Medicare Enrolled
Dr. Linda Delo, DO PA
Family Medicine · Port Saint Lucie, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Delo 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. Delo?
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What this data tells you about Dr. Delo
Dr. Linda Delo is a family medicine specialist in Port Saint Lucie, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Delo performed 16,812 Medicare services across 8,337 unique beneficiaries.
Between the years covered by Open Payments, Dr. Delo received a total of $18,920 from 69 pharmaceutical and/or device companies across 988 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Delo 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 1% volume in FL
$18,920 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 |
|---|---|---|---|---|
| Osteopathic Physician | 5326 | Clear | March 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 ↗16,812
Medicare services
Top 1% in FL for family medicine
8,337
Unique beneficiaries
$28
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~841 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 5,401 | $18 | $51 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
941 | $8 | $15 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
709 | $8 | $25 |
| 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. |
687 | $92 | $223 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
565 | $10 | $40 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
490 | $13 | $30 |
| 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. |
439 | $62 | $153 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
436 | $10 | $21 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
430 | $16 | $35 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
429 | $2 | $19 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
355 | $9 | $49 |
| Annual alcohol misuse screening, 5 to 15 minutes | 353 | $19 | $27 |
| Annual depression screening | 329 | $19 | $37 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
327 | $131 | $241 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
324 | $29 | $61 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
306 | $6 | $25 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
299 | $37 | $130 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
294 | $38 | $110 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
292 | $5 | $22 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
283 | $15 | $31 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
247 | $31 | $88 |
| Iron level test | 221 | $6 | $38 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
209 | $31 | $49 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
203 | $72 | $120 |
| 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. |
173 | $131 | $304 |
| 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. |
171 | $10 | $51 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
149 | $8 | $53 |
| Bone density scan (DEXA) of hip, pelvis, and spine This test measures bone density in the hip, pelvis, and spine to assess bone strength. It also includes an assessment for spine fractures. |
142 | $52 | $175 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
134 | $1 | $15 |
| 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. |
110 | $11 | $36 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
105 | $57 | $115 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
95 | $13 | $56 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
83 | $136 | $400 |
| Multiplex PCR test for SARS-CoV-2 and influenza A and B A laboratory test that uses a multiplex amplified probe technique to detect the presence of SARS-CoV-2 (COVID-19) and influenza virus types A and B in a single sample. |
74 | $140 | $285 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
66 | $8 | $27 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
65 | $19 | $47 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
63 | $14 | $61 |
| Osteopathic manipulative treatment, 3-4 body regions A hands-on therapy where a doctor uses manual techniques to move muscles and joints in three to four areas of the body. |
58 | $32 | $96 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
44 | $3 | $11 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
42 | $35 | $110 |
| 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. |
41 | $158 | $379 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
40 | $25 | $55 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
39 | $40 | $166 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
37 | $12 | $40 |
| Osteopathic manipulative treatment, 1-2 body regions A hands-on technique used by osteopathic physicians to diagnose, treat, and prevent illness or injury by moving a patient's muscles and joints. This specific code covers treatment involving one or two distinct areas of the body. |
37 | $23 | $68 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
29 | $149 | $484 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
28 | $27 | $44 |
| 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. |
26 | $111 | $341 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
25 | $82 | $244 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
23 | $4 | $43 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
23 | $282 | $483 |
| PSA test (prostate cancer screening) | 22 | $18 | $78 |
| 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. |
22 | $38 | $96 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
22 | $29 | $30 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
18 | $13 | $42 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
17 | $84 | $238 |
| 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. |
17 | $63 | $228 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
17 | $40 | $108 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
16 | $88 | $271 |
| Liver function blood test panel | 16 | $8 | $28 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
16 | $4 | $40 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
15 | $138 | $400 |
| 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. |
15 | $164 | $330 |
| Injection, methylprednisolone acetate, 40 mg | 15 | $6 | $25 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
14 | $54 | $135 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
14 | $16 | $78 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
14 | $13 | $31 |
| Home sleep test with portable monitor An unattended sleep study performed at home using a portable monitor that records breathing, heart rate, and oxygen levels. |
14 | $67 | $574 |
| Inhaled albuterol and ipratropium bromide via DME Administration of FDA-approved albuterol and ipratropium bromide medication through durable medical equipment. |
14 | $0 | $20 |
| Osteopathic manipulative treatment, 5-6 body regions A hands-on therapy where a doctor uses their hands to diagnose, treat, and prevent illness or injury by moving muscles and joints. This specific code covers treatment involving five to six different areas of the body. |
12 | $47 | $128 |
| 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. |
11 | $168 | $321 |
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.
0.6% high complexity
35.3% medium
64.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$18,920
Total received (2018-2024)
Avg $2,703/year across 7 years
Top 1% in FL for family medicine
69
Companies
988
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
$18,665 (98.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$256 (1.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,802
2023
$3,995
2022
$2,568
2021
$2,468
2020
$1,729
2019
$2,754
2018
$3,605
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$2,194
Novo Nordisk Inc
$1,820
Amgen Inc.
$1,628
Lilly USA, LLC
$1,565
Radius Health, Inc.
