Medicare Enrolled
Dr. Paul Richard, MD
Neurological Surgery · 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. Richard 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. Richard?
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What this data tells you about Dr. Richard
Dr. Paul Richard is a neurological surgery specialist in Naples, FL, with 16 years of NPI registration. Based on federal Medicare data, Dr. Richard performed 1,492 Medicare services across 1,144 unique beneficiaries.
Between the years covered by Open Payments, Dr. Richard received a total of $7,804 from 33 pharmaceutical and/or device companies across 97 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. 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. Richard 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.
✓ 16 years in practice
▲ Top 4% volume in FL
$7,804 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 |
|---|---|---|---|---|
| Medical Doctor | 123358 | Clear | January 31, 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 ↗1,492
Medicare services
Top 4% in FL for neurological surgery
1,144
Unique beneficiaries
$263
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~93 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. |
644 | $102 | $250 |
| New patient office visit, complex (60-74 min) | 222 | $177 | $488 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
97 | $233 | $3,633 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
61 | $42 | $150 |
| 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. |
39 | $136 | $337 |
| Occlusion of central nervous system or spinal cord artery | 38 | $1,006 | $16,008 |
| Blood vessel imaging Imaging test to visualize the blood vessels. |
38 | $79 | $1,121 |
| Arterial catheter insertion, initial third order branch Insertion of a tube into a small artery in the chest or arm. This is the first catheter placed in a specific third-order branch of the artery. |
36 | $172 | $23,056 |
| Anterior lumbar interbody fusion with partial disc removal A surgical procedure to fuse the lower spine bones by accessing the area through the abdomen and partially removing a spinal disc. |
34 | $824 | $21,293 |
| Radiologist review of image for embolization A radiologist reviews medical images to guide the insertion of material designed to block blood flow. |
32 | $61 | $946 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
32 | $143 | $480 |
| Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | 24 | $360 | $5,532 |
| Computer-assisted spinal procedure A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution. |
23 | $213 | $3,363 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
23 | $41 | $642 |
| Anterior spinal fusion with partial disc removal, each additional disc This procedure involves fusing spine bones together through an incision in the front of the body, with partial removal of the disc, for each additional disc treated. |
19 | $288 | $4,656 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
18 | $1,541 | $24,220 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
18 | $108 | $329 |
| Spinal fracture stabilization with imaging guidance A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment. |
16 | $4,648 | $25,000 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
15 | $691 | $10,693 |
| 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. |
15 | $74 | $169 |
| Spinal fusion, up to 6 vertebrae Surgical procedure to join two or more vertebrae in the spine to correct deformity. The operation involves fusing up to six bones through an incision in the back. |
13 | $869 | $18,565 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
12 | $405 | $25,000 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
12 | $684 | $10,722 |
| Fusion of spine in lower back | 11 | $1,411 | $22,201 |
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.
16.9% high complexity
3.6% medium
79.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,804
Total received (2018-2024)
Avg $1,115/year across 7 years
Top 42% in FL for neurological surgery
33
Companies
97
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
$7,786 (99.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$549
2023
$4,056
2022
$325
2021
$586
2020
$369
2019
$585
2018
$1,335
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Alphatec Spine, Inc
$3,838
NuVasive, Inc.
$1,452
DePuy Synthes Sales Inc.
$373
Medtronic USA, Inc.
$352
Medtronic, Inc.
$241
Arthrex, Inc.
$205
Integrity Implants Inc.
$164
Organogenesis Inc.
$105
Medtronic Vascular, Inc.
$102
AstraZeneca Pharmaceuticals LP
$81
SI-BONE, INC.
$80
Kuros Biosciences USA, Inc
$77
Nevro Corp.
$75
Stryker Corporation
$63
Radius Health, Inc.
$57
Abbott Laboratories
$52
Eisai Inc.
$51
Integra LifeSciences Corporation
$40
ABBVIE INC.
$39
SEASPINE ORTHOPEDICS CORPORATION
$38
Mazor Robotics Inc.
$37
Terumo Medical Corporation
$35
Novartis Pharmaceuticals Corporation
$31
Medacta USA, Inc.
$28
Carlsmed, Inc.
$26
Baxter Healthcare
$25
Lundbeck LLC
$24
Kerecis Limited
$23
Zimmer Biomet Holdings, Inc.
$21
Vertos Medical, Inc.
$20
Spineology Inc.
$18
Acorda Therapeutics, Inc
$18
Amgen Inc.
$13
Top 3 companies account for 72.6% of total payments
Associated products mentioned in payments ›
7D Surgical System · AIMOVIG · ALIF · ANDEXXA · ATLAS · AngioSeal · Archon · BASE · BOTOX · Biomet SpinalPak · CODMAN CERTAS · CareLink · EVENITY · EXPAREL · EXPEDIUM · FLOSEAL · IFUSE IMPLANT · INBRIJA · INFINITY OCT System · INTELLIS · Kerecis Omega3 SurgiClose · Leqembi · MAGNIFUSE BONE GRAFT · MICRUSFRAME · MRI Ready Leads · MUST · MazorX - Renaissance · MazorX Renaissance · Modulus · NUSHIELD · NVM5 · Osteocel · Other - Miscellaneous · PRESTIGE · PROCLAIM · Pipeline · Proclaim Family of SCS IPGs · RELINE · Rampart Duo Interbody Fusion System · SPY-PHI SYSTEM · Senza · TLIF · Tymlos · UNID_PASS · UNIVERSAL NEURO 3 · VIVIGEN MIS DELIVERY SYSTEM · VYEPTI · XLIF · aprevo · 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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $523 per 100 Medicare services performed
Geographic Context
Neurological surgerists within 10 mi
30
Per 100K population
7.7
County median income
$86,173
Nearest hospital
PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
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. Richard is a clinical cardiology specialist, with above-average Medicare volume (top 4% in FL), with low-engagement industry engagement, with 16 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. Richard experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Richard performed 644 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. Richard receive payments from pharmaceutical companies?
Yes. Dr. Richard received a total of $7,804 from 33 companies across 97 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. Richard's costs compare to other neurological surgerists in Naples?
Dr. Richard's average Medicare payment per service is $263. 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. Richard) 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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