Medicare Enrolled
Dr. Javier Placer, M.D.
Spinal Cord Injury Medicine Physician · Orlando, 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. Placer 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. Placer?
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What this data tells you about Dr. Placer
Dr. Javier Placer is a spinal cord injury medicine physician in Orlando, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Placer performed 8,127 Medicare services across 2,566 unique beneficiaries.
Between the years covered by Open Payments, Dr. Placer received a total of $16,275 from 51 pharmaceutical and/or device companies across 726 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in spinal cord injury medicine 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. Placer 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 50% volume in FL
$16,275 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,127
Medicare services
Top 50% in FL for spinal cord injury medicine physician
2,566
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~428 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 |
|---|---|---|---|
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
2,653 | $83 | $360 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
2,449 | $58 | $274 |
| 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. |
1,533 | $91 | $512 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
420 | $0 | $100 |
| 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. |
173 | $121 | $675 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
122 | $188 | $1,043 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
107 | $140 | $658 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
84 | $34 | $140 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
82 | $194 | $1,316 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
82 | $101 | $688 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
56 | $326 | $1,789 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
56 | $184 | $980 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
46 | $54 | $305 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
42 | $194 | $1,357 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
42 | $104 | $688 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
41 | $150 | $921 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
37 | $190 | $1,060 |
| Initial nursing facility care, moderate complexity Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes. |
33 | $105 | $512 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
27 | $223 | $1,513 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
21 | $333 | $1,774 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
21 | $196 | $1,040 |
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 ↗$16,275
Total received (2018-2024)
Avg $2,325/year across 7 years
Top 22% in FL for spinal cord injury medicine physician
51
Companies
726
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
$12,494 (76.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,781 (23.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,009
2023
$1,602
2022
$4,903
2021
$3,186
2020
$1,212
2019
$1,457
2018
$2,906
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Horizon Therapeutics plc
$3,944
PAINTEQ LLC
$2,968
Abbott Laboratories
$2,778
Curonix LLC
$586
Daiichi Sankyo Inc.
$536
Radius Health, Inc.
$502
Collegium Pharmaceutical, Inc.
$482
Vertos Medical, Inc.
$475
Egalet US Inc
$444
Zyla Life Sciences
$436
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$367
SCILEX PHARMACEUTICALS INC.
$293
Zyla Life Sciences, Inc.
$256
Scilex Pharmaceuticals Inc.
$227
ABBVIE INC.
$200
Nutech Spine, Inc.
$194
Boston Scientific Corporation
$177
PFIZER INC.
$168
Janssen Pharmaceuticals, Inc
$123
BioDelivery Sciences International, Inc.
$83
Kowa Pharmaceuticals America, Inc.
$82
Assertio Therapeutics, Inc.
$80
SPR Therapeutics, Inc
$75
Horizon Pharma plc
$71
Pernix Therapeutics Holdings, Inc.
$59
NeuroMetrix Inc
$58
ARBOR PHARMACEUTICALS, INC.
$41
Vertical Pharmaceuticals, LLC
$38
Takeda Pharmaceuticals U.S.A., Inc.
$35
Medtronic, Inc.
$35
SI-BONE, Inc.
$34
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$31
PROTEGA PHARMACEUTIALS INC
$30
Amgen Inc.
$30
Nevro Corp.
$30
Novartis Pharmaceuticals Corporation
$30
Stimwave Technologies Incorporated
$29
Lilly USA, LLC
$28
Integra LifeSciences Corporation
$27
MDD US Operations, LLC
$24
Nalu Medical, Inc.
$23
Pacira Pharmaceuticals Incorporated
$21
Relievant Medsystems, Inc.
$19
Averitas Pharma Inc.
$18
Iroko Pharmaceuticals, LLC
$14
Purdue Pharma L.P.
$13
Arteriocyte Medical Systems, Inc.
$13
Arbor Pharmaceuticals, Inc.
$12
Shionogi Inc
$11
Medtronic USA, Inc.
$11
ERMI LLC
$10
Top 3 companies account for 59.5% of total payments
Associated products mentioned in payments ›
AIMOVIG · ARYMO ER · Amitiza · Axium INS DRG IPG · BELBUCA · BOTOX · BUNAVAIL 2.1 mg 30-count box · CODMAN CERTAS · DUEXIS · ETERNA · EVENITY · Exparel · FORTEO · Gocovri · Horizant · INVOKANA · IONICRF · Intracept · LORZONE · LYRICA · MazorX - Renaissance · Morphabond ER · Nalu Neurostimulation System · Nucynta · OXAYDO · Omnia · PAINTEQ · PENNSAID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Prolia · QULIPTA · QUTENZA · RAYOS · RELISTOR · RELISTOR ORAL · RIALTO SI FUSION SYSTEM · ROXYBOND · SEGLENTIS · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SUPERION · SYMPROIC · Seglentis · StimQ Receiver Stimulator Kit Channel A US w Receiver · Symproic · TREXIMET · Tymlos · UBRELVY · VIVLODEX · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · Xtampza ER · ZIPSOR · ZOHYDRO ER · ZORVOLEX · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · iFuse Implant · mild Device Kit
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 (77%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $200 per 100 Medicare services performed
Geographic Context
Spinal cord injury medicine physicians within 10 mi
2
Per 100K population
0.1
County median income
$77,011
Nearest hospital
ORLANDO HEALTH
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. Placer is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 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. Placer experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Placer performed 2,653 nursing facility 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. Placer receive payments from pharmaceutical companies?
Yes. Dr. Placer received a total of $16,275 from 51 companies across 726 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. Placer's costs compare to other spinal cord injury medicine physicians in Orlando?
Dr. Placer's average Medicare payment per service is $82. 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. Placer) 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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