Medicare Enrolled
Dr. Nabil Itani, DO
Internal Medicine · Titusville, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Itani 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. Itani?
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What this data tells you about Dr. Itani
Dr. Nabil Itani is an internal medicine specialist in Titusville, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Itani performed 4,582 Medicare services across 2,838 unique beneficiaries.
Between the years covered by Open Payments, Dr. Itani received a total of $17,670 from 58 pharmaceutical and/or device companies across 1127 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Itani 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 8% volume in FL
$17,670 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 | 9008 | 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 ↗4,582
Medicare services
Top 8% in FL for internal medicine
2,838
Unique beneficiaries
$60
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~241 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) 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. |
1,566 | $57 | $113 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
511 | $101 | $199 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
477 | $126 | $150 |
| 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. |
311 | $85 | $135 |
| 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. |
286 | $8 | $20 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
240 | $33 | $44 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
240 | $20 | $20 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
197 | $1 | $5 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
112 | $3 | $10 |
| 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. |
57 | $60 | $138 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
54 | $30 | $85 |
| 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. |
53 | $40 | $99 |
| Psychological test evaluation, first hour A healthcare professional evaluates the results of psychological testing during an initial one-hour session. |
38 | $92 | $370 |
| Health risk assessment administration and interpretation This procedure involves administering a health risk assessment to a patient and interpreting the results. |
38 | $2 | $8 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
38 | $43 | $100 |
| Substance misuse assessment and brief intervention A structured assessment of alcohol or substance misuse combined with a brief intervention lasting 15 to 30 minutes. |
38 | $27 | $110 |
| 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. |
34 | $10 | $35 |
| 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. |
34 | $36 | $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. |
33 | $36 | $105 |
| Annual depression screening | 33 | $18 | $55 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
32 | $0 | $10 |
| Injection, methylprednisolone acetate, 40 mg | 28 | $5 | $15 |
| 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. |
27 | $161 | $198 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
24 | $41 | $60 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
19 | $32 | $66 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
17 | $14 | $40 |
| 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. |
16 | $266 | $303 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
16 | $20 | $39 |
| 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. |
13 | $157 | $160 |
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 ↗$17,670
Total received (2018-2024)
Avg $2,524/year across 7 years
Top 4% in FL for internal medicine
58
Companies
1,127
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
$16,102 (91.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,433 (8.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$134 (0.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,668
2023
$2,543
2022
$2,453
2021
$4,004
2020
$2,034
2019
$1,902
2018
$2,065
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$2,455
Janssen Pharmaceuticals, Inc
$1,635
Biohaven Pharmaceuticals, Inc.
$1,433
ABBVIE INC.
$1,396
Lilly USA, LLC
$1,029
AstraZeneca Pharmaceuticals LP
$881
AbbVie Inc.
$850
SANOFI-AVENTIS U.S. LLC
$838
PFIZER INC.
$740
Boehringer Ingelheim Pharmaceuticals, Inc.
$659
Bayer Healthcare Pharmaceuticals Inc.
$513
GlaxoSmithKline, LLC.
$465
Abbott Laboratories
$326
Novartis Pharmaceuticals Corporation
$321
Bayer HealthCare Pharmaceuticals Inc.
$266
IDORSIA PHARMACEUTICALS US INC
$232
Exact Sciences Corporation
$221
Merck Sharp & Dohme LLC
$214
Amgen Inc.
$214
Amarin Pharma Inc.
$204
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$201
Merck Sharp & Dohme Corporation
$192
Allergan Inc.
$160
Allergan, Inc.
$154
Otsuka America Pharmaceutical, Inc.
$152
Almatica Pharma LLC
$151
Takeda Pharmaceuticals U.S.A., Inc.
$138
AbbVie, Inc.
$136
Sunovion Pharmaceuticals Inc.
$111
Astellas Pharma US Inc
$108
Daiichi Sankyo Inc.
$107
E.R. Squibb & Sons, L.L.C.
$88
Biohaven Pharmaceutical Holding Company Ltd.
$88
Mannkind Corporation
$79
Sumitomo Pharma America, Inc.
$79
Teva Pharmaceuticals USA, Inc.
$77
Supernus Pharmaceuticals, Inc.
$70
Antares Pharma, Inc.
$64
Biogen, Inc.
$62
SCILEX PHARMACEUTICALS INC.
$54
Boston Scientific Corporation
$53
Eisai Inc.
$52
Nestle HealthCare Nutrition Inc.
$47
UCB, Inc.
$45
Ardelyx, Inc.
$36
JAZZ PHARMACEUTICALS INC.
$35
Tris Pharma Inc
$32
MannKind Corporation
$32
Corium, LLC
$28
Genentech USA, Inc.
$20
VIVUS LLC
$19
IMPEL PHARMACEUTICALS INC.
$18
Clarus Therapeutics Inc.
$17
Sanofi Pasteur Inc.
$16
Tolmar, Inc.
$16
Kowa Pharmaceuticals America, Inc.
$15
Amneal Pharmaceuticals LLC
$12
Purdue Pharma L.P.
$11
Top 3 companies account for 31.3% of total payments
Associated products mentioned in payments ›
ADUHELM · AFREZZA · AIMOVIG · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · Adlarity · Aimovig · BASAGLAR · BELSOMRA · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYDUREON · BYSTOLIC · Briviact · CAMZYOS · CAPVAXIVE · CHANTIX · CREON · Cologuard Collection Kit · Creon · Dayvigo · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GEMTESA · GRALISE · IBSRELA · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Kerendia · LEQVIO · LINZESS · LIVALO · LO LOESTRIN FE · LONHALA MAGNAIR · LOREEV XR · LYRICA · Leqembi · MOUNJARO · MYRBETRIQ · Morphabond ER · NOCDURNA · NURTEC ODT · ORILISSA · OTREXUP · OXYCONTIN · Orilissa · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRADAXA · PREVNAR - 13 · PREVNAR 20 · QELBREE · QULIPTA · QUVIVIQ · Qsymia · RELISTOR · RELISTOR ORAL · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPECTRA WAVEWRITER · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · SUPERION · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TLANDO · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trintellix · Trudhesa · UBRELVY · UNITHROID · VESICARE · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · XYOSTED · XYWAV · Xofluza · Xultophy 100/3.6 · ZENPEP · ZTLido
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 (91%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for internal medicine in FL.
Equivalent to $386 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
135
Per 100K population
21.8
County median income
$75,817
Nearest hospital
PARRISH MEDICAL CENTER
0.0 mi
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. Itani is a clinical cardiology specialist, with above-average Medicare volume (top 8% in FL), with low-engagement industry engagement in the top 4% of FL peers, with 19 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. Itani experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Itani performed 1,566 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. Itani receive payments from pharmaceutical companies?
Yes. Dr. Itani received a total of $17,670 from 58 companies across 1,127 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. Itani's costs compare to other internal medicine physicians in Titusville?
Dr. Itani's average Medicare payment per service is $60. 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. Itani) 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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