$1,081
AbbVie Inc.
$903
PFIZER INC.
$900
GlaxoSmithKline, LLC.
$848
Astellas Pharma US Inc
$726
Bayer HealthCare Pharmaceuticals Inc.
$554
Kowa Pharmaceuticals America, Inc.
$519
Bayer Healthcare Pharmaceuticals Inc.
$488
SANOFI-AVENTIS U.S. LLC
$431
Boehringer Ingelheim Pharmaceuticals, Inc.
$403
Abbott Laboratories
$396
Merck Sharp & Dohme Corporation
$347
ABBVIE INC.
$332
Novartis Pharmaceuticals Corporation
$324
Janssen Pharmaceuticals, Inc
$306
Biohaven Pharmaceutical Holding Company Ltd.
$246
Esperion Therapeutics, Inc.
$233
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$203
Allergan Inc.
$159
AbbVie, Inc.
$150
Daiichi Sankyo Inc.
$145
Antares Pharma, Inc.
$137
Merck Sharp & Dohme LLC
$123
IDORSIA PHARMACEUTICALS US INC
$114
Biohaven Pharmaceuticals, Inc.
$99
SANOFI PASTEUR INC.
$89
Eisai Inc.
$88
Amarin Pharma Inc.
$80
VIVUS, Inc.
$80
Teva Pharmaceuticals USA, Inc.
$72
Sanofi Pasteur Inc.
$71
Mannkind Corporation
$68
ALK-Abello, Inc
$65
Dexcom, Inc.
$60
Allergan, Inc.
$59
Endo Pharmaceuticals Inc.
$59
Exact Sciences Corporation
$54
Regeneron Healthcare Solutions, Inc.
$52
Kerecis Limited
$51
ARBOR PHARMACEUTICALS, INC.
$47
Clarus Therapeutics Inc.
$46
Biogen, Inc.
$40
MannKind Corporation
$39
Arbor Pharmaceuticals, Inc.
$33
Circassia Pharmaceuticals Inc
$29
Currax Pharmaceuticals LLC
$27
Tolmar, Inc.
$24
IBSA Pharma Inc.
$24
Horizon Therapeutics plc
$21
Hologic Sales and Service, LLC
$21
Corcept Therapeutics
$20
VIVUS LLC
$19
Insulet Corporation
$19
Nalpropion Pharmaceuticals LLC
$18
Paratek Pharmaceuticals, Inc.
$18
Otsuka America Pharmaceutical, Inc.
$18
Sumitomo Pharma America, Inc.
$17
Orexigen Therapeutics, Inc.
$17
Amneal Pharmaceuticals LLC
$16
OptiNose US, Inc.
$16
SHIELD THERAPEUTICS INC
$16
KVK-Tech, Inc.
$15
Endogastric Solutions, Inc
$15
E.R. Squibb & Sons, L.L.C.
$12
Seqirus USA Inc
$12
Top 3 companies account for 29.8% of total payments
Associated products mentioned in payments ›
ACCRUFER · ADUHELM · AFREZZA · AIRSUPRA · AJOVY · ANORO · APTIMA · AREXVY · AVEED · Aimovig · Androgel · Axium INS DRG IPG · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · Belviq · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · Cologuard Collection Kit · Creon · DUEXIS · Dayvigo · Dexcom G6 Transmitter · ELIGARD · ELIQUIS · EMGALITY · ENTRESTO · ESOPHYX · EUCRISA · EVENITY · Edarbi · Edarbyclor · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · FORTEO · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Fluad · FreeStyle Libre 2 · GARDASIL 9 · GEMTESA · HUMIRA · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Kerecis Omega3 SurgiClose · Kerendia · Korlym · LEQVIO · LINZESS · LYRICA · Livalo · MENACTRA · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXLETOL · NEXLIZET · NO PRODUCT DISCUSSED · NOCDURNA · NURTEC ODT · NUZYRA · OTREXUP · Odactra · Omnipod · Otezla · Otrexup · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Proclaim Family of SCS IPGs · Prolia · QSYMIA · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Seglentis · Synthroid · TESTOPEL · TOUJEO · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tirosint · Tresiba · Tymlos · UBRELVY · UNITHROID · VESICARE · VIBERZI · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XIFAXANIBSD · Xhance · Xultophy 100/3.6 · ZENPEP · ZOSTAVAX
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 1% for family medicine in FL.
Equivalent to $113 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
192
Per 100K population
55.5
County median income
$69,027
Nearest hospital
ST LUCIE MEDICAL CENTER
3.9 mi
3.9 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. Delo is a mixed practice specialist, with above-average Medicare volume (top 1% in FL), with low-engagement industry engagement in the top 1% 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. Delo experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Delo performed 5,401 denosumab injection (prolia/xgeva) 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. Delo receive payments from pharmaceutical companies?
Yes. Dr. Delo received a total of $18,920 from 69 companies across 988 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. Delo's costs compare to other family medicine physicians in Port Saint Lucie?
Dr. Delo's average Medicare payment per service is $28. 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. Delo) 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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