Medicare Enrolled
Dr. Paul Richard, MD
Neurological Surgery · Naples, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 17 years of NPI registration. Based on federal Medicare data, Dr. Richard performed 1,509 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Richard received a total of $7,804 from 33 pharmaceutical and/or device companies across 97 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years of NPI registration
▲ 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 — 2023
Medicare Utilization ↗1,509
Medicare services
Top 4% in FL for neurological surgery
Not available
Unique patients (not deduplicated)
$260
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
| 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. |
40 | $28 | $642 |
| 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 |
| 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. These counts do not measure clinical quality or years of experience.
16.7% high complexity
3.6% medium
79.7% 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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
97
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
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)
Arthrex, Inc.
$205
Organogenesis Inc.
$105
AstraZeneca Pharmaceuticals LP
$81
Nevro Corp.
$61
Stryker Corporation
$28
Lundbeck LLC
$24
Eisai Inc.
$23
Kerecis Limited
$23
Top 3 companies account for 71.0% of 2024 payments
All-time payments by company (2018-2024) ›
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 all-time 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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Neurological surgerists in nearby ZIP areas
30
County median income
$86,173
Nearest hospital to ZIP centroid (approximate)
PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Richard is a clinical cardiology specialist, with above-average Medicare volume (top 4% in FL), with 17 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Richard receive payments from pharmaceutical companies?
Yes. Dr. Richard received a total of $7,804 from 33 companies across 97 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 $260. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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