Medicare Enrolled
Dr. Nicole Szell, D.O.
Urology Physician · Largo, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Mixed 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. Szell 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. Szell?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Szell
Dr. Nicole Szell is an urology physician in Largo, FL, with 14 years of NPI registration. Based on federal Medicare data, Dr. Szell performed 17,640 Medicare services across 3,928 unique beneficiaries.
Between the years covered by Open Payments, Dr. Szell received a total of $44,360 from 65 pharmaceutical and/or device companies across 603 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Szell 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.
✓ 14 years in practice
▲ Top 7% volume in FL
$44,360 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 |
|---|---|---|---|---|
| Osteopathic Physician | 13701 | Clear | March 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 ↗17,640
Medicare services
Top 7% in FL for urology physician
3,928
Unique beneficiaries
$23
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,260 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
12,302 | $5 | $12 |
| 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. |
1,372 | $2 | $5 |
| 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. |
784 | $63 | $227 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
418 | $43 | $142 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
263 | $50 | $159 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
248 | $177 | $604 |
| 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. |
190 | $116 | $422 |
| Lower leg neurostimulator electrode insertion A procedure to place an electrode in the lower leg for neurostimulation therapy. |
173 | $91 | $303 |
| 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. |
171 | $90 | $321 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
157 | $31 | $163 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
126 | $18 | $57 |
| Complex urodynamic pressure measurement A test that measures the pressure of urine flow in the bladder along with urethral and voiding pressures. |
118 | $301 | $976 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
118 | $150 | $483 |
| 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. |
108 | $85 | $283 |
| Cystoscopy with chemical ablation of bladder A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue. |
102 | $301 | $987 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
98 | $6 | $36 |
| Functional capacity test, per 15 minutes A test or measurement to assess functional capacity. The service is billed for each 15-minute increment. |
81 | $27 | $84 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
78 | $8 | $26 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
73 | $68 | $256 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
62 | $45 | $117 |
| Electrical stimulation therapy, per 15 minutes Application of electrical stimulation to the body with a therapist present. The service is billed for each 15-minute increment of treatment. |
61 | $10 | $37 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
60 | $29 | $113 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
52 | $40 | $98 |
| 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. |
46 | $11 | $35 |
| Urethral sling procedure for female incontinence A surgical procedure that creates a supportive sling around the urethra to help control urinary leakage in women. |
38 | $535 | $1,932 |
| Rectal sensitivity and function study A test to evaluate the sensitivity and functional performance of the rectum. |
37 | $214 | $679 |
| Biofeedback training for bowel or bladder control, initial 15 minutes A 15-minute session using biofeedback techniques to help patients gain control over bowel or bladder functions. The training involves monitoring physiological processes to learn how to manage muscle activity. |
34 | $62 | $201 |
| Biofeedback training for bowel or bladder control, each additional 15 minutes This procedure involves additional 15-minute sessions of biofeedback training to help improve control over bowel or bladder functions. |
34 | $26 | $81 |
| Injection, garamycin, gentamicin, up to 80 mg | 32 | $2 | $3 |
| Sacral nerve stimulator electrode insertion A procedure to place an electrode array in the sacral area to deliver electrical stimulation to the nerves. |
31 | $273 | $784 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
26 | $101 | $396 |
| Insertion of peripheral or gastric neurostimulator generator A surgical procedure to implant the pulse generator device for a neurostimulator system. The generator is placed under the skin to deliver electrical impulses to nerves or the stomach. |
25 | $81 | $413 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
24 | $6 | $6 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
22 | $33 | $105 |
| Fitting and insertion of vaginal support device A procedure to measure, fit, and insert a device designed to support vaginal structures. |
19 | $59 | $189 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
16 | $13 | $39 |
| Online digital evaluation for established patient, 5-10 minutes This service involves an online digital evaluation and management visit for an established patient. It covers a total time of 5 to 10 minutes over a period of up to 7 days. |
15 | $10 | $37 |
| Online digital E/M service, established patient, 11-20 min An online digital evaluation and management service for an established patient. The service involves a total time of 11 to 20 minutes over a period of up to 7 days. |
13 | $18 | $75 |
| Non-rubber pessary A non-rubber device inserted into the vagina to support pelvic organs. |
13 | $53 | $140 |
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.
0.7% high complexity
71.1% medium
28.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$44,360
Total received (2018-2024)
Avg $6,337/year across 7 years
Top 6% in FL for urology physician
65
Companies
603
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$17,340 (39.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,837 (33.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$12,165 (27.4%)
Other
Charitable contributions, space rental, and other categories
$18 (0.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,086
2023
$7,653
2022
$7,077
2021
$9,530
2020
$3,277
2019
$7,263
2018
$6,474
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Coloplast Corp
$17,901
COLOPLAST CORP
$7,272
Axonics, Inc.
$4,223
Intuitive Surgical, Inc.
$3,784
C. R. Bard, Inc. & Subsidiaries
$3,640
Astellas Pharma US Inc
$1,299
Caldera Medical, Inc
$456
Boston Scientific Corporation
$452
Medtronic USA, Inc.
$392
Sumitomo Pharma America, Inc.
$391
ABBVIE INC.
$388
Endo Pharmaceuticals Inc.
$340
AbbVie Inc.
$267
Dendreon Pharmaceuticals LLC
$220
Ferring Pharmaceuticals Inc.
$166
Avadel Specialty Pharmaceuticals, LLC
$166
Rochester Medical Corporation
$164
Allergan Inc.
