Medicare Enrolled
Dr. Daniel Layish, M.D.
Internal Medicine · Orlando, 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. Layish 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. Layish
Dr. Daniel Layish is an internal medicine specialist in Orlando, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Layish performed 5,529 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Layish received a total of $81,406 from 69 pharmaceutical and/or device companies across 708 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. Layish 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.
✓ 20 years of NPI registration
▲ Top 7% volume in FL
$81,406 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 | 72566 | 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 ↗5,529
Medicare services
Top 7% in FL for internal medicine
Not available
Unique patients (not deduplicated)
$63
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 |
|---|---|---|---|
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
1,468 | $62 | $130 |
| 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. |
624 | $94 | $190 |
| 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. |
604 | $64 | $160 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
493 | $20 | $95 |
| 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. |
398 | $137 | $405 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
391 | $24 | $95 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
338 | $42 | $150 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
334 | $40 | $210 |
| 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. |
312 | $39 | $101 |
| 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. |
109 | $118 | $265 |
| 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. |
95 | $103 | $275 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
77 | $65 | $570 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
70 | $36 | $200 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
66 | $94 | $209 |
| Bronchial irrigation and suction for cell collection This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing. |
39 | $97 | $589 |
| Home sleep test with portable monitor An unattended sleep study performed at home using a portable monitor that records breathing, heart rate, and oxygen levels. |
23 | $61 | $450 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
19 | $86 | $497 |
| Exercise-induced lung stress test A test performed to evaluate how the lungs function during physical exertion. It helps identify breathing difficulties or lung conditions that occur specifically when exercising. |
16 | $26 | $120 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
16 | $66 | $140 |
| 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. |
13 | $68 | $186 |
| Chest X-ray, 1 view An X-ray image of the chest taken from a single angle. This imaging test is used to visualize the structures within the chest cavity. |
12 | $20 | $65 |
| Inhalation treatment for airway obstruction or sputum production A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production. |
12 | $7 | $55 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$81,406
Total received (2018-2024)
Avg $11,629/year across 7 years
Top 1% in FL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
69
Companies
708
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
$1,724
2023
$1,266
2022
$2,203
2021
$6,009
2020
$15,960
2019
$29,109
2018
$25,134
Payments by company (2024)
Actelion Pharmaceuticals US, Inc.
$337
Boehringer Ingelheim Pharmaceuticals, Inc.
$179
GlaxoSmithKline, LLC.
$158
Medtronic, Inc.
$157
Insmed, Inc.
$108
HARMONY BIOSCIENCES LLC
$96
ABBVIE INC.
$91
GENZYME CORPORATION
$88
Vifor Pharma, Inc.
$71
JAZZ PHARMACEUTICALS INC.
$63
AIMMUNE THERAPEUTICS, INC.
$61
Avadel CNS Pharmaceuticals, LLC
$44
Bayer Healthcare Pharmaceuticals Inc.
$31
VERTEX PHARMACEUTICALS INCORPORATED
$28
United Therapeutics Corporation
$28
Digestive Care, Inc.
$28
Electromed, Inc.
$23
Takeda Pharmaceuticals U.S.A., Inc.
$23
CSL Behring
$20
Philips North America LLC
$18
Harmony Biosciences Llc
$15
Resmed Corp
$15
Grifols USA, LLC
$14
Baxter Healthcare
$14
AstraZeneca Pharmaceuticals LP
$13
Top 3 companies account for 39.1% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$14,163
Grifols USA, LLC
$12,175
Genentech USA, Inc.
$11,761
Bayer HealthCare Pharmaceuticals Inc.
$9,710
Mylan Specialty L.P.
$5,020
Boehringer Ingelheim Pharmaceuticals, Inc.
$4,374
ViiV Healthcare Company
$4,240
Philips Electronics North America Corporation
$3,022
Actelion Pharmaceuticals US, Inc.
$2,899
Jazz Pharmaceuticals Inc.
$2,328
La Jolla Pharmaceutical Company
$1,427
Genentech, Inc.
$1,173
JAZZ PHARMACEUTICALS INC.
$1,123
Allergan, Inc.
$1,000
Gilead Sciences, Inc.
$624
Shire North American Group Inc
$558
Insmed, Inc.
$548
United Therapeutics Corporation
$355
Harmony Biosciences LLC
$339
GENZYME CORPORATION
$337
Novartis Pharmaceuticals Corporation
$281
Merck Sharp & Dohme Corporation
$249
AstraZeneca Pharmaceuticals LP
$248
PORTOLA PHARMACEUTICALS, INC.
