Medicare Enrolled

Dr. Nimesh Dayal, MD

Rheumatology · Ocoee, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
1550 CITRUS MEDICAL CT, Ocoee, FL 34761
4077570277
In practice since 2007 (18 years)
NPI: 1215145636 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. Dayal 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. Dayal

Dr. Nimesh Dayal is a rheumatology in Ocoee, FL, with 18 years in practice. Based on federal Medicare data, Dr. Dayal performed 130,763 Medicare services across 575 unique beneficiaries.

Between the years covered by Open Payments, Dr. Dayal received a total of $440,964 from 43 pharmaceutical and/or device companies across 2271 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in rheumatology. 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. Dayal 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.

✓ 18 years in practice▲ Top 18% volume in FL$ $440,964 industry payments

Medicare Practice Summary

Medicare Utilization ↗
130,763
Medicare services
Top 18% in FL for rheumatology
575
Unique beneficiaries
$7
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~7,265 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
Certolizumab injection (Cimzia)83,200$4$10
Tocilizumab injection (Actemra)35,219$5$8
Abatacept infusion (Orencia)7,125$34$70
Denosumab injection (Prolia/Xgeva)3,480$19$28
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle655$55$237
Office visit, established patient (30-39 min)544$89$321
Administration of chemotherapy into vein, 1 hour or less208$99$423
Complete ultrasound scan of joint178$42$150
New patient office visit, complex (60-74 min)58$142$434
Steroid injection (triamcinolone)41$1$25
Office visit, established patient (20-29 min)39$63$218
Joint injection, major joint16$49$185
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.
5.4% high complexity
94.1% medium
0.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$440,964
Total received (2018-2024)
Avg $62,995/year across 7 years
Top 3% in FL for rheumatology
43
Companies
2,271
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
$394,435 (89.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$23,572 (5.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$22,957 (5.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$58,122
2023
$89,628
2022
$55,917
2021
$24,226
2020
$24,695
2019
$43,743
2018
$144,632

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AbbVie Inc.
$125,281
ABBVIE INC.
$97,685
Celgene Corporation
$75,955
AbbVie, Inc.
$67,325
Amgen Inc.
$24,915
Novartis Pharmaceuticals Corporation
$18,424
Regeneron Pharmaceuticals, Inc.
$6,099
Janssen Biotech, Inc.
$4,716
UCB, Inc.
$4,320
AstraZeneca Pharmaceuticals LP
$2,813
Horizon Therapeutics plc
$1,839
Janssen Scientific Affairs, LLC
$1,669
PFIZER INC.
$1,419
GENZYME CORPORATION
$1,168
Lilly USA, LLC
$1,116
GlaxoSmithKline, LLC.
$922
Genentech USA, Inc.
$841
E.R. Squibb & Sons, L.L.C.
$734
SOBI, INC
$706
Aurinia Pharma U.S., Inc.
$427
Horizon Pharma plc
$353
Boehringer Ingelheim Pharmaceuticals, Inc.
$314
Radius Health, Inc.
$313
Mallinckrodt Hospital Products Inc.
$223
SANOFI-AVENTIS U.S. LLC
$199
Mallinckrodt Enterprises LLC
$196
Janssen Pharmaceuticals, Inc
$185
Gilead Sciences, Inc.
$149
Mallinckrodt LLC
$139
Daiichi Sankyo Inc.
$125
Fresenius Kabi USA, LLC
$68
Sandoz Inc.
$67
Sobi, Inc
$49
Takeda Pharmaceuticals U.S.A., Inc.
$38
Antares Pharma, Inc.
$30
Organon Llc
$23
Fidia Pharma USA Inc.
$21
ANI Pharmaceuticals, Inc.
$20
Actelion Pharmaceuticals US, Inc.
$18
Kyowa Kirin, Inc.
$17
Ultragenyx Pharmaceutical Inc.
$15
Ironwood Pharmaceuticals, Inc
$12
MEDAC PHARMA, INC.
$12
Top 3 companies account for 67.8% of total payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · Actemra · BENLYSTA · Bimzelx · COSENTYX · CYLTEZO · Cimzia · DUEXIS · DUZALLO · EVENITY · EVUSHELD · Enbrel · FASENRA · HUMIRA · HYMOVIS · HYRIMOZ · Humira · IDACIO · ILARIS · INFLECTRA · INJECTAFER · KEVZARA · KEVZARA SARILUMAB INJECTION · KINERET · KRYSTEXXA · Kineret · LUPKYNIS · NUCALA · OFEV · OPSUMIT · ORENCIA · Otezla · Otrexup · PURIFIED CORTROPHIN GEL · Prolia · RAYOS · REMICADE · RENFLEXIS · RHEUMATOID ARTHRITIS DISEASE · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SIMPONI · SIMPONI ARIA · SKYRIZI · STELARA · SYNAGIS · Synagis · TALTZ · TAVNEOS · TEPEZZA · TREMFYA · Tavneos · Tymlos · Uloric · XELJANZ · Xolair
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 (89%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in rheumatology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for rheumatology in FL.

Equivalent to $337 per 100 Medicare services performed
Looking for a rheumatology in Ocoee?
Compare rheumatologys in the Ocoee area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Rheumatologys within 10 mi
42
Per 100K population
2.9
County median income
$77,011
Nearest hospital
ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL
0.0 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. Dayal is a mixed practice specialist, with above-average Medicare volume (top 18% in FL), and high industry engagement (speaking/promotional, top 3%), with 18 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. Dayal experienced with certolizumab injection (cimzia)?
Based on Medicare claims data, Dr. Dayal performed 83,200 certolizumab injection (cimzia) 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. Dayal receive payments from pharmaceutical companies?
Yes. Dr. Dayal received a total of $440,964 from 43 companies across 2,271 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. Dayal's costs compare to other rheumatologys in Ocoee?
Dr. Dayal's average Medicare payment per service is $7. 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. Dayal) 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 →