Medicare Enrolled

Dr. Daniel Layish, M.D.

Internal Medicine · Orlando, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
1115 E. RIDGEWOOD STREET, Orlando, FL 32803
4078411100
In practice since 2006 (20 years)
NPI: 1659350320 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. 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 →
Are you Dr. Layish? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Layish

Dr. Daniel Layish is an internal medicine in Orlando, FL, with 20 years in practice. Based on federal Medicare data, Dr. Layish performed 5,529 Medicare services across 3,884 unique beneficiaries.

Between the years covered by Open Payments, Dr. Layish received a total of $81,406 from 69 pharmaceutical and/or device companies across 708 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Layish 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.

✓ 20 years in practice▲ Top 7% volume in FL$ $81,406 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,529
Medicare services
Top 7% in FL for internal medicine
3,884
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~276 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
Hospital follow-up visit, moderate complexity1,468$62$130
Office visit, established patient (30-39 min)624$94$190
Office visit, established patient (20-29 min)604$64$160
Test to measure expiratory airflow and volume493$20$95
Initial hospital admission, high complexity398$137$405
Chest X-ray, 2 views391$24$95
Test to examine how well the lungs exchange gases338$42$150
Test to determine lung volumes using sensors334$40$210
Hospital follow-up visit, low complexity312$39$101
New patient office visit (45-59 min)109$118$265
Initial hospital admission, moderate complexity95$103$275
CT scan of chest, without contrast77$65$570
Bone density scan (DEXA)70$36$200
Hospital follow-up visit, high complexity66$94$209
Irrigation and suction of lung airways to obtain cells using an endoscope39$97$589
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation23$61$450
Aspiration of fluid from chest cavity using imaging guidance19$86$497
Test for exercise-induced lung stress16$26$120
Telephone medical discussion with physician, 11-20 minutes16$66$140
New patient office visit (30-44 min)13$68$186
Chest X-ray, 1 view12$20$65
Inhalation treatment for airway obstruction or sputum production12$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. A higher procedure volume generally indicates more experience with that procedure.

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
69
Companies
708
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
$61,577 (75.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,150 (16.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$5,679 (7.0%)
Scientific / Research
Research funding and grants
$1,000 (1.2%)

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)

Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 (76%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for internal medicine in FL.

Equivalent to $1,472 per 100 Medicare services performed
Looking for a internal medicine in Orlando?
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Geographic Context

Internal Medicines within 10 mi
1,176
Per 100K population
81.6
County median income
$77,011
Nearest hospital
ADVENTHEALTH ORLANDO
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. Layish is a clinical cardiology specialist, with above-average Medicare volume (top 7% in FL), and high industry engagement (speaking/promotional, top 1%), with 20 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. 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. 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. Layish receive payments from pharmaceutical companies?
Yes. Dr. Layish received a total of $81,406 from 69 companies across 708 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. Layish's costs compare to other internal medicines 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 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 →