Medicare Enrolled
Dr. Michael Esposito, M.D.
Anesthesiology · Vero Beach, 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. Esposito 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. Esposito?
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What this data tells you about Dr. Esposito
Dr. Michael Esposito is an anesthesiology specialist in Vero Beach, FL, with 15 years of NPI registration. Based on federal Medicare data, Dr. Esposito performed 16,342 Medicare services across 3,168 unique beneficiaries.
Between the years covered by Open Payments, Dr. Esposito received a total of $744,305 from 59 pharmaceutical and/or device companies across 1574 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. 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. Esposito 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.
✓ 15 years in practice
▲ Top 0% volume in FL
$744,305 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 | 121952 | Clear | January 31, 2027 | — |
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 ↗16,342
Medicare services
Top 0% in FL for anesthesiology
3,168
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,089 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
4,798 | $0 | $1 |
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
4,011 | $5 | $31 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
2,119 | $1 | $6 |
| 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. |
1,844 | $101 | $657 |
| Contrast dye for imaging, lower concentration | 841 | $0 | $2 |
| 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. |
389 | $131 | $877 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
168 | $190 | $1,637 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
168 | $100 | $857 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
158 | $206 | $1,370 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
150 | $238 | $1,784 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
144 | $32 | $209 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
125 | $0 | $3 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
124 | $104 | $764 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
90 | $261 | $2,116 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
89 | $482 | $3,902 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
86 | $147 | $1,052 |
| 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. |
85 | $39 | $276 |
| New patient office visit, complex (60-74 min) | 83 | $177 | $1,140 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
77 | $1,391 | $12,225 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
72 | $39 | $256 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
64 | $207 | $1,384 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
58 | $75 | $492 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
57 | $51 | $328 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
55 | $206 | $1,710 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
55 | $105 | $876 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
53 | $53 | $465 |
| 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. |
43 | $143 | $930 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
38 | $47 | $298 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 36 | $55 | $469 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
30 | $94 | $610 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
27 | $276 | $2,166 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
26 | $483 | $3,643 |
| 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. |
26 | $42 | $276 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
25 | $191 | $1,370 |
| 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. |
23 | $70 | $469 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
20 | $171 | $2,016 |
| Destruction of peripheral nerve or branch | 18 | $205 | $1,373 |
| Hip joint contrast injection for imaging A contrast dye is injected into the hip joint to enhance visibility during medical imaging procedures. |
16 | $202 | $1,405 |
| Radiologist review of hip joint image A radiologist examines and interprets an image of the hip joint to assess its condition. |
16 | $111 | $738 |
| Minimally invasive spine decompression, lower spine A minimally invasive procedure to remove bone from the lower spine to relieve pressure on nerve tissue, guided by imaging and accessed through the skin. |
12 | $782 | $6,606 |
| Spinal nerve root injection with imaging guidance An injection of anesthetic or steroid medication into a single nerve root in the upper or middle spine. The procedure uses imaging guidance to ensure accurate placement. |
12 | $242 | $1,632 |
| Lower spine stabilization device placement Surgical placement of a device to stabilize the lower spine. This procedure involves inserting hardware to support spinal alignment and stability. |
11 | $356 | $2,326 |
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 ↗$744,305
Total received (2018-2024)
Avg $106,329/year across 7 years
Top 0% in FL for anesthesiology
59
Companies
1,574
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
$543,873 (73.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$176,876 (23.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$23,555 (3.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$74,503
2023
$104,224
2022
$124,159
2021
$196,419
2020
$87,232
2019
$106,004
2018
$51,764
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$314,565
BOSTON SCIENTIFIC CORPORATION
$158,542
Abbott Laboratories
$139,462
Nevro Corp.
$36,234
Vertiflex, Inc.
$29,562
Stimwave Technologies Incorporated
$16,639
Medtronic, Inc.
$8,853
Flowonix Medical Incorporated
$8,126
Medtronic USA, Inc.
$7,612
Curonix LLC
$7,017
Vertos Medical, Inc.
$3,836
OrthoFundamentals, LLC
$3,639
TerSera Therapeutics LLC
$3,587
Spinal Simplicity, LLC
$1,346
Relievant Medsystems, Inc.
$985
PAINTEQ LLC
$980
ABBVIE INC.
$471
Foundation Fusion Solutions, LLC
$292
Collegium Pharmaceutical, Inc.
$231
SPR Therapeutics, Inc
$218
Saluda Medical Americas, Inc.
$190
MML US, Inc.
$190
Daiichi Sankyo Inc.
