Medicare Enrolled
Dr. Manuel Lopez Diez, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Palm Coast, 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. Lopez Diez 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. Lopez Diez
Dr. Manuel Lopez Diez is a pain medicine physician in Palm Coast, FL, with 16 years of NPI registration. Based on federal Medicare data, Dr. Lopez Diez performed 10,340 Medicare services across 3,211 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lopez Diez received a total of $12,142 from 42 pharmaceutical and/or device companies across 291 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine (physical medicine & rehabilitation) 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. Lopez Diez 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.
✓ 16 years in practice
▲ Top 3% volume in FL
$12,142 industry payments
Medicare Practice Summary
Medicare Utilization ↗10,340
Medicare services
Top 3% in FL for pain medicine (physical medicine & rehabilitation) physician
3,211
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~646 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
4,077 | $0 | $5 |
| 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. |
2,760 | $93 | $371 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
1,007 | $61 | $190 |
| Contrast dye for imaging, lower concentration | 493 | $0 | $25 |
| 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. |
286 | $122 | $485 |
| 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. |
269 | $70 | $260 |
| 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. |
181 | $194 | $998 |
| 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. |
176 | $104 | $515 |
| 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. |
132 | $218 | $973 |
| Spinal and pelvic nerve injection with imaging guidance An anesthetic and/or steroid medication is injected into nerves in the spine or pelvis while using imaging to guide the needle placement. |
107 | $198 | $914 |
| 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. |
102 | $190 | $741 |
| 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. |
92 | $484 | $2,436 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
85 | $264 | $1,295 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
68 | $102 | $438 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
65 | $0 | $5 |
| 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. |
53 | $195 | $949 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
50 | $55 | $248 |
| 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. |
49 | $103 | $491 |
| 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. |
38 | $201 | $748 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
32 | $85 | $329 |
| 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. |
31 | $472 | $2,349 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
31 | $139 | $522 |
| Nerve destruction for spine-pelvis joint pain A procedure that destroys the nerves supplying the joint between the spine and pelvis to relieve pain. Imaging guidance is used to ensure accurate placement. |
29 | $487 | $2,360 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
27 | $287 | $1,399 |
| High osmolar contrast material, 200-249 mg/ml iodine A radiographic contrast agent containing 200-249 mg/ml of iodine used to enhance imaging studies. It is measured and billed per milliliter administered. |
26 | $0 | $20 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
23 | $218 | $1,101 |
| 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. |
22 | $154 | $684 |
| 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. |
18 | $11 | $41 |
| 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. |
11 | $71 | $286 |
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 ↗$12,142
Total received (2018-2024)
Avg $1,735/year across 7 years
Top 15% in FL for pain medicine (physical medicine & rehabilitation) physician
42
Companies
291
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
$12,142 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,117
2023
$1,035
2022
$1,656
2021
$1,506
2020
$739
2019
$2,835
2018
$3,252
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$6,659
Vertos Medical, Inc.
$1,170
Medtronic, Inc.
$1,106
SPR Therapeutics, Inc
$443
SI-BONE, Inc.
$393
PAINTEQ LLC
$386
Boston Scientific Corporation
$326
Flowonix Medical Incorporated
$240
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$141
Nevro Corp.
$116
Stimwave Technologies Incorporated
$103
Daiichi Sankyo Inc.
$96
PROTEGA PHARMACEUTIALS INC
$83
TerSera Therapeutics LLC
$79
Amgen Inc.
$68
SI-BONE, INC.
$60
Virtus Pharmaceuticals LLC
$53
Collegium Pharmaceutical, Inc.
$47
Lilly USA, LLC
$45
Pernix Therapeutics Holdings, Inc.
$42
Averitas Pharma Inc.
$39
Kowa Pharmaceuticals America, Inc.
$33
Orthogenrx Inc.
$33
Flexion Therapeutics, Inc.
$32
Medtronic USA, Inc.
$32
Relievant Medsystems, Inc.
$26
Novartis Pharmaceuticals Corporation
$26
AbbVie Inc.
$24
Takeda Pharmaceuticals U.S.A., Inc.
$23
Saluda Medical Americas, Inc.
$23
Zyla Life Sciences
$23
PROTEGA PHARMACEUTIALS LLC
$23
DePuy Synthes Sales Inc.
$21
Curonix LLC
$19
PFIZER INC.
$16
Jazz Pharmaceuticals Inc.
$15
Vertical Pharmaceuticals, LLC
$15
BOSTON SCIENTIFIC CORPORATION
$14
Purdue Pharma L.P.
$14
Egalet US Inc
$12
Nalu Medical, Inc.
$12
SANOFI-AVENTIS U.S. LLC
$11
Top 3 companies account for 73.6% of total payments
Associated products mentioned in payments ›
AIMOVIG · Actos · Aimovig · Amitiza · CONFIDENCE · COVEREDGE · EMGALITY · Evoke SCS · FORTEO · GenVisc 850 · IFUSE IMPLANT · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · LEVORPHANOL TARTRATE · LORZONE · LYRICA · MYSTIM · Morphabond ER · NT1100 NT2000iX Simplicity · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · No Associated Product · OCTRODE · OSTEOCOOL RF ABLATION SYSTEM · OXAYDO · Octrode SCS Leads · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · Penta SCS Leads · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · QUTENZA · RELISTOR · RELISTOR ORAL · ROXYBOND · Roxybond · SCS IPGs · SEGLENTIS · SPECTRA WAVEWRITER · SPRINT PNS System · SYMPROIC · SYNVISC-ONE · Seglentis · Senza · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w Receiver · UBRELVY · XTAMPZA · ZOHYDRO ER · ZORVOLEX · Zilretta · 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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $117 per 100 Medicare services performed
Geographic Context
Pain medicine physicians within 10 mi
3
Per 100K population
2.5
County median income
$72,923
Nearest hospital
ADVENTHEALTH PALM COAST PARKWAY
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. Lopez Diez is a clinical cardiology specialist, with above-average Medicare volume (top 3% in FL), with low-engagement industry engagement in the top 15% of FL peers, with 16 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. Lopez Diez experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Lopez Diez performed 4,077 dexamethasone injection (steroid) 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. Lopez Diez receive payments from pharmaceutical companies?
Yes. Dr. Lopez Diez received a total of $12,142 from 42 companies across 291 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. Lopez Diez's costs compare to other pain medicine physicians in Palm Coast?
Dr. Lopez Diez'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. Lopez Diez) 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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