Medicare Enrolled
Dr. Frank Puhalovich, M.D.
Neurology · Cumming, GA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Puhalovich 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. Puhalovich
Dr. Frank Puhalovich is a neurology specialist in Cumming, GA, with 21 years of NPI registration. Based on federal Medicare data, Dr. Puhalovich performed 12,253 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Puhalovich received a total of $32,065 from 99 pharmaceutical and/or device companies across 1865 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Puhalovich is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 21 years of NPI registration
▲ Top 10% volume in GA
$32,065 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗12,253
Medicare services
Top 10% in GA for neurology
Not available
Unique patients (not deduplicated)
$16
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| 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. |
10,700 | $5 | $31 |
| 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. |
776 | $93 | $387 |
| 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. |
356 | $62 | $273 |
| 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. |
293 | $121 | $503 |
| New patient office visit, complex (60-74 min) | 47 | $159 | $664 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
36 | $114 | $465 |
| 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. |
34 | $85 | $339 |
| 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. |
11 | $132 | $540 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$32,065
Total received (2018-2024)
Avg $4,581/year across 7 years
Top 12% in GA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
99
Companies
1,865
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,217
2023
$3,826
2022
$4,536
2021
$5,799
2020
$4,971
2019
$4,571
2018
$4,147
Payments by company (2024)
MDD US Operations, LLC
$499
ABBVIE INC.
$435
PFIZER INC.
$381
Lundbeck LLC
$251
UCB, Inc.
$231
ACADIA Pharmaceuticals Inc
$227
CATALYST PHARMACEUTICALS, INC.
$196
Biogen, Inc.
$185
Otsuka America Pharmaceutical, Inc.
$179
Neurocrine Biosciences, Inc.
$177
Teva Pharmaceuticals USA, Inc.
$162
Eisai Inc.
$161
Lilly USA, LLC
$143
Alexion Pharmaceuticals, Inc.
$137
Sumitomo Pharma America, Inc.
$131
Novartis Pharmaceuticals Corporation
$112
ARGENX US, INC.
$105
Ipsen Biopharmaceuticals, Inc
$85
Neurelis, Inc.
$55
Cycle Pharmaceuticals Inc
$55
Azurity Pharmaceuticals, Inc.
$41
SCILEX PHARMACEUTICALS INC.
$39
Aucta Pharmaceuticals, Inc.
$31
Takeda Pharmaceuticals U.S.A., Inc.
$28
Genentech USA, Inc.
$28
JAZZ PHARMACEUTICALS INC.
$25
Kedrion Biopharma, Inc.
$25
Celgene Corporation
$24
Kyowa Kirin, Inc.
$24
AstraZeneca Pharmaceuticals LP
$22
Grifols USA, LLC
$22
Top 3 companies account for 31.2% of 2024 payments
All-time payments by company (2018-2024) ›
UCB, Inc.
$2,217
ABBVIE INC.
$1,608
Biogen, Inc.
$1,567
Novartis Pharmaceuticals Corporation
$1,210
EMD Serono, Inc.
$1,152
ACADIA Pharmaceuticals Inc
$1,112
Sunovion Pharmaceuticals Inc.
$1,103
Lundbeck LLC
$992
Amgen Inc.
$990
Alexion Pharmaceuticals, Inc.
$944
Teva Pharmaceuticals USA, Inc.
$932
Avanir Pharmaceuticals, Inc.
$900
PFIZER INC.
$889
AbbVie Inc.
$881
Neurocrine Biosciences, Inc.
$850
Eisai Inc.
$820
Lilly USA, LLC
$792
Supernus Pharmaceuticals, Inc.
$750
GENZYME CORPORATION
$674
MDD US Operations, LLC
$583
Allergan, Inc.
$543
Biohaven Pharmaceuticals, Inc.
$528
Otsuka America Pharmaceutical, Inc.
$528
US WorldMeds, LLC
$464
JAZZ PHARMACEUTICALS INC.
$430
Biohaven Pharmaceutical Holding Company Ltd.
$414
EISAI INC.
$395
CSL Behring
$394
Adamas Pharmaceuticals, Inc.
$386
Kyowa Kirin, Inc.
$373
Amneal Pharmaceuticals LLC
$342
Bausch Health US, LLC
$334
Sumitomo Pharma America, Inc.
$321
Allergan Inc.
$310
Mallinckrodt Hospital Products Inc.
$262
AbbVie, Inc.
$255
Ipsen Biopharmaceuticals, Inc
$245
IMPEL PHARMACEUTICALS INC.
$234
Acorda Therapeutics, Inc
$234
ARGENX US, INC.
$227
Celgene Corporation
$225
Janssen Pharmaceuticals, Inc
$213
CATALYST PHARMACEUTICALS, INC.
$196
Grifols USA, LLC
$169
Neurelis, Inc.
$167
Currax Pharmaceuticals LLC
$126
Promius Pharma LLC
$124
Harmony Biosciences LLC
$123
Aprecia Pharmaceuticals, LLC
$122
Mallinckrodt LLC
$119
Avion Pharmaceuticals
$113
Egalet US Inc
$111
Takeda Pharmaceuticals U.S.A., Inc.
$105
Upsher-Smith Laboratories LLC
$102
Jazz Pharmaceuticals Inc.
$93
Catalyst Pharmaceuticals, Inc.
