Medicare Enrolled
Dr. Garrison Christian, MD
Family Medicine · Winter Haven, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
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. Christian 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. Christian? Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Christian
Dr. Garrison Christian is a family medicine in Winter Haven, FL, with 18 years in practice. Based on federal Medicare data, Dr. Christian performed 20,045 Medicare services across 8,912 unique beneficiaries.
Between the years covered by Open Payments, Dr. Christian received a total of $12,437 from 62 pharmaceutical and/or device companies across 716 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Christian is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years in practice▲ Top 1% volume in FL$ $12,437 industry payments
Medicare Practice Summary
Medicare Utilization ↗20,045
Medicare services
Top 1% in FL for family medicine
8,912
Unique beneficiaries
$21
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,114 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) | 3,970 | $0 | $2 |
| Denosumab injection (Prolia/Xgeva) | 1,800 | $18 | $42 |
| Blood draw (venipuncture) | 1,572 | $8 | $10 |
| Office visit, established patient (30-39 min) | 1,374 | $89 | $244 |
| Complete blood count (CBC) with differential | 1,102 | $8 | $25 |
| Comprehensive metabolic blood panel | 1,011 | $10 | $30 |
| Urinalysis with microscopic exam | 868 | $3 | $15 |
| Lipid panel (cholesterol and triglycerides) | 654 | $13 | $38 |
| Office visit, established patient (20-29 min) | 537 | $61 | $172 |
| Thyroid stimulating hormone (TSH) test | 498 | $16 | $52 |
| Free thyroxine (T4) test | 491 | $9 | $30 |
| Drug injection, under skin or into muscle | 389 | $10 | $33 |
| Hemoglobin A1c test (diabetes monitoring) | 366 | $10 | $25 |
| Vitamin B-12 level test | 290 | $15 | $60 |
| Urine culture, bacterial colony count | 266 | $8 | $24 |
| Basic metabolic blood panel | 264 | $8 | $25 |
| Annual wellness visit, follow-up | 240 | $128 | $247 |
| Ceftriaxone antibiotic injection | 185 | $0 | $1 |
| Chest X-ray, 2 views | 184 | $22 | $65 |
| Bacterial culture, aerobic | 160 | $8 | $25 |
| Sed rate test (inflammation marker) | 158 | $3 | $15 |
| Antibiotic sensitivity test | 157 | $8 | $25 |
| Complete blood count (CBC), automated | 149 | $6 | $20 |
| Prothrombin time test (blood clotting) | 147 | $4 | $13 |
| Folic acid level test | 133 | $14 | $60 |
| Urine microalbumin test (kidney screening) | 128 | $6 | $8 |
| Creatinine test (kidney function) | 128 | $5 | $17 |
| Electrocardiogram (EKG), 12-lead | 127 | $10 | $55 |
| Flu vaccine administration | 125 | $29 | $30 |
| Annual depression screening | 125 | $18 | $35 |
| Flu vaccine, high-dose | 122 | $72 | $117 |
| Injection, methylprednisolone acetate, 80 mg | 121 | $9 | $15 |
| Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 114 | $1 | $8 |
| 3D screening mammography (tomosynthesis) | 106 | $52 | $75 |
| Screening mammography | 106 | $125 | $254 |
| Vitamin D level test | 105 | $29 | $85 |
| Advance care planning consultation, first 30 min | 101 | $41 | $168 |
| Ferritin level test (iron stores) | 93 | $13 | $40 |
| PSA test (prostate cancer screening) | 92 | $18 | $54 |
| Iron level test | 79 | $6 | $18 |
| Iron binding capacity test | 79 | $8 | $24 |
| Injection, ketorolac tromethamine, per 15 mg | 75 | $0 | $10 |
| CT scan of chest, without contrast | 63 | $98 | $485 |
| Natriuretic peptide (heart and blood vessel protein) level | 63 | $38 | $92 |
| Uric acid level test | 56 | $4 | $17 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 47 | $16 | $43 |
