Medicare Enrolled
Dr. Renato Alfonso, M.D.
Optician · 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. Alfonso 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. Alfonso
Dr. Renato Alfonso is an optician specialist in Palm Coast, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Alfonso performed 10,514 Medicare services across 8,019 unique beneficiaries.
Between the years covered by Open Payments, Dr. Alfonso received a total of $12,560 from 56 pharmaceutical and/or device companies across 860 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. Alfonso 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 8% volume in FL
$12,560 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 | 69077 | Clear | January 31, 2028 | — |
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
Medicare Utilization ↗10,514
Medicare services
Top 8% in FL for optician
8,019
Unique beneficiaries
$76
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~526 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 |
|---|---|---|---|
| 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. |
3,169 | $86 | $160 |
| 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. |
2,224 | $59 | $114 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
1,499 | $80 | $107 |
| Annual depression screening | 1,435 | $18 | $23 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
1,407 | $126 | $163 |
| 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. |
112 | $101 | $211 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
103 | $155 | $257 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
96 | $10 | $18 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
87 | $216 | $346 |
| 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. |
80 | $10 | $18 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
52 | $1 | $25 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
49 | $159 | $210 |
| ECG screening, interpretation and report only A routine 12-lead electrocardiogram is interpreted and reported as part of an initial preventive physical examination. |
41 | $5 | $10 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
37 | $162 | $210 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
27 | $10 | $20 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
26 | $3 | $24 |
| 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. |
23 | $128 | $227 |
| 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. |
22 | $54 | $142 |
| New patient office visit, complex (60-74 min) | 13 | $147 | $279 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
12 | $52 | $112 |
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 ↗$12,560
Total received (2018-2024)
Avg $1,794/year across 7 years
Top 11% in FL for optician
56
Companies
860
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
$12,560 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,766
2023
$1,968
2022
$2,086
2021
$1,788
2020
$1,777
2019
$1,561
2018
$1,615
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$2,032
Novo Nordisk Inc
$2,010
Amgen Inc.
$1,010
PFIZER INC.
$929
AbbVie Inc.
$705
AstraZeneca Pharmaceuticals LP
$675
Astellas Pharma US Inc
$624
Lilly USA, LLC
$441
Abbott Laboratories
$424
Otsuka America Pharmaceutical, Inc.
$353
Boehringer Ingelheim Pharmaceuticals, Inc.
$338
ABBVIE INC.
$316
SANOFI-AVENTIS U.S. LLC
$245
Janssen Pharmaceuticals, Inc
$233
Daiichi Sankyo Inc.
$193
AbbVie, Inc.
$184
Merck Sharp & Dohme Corporation
$138
Novartis Pharmaceuticals Corporation
$135
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$111
Kowa Pharmaceuticals America, Inc.
$111
ARBOR PHARMACEUTICALS, INC.
$91
Merck Sharp & Dohme LLC
$91
Almatica Pharma LLC
$85
Bayer Healthcare Pharmaceuticals Inc.
$73
Allergan Inc.
$72
IDORSIA PHARMACEUTICALS US INC
$62
Bayer HealthCare Pharmaceuticals Inc.
$62
Ironwood Pharmaceuticals, Inc
$55
Exact Sciences Corporation
$53
JAZZ PHARMACEUTICALS INC.
$53
Allergan, Inc.
$51
Mylan Specialty L.P.
$48
Phathom Pharmaceuticals, Inc.
$47
Lundbeck LLC
$37
E.R. Squibb & Sons, L.L.C.
$34
Eisai Inc.
$34
IBSA Pharma Inc.
$33
NOVARTIS PHARMACEUTICALS CORPORATION
$30
Arbor Pharmaceuticals, Inc.
$27
Ethicon US, LLC
$26
PhotoniCare Inc
$25
Agios Pharmaceuticals, Inc.
$24
ALK-Abello, Inc
$23
Xeris Pharmaceuticals, Inc.
$23
Nalpropion Pharmaceuticals LLC
$20
Biohaven Pharmaceutical Holding Company Ltd.
$19
Biohaven Pharmaceuticals, Inc.
$19
Dexcom, Inc.
$18
180 Medical, Inc.
$17
Ultragenyx Pharmaceutical Inc.
$17
Circassia Pharmaceuticals Inc
$16
Teva Pharmaceuticals USA, Inc.
$15
Takeda Pharmaceuticals U.S.A., Inc.
$14
Medtronic MiniMed, Inc.
$13
Currax Pharmaceuticals LLC
$13
Axonics Modulation Technologies, Inc.
$11
Top 3 companies account for 40.2% of total payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Androgel · Axonics r-SNM System · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · CAPVAXIVE · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · CREON · Cologuard Collection Kit · Creon · Crysvita · DUAKLIR PRESSAIR · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · Edarbyclor · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GENTLECATH · GRALISE · GVOKE PFS · INJECTAFER · INVEGA SUSTENNA · INVOKANA · JANUVIA · JARDIANCE · JYNARQUE · Kerendia · LASTACAFT · LINX Reflux Management System · LINZESS · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NURTEC ODT · Otezla · OtoSight Middle Ear Scope · Ozempic · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Proclaim Family of SCS IPGs · Prolia · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Ragwitek · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA · SPIRIVA RESPIMAT · SPRAVATO · STEGLUJAN · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TRUMENBA · Tirosint · Tresiba · Trintellix · UBRELVY · VERQUVO · VOQUEZNA · VRAYLAR · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · YUPELRI · iPro2
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 $119 per 100 Medicare services performed
Geographic Context
Opticians within 10 mi
91
Per 100K population
74.8
County median income
$72,923
Nearest hospital
AdventHealth Palm Coast
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. Alfonso is a clinical cardiology specialist, with above-average Medicare volume (top 8% in FL), with low-engagement industry engagement in the top 11% of FL peers, with 20 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. Alfonso experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Alfonso performed 3,169 office visit, established patient (30-39 min) 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. Alfonso receive payments from pharmaceutical companies?
Yes. Dr. Alfonso received a total of $12,560 from 56 companies across 860 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. Alfonso's costs compare to other opticians in Palm Coast?
Dr. Alfonso's average Medicare payment per service is $76. 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. Alfonso) 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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