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
4863 PALM COAST PKWY NW, Palm Coast, FL 32137
3862227746
In practice since 2009 (16 years)
NPI: 1144458100 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. 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 (physical medicine & rehabilitation) physician in Palm Coast, FL, with 16 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Dexamethasone injection (steroid)4,077$0$5
Office visit, established patient (30-39 min)2,760$93$371
Drug screening test1,007$61$190
Contrast dye for imaging, lower concentration493$0$25
New patient office visit (45-59 min)286$122$485
Office visit, established patient (20-29 min)269$70$260
Injection of lower or sacral spine facet joint using imaging guidance, single level181$194$998
Injection of lower or sacral spine facet joint using imaging guidance, second level176$104$515
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level132$218$973
Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance107$198$914
Injection of substance into lower spine canal using imaging guidance102$190$741
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint92$484$2,436
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint85$264$1,295
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level68$102$438
Injection, ketorolac tromethamine, per 15 mg65$0$5
Injection of upper or middle spine facet joint using imaging guidance, single level53$195$949
Joint injection, major joint50$55$248
Injection of upper or middle spine facet joint using imaging guidance, second level49$103$491
Injection of substance into middle or upper spine canal using imaging guidance38$201$748
Fluoroscopic guidance for needle placement32$85$329
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint31$472$2,349
Office visit, established patient, complex (40-54 min)31$139$522
Destruction of nerves supplying joint between spine and pelvis using imaging guidance29$487$2,360
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint27$287$1,399
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml26$0$20
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance23$218$1,101
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance22$154$684
Drug injection, under skin or into muscle18$11$41
New patient office visit (30-44 min)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
Looking for a pain medicine (physical medicine & rehabilitation) physician in Palm Coast?
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Geographic Context

Pain Medicine (Physical Medicine & Rehabilitation) Physicians within 10 mi
3
Per 100K population
2.5
County median income
$72,923
Nearest hospital
ADVENTHEALTH PALM COAST PARKWAY
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. Lopez Diez is a clinical cardiology specialist, with above-average Medicare volume (top 3% in FL), and high industry engagement (low-engagement, top 15%), with 16 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. 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 (physical medicine & rehabilitation) 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 →
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 →