| X-ray of lower and sacral spine, minimum of 4 views | 46 | $36 | $86 |
| Bone density scan (DEXA) | 37 | $36 | $99 |
| New patient office visit (45-59 min) | 37 | $98 | $323 |
| Ldl cholesterol level | 34 | $10 | $27 |
| Screening test for autoimmune disorder | 34 | $12 | $35 |
| Office visit, established patient (10-19 min) | 33 | $43 | $107 |
| Home visit, established patient, low complexity | 32 | $59 | $165 |
| Ct scan of abdomen and pelvis without contrast | 30 | $129 | $420 |
| Magnesium level test | 30 | $6 | $25 |
| Rheumatoid factor level | 30 | $5 | $26 |
| Transitional care management services for problem of at least moderate complexity | 30 | $161 | $391 |
| Prostate cancer screening; prostate specific antigen test (psa) | 30 | $19 | $54 |
| Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 30 | $18 | $44 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 28 | $35 | $100 |
| Glutamyltransferase (liver enzyme) level | 27 | $7 | $20 |
| X-ray of upper spine, 4-5 views | 26 | $37 | $89 |
| Ultrasound scan of head and neck soft tissue | 24 | $74 | $182 |
| Red blood count, automated test | 24 | $4 | $12 |
| Complete ultrasound scan of abdomen | 23 | $74 | $190 |
| Liver function blood test panel | 23 | $8 | $24 |
| Detection test by nucleic acid for multiple types influenza virus | 23 | $94 | $185 |
| Mri scan of lower spinal canal without contrast | 22 | $151 | $1,075 |
| Sex hormone binding globulin (protein) level | 22 | $21 | $21 |
| Testosterone (hormone) level, total | 22 | $25 | $70 |
| CT scan of abdomen and pelvis with contrast | 20 | $237 | $655 |
| Echocardiogram, transthoracic | 20 | $124 | $515 |
| Mri scan of brain without contrast | 19 | $159 | $985 |
| X-ray lower and sacral spine, minimum of 6 views | 19 | $35 | $110 |
| Limited ultrasound scan behind abdominal cavity | 19 | $37 | $140 |
| Measurement of antibody for rheumatoid arthritis assessment | 19 | $12 | $35 |
| Shoulder X-ray, 2+ views | 16 | $24 | $55 |
| Troponin (protein) analysis, quantitative | 16 | $12 | $26 |
| Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 16 | $36 | $75 |
| Mri scan of upper spinal canal without contrast | 15 | $144 | $995 |
| Hip X-ray, 2-3 views | 15 | $34 | $80 |
| CT scan of head/brain, without contrast | 14 | $77 | $400 |
| Low dose ct scan of chest for lung cancer screening | 14 | $139 | $282 |
| X-ray of knee, 4 or more views | 14 | $28 | $60 |
| Foot X-ray, 3+ views | 14 | $25 | $55 |
| X-ray of abdomen, 1 view | 14 | $18 | $48 |
| Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic | 14 | $11 | $28 |
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $282 | $375 |
| Pneumonia vaccine administration | 13 | $29 | $30 |
| Limited ultrasound scan of 1 breast | 12 | $73 | $175 |
| Limited ultrasound scan of joint or other extremity structure except blood vessels | 12 | $31 | $62 |
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.
0.1% high complexity
34.6% medium
65.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$12,437
Total received (2018-2024)
Avg $1,777/year across 7 years
Top 3% in FL for family medicine
62
Companies
716
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
$12,437 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$1,396
2023$1,697
2022$2,175
2021$2,021
2020$1,616
2019$1,786
2018$1,746
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$1,683
Novo Nordisk Inc
$1,283
Amgen Inc.
$941
Boehringer Ingelheim Pharmaceuticals, Inc.
$938
GlaxoSmithKline, LLC.
$877
PFIZER INC.
$703
Lilly USA, LLC
$583
Merck Sharp & Dohme LLC
$398
Novartis Pharmaceuticals Corporation
$354
AbbVie Inc.
$335
Amarin Pharma Inc.
$295
Kowa Pharmaceuticals America, Inc.
