Medicare Enrolled
Dr. Michael Greene, D.O.
Interventional Pain Medicine Physician · Middleburg, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Greene 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. Greene
Dr. Michael Greene is an interventional pain medicine physician in Middleburg, FL, with 15 years of NPI registration. Based on federal Medicare data, Dr. Greene performed 7,420 Medicare services across 3,036 unique beneficiaries.
Between the years covered by Open Payments, Dr. Greene received a total of $65,809 from 69 pharmaceutical and/or device companies across 747 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain 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. Greene 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.
✓ 15 years in practice
▲ Top 20% volume in FL
$65,809 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,420
Medicare services
Top 20% in FL for interventional pain medicine physician
3,036
Unique beneficiaries
$73
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~495 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 |
|---|---|---|---|
| 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. |
1,996 | $90 | $372 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
1,316 | $0 | $1 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
608 | $16 | $86 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
510 | $60 | $186 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
357 | $194 | $596 |
| 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. |
284 | $68 | $263 |
| Manual therapy (hands-on treatment), per 15 min | 184 | $14 | $79 |
| Injection, methylprednisolone acetate, 40 mg | 173 | $6 | $18 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
150 | $148 | $470 |
| Group therapy session A therapeutic session conducted with multiple patients simultaneously. This code covers the provision of therapy services in a group setting. |
147 | $9 | $52 |
| 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. |
94 | $117 | $488 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
89 | $68 | $269 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
88 | $43 | $169 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
86 | $211 | $982 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
84 | $3 | $10 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
83 | $54 | $218 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
79 | $226 | $1,048 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
75 | $24 | $107 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
72 | $183 | $742 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
71 | $20 | $98 |
| Electronic analysis and reprogramming of spinal drug pump This procedure involves electronically analyzing and reprogramming a spinal canal drug infusion pump. It does not include the surgical insertion or removal of the device. |
70 | $30 | $131 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
68 | $48 | $181 |
| 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. |
62 | $132 | $522 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
61 | $182 | $945 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
60 | $96 | $493 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
58 | $113 | $455 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
53 | $191 | $962 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
52 | $101 | $487 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
47 | $86 | $323 |
| Nerve conduction studies, 11-12 A diagnostic test that measures how well nerves send electrical signals. It involves performing 11 to 12 separate nerve conduction studies. |
45 | $187 | $713 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
44 | $85 | $333 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
38 | $134 | $604 |
| Minimally invasive spine decompression, lower spine A minimally invasive procedure to remove bone from the lower spine to relieve pressure on nerve tissue, guided by imaging and accessed through the skin. |
29 | $726 | $3,120 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
25 | $195 | $754 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
25 | $448 | $2,288 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
24 | $254 | $1,276 |
| Methylprednisolone acetate injection, 20 mg A 20 mg injection of methylprednisolone acetate, a corticosteroid medication. This code specifies the drug and dosage administered. |
24 | $4 | $11 |
| Electronic analysis of spinal drug pump An electronic evaluation of a spinal canal drug infusion pump to check its function and settings. |
22 | $25 | $95 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 14 | $60 | $270 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
14 | $487 | $2,562 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
14 | $287 | $1,501 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
14 | $10 | $36 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
11 | $8 | $9 |
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 ↗$65,809
Total received (2018-2024)
Avg $9,401/year across 7 years
Top 4% in FL for interventional pain medicine physician
69
Companies
747
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
$35,598 (54.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$18,405 (28.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$11,806 (17.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$19,438
2023
$11,177
2022
$4,359
2021
$14,205
2020
$2,167
2019
$10,754
2018
$3,709
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
BioDelivery Sciences International, Inc.
$19,134
Medtronic, Inc.
$15,035
Vertos Medical, Inc.
$11,771
Medtronic USA, Inc.
$3,177
Vertiflex, Inc.
$2,206
Spinal Simplicity, LLC
$2,162
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$1,680
Collegium Pharmaceutical, Inc.
$1,015
Stryker Corporation
$1,000
ABBVIE INC.
$845
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$811
Boston Scientific Corporation
$749
Abbott Laboratories
$678
Amgen Inc.
$577
PAINTEQ LLC
$493
Nalu Medical, Inc.
$418
SPR Therapeutics, Inc
$386
Nevro Corp.
$343
BOSTON SCIENTIFIC CORPORATION
$308
Indivior Inc.
$226
PFIZER INC.
$194
Relievant Medsystems, Inc.
$187
AbbVie Inc.
$153
Lilly USA, LLC
$141
Almatica Pharma LLC
$135
Ferring Pharmaceuticals Inc.
