Medicare Enrolled

Dr. Paul Pagano, M.D.

Orthopedic Surgery · St Petersburg, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Mixed engagement
10051 5TH ST N, St Petersburg, FL 33702
7275275272
In practice since 2005 (20 years)
NPI: 1215930912 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. Pagano 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. Pagano

Dr. Paul Pagano is an orthopedic surgery in St Petersburg, FL, with 20 years in practice. Based on federal Medicare data, Dr. Pagano performed 1,516 Medicare services across 1,195 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pagano received a total of $196,777 from 29 pharmaceutical and/or device companies across 88 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Pagano 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 47% volume in FL$ $196,777 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,516
Medicare services
Top 47% in FL for orthopedic surgery
1,195
Unique beneficiaries
$141
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~76 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)219$91$640
Office visit, established patient (20-29 min)200$64$460
X-ray of lower and sacral spine, 2-3 views194$29$200
X-ray of lower and sacral spine, minimum of 4 views143$35$260
Office visit, established patient, complex (40-54 min)106$132$910
New patient office visit (45-59 min)80$112$850
Insertion of cage or mesh device to spine bone and disc space during spine fusion48$216$1,430
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment48$176$1,170
Injection, methylprednisolone acetate, 80 mg45$9$62
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment43$767$5,970
X-ray of upper spine, 2-3 views43$29$200
X-ray of upper spine, 4-5 views35$38$270
Mri scan of lower spinal canal without contrast35$142$1,170
Fusion of additional segment of spine33$328$2,160
Aspiration of bone marrow for spine bone graft30$59$390
Fusion of spine in lower back with partial removal of spine bone and disc26$1,509$10,080
X-ray of middle spine, 2 views26$24$170
Joint injection, major joint25$55$383
X-ray of middle and lower spine, 2 views24$26$175
Initial hospital admission, moderate complexity23$102$710
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back22$217$1,400
Placement of stabilizing device to back of 1 spine bone in neck16$634$4,180
Treatment of broken lower spine bone with placement of stabilizing device14$373$2,580
Mri scan of upper spinal canal without contrast14$139$1,100
Placement of stabilizing device to back, 3-6 spine bone segments13$640$4,210
Mri scan of middle spinal canal without contrast11$106$1,180
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.
8.5% high complexity
8.6% medium
82.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$196,777
Total received (2018-2024)
Avg $28,111/year across 7 years
Top 7% in FL for orthopedic surgery
29
Companies
88
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.

Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$193,786 (98.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,991 (1.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$5,074
2023
$4,764
2022
$46,910
2021
$39,795
2020
$48,909
2019
$14,021
2018
$37,305

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Kalitec Direct LLC
$193,786
SPINAL ELEMENTS, INC.
$1,069
Medtronic, Inc.
$244
SI-BONE, Inc.
$204
PARADIGM SPINE, LLC
$192
Cardiovascular Systems Inc.
$131
Nexxt Spine LLC
$131
Intrinsic Therapeutics
$121
Bioventus LLC
$108
ARBOR PHARMACEUTICALS, INC.
$105
Abbott Laboratories
$83
Medtronic USA, Inc.
$67
Electronic Waveform Lab, Inc.
$64
Ferring Pharmaceuticals Inc.
$63
Aesculap Implant Systems, LLC
$60
Flexion Therapeutics, Inc.
$49
DePuy Synthes Sales Inc.
$38
Nevro Corp.
$38
Lilly USA, LLC
$36
Horizon Therapeutics plc
$32
SANOFI-AVENTIS U.S. LLC
$25
SI-BONE, INC.
$25
Boston Scientific Corporation
$22
AstraZeneca Pharmaceuticals LP
$17
ERMI Inc.
$17
Horizon Pharma plc
$16
Relievant Medsystems, Inc.
$13
Stryker Corporation
$12
PFIZER INC.
$11
Top 3 companies account for 99.1% of total payments
Associated products mentioned in payments ›
ACTIVL · ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · Barricaid Annular Closure Device · CosmoLock · DUEXIS · ELEVATE · ENDOSKELETON TC NANOLOCK SURFACE TECHNOLOGY · EUFLEXXA · Exogen · Exogen Ultrasound Bone Healing System · FLECTOR PATCH · FORTEO · GELSYN 3 · Horizant · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · MOVANTIK · Matira · Matira Anterior Cervical System · Medical Device · NA · NAV -3INAVIGATION PLATFORM · Nexxt Spine Product Offerings · Peripheral Orbital Atherectomy System · Proclaim Family of SCS IPGs · Proclaim IPG · SPACE-D SYSTEM 5.5/6.0 VOYAGER INSTRUMENT SET · SPECTRA WAVEWRITER · SYNVISC-ONE · Senza Spinal Cord Stimulation System · UNiD · Zilretta · coflex · iFuse Implant
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 →

Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 7% for orthopedic surgery in FL.

Equivalent to $12,980 per 100 Medicare services performed
Looking for a orthopedic surgery in St Petersburg?
Compare orthopedic surgerys in the St Petersburg area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic Surgerys within 10 mi
192
Per 100K population
20.0
County median income
$70,293
Nearest hospital
ORLANDO HEALTH BAYFRONT HOSPITAL
5.2 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. Pagano is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (mixed engagement, top 7%), 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. Pagano experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Pagano performed 219 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. Pagano receive payments from pharmaceutical companies?
Yes. Dr. Pagano received a total of $196,777 from 29 companies across 88 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. Pagano's costs compare to other orthopedic surgerys in St Petersburg?
Dr. Pagano's average Medicare payment per service is $141. 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. Pagano) 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 →