Medicare Enrolled

Dr. Nicholas Giordano, M.D.

Physical Medicine & Rehabilitation · Melbourne, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
395 S WICKHAM RD, Melbourne, FL 32904
3218025021
In practice since 2013 (13 years)
NPI: 1336482694 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. Giordano 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. Giordano

Dr. Nicholas Giordano is a physical medicine & rehabilitation in Melbourne, FL, with 13 years in practice. Based on federal Medicare data, Dr. Giordano performed 27,370 Medicare services across 3,612 unique beneficiaries.

Between the years covered by Open Payments, Dr. Giordano received a total of $17,549 from 24 pharmaceutical and/or device companies across 351 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physical medicine & rehabilitation. 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. Giordano 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 1% volume in FL$ $17,549 industry payments

Medicare Practice Summary

Medicare Utilization ↗
27,370
Medicare services
Top 1% in FL for physical medicine & rehabilitation
3,612
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~2,105 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.

ProcedureVolumeAvg. paidAvg. submitted
Dexamethasone injection (steroid)14,520$0$0
Steroid injection (triamcinolone)6,938$1$3
Office visit, established patient (30-39 min)2,016$94$255
Testing for presence of drug, read by direct observation601$12$49
Office visit, established patient (20-29 min)429$66$185
New patient office visit (45-59 min)245$123$337
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level227$243$493
Injection of lower or sacral spine facet joint using imaging guidance, second level227$105$183
Injection of lower or sacral spine facet joint using imaging guidance, single level225$200$350
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level217$113$228
Injection, ketorolac tromethamine, per 15 mg190$0$1
Aspiration and/or injection of fluid large joint using ultrasound guidance165$83$198
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint138$267$491
Injection of substance into lower spine canal using imaging guidance124$186$522
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance115$153$326
Injection of upper or middle spine facet joint using imaging guidance, single level103$212$382
Injection of upper or middle spine facet joint using imaging guidance, second level102$111$196
Drug injection, under skin or into muscle97$10$76
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint80$200$520
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint74$485$895
Injection of substance into middle or upper spine canal using imaging guidance71$193$530
New patient office visit (30-44 min)57$83$226
Injection of trigger points, 3 or more muscles52$45$126
Joint injection, major joint51$52$147
Insertion of spinal neurostimulator electrode array through skin51$1,304$4,657
Injection into tendon or ligament42$27$117
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint41$334$887
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose35$99$264
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin34$737$5,000
Fluoroscopic guidance for needle placement27$87$231
Electronic analysis of implanted neurostimulator generator with simple spinal cord or peripheral nerve stimulator programming22$38$52
Ultrasonic guidance for needle placement20$45$116
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance19$172$435
Insertion of spinal neurostimulator generator or receiver15$157$378
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 ↗
$17,549
Total received (2018-2024)
Avg $2,507/year across 7 years
Top 4% in FL for physical medicine & rehabilitation
24
Companies
351
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
$17,316 (98.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$233 (1.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,658
2023
$2,061
2022
$1,358
2021
$1,867
2020
$2,556
2019
$4,904
2018
$3,146

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$8,221
Vertiflex, Inc.
$2,689
Medtronic USA, Inc.
$1,744
Vertos Medical, Inc.
$1,617
Boston Scientific Corporation
$1,294
BOSTON SCIENTIFIC CORPORATION
$509
Stimwave Technologies Incorporated
$260
Curonix LLC
$233
Spinal Simplicity, LLC
$228
ABBVIE INC.
$144
PFIZER INC.
$135
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$71
Daiichi Sankyo Inc.
$69
Medtronic, Inc.
$51
Stryker Corporation
$49
SPR Therapeutics, Inc
$45
Allergan, Inc.
$43
DePuy Synthes Sales Inc.
$41
Allergan Inc.
$32
FIDIA PHARMA USA INC.
$17
Relievant Medsystems, Inc.
$17
Purdue Pharma L.P.
$14
Bioventus LLC
$13
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$13
Top 3 companies account for 72.1% of total payments
Associated products mentioned in payments ›
Axium INS DRG IPG · BELBUCA · BOTOX · Durolane · ETERNA · Eon Family of SCS IPGs · GENERAL PAIN MANAGEMENT · HA MINUTEMAN G3-R · Hymovis · INTELLIS · INTELLIS ADAPTIVESTIM · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Intracept · KYPHON Balloon Kyphoplasty · LUCEMYRA · LYRICA · MONOVISC · MYSTIM · Morphabond ER · OCTRODE · ORTHOVISC · Octrode SCS Leads · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Penta SCS Leads · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · RELISTOR · S-Series SCS Leads · SCS IPGs · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · SPRINT PNS System · SUPERION · SYNCHROMED · SlimTip lead DRG Lead · Superion · Superion ISS · Superion Indirect Decompression System · UBRELVY · VANTA ADAPTIVESTIM · VERCISE · WaveWriter Alpha Prime 16 · mild Device Kit
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for physical medicine & rehabilitation in FL.

Equivalent to $64 per 100 Medicare services performed
Looking for a physical medicine & rehabilitation in Melbourne?
Compare physical medicine & rehabilitations in the Melbourne area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Physical Medicine & Rehabilitations within 10 mi
36
Per 100K population
5.8
County median income
$75,817
Nearest hospital
PALM BAY HOSPITAL
8.4 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Giordano is a mixed practice specialist, with above-average Medicare volume (top 1% in FL), and high industry engagement (low-engagement, top 4%).

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. Giordano experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Giordano performed 14,520 dexamethasone injection (steroid) 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. Giordano receive payments from pharmaceutical companies?
Yes. Dr. Giordano received a total of $17,549 from 24 companies across 351 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. Giordano's costs compare to other physical medicine & rehabilitations in Melbourne?
Dr. Giordano's average Medicare payment per service is $27. 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. Giordano) 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 →