Medicare Enrolled

Dr. Simmy Pinto, MD

Sleep Medicine (Internal Medicine) Physician · Melbourne, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
402 N BABCOCK ST, Melbourne, FL 32935
3213272440
In practice since 2006 (19 years)
NPI: 1235197781 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. Pinto 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. Pinto

Dr. Simmy Pinto is a sleep medicine (internal medicine) physician in Melbourne, FL, with 19 years in practice. Based on federal Medicare data, Dr. Pinto performed 5,794 Medicare services across 4,675 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pinto received a total of $172,029 from 40 pharmaceutical and/or device companies across 701 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (internal medicine) 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. Pinto 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.

✓ 19 years in practice▲ Top 19% volume in FL$ $172,029 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,794
Medicare services
Top 19% in FL for sleep medicine (internal medicine) physician
4,675
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~305 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
Office visit, established patient (30-39 min)1,885$93$270
Test to examine how well the lungs exchange gases705$42$134
Test to determine lung volumes using gas dilution or washout700$32$104
Test to measure expiratory airflow and volume586$19$88
Office visit, established patient (20-29 min)447$65$183
New patient office visit (45-59 min)320$119$415
Test for exercise-induced lung stress227$25$85
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation139$55$754
Test to measure expiratory airflow and volume changes before and after medication administration122$28$150
Sleep study in sleep lab with continuous airway pressure (6 years or older)116$94$450
Sleep study in sleep lab (6 years or older)110$92$400
Remote patient monitoring management, 20 min/month104$34$120
New patient office visit (30-44 min)103$77$273
Remote patient monitoring device, 30 days95$33$132
Office visit, established patient, complex (40-54 min)51$132$364
Irrigation and suction of lung airways to obtain cells using an endoscope32$90$636
Test to determine lung volumes using sensors18$9$130
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes18$24$50
Smoking and tobacco use intensive counseling, 4-10 minutes16$15$37
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 ↗
$172,029
Total received (2018-2024)
Avg $24,576/year across 7 years
Top 7% in FL for sleep medicine (internal medicine) physician
40
Companies
701
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
$158,500 (92.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,529 (7.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$43,398
2023
$37,453
2022
$1,488
2021
$8,930
2020
$22,099
2019
$29,501
2018
$29,160

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
SNAP Diagnostics LLC
$158,500
GlaxoSmithKline, LLC.
$1,878
Philips Electronics North America Corporation
$1,663
AstraZeneca Pharmaceuticals LP
$1,257
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,253
Grifols USA, LLC
$1,174
Takeda Pharmaceuticals U.S.A., Inc.
$961
Harmony Biosciences LLC
$783
Actelion Pharmaceuticals US, Inc.
$747
Inogen, Inc.
$637
Genentech USA, Inc.
$617
Mylan Specialty L.P.
$384
HARMONY BIOSCIENCES LLC
$359
Insmed, Inc.
$248
Shire North American Group Inc
$237
Sunovion Pharmaceuticals Inc.
$208
INOGEN, INC.
$155
JAZZ PHARMACEUTICALS INC.
$136
Bayer HealthCare Pharmaceuticals Inc.
$130
Fisher & Paykel Healthcare Inc
$84
Eisai Inc.
$68
GENZYME CORPORATION
$66
Merck Sharp & Dohme Corporation
$55
United Therapeutics Corporation
$52
Circassia Pharmaceuticals Inc
$48
Electromed, Inc.
$38
Merck Sharp & Dohme LLC
$31
Advanced Respiratory, Inc
$30
Jazz Pharmaceuticals Inc.
$28
Avadel CNS Pharmaceuticals, LLC
$24
Baxter Healthcare
$22
E.R. Squibb & Sons, L.L.C.
$21
Mallinckrodt LLC
$21
Teva Pharmaceuticals USA, Inc.
$20
Mallinckrodt Hospital Products Inc.
$19
Resmed Corp
$16
Novartis Pharmaceuticals Corporation
$16
Phadia US Inc.
$15
PFIZER INC.
$14
Circassia Inc.
$13
Top 3 companies account for 94.2% of total payments
Associated products mentioned in payments ›
(8874) inCourage · 400476/Simplus Full Face Mask- Medium · ACTHAR · AIRCURVE · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · ASMANEX · Adempas · AirDuo Digihaler · Arikayce · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BROVANA · CAPVAXIVE · CINRYZE · CUVITRU · DALIRESP · DUPIXENT · Dayvigo · Dymista · ELIQUIS · Esbriet · FASENRA · FISHER & PAYKEL HEALTHCARE · GLASSIA · Hillrom - Life 2000 Ventilation System · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · ImmunoCAP · InogenOne · LONHALA MAGNAIR · LUMRYZ · NIOX · NIOX VERO · NUCALA · OFEV · OPSUMIT · OPSUMIT MACITENTAN · Obstructive Sleep Apnea Device or Hospital Respiratory Equipment · PAXLOVID · PRADAXA · Perforomist · Prolastin-C · Prolastin-C Liquid · Respiratoriy Care Undiv · SEEBRI NEOHALER · SMARTVEST · SNAP Diagnostics study · SPIRIVA RESPIMAT · STIOLTO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · TAGRISSO · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · TYVASO · The Vest System Model 105 Home Care · Trilogy 100 · UPTRAVI · Utibron · WAKIX · Wakix · Wellcentive Undiv · XOLAIR · XYWAV · Xolair · YUPELRI · Yupelri · inCourage
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 (92%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in sleep medicine (internal medicine) physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for sleep medicine (internal medicine) physician in FL.

Equivalent to $2,969 per 100 Medicare services performed
Looking for a sleep medicine (internal medicine) physician in Melbourne?
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Geographic Context

Sleep Medicine (Internal Medicine) Physicians within 10 mi
3
Per 100K population
0.5
County median income
$75,817
Nearest hospital
ORLANDO HEALTH MELBOURNE HOSPITAL
0.0 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. Pinto is a clinical cardiology specialist, with above-average Medicare volume (top 19% in FL), and high industry engagement (speaking/promotional, top 7%), with 19 years of practice experience.

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. Pinto experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Pinto performed 1,885 office visit, established patient (30-39 min) 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. Pinto receive payments from pharmaceutical companies?
Yes. Dr. Pinto received a total of $172,029 from 40 companies across 701 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. Pinto's costs compare to other sleep medicine (internal medicine) physicians in Melbourne?
Dr. Pinto's average Medicare payment per service is $64. 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. Pinto) 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 →