$225
Bayer Healthcare Pharmaceuticals Inc.
$203
Janssen Pharmaceuticals, Inc
$197
Eisai Inc.
$186
Esperion Therapeutics, Inc.
$172
Dexcom, Inc.
$165
Teleflex LLC
$164
Merck Sharp & Dohme Corporation
$161
Exact Sciences Corporation
$155
SANOFI-AVENTIS U.S. LLC
$153
Astellas Pharma US Inc
$152
Bayer HealthCare Pharmaceuticals Inc.
$146
Biohaven Pharmaceutical Holding Company Ltd.
$138
AbbVie, Inc.
$117
ABBVIE INC.
$117
Biohaven Pharmaceuticals, Inc.
$116
Sunovion Pharmaceuticals Inc.
$106
E.R. Squibb & Sons, L.L.C.
$100
Phathom Pharmaceuticals, Inc.
$95
Abbott Laboratories
$83
GRT US Holding, Inc.
$79
Corcept Therapeutics
$79
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$66
Daiichi Sankyo Inc.
$59
Allergan Inc.
$58
Nevro Corp.
$54
EISAI INC.
$52
Scilex Pharmaceuticals Inc.
$49
Circassia Pharmaceuticals Inc
$43
LIFESCAN, INC.
$42
Mylan Specialty L.P.
$40
Allergan, Inc.
$37
Radius Health, Inc.
$36
IBSA Pharma Inc.
$35
Takeda Pharmaceuticals U.S.A., Inc.
$34
MannKind Corporation
$31
DEXCOM, INC.
$30
Mannkind Corporation
$28
Paratek Pharmaceuticals, Inc.
$26
VIVUS, Inc.
$23
Otsuka America Pharmaceutical, Inc.
$22
3B Medical, Inc.
$22
Sumitomo Pharma America, Inc.
$20
Boston Scientific Corporation
$20
Supernus Pharmaceuticals, Inc.
$19
IDORSIA PHARMACEUTICALS US INC
$19
ITI, Inc.
$18
Tolmar, Inc.
$17
Ironwood Pharmaceuticals, Inc
$16
Almatica Pharma LLC
$15
Inogen, Inc.
$5
Top 3 companies account for 31.4% of total payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Amitiza · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · CAPLYTA · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · CREON · Cologuard Collection Kit · Creon · DALIRESP · DEXCOM G6 TRANSMITTER · DUZALLO · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FORTEO · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · GARDASIL 9 · GEMTESA · GRALISE · INJECTAFER · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Kerendia · Korlym · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LUNA · Leqembi · Livalo · MOUNJARO · Myrbetriq · NEXLETOL · NURTEC ODT · NUZYRA · OFEV · ONETOUCH VERIO FLEX · Otezla · Ozempic · PANCREAZE · PAXLOVID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · Qutenza · REXULTI · Repatha · Rybelsus · SHINGRIX · SIVEXTRO · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · STEGLATRO · STIOLTO · STIOLTO RESPIMAT · SYMBICORT · Saxenda · Senza · Senza Spinal Cord Stimulation System · Superion Indirect Decompression System · Synthroid · TLANDO · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · UROLIFT · VERQUVO · VESICARE · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XIFAXANIBSD · Xultophy 100/3.6 · Yupelri · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for family medicine in FL.
Equivalent to $62 per 100 Medicare services performed
Geographic Context
Family Medicines within 10 mi
236
Per 100K population
31.0
County median income
$63,644
Nearest hospital
WINTER HAVEN HOSPITAL
6.0 mi
6.0 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. Christian is a mixed practice specialist, with above-average Medicare volume (top 1% in FL), and high industry engagement (low-engagement, top 3%), with 18 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. Christian experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Christian performed 3,970 contrast dye for imaging (iodine-based) 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. Christian receive payments from pharmaceutical companies?
Yes. Dr. Christian received a total of $12,437 from 62 companies across 716 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. Christian's costs compare to other family medicines in Winter Haven?
Dr. Christian's average Medicare payment per service is $21. 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. Christian) 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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