Medicare Enrolled

Dr. Michele Hornstein, DO

Family Medicine · Ocala, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
9401 SW HIGHWAY 200 STE 6001, Ocala, FL 34481
3522911300
In practice since 2006 (19 years)
NPI: 1972542256 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. Hornstein 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. Hornstein? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Hornstein

Dr. Michele Hornstein is a family medicine in Ocala, FL, with 19 years in practice. Based on federal Medicare data, Dr. Hornstein performed 1,070 Medicare services across 785 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hornstein received a total of $10,114 from 45 pharmaceutical and/or device companies across 368 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Hornstein 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 33% volume in FL$ $10,114 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,070
Medicare services
Top 33% in FL for family medicine
785
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~56 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)443$78$381
Office visit, established patient (20-29 min)200$61$270
Flu vaccine administration68$30$92
Steroid injection (triamcinolone)56$1$3
New patient office visit (45-59 min)50$85$498
Flu vaccine, high-dose43$70$210
Annual wellness visit, follow-up38$127$383
Annual depression screening32$18$55
Annual alcohol misuse screening, 5 to 15 minutes29$18$55
Advance care planning consultation, first 30 min25$78$249
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional17$17$68
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage16$22$65
Joint injection, major joint14$51$217
Automated urinalysis14$2$7
Urinalysis, manual13$3$11
Transitional care management services for problem of high complexity12$202$821
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 ↗
$10,114
Total received (2018-2024)
Avg $1,445/year across 7 years
Top 4% in FL for family medicine
45
Companies
368
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
$10,016 (99.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$98 (1.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,106
2023
$1,735
2022
$1,953
2021
$2,040
2020
$892
2019
$618
2018
$770

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$1,570
ABBVIE INC.
$1,404
Amgen Inc.
$1,190
AstraZeneca Pharmaceuticals LP
$976
Lilly USA, LLC
$757
AbbVie Inc.
$669
Lundbeck LLC
$480
Biohaven Pharmaceuticals, Inc.
$298
Novartis Pharmaceuticals Corporation
$290
Boehringer Ingelheim Pharmaceuticals, Inc.
$235
GlaxoSmithKline, LLC.
$191
SANOFI-AVENTIS U.S. LLC
$169
Biohaven Pharmaceutical Holding Company Ltd.
$153
PFIZER INC.
$144
IDORSIA PHARMACEUTICALS US INC
$143
Ipsen Biopharmaceuticals, Inc
$125
EISAI INC.
$113
Allergan, Inc.
$101
E.R. Squibb & Sons, L.L.C.
$99
Corium, LLC
$91
Exact Sciences Corporation
$86
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$85
Merck Sharp & Dohme Corporation
$72
Allergan Inc.
$70
Astellas Pharma US Inc
$70
Amarin Pharma Inc.
$60
Otsuka America Pharmaceutical, Inc.
$49
Sunovion Pharmaceuticals Inc.
$43
Xeris Pharmaceuticals, Inc.
$40
Nestle HealthCare Nutrition Inc.
$37
Philips Electronics North America Corporation
$34
Bayer HealthCare Pharmaceuticals Inc.
$31
Eisai Inc.
$26
Boston Scientific Corporation
$25
Esperion Therapeutics, Inc.
$22
Lexicon Pharmaceuticals, Inc.
$21
Mylan Specialty L.P.
$20
AbbVie, Inc.
$19
Teva Pharmaceuticals USA, Inc.
$18
BIOTRONIK INC.
$18
Janssen Pharmaceuticals, Inc
$17
Merck Sharp & Dohme LLC
$16
KVK-Tech, Inc.
$15
Bayer Healthcare Pharmaceuticals Inc.
$14
Takeda Pharmaceuticals U.S.A., Inc.
$11
Top 3 companies account for 41.2% of total payments
Associated products mentioned in payments ›
(7999) SRC Undivided · AIRSUPRA · AMYVID · ANORO · AREXVY · AUSTEDO · Adlarity · Aimovig · BASAGLAR · BELSOMRA · BREZTRI · BRILINTA · BYDUREON · CREON · Cologuard Collection Kit · Corlanor · Creon · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · GVOKE HYPOPEN · GVOKE PFS · Inpefa · JANUVIA · JARDIANCE · Kerendia · LATUDA · LEQVIO · LINZESS · Levemir · MOUNJARO · MYRBETRIQ · NEXLETOL · NUEDEXTA · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PREMARIN · QULIPTA · QUVIVIQ · REXULTI · REYVOW · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SYNTHROID · Somatuline Depot · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · VIBERZI · VIIBRYD · VRAYLAR · VYEPTI · VYVANSE · Vascepa · Veozah · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · Yupelri · ZENPEP · ZEPOSIA
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for family medicine in FL.

Equivalent to $945 per 100 Medicare services performed
Looking for a family medicine in Ocala?
Compare family medicines in the Ocala area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family Medicines within 10 mi
184
Per 100K population
47.5
County median income
$58,535
Nearest hospital
ADVENTHEALTH OCALA
6.3 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. Hornstein is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 4%), 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. Hornstein experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hornstein performed 443 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. Hornstein receive payments from pharmaceutical companies?
Yes. Dr. Hornstein received a total of $10,114 from 45 companies across 368 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. Hornstein's costs compare to other family medicines in Ocala?
Dr. Hornstein's average Medicare payment per service is $63. 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. Hornstein) 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 →