Medicare Enrolled

Dr. Roman Nation, MD

Family Medicine · Panama City, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
1514 W 23RD ST, Panama City, FL 32405
8854811101
In practice since 2006 (19 years)
NPI: 1710070438 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. Nation 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. Nation? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Nation

Dr. Roman Nation is a family medicine in Panama City, FL, with 19 years in practice. Based on federal Medicare data, Dr. Nation performed 13,458 Medicare services across 5,085 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nation received a total of $57,465 from 44 pharmaceutical and/or device companies across 366 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Nation 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 1% volume in FL$ $57,465 industry payments

Medicare Practice Summary

Medicare Utilization ↗
13,458
Medicare services
Top 1% in FL for family medicine
5,085
Unique beneficiaries
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~708 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
Office visit, established patient (30-39 min)2,264$90$155
Chronic care management, first 20 min/month2,165$47$125
Dexamethasone injection (steroid)1,648$0$2
Denosumab injection (Prolia/Xgeva)1,620$18$25
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional513$14$45
Chronic care management, additional 20 min/month481$36$95
Drug injection, under skin or into muscle445$10$36
Steroid injection (triamcinolone)441$1$3
Annual alcohol misuse screening, 5 to 15 minutes396$18$25
Annual wellness visit, follow-up385$127$140
Annual depression screening381$18$25
Injection, ketorolac tromethamine, per 15 mg330$0$15
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes321$26$30
Office visit, established patient (20-29 min)313$59$100
Advance care planning consultation, first 30 min279$70$150
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza187$55$100
Ceftriaxone antibiotic injection167$0$4
Psychotherapy session, 1 hour123$111$240
Automated urinalysis114$2$11
Face-to-face behavioral counseling for obesity, 15 minutes113$26$35
Office visit, established patient, complex (40-54 min)108$132$180
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)85$16$20
Testing for presence of drug, read by direct observation71$12$30
Chest X-ray, 2 views67$24$92
New patient office visit (45-59 min)41$95$210
Electrocardiogram (EKG), 12-lead36$10$31
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes32$11$74
X-ray of knee, 1-2 views28$20$41
Hip X-ray, 2-3 views26$26$60
X-ray of lower and sacral spine, minimum of 4 views24$28$73
Removal of impacted ear wax22$35$70
Complete ultrasound scan of abdomen21$74$182
Smoking and tobacco use intensive counseling, 4-10 minutes21$15$25
New patient office visit (30-44 min)20$68$180
Inhalation treatment for airway obstruction or sputum production19$6$25
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme19$0$1
Shoulder X-ray, 2+ views17$22$41
Ultrasound scan of head and neck soft tissue16$81$153
Transitional care management services for problem of high complexity16$196$250
Blood glucose (sugar) test performed by hand-held instrument15$3$5
Limited ultrasound scan behind abdominal cavity14$43$169
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus14$35$100
Ultrasound study of one arm or leg veins with compression and maneuvers14$77$217
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle14$56$94
Limited ultrasound scan of joint or other extremity structure except blood vessels12$29$75
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 ↗
$57,465
Total received (2018-2024)
Avg $8,209/year across 7 years
Top 1% in FL for family medicine
44
Companies
366
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$48,000 (83.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,965 (8.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,500 (7.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,213
2023
$2,321
2022
$2,030
2021
$23,186
2020
$18,664
2019
$8,270
2018
$781

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Dendreon Pharmaceuticals LLC
$48,000
CGG Medical Inc
$3,000
Cgg Medical Inc
$1,500
Novo Nordisk Inc
$587
ABBVIE INC.
$528
PFIZER INC.
$508
AstraZeneca Pharmaceuticals LP
$488
Lilly USA, LLC
$338
Amgen Inc.
$306
Grifols USA, LLC
$301
Merck Sharp & Dohme Corporation
$233
Amarin Pharma Inc.
$190
Mylan Specialty L.P.
$168
SANOFI-AVENTIS U.S. LLC
$115
Boehringer Ingelheim Pharmaceuticals, Inc.
$110
Dexcom, Inc.
$110
Novartis Pharmaceuticals Corporation
$78
GlaxoSmithKline, LLC.
$77
Allergan Inc.
$68
Eisai Inc.
$65
Kowa Pharmaceuticals America, Inc.
$64
DEXCOM, INC.
$56
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$49
Exact Sciences Corporation
$48
JAZZ PHARMACEUTICALS INC.
$46
Corcept Therapeutics
$40
Janssen Pharmaceuticals, Inc
$40
Otsuka America Pharmaceutical, Inc.
$37
Bayer Healthcare Pharmaceuticals Inc.
$30
Takeda Pharmaceuticals U.S.A., Inc.
$29
Allergan, Inc.
$28
Shire North American Group Inc
$27
Teva Pharmaceuticals USA, Inc.
$24
Neos Therapeutics, LP
$23
Axsome Therapeutics, Inc.
$20
Jazz Pharmaceuticals Inc.
$20
ARBOR PHARMACEUTICALS, INC.
$17
Bayer HealthCare Pharmaceuticals Inc.
$17
AbbVie Inc.
$15
Biohaven Pharmaceuticals, Inc.
$15
Medtronic, Inc.
$14
Endo Pharmaceuticals Inc.
$12
Mission Pharmacal Company
$11
Sanofi Pasteur Inc.
$11
Top 3 companies account for 91.4% of total payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · AJOVY · AVEED · Adzenys XR-ODT · Aimovig · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · INTELLIS ADAPTIVESTIM · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · LYRICA · Leqembi · Livalo · MOUNJARO · NURTEC ODT · OFEV · Otezla · Ozempic · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROVENGE · Prolastin-C · Prolastin-C Liquid · Prolia · QULIPTA · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SUNOSI · SYMBICORT · Saxenda · Sunosi · TOUJEO · TRELEGY ELLIPTA · TRULICITY · UBRELVY · Uribel · VRAYLAR · VYVANSE · Vascepa · Victoza · XARELTO · XIFAXAN · YUPELRI · Yupelri
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 (84%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 1% for family medicine in FL.

Equivalent to $427 per 100 Medicare services performed
Looking for a family medicine in Panama City?
Compare family medicines in the Panama City area by procedure volume, costs, and industry payment transparency.
Browse family medicines nearby

Geographic Context

Family Medicines within 10 mi
54
Per 100K population
29.8
County median income
$70,188
Nearest hospital
HCA FLORIDA GULF COAST HOSPITAL
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. Nation is a clinical cardiology specialist, with above-average Medicare volume (top 1% in FL), and high industry engagement (consulting-driven, top 1%), with 19 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. Nation experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nation performed 2,264 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. Nation receive payments from pharmaceutical companies?
Yes. Dr. Nation received a total of $57,465 from 44 companies across 366 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. Nation's costs compare to other family medicines in Panama City?
Dr. Nation's average Medicare payment per service is $40. 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. Nation) 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 →