Medicare Enrolled
Dr. Jeffrey Livingston, M.D.
Otolaryngology · Vero Beach, 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. Livingston 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. Livingston
Dr. Jeffrey Livingston is an otolaryngology specialist in Vero Beach, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Livingston performed 8,191 Medicare services across 3,538 unique beneficiaries.
Between the years covered by Open Payments, Dr. Livingston received a total of $4,323 from 22 pharmaceutical and/or device companies across 124 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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. Livingston 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 5% volume in FL
$4,323 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 |
|---|---|---|---|---|
| Medical Doctor | 70327 | Clear | January 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 ↗8,191
Medicare services
Top 5% in FL for otolaryngology
3,538
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~410 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 |
|---|---|---|---|
| Allergy skin test A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens. |
1,933 | $3 | $12 |
| Allergy immunotherapy preparation A professional service involving the preparation and administration of one or more antigens. |
1,060 | $12 | $25 |
| Skin allergy test A test where small amounts of potential allergens are injected into the skin to check for allergic reactions. |
993 | $6 | $15 |
| 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. |
644 | $67 | $132 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
426 | $33 | $88 |
| Comprehensive hearing and speech recognition test A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech. |
396 | $27 | $79 |
| Allergy injection therapy, multiple injections A professional service involving the administration of multiple allergen injections. |
391 | $9 | $30 |
| 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. |
327 | $99 | $196 |
| Nasal endoscopy A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages. |
280 | $142 | $366 |
| Middle ear function test A diagnostic test used to evaluate how well the middle ear is functioning. |
272 | $13 | $26 |
| 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. |
227 | $83 | $194 |
| 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. |
192 | $128 | $294 |
| Flexible laryngoscopy A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx. |
153 | $98 | $217 |
| Impacted earwax removal by physician Removal of impacted earwax from one or both ears by a physician on the same day as audiologic testing. |
137 | $35 | $95 |
| Eardrum and muscle function test A diagnostic test used to evaluate the function of the eardrum and associated muscles. |
126 | $16 | $38 |
| Ear probe test for repeated sounds A probe is placed in the ear to measure how the ear responds to repeated sounds. The results are interpreted and a report is provided. |
115 | $26 | $67 |
| Microscopic ear examination A detailed visual inspection of the ear using a specialized microscope to examine the ear canal and eardrum. |
112 | $20 | $53 |
| CT scan of face, without contrast A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye. |
96 | $105 | $358 |
| Vocal cord movement assessment with endoscope This procedure uses an endoscope to examine the movement of the vocal cords. It allows for the visual assessment of how the vocal cord flaps function. |
60 | $161 | $322 |
| 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. |
45 | $43 | $81 |
| Swallowing evaluation using an endoscope This procedure involves using an endoscope to visually evaluate and record the swallowing process. |
37 | $152 | $321 |
| Balance testing with recording A procedure to evaluate balance function by recording the results during testing. |
29 | $88 | $163 |
| Vestibular function test with thermal irrigation A test that assesses balance by irrigating both ears with warm and cool fluids to evaluate inner ear function. |
27 | $33 | $61 |
| Eardrum incision with tube insertion A small cut is made in the eardrum to insert a ventilation tube, performed under local or topical anesthesia. |
26 | $169 | $350 |
| 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. |
26 | $142 | $257 |
| Endoscopic nasal polyp biopsy or removal A procedure to remove or sample nasal polyps or tissue using an endoscope. The endoscope allows the provider to view the nasal passages during the procedure. |
20 | $247 | $632 |
| Endoscopic control of nosebleed A procedure to stop bleeding in the nose using an endoscope to visualize the area. |
15 | $194 | $482 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
14 | $5 | $10 |
| Head repositioning exercises for dizziness A series of exercises performed to reposition the head, used to treat dizziness. The procedure is administered on a daily basis. |
12 | $36 | $75 |
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 ↗$4,323
Total received (2018-2024)
Avg $618/year across 7 years
Top 19% in FL for otolaryngology
22
Companies
124
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
$3,806 (88.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$517 (12.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,255
2023
$416
2022
$424
2021
$480
2020
$1,316
2019
$114
2018
$318
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GENZYME CORPORATION
$1,117
Medical Device Business Services, Inc.
$921
Regeneron Healthcare Solutions, Inc.
$594
Smith+Nephew, Inc.
$529
Acclarent, Inc
$459
Intersect ENT, Inc.
$234
GlaxoSmithKline, LLC.
$68
Optinose US, Inc.
$66
Medtronic, Inc.
$60
Stryker Corporation
$46
OptiNose US, Inc.
$35
Integra LifeSciences Corporation
$27
ALK-Abello, Inc
$23
Genentech USA, Inc.
$20
Hologic, LLC
$19
Arrinex, Inc.
$19
Mylan Specialty L.P.
$19
ICU Medical Inc
$17
Aerin Medical Inc.
$15
Shire North American Group Inc
$13
Smith & Nephew, Inc.
$12
Novartis Pharmaceuticals Corporation
$12
Top 3 companies account for 60.9% of total payments
Associated products mentioned in payments ›
ACCLARENT AERA · Acclarent ENT Navigation System · BIRMINGHAM HIP · CIPRODEX · Clarifix · Coblation - Laryngeal Wands · CoolSeal Generator · DUPIXENT · Dymista · ENTELLUS - FOCESS SINUSCOPES · HALO · NUCALA · Odactra · PROPEL · RELIEVA SPINPLUS Balloon Sinuplasty System · Relieva Tract · SINUVA · TULA · Tracheostomy · TruDi NAV Cable · TruDi Navigation System · Vivaer RF Stylus · XPRESS ENT DILATION SYSTEM · Xhance
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 (88%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $53 per 100 Medicare services performed
Geographic Context
Otolaryngologists within 10 mi
13
Per 100K population
7.9
County median income
$71,049
Nearest hospital
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
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. Livingston is a clinical cardiology specialist, with above-average Medicare volume (top 5% in FL), with low-engagement industry engagement in the top 19% 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. Livingston experienced with allergy skin test?
Based on Medicare claims data, Dr. Livingston performed 1,933 allergy skin test 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. Livingston receive payments from pharmaceutical companies?
Yes. Dr. Livingston received a total of $4,323 from 22 companies across 124 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. Livingston's costs compare to other otolaryngologists in Vero Beach?
Dr. Livingston's average Medicare payment per service is $35. 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. Livingston) 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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