$142
Sun Pharmaceutical Industries Inc.
$135
Medtronic, Inc.
$134
Teleflex LLC
$132
Genentech USA, Inc.
$132
Progenics Pharmaceuticals, Inc.
$129
Bayer HealthCare Pharmaceuticals Inc.
$119
Allergan, Inc.
$116
Augmenix, Inc.
$115
180 Medical, Inc.
$102
PFIZER INC.
$92
Telix Pharmaceuticals
$89
BOSTON SCIENTIFIC CORPORATION
$85
Amgen Inc.
$83
UROVANT SCIENCES INC
$82
PROGENICS PHARMACEUTICALS, INC.
$79
Myovant Sciences Inc.
$73
Laborie Medical Technologies Corp.
$72
Axonics Modulation Technologies, Inc.
$64
PROCEPT BioRobotics Corporation
$63
AbbVie, Inc.
$62
Novartis Pharmaceuticals Corporation
$57
CooperSurgical, Inc.
$56
TOLMAR Pharmaceuticals, Inc.
$47
SUN PHARMACEUTICAL INDUSTRIES INC.
$44
MEDIVATION FIELD SOLUTIONS LLC
$44
Clarus Therapeutics Inc.
$40
BLUEWIND MEDICAL
$36
Zyla Life Sciences
$36
Merck Sharp & Dohme LLC
$32
C. R. BARD, INC. & SUBSIDIARIES
$28
UROGEN PHARMA, INC.
$27
ROCHESTER MEDICAL CORPORATION
$27
Antares Pharma, Inc.
$26
Janssen Biotech, Inc.
$23
Mission Pharmacal Company
$22
AstraZeneca Pharmaceuticals LP
$19
DENTSPLY IH Inc.
$19
Welch Allyn
$18
Acerus Pharmaceuticals Corporation
$18
Blue Earth Diagnostics Limited
$18
UroGen Pharma, Inc.
$17
Olympus America Inc.
$16
Myriad Genetic Laboratories, Inc.
$15
NeoTract Inc.
$15
TherapeuticsMD, Inc.
$13
Photocure Inc
$12
Ambu Inc.
$10
Top 3 companies account for 66.3% of total payments
Associated products mentioned in payments ›
ADSTILADRIN · ALTIS · AMS · AMS 700 CXR RTE KIT · AQUABEAM SYSTEM · ARIS · ATLANTIS · AVEED · AXIS · Altis · Androgel · Axonics · Axonics r-SNM System · Axumin · BOTOX · BOTOX THERAPEUTIC · Bulkamid · CD HORIZON · CLYDESDALE · CREON · Coloplast TFL Drive · Cysview · DURASPHERE · Da Vinci Surgical System · Desara · EDEX · ELIGARD · ERLEADA · FEMALE INCONTINENCE · FIRMAGON · GEMTESA · GENERAL BPH · GENERAL KIDNEY STONE DISEASE · GENERAL THERAPIES · GENERAL - ERECTILE DYSFUNCTION · GENERAL BPH · GENERAL FEMALE SUI · GENERAL KIDNEY STONE DISEASE · ILLUCCIX · IMVEXXY · INTERSTIM · Inlay · JATENZO · JELMYTO · LUPRON DEPOT · LYNPARZA · LoFric · Lupron · Lupron Depot · MAGIC3 · MYRBETRIQ · Myrbetriq · NOCDURNA · Natesto · Noctiva · None · Nubeqa · ORGOVYX · Orchestra · PLUVICTO · PREMARIN · PROLARIS · PROVENGE · PYLARIFY · Porges Coloplast · Prolia · RESTORELLE · REVI · Restorelle · SOLESTA · SONICISION · SPEEDICATH · SPRIX · SUPRIS · Saffron · Seldinger · SpaceOAR · SpeediCath · Supris · TITAN · TOVIAZ · Titan · UROLIFT · UroLift · Urocit-K · Uterine Manipulators & Injectors · VESICARE · Veozah · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · YONSA · iTIND System
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 (39%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in urology physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 6% for urology physician in FL.
Equivalent to $251 per 100 Medicare services performed
Geographic Context
Urology physicians within 10 mi
102
Per 100K population
10.6
County median income
$70,293
Nearest hospital
WINDMOOR HEALTHCARE OF CLEARWATER
2.4 mi
2.4 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. Szell is a mixed practice specialist, with above-average Medicare volume (top 7% in FL), with mixed engagement industry engagement in the top 6% of FL peers.
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. Szell experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Szell performed 12,302 botox injection, per unit 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. Szell receive payments from pharmaceutical companies?
Yes. Dr. Szell received a total of $44,360 from 65 companies across 603 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. Szell's costs compare to other urology physicians in Largo?
Dr. Szell's average Medicare payment per service is $23. 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. Szell) 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 →
Explore related providers
Same specialty & city
Urology Physicians in Largo
Browse urology physicians in Largo ranked by procedure volume and transparency data.
Highest volume
Top Urology Physicians in FL
Urology physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Urology Physicians in FL
Which FL urology physicians receive the most from drug and device companies.
By company
Coloplast Corp Payments to Doctors
See all physicians who received payments from Coloplast Corp.
By company
COLOPLAST CORP Payments to Doctors
See all physicians who received payments from COLOPLAST CORP.
By company
Axonics, Inc. Payments to Doctors
See all physicians who received payments from Axonics, Inc.
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