$241
CHIESI USA, INC.
$238
Advanced Respiratory, Inc
$190
ABBVIE INC.
$189
Nestle HealthCare Nutrition Inc.
$188
Chiesi USA, Inc.
$188
Medtronic, Inc.
$157
Inari Medical, Inc.
$138
Vertex Pharmaceuticals Incorporated
$137
HARMONY BIOSCIENCES LLC
$126
Smith & Nephew, Inc.
$107
ALCRESTA THERAPEUTICS, INC.
$106
Regeneron Healthcare Solutions, Inc.
$106
Electromed, Inc.
$99
AbbVie Inc.
$91
BREATHE TECHNOLOGIES, INC.
$91
Medtronic Vascular, Inc.
$81
Sunovion Pharmaceuticals Inc.
$75
Takeda Pharmaceuticals U.S.A., Inc.
$75
Vifor Pharma, Inc.
$71
Breathe Technologies, Inc.
$70
AIMMUNE THERAPEUTICS, INC.
$61
PFIZER INC.
$50
VERTEX PHARMACEUTICALS INCORPORATED
$50
Vapotherm Inc
$48
Paratek Pharmaceuticals, Inc.
$45
Avadel CNS Pharmaceuticals, LLC
$44
Merck Sharp & Dohme LLC
$40
NESTLE HEALTHCARE NUTRITION INC.
$40
CSL Behring
$35
Bayer Healthcare Pharmaceuticals Inc.
$31
Digestive Care, Inc.
$28
ADVANCED RESPIRATORY, INC
$20
Melinta Therapeutics, Inc.
$19
Philips North America LLC
$18
Mallinckrodt LLC
$18
Allergan Inc.
$16
Harmony Biosciences Llc
$15
Resmed Corp
$15
PARI RESPIRATORY EQUIPMENT, INC.
$15
Breas Medical, Inc.
$15
Nabriva Therapeutics, plc
$14
Baxter Healthcare
$14
Fisher & Paykel Healthcare Inc
$13
Sandoz Inc.
$13
Phadia US Inc.
$11
Top 3 companies account for 46.8% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · (AK6) Vest Therapy · ACTHAR · AIRSENSE · ANDEXXA · ANORO · ARALAST · Actemra · Adempas · Arikayce · BETHKIS · BEVYXXA · BOTOX · BREZTRI · BRONCHITOL · Baxdela · CHANTIX · CREON · CUROSURF · Cayston · DUPIXENT · ELIQUIS · Esbriet · FASENRA · FLOWTRIEVER CATHETER · GIAPREZA · GLASSIA · HAWKONE · HawkOne · Hillrom - Monarch Airway Clearance System · IMFINZI · ImmunoCAP · Kcentra · Kitabis Pak · LIFE2000 · LONHALA MAGNAIR · LUMRYZ · Life2000 Ventilation System · NUCALA · NUZYRA · OFEV · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · Obstructive Sleep Apnea Device or Hospital Respiratory Equipment · PERTZYE · PICO · Pertzye · Precision Flow · Prolastin-C · Prolastin-C Liquid · Pulmozyme · RELIZORB · REMODULIN · Respiratoriy Care Undiv · S · SMARTVEST · SPIRIVA · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · TEFLARO · TEZSPIRE · TOBI Podhaler · TRELEGY ELLIPTA · TREPROSTINIL · TRIKAFTA · TYVASO · The MetaNeb System · The Monarch Airway Clearance System · The Vest System Model 105 Home Care · Tobi Podhaler · Trilogy 100 · UPTRAVI · Utibron · VAPOTHERM · Veklury · Vivo 45 LS · WAKIX · Wakix · Wellcentive Undiv · XOLAIR · XYREM · XYWAV · Xenleta · Xofluza · Xolair · YUPELRI · Yupelri · ZENPEP · ZERBAXA · Zemaira · inCourage
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
Internal medicine physicians in nearby ZIP areas
1,176
County median income
$77,011
Nearest hospital to ZIP centroid (approximate)
ADVENTHEALTH ORLANDO
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. Layish is a clinical cardiology specialist, with above-average Medicare volume (top 7% in FL), with 20 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. Layish experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Layish performed 1,468 hospital follow-up visit, moderate complexity 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. Layish receive payments from pharmaceutical companies?
Yes. Dr. Layish received a total of $81,406 from 69 companies across 708 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. Layish's costs compare to other internal medicine physicians in Orlando?
Dr. Layish'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. Layish) 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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