$168
Jazz Pharmaceuticals Inc.
$159
BIOTRONIK NRO, Inc.
$149
Allergan, Inc.
$97
Teva Pharmaceuticals USA, Inc.
$81
PROTEGA PHARMACEUTIALS LLC
$80
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$77
Amgen Inc.
$73
SCILEX PHARMACEUTICALS INC.
$71
PFIZER INC.
$67
Scilex Pharmaceuticals Inc.
$61
DePuy Synthes Sales Inc.
$52
GRT US Holding, Inc.
$48
SI-BONE, INC.
$44
Electronic Waveform Lab, Inc.
$41
Valinor Pharma, LLC
$36
Kowa Pharmaceuticals America, Inc.
$35
Lilly USA, LLC
$30
Pernix Therapeutics Holdings, Inc.
$28
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$28
BioDelivery Sciences International, Inc.
$28
Fidia Pharma USA Inc.
$26
Flexion Therapeutics, Inc.
$25
AbbVie Inc.
$25
IBSA Pharma Inc.
$24
Averitas Pharma Inc.
$21
Takeda Pharmaceuticals U.S.A., Inc.
$19
Biohaven Pharmaceutical Holding Company Ltd.
$17
Biohaven Pharmaceuticals, Inc.
$16
Radius Health, Inc.
$15
Wright Medical Technology, Inc.
$14
West Therapeutics Development, LLC
$14
INSYS Therapeutics Inc
$13
Kaleo, Inc.
$12
Shionogi Inc
$12
Pacira Therapeutics, Inc.
$11
Nuvectra Corporation
$10
Top 3 companies account for 82.3% of total payments
Associated products mentioned in payments ›
AJOVY · AXIUM · Aimovig · Algovita · AngioJet · Axium INS DRG IPG · BELBUCA · BOTOX · BUNAVAIL 2.1 mg 30-count box · CFNS StimQ Peripheral Nerve StimulatorSystem · DRG IPGs · DRG leads · Delivery Systems · EMGALITY · ETERNA · EVENITY · Eon Family of SCS IPGs · Evoke SCS · Evzio · GENERAL THERAPIES · GENERAL - PAIN MANAGEMENT · GENERAL - THERAPIES · GENERAL PAIN MANAGEMENT · General - DBS · General - EP · General - Pain Management · General - Therapies · General - Vascular Access · General - Vascular Intervention · HA MINUTEMAN G3-R · HYMOVIS · INTELLIS · INTELLIS ADAPTIVESTIM · Infinion 16 · Intracept · KYPHON Balloon Kyphoplasty · LYRICA · MONOVISC · MOVANTIK · Morphabond ER · N'VISION · NURTEC ODT · Neuromodulation Disposables and Accessories · Neuromodulation Dspsbls and Accs · Neuromodulation-Research Only · No Associated Product · OCTRODE · ORTHOVISC · OSTEOCOOL RF ABLATION · Octrode SCS Leads · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · Prialt · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Prolia · Prometra II · Prospera · QULIPTA · QUTENZA · Qutenza · RELISTOR · RELISTOR ORAL · ReActiv8 · Roxybond · SCS IPGs · SEGLENTIS · SPECTRA WAVEWRITER · SPRINT PNS System · SUBSYS · SUPERION · SYNCHROMED · SYNCHROMEDII · Seglentis · Senza · Senza Spinal Cord Stimulation System · SlimTip lead DRG Lead · Spectra WaveWriter · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w Receiver · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Subsys · Superion · Superion ISS · Superion Indirect Decompression System · Swift-Lock SCS · Symproic · THERAPIES · TREXIMET · TRINTELLIX · Tirosint · Tymlos · UBRELVY · VERIFLEX · Vanta · Viaflow · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · mild Device Kit
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 (73%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in anesthesiology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for anesthesiology in FL.
Equivalent to $4,555 per 100 Medicare services performed
Geographic Context
Anesthesiologists within 10 mi
63
Per 100K population
38.4
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. Esposito is a clinical cardiology specialist, with above-average Medicare volume (top 0% in FL), with speaking/promotional industry engagement in the top 0% of FL peers, with 15 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. Esposito experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Esposito performed 4,798 dexamethasone injection (steroid) 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. Esposito receive payments from pharmaceutical companies?
Yes. Dr. Esposito received a total of $744,305 from 59 companies across 1,574 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. Esposito's costs compare to other anesthesiologists in Vero Beach?
Dr. Esposito's average Medicare payment per service is $43. 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. Esposito) 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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