$93
Genentech USA, Inc.
$87
Vertical Pharmaceuticals, LLC
$82
SK Life Science, Inc.
$78
Azurity Pharmaceuticals, Inc.
$76
Mallinckrodt Enterprises LLC
$75
UPSHER-SMITH LABORATORIES LLC
$74
BANNER LIFE SCIENCES, LLC
$67
Corium, LLC
$63
Greenwich Biosciences, Inc.
$63
Boston Scientific Corporation
$61
Impax Laboratories, Inc.
$61
ARBOR PHARMACEUTICALS, INC.
$57
Cycle Pharmaceuticals Inc
$55
LivaNova USA, Inc.
$51
Axsome Therapeutics, Inc.
$51
Collegium Pharmaceutical, Inc.
$44
GE Healthcare
$44
E.R. Squibb & Sons, L.L.C.
$39
Medtronic USA, Inc.
$39
SCILEX PHARMACEUTICALS INC.
$39
SANOFI-AVENTIS U.S. LLC
$36
HARMONY BIOSCIENCES LLC
$35
Octapharma USA, Inc.
$33
Aucta Pharmaceuticals, Inc.
$31
TerSera Therapeutics LLC
$27
MITSUBISHI TANABE PHARMA AMERICA, INC.
$25
Kedrion Biopharma, Inc.
$25
Horizon Therapeutics plc
$23
AstraZeneca Pharmaceuticals LP
$22
Exeltis, USA Inc.
$22
Mylan Pharmaceuticals Inc.
$18
BOSTON SCIENTIFIC CORPORATION
$18
Merz North America, Inc.
$18
Zyla Life Sciences, Inc.
$17
Assertio Therapeutics, Inc.
$17
Abbott Laboratories
$17
Arbor Pharmaceuticals, Inc.
$14
Bayer HealthCare Pharmaceuticals Inc.
$14
ASSERTIO THERAPEUTICS, Inc.
$13
Alnylam Pharmaceuticals Inc.
$13
Merz Pharmaceuticals, LLC
$12
Merck Sharp & Dohme Corporation
$11
Almatica Pharma LLC
$11
Top 3 companies account for 16.8% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ACTIVA · ADLARITY · ADUHELM · AIMOVIG · AJOVY · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · AVONEX · Adlarity · Aduhelm · Aimovig · Albuked · Austedo XR · BAFIERTAM · BELSOMRA · BOTOX · BOTOX THERAPEUTIC · Betaseron · Briviact · CAMBIA · CHANTIX · COMIRNATY · COPAXONE · Cambia · DUOPA · DYSPORT · Dhivy · Duopa · Dysport · ELYXYB - CELECOXIB · ELYXYB - celecoxib · EMGALITY · EPIDIOLEX · Epidiolex · Evrysdi · FYCOMPA · Fycompa · GAMMAGARD · GENERAL - DBS · GENERAL - PAIN MANAGEMENT · GENERAL - THERAPIES · GENERAL PAIN MANAGEMENT · GILENYA · GOCOVRI · Gamunex-C · Glatiramer Acetate · Gocovri · HORIZANT · HYQVIA · Hizentra · Horizant · INBRIJA · INGREZZA · Infinity DBS Pulse Generators · KESIMPTA · KYNMOBI · LEMTRADA · LUMIZYME · LYRICA · LYVISPAH · Leqembi · MAVENCLAD · MAYZENT · MIGRANAL · MYOBLOC · Mavenclad · Motpoly XR · NAMZARIC · NAPRELAN · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Neupro · Nourianz · Nuedexta · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONGENTYS · ONPATTRO · ONZETRA XSAIL · OSMOLEX ER · OXTELLAR XR · Ongentys · PANZYGA · PLEGRIDY · POMPE - DISEASE · PRIALT · PURIFIED CORTROPHIN GEL · Ponvory · QULIPTA · RADICAVA · REXULTI · REYVOW · RYTARY · Rebif · Rystiggo · SOLIRIS · SPRIX · SUNOSI · Soliris · Spritam · Sunosi · TECFIDERA · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · TYSABRI · Tascenso ODT · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · Utibron · VALTOCO · VNS Therapy · VNS Therapy SenTiva Model 1000 Generator · VRAYLAR · VUMERITY · VYALEV · VYEPTI · VYVGART · VYVGART HYTRULO · Vimpat · WAINUA · Wakix · XADAGO · XEOMIN · XYREM · XYWAV · Xadago · Xeomin · Xyrem · ZEMBRACE SYMTOUCH · ZEPOSIA · Zembrace · Zembrace SymTouch Sumatriptan Injection · Zilbrysq
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Neurologists in nearby ZIP areas
88
County median income
$138,000
Nearest hospital to ZIP centroid (approximate)
NORTHSIDE HOSPITAL FORSYTH
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Puhalovich is a mixed practice specialist, with above-average Medicare volume (top 10% in GA), with 21 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Puhalovich experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Puhalovich performed 10,700 botox injection, per unit services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Puhalovich receive payments from pharmaceutical companies?
Yes. Dr. Puhalovich received a total of $32,065 from 99 companies across 1,865 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Puhalovich's costs compare to other neurologists in Cumming?
Dr. Puhalovich's average Medicare payment per service is $16. 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. Puhalovich) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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