Medicare Enrolled
Dr. Megan Spiller
Registered Nurse · Naples, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-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. Spiller 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. Spiller
Dr. Megan Spiller is a registered nurse in Naples, FL, with 10 years of NPI registration. Based on federal Medicare data, Dr. Spiller performed 4,463 Medicare services across 4,001 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spiller received a total of $8,330 from 53 pharmaceutical and/or device companies across 469 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in registered nurse. 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. Spiller 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.
✓ 10 years in practice
▲ Top 1% volume in FL
$8,330 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 |
|---|---|---|---|---|
| Advanced Practice Registered Nurse | 9339856 | Clear | April 30, 2027 | — |
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 ↗4,463
Medicare services
Top 1% in FL for registered nurse
4,001
Unique beneficiaries
$37
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~446 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. |
936 | $70 | $264 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
408 | $8 | $17 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
346 | $8 | $16 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
338 | $10 | $21 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
313 | $111 | $267 |
| Annual depression screening | 303 | $16 | $38 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
288 | $16 | $34 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
267 | $13 | $27 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
197 | $29 | $59 |
| 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. |
177 | $46 | $187 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
82 | $3 | $7 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
74 | $9 | $19 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
74 | $8 | $16 |
| 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. |
66 | $9 | $31 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
62 | $19 | $39 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
59 | $32 | $64 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
52 | $72 | $145 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
47 | $3 | $6 |
| 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. |
39 | $62 | $347 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
38 | $1 | $3 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
36 | $9 | $30 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
32 | $281 | $574 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
32 | $32 | $64 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
30 | $14 | $30 |
| 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. |
27 | $2 | $4 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
25 | $8 | $16 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
25 | $8 | $17 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
18 | $143 | $343 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
18 | $6 | $30 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
16 | $175 | $570 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
13 | $9 | $18 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
13 | $17 | $34 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
12 | $4 | $11 |
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 ↗$8,330
Total received (2021-2024)
Avg $2,083/year across 4 years
Top 2% in FL for registered nurse
53
Companies
469
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
$8,330 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,870
2023
$2,027
2022
$1,882
2021
$2,551
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$1,014
ABBVIE INC.
$873
Astellas Pharma US Inc
$554
Novo Nordisk Inc
$553
Amgen Inc.
$415
Lilly USA, LLC
$403
AbbVie Inc.
$354
AstraZeneca Pharmaceuticals LP
$344
GlaxoSmithKline, LLC.
$317
Janssen Pharmaceuticals, Inc
$289
Takeda Pharmaceuticals U.S.A., Inc.
$258
Esperion Therapeutics, Inc.
$246
Merck Sharp & Dohme LLC
$211
Boehringer Ingelheim Pharmaceuticals, Inc.
$210
Abbott Laboratories
$185
Corium, LLC
$141
Merck Sharp & Dohme Corporation
$133
Exact Sciences Corporation
$129
Biohaven Pharmaceuticals, Inc.
$118
kaleo, Inc.
$116
Almatica Pharma LLC
$112
Boston Scientific Corporation
$91
Otsuka America Pharmaceutical, Inc.
$88
Sunovion Pharmaceuticals Inc.
$86
ABIOMED
$74
JAZZ PHARMACEUTICALS INC.
$73
Sumitomo Pharma America, Inc.
$70
Tris Pharma Inc
$70
Amarin Pharma Inc.
$67
Bayer Healthcare Pharmaceuticals Inc.
$60
Novartis Pharmaceuticals Corporation
$59
Radius Health, Inc.
$58
Teva Pharmaceuticals USA, Inc.
$45
IDORSIA PHARMACEUTICALS US INC
$42
Biohaven Pharmaceutical Holding Company Ltd.
$38
Supernus Pharmaceuticals, Inc.
$38
Eisai Inc.
$37
SANOFI-AVENTIS U.S. LLC
$34
Neos Therapeutics, LP
$32
IBSA Pharma Inc.
$32
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$29
Phathom Pharmaceuticals, Inc.
$28
Adlon Therapeutics L.P.
$26
Bausch Health US, LLC
$24
IRONSHORE PHARMACEUTICALS INC.
$23
Ironshore Pharmaceuticals Inc.
$22
OptiNose US, Inc.
$19
Allergan, Inc.
$19
Axonics, Inc.
$18
TherapeuticsMD, Inc.
$18
Nevro Corp.
$15
Currax Pharmaceuticals LLC
$12
Genentech USA, Inc.
$8
Top 3 companies account for 29.3% of total payments
Associated products mentioned in payments ›
ABILIFY ASIMTUFII · ABILIFY MAINTENA · ADHANSIA XR · AIMOVIG · AIRSUPRA · AJOVY · ANNOVERA · AREXVY · AUVI-Q · AZSTARYS · Adzenys XR-ODT · Aimovig · Axonics · Azstarys · BELSOMRA · BREZTRI · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · Cologuard Collection Kit · Dayvigo · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL · GARDASIL 9 · GEMTESA · GRALISE · INVEGA SUSTENNA · Impella · JARDIANCE · JORNAY PM · Kerendia · LINZESS · LO LOESTRIN FE · LOREEV XR · Leqembi · Licart · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXLETOL · NURTEC ODT · Omnia · Otezla · Ozempic · PREMARIN · PREVNAR 13 · PREVNAR 20 · QELBREE · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPRAVATO · SUNOSI · SYNJARDY · SYNTHROID · TRADJENTA · TRELEGY ELLIPTA · TRIJARDY XR · TRINTELLIX · TRULICITY · Tresiba · Tymlos · UBRELVY · VOQUEZNA · VRAYLAR · Vascepa · Veozah · WATCHMAN Access System · WATCHMAN FLX · WELLBUTRIN · Wegovy · XARELTO · XIFAXAN · Xhance · Xofluza
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for registered nurse in FL.
Equivalent to $187 per 100 Medicare services performed
Geographic Context
Registered nurses within 10 mi
124
Per 100K population
32.0
County median income
$86,173
Nearest hospital
NAPLES COMMUNITY HOSPITAL
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. Spiller is a clinical cardiology specialist, with above-average Medicare volume (top 1% in FL), with low-engagement industry engagement in the top 2% 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. Spiller experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Spiller performed 936 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. Spiller receive payments from pharmaceutical companies?
Yes. Dr. Spiller received a total of $8,330 from 53 companies across 469 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. Spiller's costs compare to other registered nurses in Naples?
Dr. Spiller's average Medicare payment per service is $37. 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. Spiller) 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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