$127
Zyla Life Sciences
$116
Vertical Pharmaceuticals, LLC
$109
Egalet US Inc
$109
Novartis Pharmaceuticals Corporation
$94
TerSera Therapeutics LLC
$92
Biohaven Pharmaceutical Holding Company Ltd.
$87
Teva Pharmaceuticals USA, Inc.
$85
ARBOR PHARMACEUTICALS, INC.
$70
Saluda Medical Americas, Inc.
$69
Pernix Therapeutics Holdings, Inc.
$67
Alevio, LLC
$63
Takeda Pharmaceuticals U.S.A., Inc.
$63
Horizon Pharma plc
$62
Daiichi Sankyo Inc.
$49
Forte Bio-Pharma LLC
$46
SANOFI-AVENTIS U.S. LLC
$42
Curonix LLC
$37
ASSERTIO THERAPEUTICS, Inc.
$37
Hikma Pharmaceuticals USA
$35
Allergan Inc.
$34
Kaleo, Inc.
$33
Orexo US, Inc.
$30
PROTEGA PHARMACEUTIALS INC
$30
Lundbeck LLC
$27
Shionogi Inc
$26
FIDIA PHARMA USA INC.
$26
Allergan, Inc.
$25
Azurity Pharmaceuticals, Inc.
$24
DePuy Synthes Sales Inc.
$24
Braeburn Inc.
$24
AstraZeneca Pharmaceuticals LP
$24
SI-BONE, INC.
$23
Stimwave Technologies Incorporated
$23
Orthogenrx Inc.
$20
Valinor Pharma, LLC
$19
IDORSIA PHARMACEUTICALS US INC
$17
Amneal Pharmaceuticals LLC
$16
Biogen, Inc.
$16
SCILEX PHARMACEUTICALS INC.
$15
Assertio Therapeutics, Inc.
$14
Horizon Therapeutics plc
$13
Purdue Pharma L.P.
$13
US WorldMeds, LLC
$12
Top 3 companies account for 69.8% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · ADUHELM · AIMOVIG · AJOVY · ARYMO ER · ASCENDA · Aimovig · Amitiza · BELBUCA · BOTOX · BOTOX THERAPEUTIC · BRIXADI · BUNAVAIL · BUNAVAIL 2.1 mg 30-count box · Belbuca · Bionic Navigator · Cambia · DUEXIS · EMGALITY · ETERNA · EUFLEXXA · Evoke SCS · Evzio · Freelink · GENERAL - PAIN MANAGEMENT · GRALISE · Gralise · HA MINUTEMAN G3-R · HYALGAN · Horizant · Hymovis · INTELLIS · INTELLIS ADAPTIVESTIM · Infinion 16 · Intracept · Kloxxado · LORZONE · LYRICA · LYVISPAH · Lucemyra/Lofexidine · METHYLPHENIDATE 72 · MILD DEVICE KIT · MOVANTIK · Morphabond ER · NALOCET · NURTEC ODT · Nalu Neurostimulation System · ORTHOVISC · OXAYDO · PAINTEQ · PENNSAID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · PROPEL · Prialt · Proclaim Family of SCS IPGs · QULIPTA · QUVIVIQ · RELISTOR · RELISTOR ORAL · ROXYBOND · SCS IPGs · SICURE SACROILIAC JOINT FUSION SYSTEM · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SUPERION · SYMPROIC · SYNCHROMEDII · SYNVISC-ONE · Senza Spinal Cord Stimulation System · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion · Superion ISS · Superion Indirect Decompression System · Symproic · TriVisc sodium hyaluronate · Trintellix · UBRELVY · V-LOC 180 · VIMOVO · VRAYLAR · VYEPTI · Vanta · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · Xtampza ER · ZOHYDRO ER · ZORVOLEX · ZTLido · Zipsor · Zubsolv · 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 →
The majority of payments (54%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in interventional pain medicine physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 4% for interventional pain medicine physician in FL.
Equivalent to $887 per 100 Medicare services performed
Geographic Context
Interventional pain medicine physicians within 10 mi
9
Per 100K population
4.0
County median income
$86,094
Nearest hospital
ASCENSION ST VINCENT'S CLAY COUNTY
0.0 mi
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. Greene is a clinical cardiology specialist, with above-average Medicare volume (top 20% in FL), with speaking/promotional industry engagement in the top 4% of FL peers, with 15 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. Greene experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Greene performed 1,996 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. Greene receive payments from pharmaceutical companies?
Yes. Dr. Greene received a total of $65,809 from 69 companies across 747 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. Greene's costs compare to other interventional pain medicine physicians in Middleburg?
Dr. Greene's average Medicare payment per service is $73. 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. Greene) 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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