Dr. John Murage Gachiani , MD
Neurological Surgery โข Melbourne, FL
1130 Hickory St Ste B
Melbourne, FL 329011973
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. John Gachiani is listed in NPPES under Neurological Surgery.
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NPI assigned on August 1, 2007; this date does not establish years in practice.
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Published CMS data list 113 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99223 โ Initial hospital care with moderate level of medical decision making: 34 service units.
- 99212 โ Established patient outpatient office visit: 26 service units.
- 99213 โ Established patient outpatient office visit: 20 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 52 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin โ 28 prescription fills, including refills.
- Meloxicam โ 24 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ 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 ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Neurological Surgery in Florida (2024, 378 clinicians with data). Median for this group: 297. Middle half: 142 to 588.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 263 in 2020 to 113 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1130 Hickory St Ste B
Melbourne, FL 329011973
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Melbourne, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Baycare Medical Group, Inc.. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2005
What Public CMS Data Show
Neurological Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
106 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $13,206 in 2024
The total amount Medicare approved for these services in 2024. 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 โ by Provider and Service, 2024.
Paid by Medicare
About $9,928 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ by Provider and Service, 2024.
30-day fills
82 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
$502 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $3,948.70 across 57 records.
By nature of payment
- Food and Beverage: $3,925.38 across 56 records.
- Travel and Lodging: $23.32 across 1 record.
Reporting-company totals (3 largest of 9)
- Medtronic, Inc.: $3,115.76 across 45 records.
- Stryker Corporation: $391.32 across 4 records.
- KLS-Martin L.P.: $194.12 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2007
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Gachiani has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Gachiani 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 Melbourne and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Neurological Surgery in Florida (2024, 378 clinicians with data). Median for this group: 297. Middle half: 142 to 588.
Too few clinicians listed under Neurological Surgery in Melbourne have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Neurological Surgery in Florida (2024, 378 clinicians with data). Median for this group: $54,091. Middle half: $17,953 to $131,617.
Too few clinicians listed under Neurological Surgery in Melbourne have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 80% of clinicians listed under Neurological Surgery in Florida (2024, 378 clinicians with data). Median for this group: $41,528. Middle half: $13,984 to $102,741.
Too few clinicians listed under Neurological Surgery in Melbourne have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Neurological Surgery in Florida (2024, 236 clinicians with data). Median for this group: 76. Middle half: 29 to 224.
Too few clinicians listed under Neurological Surgery in Melbourne have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Neurological Surgery in Florida (2024, 236 clinicians with data). Median for this group: $763. Middle half: $250 to $2,420.
Too few clinicians listed under Neurological Surgery in Melbourne have Medicare Part D data for 2024 to compare.
12 active clinicians are listed under Neurological Surgery with a practice address in Melbourne, FL (646 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Melbourne
8.3% of these 12 clinicians have the CMS telehealth indicator.
58.3% of these 12 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 57% from 263 in 2020 to 113 in 2024.
- 2020: 263
- 2021: 162
- 2022: 88
- 2023: 137
- 2024: 113
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Medicare-allowed amount
Medicare-allowed amount decreased 82% from $73,371 in 2020 to $13,206 in 2024.
- 2020: $73,371
- 2021: $54,109
- 2022: $12,603
- 2023: $18,817
- 2024: $13,206
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Paid by Medicare
Paid by Medicare decreased 83% from $58,344 in 2020 to $9,928 in 2024.
- 2020: $58,344
- 2021: $43,177
- 2022: $9,801
- 2023: $14,340
- 2024: $9,928
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 100% from 26 in 2017 to 52 in 2024.
- 2017: 26
- 2018: 26
- 2019: 61
- 2023: 16
- 2024: 52
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30-day fills
30-day fills increased 217% from 26 in 2017 to 82 in 2024.
- 2017: 26
- 2018: 28
- 2019: 67
- 2023: 16
- 2024: 82
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Part D drug cost
Part D drug cost went from $405 in 2017 to $502 in 2024.
- 2017: $405
- 2018: $429
- 2019: $498
- 2023: $105
- 2024: $502
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $319.05 in 2021 to $3,948.70 in 2025.
