Medicare Enrolled

Dr. Julio Lesmes, MD

Cardiovascular Disease · Tavares, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1879 NIGHTINGALE LN, Tavares, FL 32778
3527421171
In practice since 2006 (19 years)
NPI: 1821027517 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. Lesmes 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. Lesmes

Dr. Julio Lesmes is a cardiovascular disease in Tavares, FL, with 19 years in practice. Based on federal Medicare data, Dr. Lesmes performed 5,493 Medicare services across 3,421 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lesmes received a total of $4,146 from 29 pharmaceutical and/or device companies across 102 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Lesmes 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 18% volume in FL$ $4,146 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,493
Medicare services
Top 18% in FL for cardiovascular disease
3,421
Unique beneficiaries
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~289 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)1,513$91$282
Electrocardiogram (EKG), 12-lead654$10$39
Evaluation of cardiac rhythm monitor system, remote up to 30 days371$20$68
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec340$27$87
Regadenoson injection (Lexiscan) for heart stress test340$47$133
Technetium tc-99m sestamibi, diagnostic, per study dose313$89$280
Echocardiogram, transthoracic274$140$490
Prothrombin time test (blood clotting)262$4$11
Office visit, established patient (20-29 min)210$69$256
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician162$48$172
Nuclear medicine studies of heart muscle at rest and with stress and spect159$333$1,076
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional146$15$45
EKG interpretation and report138$7$25
New patient office visit (45-59 min)116$118$432
Ultrasound of both sides of head and neck blood flow93$147$429
Ultrasound study of arm or leg veins with compression and maneuvers88$141$433
Hospital follow-up visit, moderate complexity73$64$200
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days49$9$35
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days45$19$71
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent27$5$15
Initial hospital admission, moderate complexity26$106$361
Ultrasound study of one arm or leg veins with compression and maneuvers21$84$243
Complete ultrasound study of arm and leg arteries16$100$206
Ultrasound of heart blood flow, valves and chambers15$39$132
Ultrasound of heart with color-depicted blood flow, rate and valve function15$18$59
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report15$172$578
Ultrasound of leg arteries or artery grafts12$187$665
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.
6.0% high complexity
16.5% medium
77.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$4,146
Total received (2018-2024)
Avg $592/year across 7 years
Top 44% in FL for cardiovascular disease
29
Companies
102
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
$4,080 (98.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$65 (1.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$25
2023
$148
2022
$259
2021
$450
2020
$318
2019
$2,242
2018
$703

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic Vascular, Inc.
$2,352
Janssen Pharmaceuticals, Inc
$186
CVRx, Inc.
$142
ABIOMED
$137
Astellas Pharma US Inc
$136
Boston Scientific Corporation
$130
Cardiovascular Systems Inc.
$116
PFIZER INC.
$101
Amgen Inc.
$92
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$81
Bardy Diagnostics, Inc.
$74
Impulse Dynamics (USA) Inc.
$58
AstraZeneca Pharmaceuticals LP
$58
E.R. Squibb & Sons, L.L.C.
$57
Merck Sharp & Dohme LLC
$56
Medtronic, Inc.
$47
Bard Peripheral Vascular, Inc.
$44
BTG International, Inc.
$39
BIOTRONIK INC.
$37
Braemar Manufacturing, LLC
$34
Siemens Medical Solutions USA, Inc.
$25
Abbott Laboratories
$23
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$23
Alnylam Pharmaceuticals Inc.
$19
Esperion Therapeutics, Inc.
$19
Amarin Pharma Inc.
$17
ARALEZ PHARMACEUTICALS US INC.
$17
SANOFI-AVENTIS U.S. LLC
$14
Novartis Pharmaceuticals Corporation
$13
Top 3 companies account for 64.6% of total payments
Associated products mentioned in payments ›
AMPLIA MRI QUAD CRT-D SURESCAN · Advisa · Amplia MRI · Barostim Neo System · CAMZYOS · Cardiac Monitoring Suite · Carnation Ambulatory Monitor · CryoConsole · ELIQUIS · ENTRESTO · EUCRISA · FARXIGA · GENERAL STENTS · Impella · LEXISCAN · LifeVest · MITRACLIP · MULTAQ · Micra · MyCareLink · NEXLETOL · ONPATTRO · Optimizer · Optimizer Smart System · Peripheral Orbital Atherectomy System · Repatha · Reveal LINQ · SPRINT QUATTRO SECURE S MRI SURESCAN · SelectSecure · Symbia_Evo · TYRX · VARITHENA · VENASEAL · VERQUVO · Vascepa · WATCHMAN Access System · XARELTO · XIFAXAN · ZONTIVITY
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $75 per 100 Medicare services performed
Looking for a cardiovascular disease in Tavares?
Compare cardiovascular diseases in the Tavares area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiovascular Diseases within 10 mi
89
Per 100K population
22.3
County median income
$69,956
Nearest hospital
ADVENTHEALTH WATERMAN
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. Lesmes is a clinical cardiology specialist, with above-average Medicare volume (top 18% in FL), and low-engagement industry engagement, 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. Lesmes experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Lesmes performed 1,513 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. Lesmes receive payments from pharmaceutical companies?
Yes. Dr. Lesmes received a total of $4,146 from 29 companies across 102 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. Lesmes's costs compare to other cardiovascular diseases in Tavares?
Dr. Lesmes's average Medicare payment per service is $69. 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. Lesmes) 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 →