Medicare Enrolled
Dr. David Bargnesi, MD
Urology Physician · Orange Park, 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. Bargnesi 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. Bargnesi
Dr. David Bargnesi is an urology physician in Orange Park, FL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Bargnesi performed 6,699 Medicare services across 2,441 unique beneficiaries.
Between the years covered by Open Payments, Dr. Bargnesi received a total of $3,863 from 39 pharmaceutical and/or device companies across 187 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. 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. Bargnesi 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.
✓ 17 years in practice
▲ Top 18% volume in FL
$3,863 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 | 105906 | Clear | January 31, 2028 | — |
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 ↗6,699
Medicare services
Top 18% in FL for urology physician
2,441
Unique beneficiaries
$31
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~394 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 |
|---|---|---|---|
| Injection, degarelix, 1 mg | 2,960 | $3 | $10 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
959 | $4 | $10 |
| 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. |
748 | $64 | $287 |
| 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. |
430 | $92 | $406 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
203 | $39 | $251 |
| Limited ultrasound of pelvis A focused ultrasound exam of the pelvic area to evaluate specific structures. This procedure provides images of the pelvis to assist in medical assessment. |
173 | $35 | $149 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
148 | $8 | $60 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
146 | $183 | $739 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
119 | $14 | $70 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
118 | $78 | $355 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 117 | $134 | $604 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
57 | $26 | $101 |
| Fitting and insertion of vaginal support device A procedure to measure, fit, and insert a device designed to support vaginal structures. |
56 | $56 | $237 |
| 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. |
56 | $103 | $427 |
| Injection, garamycin, gentamicin, up to 80 mg | 46 | $2 | $10 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
39 | $44 | $200 |
| 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. |
38 | $137 | $626 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
32 | $38 | $120 |
| 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. |
29 | $114 | $530 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
27 | $104 | $430 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
26 | $6 | $45 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
24 | $25 | $204 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
24 | $142 | $565 |
| 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. |
23 | $10 | $44 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
22 | $45 | $182 |
| Complex urodynamic pressure measurement A test that measures the pressure of urine flow in the bladder along with urethral and voiding pressures. |
21 | $297 | $1,242 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
17 | $52 | $288 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
16 | $25 | $175 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
14 | $176 | $795 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
11 | $40 | $175 |
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 ↗$3,863
Total received (2018-2024)
Avg $552/year across 7 years
Top 48% in FL for urology physician
39
Companies
187
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
$3,862 (100.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1 (0.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$548
2023
$578
2022
$477
2021
$527
2020
$353
2019
$585
2018
$795
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Astellas Pharma US Inc
$1,132
PFIZER INC.
$439
Coloplast Corp
$267
Boston Scientific Corporation
$200
Calyxo, Inc.
$141
AbbVie Inc.
$137
Janssen Biotech, Inc.
$133
Axonics, Inc.
$115
180 Medical, Inc.
$112
AbbVie, Inc.
$94
TOLMAR Pharmaceuticals, Inc.
$82
ABBVIE INC.
$74
Bayer HealthCare Pharmaceuticals Inc.
$67
Tolmar, Inc.
$67
Melinta Therapeutics, Inc.
$67
Ferring Pharmaceuticals Inc.
$62
Rochester Medical Corporation
$57
Allergan Inc.
$57
Novartis Pharmaceuticals Corporation
$47
Teleflex LLC
$46
MEDIVATION FIELD SOLUTIONS LLC
$43
Myovant Sciences Inc.
$41
Amgen Inc.
$38
Davol Inc.
$37
NeoTract Inc.
$33
Medtronic, Inc.
$32
LSI SOLUTIONS INC
$29
Endo Pharmaceuticals Inc.
$29
Allergan, Inc.
$25
Cook Medical LLC
$23
Bayer Healthcare Pharmaceuticals Inc.
$21
UROVANT SCIENCES INC
$19
ROCHESTER MEDICAL CORPORATION
$19
COLOPLAST CORP
$17
Sumitomo Pharma America, Inc.
$15
Medtronic USA, Inc.
$15
C. R. BARD, INC. & SUBSIDIARIES
$15
Avadel Specialty Pharmaceuticals, LLC
$14
Retrophin, Inc.
$1
Top 3 companies account for 47.6% of total payments
Associated products mentioned in payments ›
(815) Thiola · ADSTILADRIN · ALTIS · AVEED · AXIS · Androgel · Axonics · BOTOX · BOTOX THERAPEUTIC · Bulkamid · COOK MEDICAL STENTS · CVAC ASPIRATION SYSTEM · ELIGARD · ERLEADA · Erleada · FIRMAGON · GEMTESA · GENTLECATH · GentleCath · INTERSTIM · INTERSTIM ICON · JNW URTRAC · LUPRON DEPOT · LithoVue · Lupron · Lupron Depot · MYRBETRIQ · Myrbetriq · Noctiva · Nubeqa · ORGOVYX · PLUVICTO · Progel · Prolia · Rezum Generator · SpeediCath · TOVIAZ · Titan · UROLIFT · UroLift · Vabomere · XGEVA · XIAFLEX · XTANDI · Xtandi
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 $58 per 100 Medicare services performed
Geographic Context
Urology physicians within 10 mi
72
Per 100K population
32.2
County median income
$86,094
Nearest hospital
HCA FLORIDA ORANGE PARK 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. Bargnesi is a clinical cardiology specialist, with above-average Medicare volume (top 18% in FL), with low-engagement industry engagement, with 17 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. Bargnesi experienced with injection, degarelix, 1 mg?
Based on Medicare claims data, Dr. Bargnesi performed 2,960 injection, degarelix, 1 mg 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. Bargnesi receive payments from pharmaceutical companies?
Yes. Dr. Bargnesi received a total of $3,863 from 39 companies across 187 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. Bargnesi's costs compare to other urology physicians in Orange Park?
Dr. Bargnesi's average Medicare payment per service is $31. 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. Bargnesi) 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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