Dr. James Piorkowski, MD
What this data tells you about Dr. Piorkowski
Dr. James Piorkowski is a surgery of the hand physician in Pensacola, FL, with 18 years of NPI registration. Based on federal Medicare data, Dr. Piorkowski performed 2,411 Medicare services across 1,663 unique beneficiaries.
Between the years covered by Open Payments, Dr. Piorkowski received a total of $3,497 from 23 pharmaceutical and/or device companies across 51 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery of the hand (plastic surgery) physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Piorkowski 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.
Florida License Status
FL DOH · MQA| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 137442 | Clear | January 31, 2028 | — |
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
394 | $1 | $12 |
| 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. |
257 | $64 | $210 |
| 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. |
255 | $93 | $310 |
| X-ray of finger, minimum of 2 views An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures. |
191 | $27 | $99 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
189 | $29 | $112 |
| 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. |
184 | $119 | $483 |
| 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. |
140 | $71 | $315 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
125 | $40 | $126 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
107 | $27 | $97 |
| Skin and tissue removal, 20 sq cm or less This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller. |
94 | $46 | $182 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
64 | $38 | $172 |
| Hand nerve release or relocation A surgical procedure to release or reposition a nerve in the hand. |
64 | $313 | $1,306 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
61 | $400 | $1,671 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
60 | $38 | $172 |
| Elbow nerve release or relocation A surgical procedure to free or reposition a nerve in the elbow area. This is done to relieve pressure or irritation on the nerve. |
43 | $455 | $1,811 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
31 | $24 | $102 |
| Muscle or tissue removal, 20 sq cm or less This procedure involves the surgical removal of muscle or other tissue from the body. The total area of the removed tissue is 20.0 square centimeters or less. |
23 | $118 | $489 |
| Elbow to finger cast application Application of a cast extending from the elbow to the fingers to immobilize the arm. |
19 | $55 | $269 |
| Adult short arm fiberglass cast supplies Materials used to apply a short arm cast made of fiberglass for patients aged 11 and older. |
19 | $18 | $30 |
| CT scan of arm, without contrast A CT scan of the arm that uses X-rays to create detailed images of the arm's internal structures without the use of contrast dye. |
18 | $116 | $600 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
18 | $33 | $104 |
| Open treatment of distal radius fracture with internal fixation Surgical repair of a broken wrist bone involving three or more fragments on the thumb side, stabilized with an internal device. |
16 | $786 | $3,202 |
| Release of arm or leg nerve A surgical procedure to relieve pressure on a nerve in the arm or leg. This is done to reduce pain or restore function. |
14 | $244 | $1,513 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
14 | $27 | $90 |
| Closed treatment of broken forearm bone at wrist without manipulation This procedure involves setting a broken forearm bone near the wrist without moving the bone fragments out of place. It is performed without manipulation to align the fracture. |
11 | $273 | $952 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (57%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in surgery of the hand (plastic surgery) physician and does not inherently indicate bias, but patients may wish to be aware.
Geographic Context
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. Piorkowski is a clinical cardiology specialist, with above-average Medicare volume (top 25% in FL), with speaking/promotional industry engagement, with 18 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. Piorkowski experienced with steroid injection (triamcinolone)?
Does Dr. Piorkowski receive payments from pharmaceutical companies?
How do Dr. Piorkowski's costs compare to other surgery of the hand physicians in Pensacola?
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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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