Medicare Enrolled
Dr. Ryan Pereira, DPM
Foot & Ankle Surgery Podiatrist · St Augustine, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
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. Pereira 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. Pereira? Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Pereira
Dr. Ryan Pereira is a foot & ankle surgery podiatrist in St Augustine, FL, with 20 years in practice. Based on federal Medicare data, Dr. Pereira performed 3,914 Medicare services across 1,619 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pereira received a total of $84,456 from 78 pharmaceutical and/or device companies across 439 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in foot & ankle surgery podiatrist. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Pereira is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice▲ Top 14% volume in FL$ $84,456 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,914
Medicare services
Top 14% in FL for foot & ankle surgery podiatrist
1,619
Unique beneficiaries
$231
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~196 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 (20-29 min) | 880 | $65 | $128 |
| Novachor, per square centimeter | 669 | $807 | $1,500 |
| Fluorescence wound imaging for bacteria, first anatomic site | 410 | $113 | $223 |
| Office visit, established patient (30-39 min) | 360 | $96 | $188 |
| Ultrasonic guidance for needle placement | 194 | $41 | $260 |
| Removal of tissue from wound, 20.0 sq cm or less | 169 | $77 | $129 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 156 | $54 | $140 |
| New patient office visit (30-44 min) | 150 | $73 | $190 |
| Toenail/fingernail removal, 6+ nails | 103 | $30 | $78 |
| Strapping, unna boot | 92 | $47 | $92 |
| Initial hospital admission, high complexity | 88 | $137 | $361 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 87 | $140 | $338 |
| Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 83 | $124 | $263 |
| Injection of chemical agent into multiple incompetent veins of leg | 63 | $142 | $330 |
| Hospital follow-up visit, high complexity | 60 | $94 | $186 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 40 | $91 | $206 |
| Complete ultrasound study of arm and leg arteries | 36 | $87 | $237 |
| Fluorescence wound imaging for bacteria, each additional anatomic site | 35 | $75 | $150 |
| Creation of muscle graft to leg | 35 | $1,008 | $2,537 |
| Incision of foot bone | 35 | $337 | $1,043 |
| Ultrasound of leg arteries or artery grafts | 33 | $179 | $444 |
| New patient office visit (45-59 min) | 33 | $118 | $289 |
| Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 26 | $997 | $1,900 |
| Incision to lengthen toe tendon | 18 | $244 | $689 |
| Permanent removal fingernail or toenail | 17 | $83 | $267 |
| Insertion of peripheral nerve neurostimulator electrode through skin | 17 | $1,628 | $2,500 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 13 | $67 | $182 |
| Lengthening or shortening of tendon of leg or ankle | 12 | $202 | $1,181 |
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 ↗$84,456
Total received (2018-2024)
Avg $12,065/year across 7 years
Top 3% in FL for foot & ankle surgery podiatrist
78
Companies
439
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$49,754 (58.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,832 (16.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$11,251 (13.3%)
Other
Charitable contributions, space rental, and other categories
$7,200 (8.5%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$2,420 (2.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$5,689
2023$8,583
2022$6,905
2021$7,320
2020$18,182
2019$28,484
2018$9,293
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Arteriocyte Medical Systems, Inc.
$39,170
AngioDynamics, Inc.
$16,830
Integra LifeSciences Corporation
$13,102
CROSSROADS EXTREMITY SYSTEMS, LLC
$4,215
Stryker Corporation
$1,517
DePuy Synthes Sales Inc.
$1,112
AXOGEN
$1,027
Kerecis Limited
$655
Horizon Pharma plc
$577
Horizon Therapeutics plc
$527
Isto Technologies II, LLC
$438
Smith+Nephew, Inc.
$403
Organogenesis Inc.
$375
Bard Peripheral Vascular, Inc.
$284
ORGANOGENESIS INC.
$258
Novo Nordisk Inc
$240
Bioventus LLC
$232
Heron Therapeutics, Inc.
$220
ConvaTec Inc.
$203
Stimwave Technologies Incorporated
$193
Cardiovascular Systems Inc.
$172
AMDT Holdings, Inc.
$165
Curonix LLC
$144
Boston Scientific Corporation
$143
Melinta Therapeutics, Inc.
$135
Metric Medical Devices, Inc.
$129
Abbott Laboratories
$112
Biocomposites Inc
$110
KCI USA, Inc
$108
Nevro Corp.
$101
KCI USA, Inc.
$96
Orthofix Medical, Inc.
$89
Paratek Pharmaceuticals, Inc.
$84
Medtronic Vascular, Inc.
$70
Reprise Biomedical, Inc.
$70
Access Pro Medical, LLC
$68
Osiris Therapeutics Inc.
$64
Next Science LLC
$55
Smith & Nephew, Inc.
$47
Wright Medical Technology, Inc.
$47
Amgen Inc.
$46
TEI Medical Inc.
$45
Checkpoint Surgical, Inc
$44
Merck Sharp & Dohme Corporation
$42
TREACE MEDICAL CONCEPTS, INC.
$40
Aroa Biosurgery Incorporated
$40
Misonix Inc
$35
Averitas Pharma Inc.
