Dr. Miranda Giusti , DO
Internal Medicine • Largo, FL
3600 Oak Manor Ln Apt 46
Largo, FL 337741214
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Miranda Giusti is listed in NPPES under Internal Medicine.
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NPI assigned on July 9, 2014; this date does not establish years in practice.
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Published CMS data list 738 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 232 service units.
- 99308 — Subsequent nursing facility care with straightforward level of medical decision making, per day: 183 service units.
- 99310 — Subsequent nursing facility care with high level of medical decision making, per day: 94 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 9 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 21 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Progesterone (Progesterone, Micronized) — 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 90% of clinicians listed under Internal Medicine in Largo, FL (2024, 55 clinicians with data). Median for this group: 475. Middle half: 96 to 6,024.
Fewer Part D prescriptions than 90% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: 1,318. Middle half: 158 to 5,882.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,589 in 2017 to 738 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
3600 Oak Manor Ln Apt 46
Largo, FL 337741214
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $75,840 in 2018
The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
Paid by Medicare
About $55,344 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
30-day fills
43 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$498 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $18.80 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
NPI first issued
2014
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Can order Medicare-covered services
CMS lists Dr. Giusti as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Largo and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 90% of clinicians listed under Internal Medicine in Largo, FL (2024, 55 clinicians with data). Median for this group: 475. Middle half: 96 to 6,024.
Fewer Part D prescriptions than 90% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: 1,318. Middle half: 158 to 5,882.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Internal Medicine in Largo, FL (2024, 55 clinicians with data). Median for this group: $25,517. Middle half: $2,506 to $326,939.
A lower Part D drug cost than 85% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: $86,865. Middle half: $8,159 to $434,445.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Giusti are from 2018.
96 active clinicians are listed under Internal Medicine with a practice address in Largo, FL (10,165 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Largo
7.3% of these 96 clinicians have the CMS telehealth indicator.
63.5% of these 96 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 54% from 1,589 in 2017 to 738 in 2018.
- 2017: 1,589
- 2018: 738
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Medicare-allowed amount
Medicare-allowed amount decreased 49% from $147,880 in 2017 to $75,840 in 2018.
- 2017: $147,880
- 2018: $75,840
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Paid by Medicare
Paid by Medicare decreased 51% from $112,076 in 2017 to $55,344 in 2018.
- 2017: $112,076
- 2018: $55,344
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 96% from 592 in 2019 to 21 in 2024.
- 2019: 592
- 2020: 127
- 2021: 56
- 2022: 14
- 2024: 21
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30-day fills
30-day fills decreased 93% from 615 in 2019 to 43 in 2024.
- 2019: 615
- 2020: 127
- 2021: 58
- 2022: 14
- 2024: 43
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Part D drug cost
Part D drug cost decreased 98% from $29,635 in 2019 to $498 in 2024.
- 2019: $29,635
- 2020: $12,946
- 2021: $10,302
- 2022: $243
- 2024: $498
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $144.23 in 2020 to $18.80 in 2024.
- 2020: $144.23
- 2021: $93.04
- 2022: $45.55
- 2023: $36.14
- 2024: $18.80
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $18.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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FREESTYLE LIBRE 3 | General | $18.80 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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232 | 75 | $140.44 | $91.64 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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183 | 57 | $106.17 | $69.29 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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94 | 44 | $208.55 | $136.20 |
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99336
Established patient assisted living visit, typically 40 minutes
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57 | 31 | $209.05 | $136.37 |
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99335
Established patient assisted living visit, typically 25 minutes
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48 | 33 | $146.66 | $95.22 |
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99306
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
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38 | 38 | $255.83 | $167.18 |
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99337
Established patient assisted living visit, typically 60 minutes
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33 | 21 | $297.06 | $194.19 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
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31 | 29 | $83.07 | $53.20 |
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99316
Nursing facility discharge management, more than 30 minutes
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22 | 19 | $163.34 | $106.50 |
Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Progesterone | Progesterone, Micronized | 21 | 1,290 | $498.28 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Nurse Practitioner (Certified)
Family Medicine - Adult Medicine
Career & Practice History
NPI enumerated July 09, 2014.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Largo
- Mark Vila
- Dr. Joseph Rosin, DO
- Dr. Jonathon Yoder, DO
- Dr. Mark Stine, DO
- Dr. Brenton Mccoy, DO
- Dr. Laura Arline, MD
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Mailing Address
3600 Oak Manor Ln Apt 46
Largo, FL 337741214
Phone: 7274893305