- 2021: $319.05
- 2022: $965.74
- 2023: $1,992.07
- 2024: $3,464.96
- 2025: $3,948.70
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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 2025 (payments made January 1 โ December 31, 2025): 57 records totaling $3,948.70.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| KLS-Martin L.P. |
Food and Beverage
Cash or cash equivalent
|
โ | General | $194.12 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MAZOR X SYSTEM | General | $172.53 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
CD HORIZON SPINAL SYSTEM | General | $165.75 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
CENTERPIECE PLATE FIXATION SYSTEM | General | $160.30 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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CD HORIZON SPINAL SYSTEM | General | $160.14 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INFUSE BONE GRAFT | General | $158.64 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
GRAFTONAND GRAFTON PLUSDEMINERALIZED BONE MATRIX (DBM) | General | $157.43 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MAZOR X SYSTEM | General | $156.13 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
CD HORIZON SPINAL SYSTEM | General | $153.81 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
CENTERPIECE PLATE FIXATION SYSTEM | General | $147.28 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
CORNERSTONE PSR CERVICAL FUSION SYSTEM | General | $145.06 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MAZOR X SYSTEM | General | $144.75 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MAZOR X SYSTEM | General | $141.14 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
VSP SYSTEM, VSP CRANIAL | General | $140.43 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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CENTERPIECE PLATE FIXATION SYSTEM | General | $135.71 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MEDTRONIC REUSABLE INSTRUMENTS | General | $129.12 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
O-ARM | General | $128.47 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
ADHERUS AUTOSPRAY DURAL SEALANT | General | $122.05 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
CD HORIZON SPINAL SYSTEM | General | $119.97 |
| Integra LifeSciences Corporation |
Food and Beverage
In-kind items and services
|
CODMAN CERTAS | General | $107.45 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
NA | General | $105.16 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MAZOR X SYSTEM | General | $105.07 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MAZOR X SYSTEM | General | $91.15 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $66.56 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
CD HORIZON SPINAL SYSTEM | General | $63.47 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
34 | 33 | $424.00 | $166.54 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
26 | 21 | $162.00 | $54.68 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
20 | 18 | $221.00 | $88.11 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
19 | 19 | $273.00 | $109.05 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
14 | 14 | $409.00 | $163.44 |
Source: CMS Part B by Provider and Service, 2024; 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 |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 28 | 1,270 | $453.61 | 19 |
| Meloxicam | Meloxicam | 24 | 1,200 | $48.66 | 11 |
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
Self-certified to NPPES: 2026-10-05NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20220301001051
FL
2769631514
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Baycare Medical Group, Inc.
2461 Enterprise Rd, Clearwater, FL 337631726
Phone: 7277255060
Baycare Medical Group, Inc.
2470 Bloomingdale Ave, Valrico, FL 335966403
Phone: 8136558096
Baycare Medical Group, Inc.
2727 W Dr Martin Luther King Jr Blvd, Tampa, FL 336076055
Phone: 8138776748
Baycare Medical Group, Inc.
3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 336076307
Phone: 8133216820
Baycare Medical Group, Inc.
3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 336076307
Phone: 8133216589
Baycare Medical Group, Inc.
3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 336076307
Baycare Medical Group, Inc.
3101 W Dr Mlk Blvd, Tampa, FL 336076203
Phone: 7273156974
Baycare Medical Group, Inc.
6901 Simmons Loop, Riverview, FL 335789498
Secondary Practice Locations
1350 Hickory St
Melbourne, FL 329013224
Phone: 3214343420
1251 Hickory St
Melbourne, FL 329013221
Phone: 3214343420
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Neurological Surgery
Doctor of Medicine (M.D.)
Radiology - Neuroradiology
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1130 HICKORY ST STE B, MELBOURNE, FL 329011973 (Tel: 3214343420)
Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3214343420)
Additional practice office at 1251 Hickory St, Melbourne, FL 329013221
Additional practice office at 1350 Hickory St, Melbourne, FL 329013224
Neurological Surgery (license number reported to NPPES: FL ME151776)
Registered at 4321 N MACDILL AVE STE 407, TAMPA, FL 336076396 (Tel: 8135548690)
Registered at 4321 N MACDILL AVE STE 407, TAMPA, FL 336076396 (Tel: 8135548690)
NPI status registered as active in NPPES database
Registered at 1111 6TH AVE, SUITE B1, DES MOINES, IA 503142613 (Tel: 5153580100)
Registered at PO BOX 4925, DES MOINES, IA 503054925 (Tel: 5153580100)
Recorded as JOHN GACHIANI, M.D.
Neurological Surgery (license number reported to NPPES: IA 40396)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Neurological Surgery Specialists in Melbourne
- Dr. Scott Glickman, DO
- Dr. Rafael Allende, MD
- Dr. Basil Theodotou, MD
- Dr. Wesley Griffitt, MD
- Dr. Mark Fulton, MD
- Dr. Gerald Molloy, MD
Mailing Address
3300 S Fiske Blvd
Rockledge, FL 329554306
Phone: 3214343420