$35
ACELL, INC.
$31
SANOFI PASTEUR INC.
$31
Lilly USA, LLC
$31
Medical Device Business Services, Inc.
$29
Solventum Corporation
$26
ABBVIE INC.
$23
Novartis Pharmaceuticals Corporation
$22
Musculoskeletal Transplant Foundation Inc.
$19
Pacira Pharmaceuticals Incorporated
$19
Medtronic USA, Inc.
$19
SPR Therapeutics, Inc
$18
Avita Medical Americas, Llc
$17
Medtronic, Inc.
$17
MIMEDX Group, Inc.
$17
Team 1, Llc
$16
Davol Inc.
$16
ASSERTIO THERAPEUTICS, Inc.
$16
Sanara MedTech Inc.
$16
Hikma Pharmaceuticals USA
$15
Eyevance Pharmaceuticals LLC
$15
Alfasigma USA, Inc.
$15
Nalu Medical, Inc.
$14
Pacira Therapeutics, Inc.
$14
Celularity, Inc.
$14
Allergan, Inc.
$13
DJO, LLC
$13
Advanced Oxygen Therapy Inc.
$13
Medline Industries, Inc.
$13
Bayer HealthCare Pharmaceuticals Inc.
$12
Embody, Inc.
$9
Top 3 companies account for 81.8% of total payments
Associated products mentioned in payments ›
4.5 and 5.5mm Knotless Anchor · ACTIV.A.C. · ADAPTIC · ADAPTIVESTIM · AFFINITY · ALLOWRAP · AMDT Mini-Rail · AMNIOEXCEL · ANCHORAGE · APLIGRAF · ARISTA AH FLEXITIP · AVANCE NERVE GRAFT · AXSOS · Avance Nerve Graft · AxoGuard Nerve Connector · AxoGuard Nerve Protector · BILAYER WOUND MATRIX (BWM) · BILAYER WOUND MATRIX BWM · BLASTX WOUND GEL · Baxdela · CFNS StimQ Peripheral Nerve StimulatorSystem · CLOSUREFAST · CMF OL1000 · CYTAL · Cadence · CellerateRx · Checkpoint Stimulators · DALVANCE · DIAMONDBACK PERIPHERAL · DUEXIS · EASY CLIP · ENTRESTO · EVLT · EX-FIX · EXOGEN ULTRASOUND BONE HEALING SYSTEM · Exogen Ultrasound Bone Healing System · Exparel · FIBULINK · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · Footprint Ultra PK. SL · FreeStyle Libre 2 · GRAFIX PL · GRAFIX/GRAFIXPL/STRAVIX · HOFFMANN · HawkOne · Hyalomatrix Wound Device · INBONE · INFINITY ADAPTIS · INNOVAMATRIX AC · INTEGRA MESHED BILAYER WOUND MATRIX · Integra · Interfyl · JANUVIA · KRYSTEXXA · Kerecis Omega3 SurgiClose · Kerecis Omega3 Wound · Kerendia · LAPIPLASTY SYSTEM · MICA · MIRODERM · MOTOBAND · MOUNJARO · Magellan · MatriDerm · Medical Implant · Miro3D · Mitigare · NEURAGEN · NO_PRODUCT · NUZYRA · Nalu Neurostimulation System · Omnia · Ozempic · PENNSAID · PICO 14 · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIMATRIX · PROSTEP · Panta 2 · Physio-Stim · Puraply · Puraply Antimicrobial · QUTENZA · RAYOS · Recell · Repatha · SALTO TALARIS TOTAL ANKLE PROSTHESIS · SALVATION · SNAP · SPRINT PNS System · STEGLATRO · Santyl · StimQ Receiver Stimulator Kit Channel A US w Receiver · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Stimrouter Implantable Kit · Stimulan · SurgX · T2 · TAPESTRY · TENOGLIDE · TRULICITY · Tobradex ST · Topaz · Topical wound oxygen · Tresiba · TrueLok · UBRELVY · VIAFLOW · VLP Foot · VenaCure 1470 Pro · Venclose Maven Catheter · Wegovy · Xperience · Zilretta · Zipsor · Zynrelef
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 (59%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in foot & ankle surgery podiatrist and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for foot & ankle surgery podiatrist in FL.
Equivalent to $2,158 per 100 Medicare services performed
Geographic Context
Foot & Ankle Surgery Podiatrists within 10 mi
7
Per 100K population
2.4
County median income
$106,169
Nearest hospital
FLAGLER HOSPITAL
5.7 mi
5.7 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. Pereira is a clinical cardiology specialist, with above-average Medicare volume (top 14% in FL), and high industry engagement (speaking/promotional, top 3%), with 20 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. Pereira experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Pereira performed 880 office visit, established patient (20-29 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. Pereira receive payments from pharmaceutical companies?
Yes. Dr. Pereira received a total of $84,456 from 78 companies across 439 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. Pereira's costs compare to other foot & ankle surgery podiatrists in St Augustine?
Dr. Pereira's average Medicare payment per service is $231. 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. Pereira) 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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