visit, complex (60-74 min) | 194 | $147 | $550 |
| 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. |
165 | $79 | $295 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
105 | $2 | $10 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
103 | $14 | $54 |
| 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. |
103 | $138 | $524 |
| 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. |
97 | $10 | $45 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
83 | $78 | $318 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
66 | $257 | $961 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
65 | $67 | $250 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
62 | $257 | $961 |
| 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. |
48 | $96 | $361 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
45 | $795 | $2,972 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
38 | $390 | $1,596 |
| 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. |
38 | $91 | $402 |
| 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. |
33 | $115 | $432 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
32 | $60 | $276 |
| Heart ultrasound interpretation and report A professional review and written report of an ultrasound image of the heart. |
30 | $73 | $272 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
29 | $86 | $325 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
16 | $622 | $2,442 |
| Removal and replacement of dual lead permanent pacemaker This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system. |
15 | $275 | $1,095 |
| Right heart catheterization with pacing and rhythm induction A procedure to insert catheters into the right side of the heart to record electrical rhythms and pace the heart. It also involves inducing abnormal heart rhythms to evaluate cardiac function. |
13 | $511 | $1,914 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
13 | $701 | $2,620 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
12 | $388 | $1,453 |
| Pacemaker/ICD evaluation at implant or replacement Assessment of a single or dual chamber pacing cardioverter-defibrillator and generator during the initial implantation or replacement procedure. |
12 | $138 | $953 |
| 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. |
12 | $53 | $200 |
| 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. |
12 | $64 | $240 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
11 | $43 | $271 |
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.
14.0% high complexity
6.9% medium
79.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$77,980
Total received (2018-2024)
Avg $11,140/year across 7 years
Top 6% in FL for cardiovascular disease
42
Companies
623
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$40,217 (51.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$33,660 (43.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,104 (5.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,081
2023
$1,755
2022
$1,366
2021
$12,089
2020
$10,724
2019
$9,882
2018
$40,083
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medical Device Business Services, Inc.
$27,300
Biosense Webster, Inc.
$14,881
Abbott Laboratories
$14,199
Medtronic Vascular, Inc.
$7,233
Medtronic, Inc.
$4,485
Boston Scientific Corporation
$2,904
BIOTRONIK INC.
$1,919
Johnson & Johnson Medical Devices & Diagnostics Group - Latin America, L.L.C.
$1,745
Novartis Pharmaceuticals Corporation
$393
Janssen Pharmaceuticals, Inc
$248
Amgen Inc.
$217
Terumo Medical Corporation
$198
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$181
Aziyo Biologics, Inc.
$175
IMPULSE DYNAMICS (USA) INC.
$171
CVRx, Inc.
$157
CAS Medical Systems Inc.
$143
Nuwellis, Inc.
$143
Siemens Medical Solutions USA, Inc.
$135
ATRICURE, INC.
$118
CARDIVA MEDICAL, INC.
$110
Kestra Medical Technology Services, Inc.
$92
Bard Peripheral Vascular, Inc.
$90
Alnylam Pharmaceuticals Inc.
$90
E.R. Squibb & Sons, L.L.C.
$78
Bayer HealthCare Pharmaceuticals Inc.
$74
BOSTON SCIENTIFIC CORPORATION
$71
PFIZER INC.
$52
SANOFI-AVENTIS U.S. LLC
$47
Esperion Therapeutics, Inc.
$45
Amarin Pharma Inc.
$39
Stereotaxis Inc
$38
Boehringer Ingelheim Pharmaceuticals, Inc.
$37
AstraZeneca Pharmaceuticals LP
$33
Lundbeck LLC
$22
Philips Electronics North America Corporation
$19
Actelion Pharmaceuticals US, Inc.
$19
Edwards Lifesciences Corporation
$18
Smith+Nephew, Inc.
$18
Tactile Systems Technology Inc
$16
Bardy Diagnostics, Inc.
$15
Ethicon US, LLC
$14
Top 3 companies account for 72.3% of total payments
Associated products mentioned in payments ›
(5044) MCOT · ACCOLADE SR · ADVISOR · ALLURE QUADRA · AMPERE · AQUADEX SMARTFLOW CONSOLE · ASSURITY · AVEIR · AVIVO · AZURE XT DR MRI SURESCAN · Accent Pacemaker · Advisa · Advisor Catheter · Allure CRT Pacemaker · Allure Quadra RF CRT Pacemaker · Ampere RF Ablation Generator · Amplia MRI · Arctic Front · Artis pheno · Assure WCD · Assurity Pacemaker · Azure · Barostim Neo System · CARTO 3 · COBALT DR MRI SURESCAN · CRT-Ds · CareLink · Carnation Ambulatory Monitor · Carto 3 · Carto 3 System · Carto Smarttouch · CartoSound · Claria MRI · Cobalt · Confirm Rx · Connectivity and Remote care · Corlanor · CryoConsole · DiamondTemp · ECM Patch · ELIQUIS · EMBLEM · EMBLEM MRI S-ICD · ENSITE · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edwards SAPIEN 3 Transcatheter Heart Valve · Ellipse ICD · EnSite Precision Cardiac Mapping System · EnSite Velocity System Expansion Modules · Ensite Cardiac Mapping System · Evera · FARXIGA · FINELINE II Sterox · FORE-SIGHT · FlexAbility Ablation Catheter · Flexitouch Plus · Fortify Assura · GALLANT · GENERAL THERAPIES · GENERAL TACHY · JARDIANCE · JOT DX · LEQVIO · LINQ II · LUX-Dx Insertable Cardiac Monitor · LifeVest · MERLIN@HOME · MICRA · MOMENTUM EL ICD VR · MRI Ready Leads · MULTAQ · MYCARELINK · Merlin Connectivity and Remote · Micra · Mobicath · MyCareLink · NEXLETOL · NORTHERA · Niobe · ONPATTRO · OPSUMIT · OPTIMIZER SMART SYSTEM · PICO Single Use Negative Pressure Wound Therapy · Pacemakers · Perclose ProGlide suture mediated closure system · Performa · Pouch · Quadra Assura CRT Defibrillator · Quartet CRT Lead · RESONATE · RESONATE EL ICD VR · RHYTHMIA · Repatha · Resolute · Reveal LINQ · Rotarex · S ICD · S-ICD System Magnet · STRATAFIX · SYNERGY · THERMOCOOL SMARTTOUCH · TYRX · TactiCath Quartz CFA Catheter · Tendril Pacing Lead · Thermocool · VADO · VYNDAMAX · Vascepa · Vascular Closure Device · Verquvo · ViewFlex Xtra ICE Catheter · ViewMate Intracardiac Echo · Visia AF · Visitag · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · WORKMATE CLARIS · XARELTO
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 →
The majority of payments (52%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 6% for cardiovascular disease in FL.
Equivalent to $2,452 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
70
Per 100K population
9.2
County median income
$63,644
Nearest hospital
LAKELAND REGIONAL MEDICAL CENTER
6.0 mi
6.0 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. Speziani is a mixed practice specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 6% of FL peers, 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. Speziani experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Speziani performed 1,728 ekg interpretation and report 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. Speziani receive payments from pharmaceutical companies?
Yes. Dr. Speziani received a total of $77,980 from 42 companies across 623 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. Speziani's costs compare to other cardiologists in Lakeland?
Dr. Speziani's average Medicare payment per service is $69. 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. Speziani) 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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