Ryan Charles Chiarello , PA-C
Physician Assistant โข Miami Beach, FL
4302 Alton Rd Ste 830
Miami Beach, FL 331402899
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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Ryan Chiarello is listed in NPPES under Physician Assistant.
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NPI assigned on March 8, 2021; this date does not establish years in practice.
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Published CMS data list 617 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:
- 69210 โ Removal of impacted ear wax: 145 service units.
- 99214 โ Established patient outpatient office visit: 135 service units.
- 99213 โ Established patient outpatient office visit: 93 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 9 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 400 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:
- Azelastine Hcl โ 79 prescription fills, including refills.
- Fluticasone Propionate โ 78 prescription fills, including refills.
- Fluocinolone Acetonide Oil โ 61 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 all 11 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Miami Beach, FL (2024, 18 clinicians with data). Median for this group: 89. Middle half: 39 to 237.
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
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 13 in 2022 to 617 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
4302 Alton Rd Ste 830
Miami Beach, FL 331402899
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Florida Ent Associates Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2020
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
218 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 $41,682 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 $30,139 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
679 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
$10,474 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: $1,796.58 across 47 records.
By nature of payment
- Food and Beverage: $1,141.32 across 37 records.
- Travel and Lodging: $655.26 across 10 records.
Reporting-company totals (3 largest of 9)
- Medtronic, Inc.: $1,264.09 across 26 records.
- GlaxoSmithKline, LLC.: $157.76 across 10 records.
- ARS Pharmaceuticals Operations, Inc.: $113.64 across 2 records.
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
6 years (graduated 2020)
CMS Doctors and Clinicians data list 2020 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.
NPI first issued
2021
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; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Ryan Chiarello 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 Ryan Chiarello 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 Miami Beach and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Miami Beach, FL (2024, 18 clinicians with data). Median for this group: 89. Middle half: 39 to 237.
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Miami Beach, FL (2024, 18 clinicians with data). Median for this group: $6,440. Middle half: $3,214 to $22,644.
A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Miami Beach, FL (2024, 18 clinicians with data). Median for this group: $4,591. Middle half: $2,398 to $17,787.
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Miami Beach, FL (2024, 28 clinicians with data). Median for this group: 140. Middle half: 69 to 543.
Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Miami Beach, FL (2024, 28 clinicians with data). Median for this group: $11,985. Middle half: $455 to $70,817.
Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
75 active clinicians are listed under Physician Assistant with a practice address in Miami Beach, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Miami Beach
8% of these 75 clinicians have the CMS telehealth indicator.
41.3% of these 75 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 went from 13 in 2022 to 617 in 2024.
- 2022: 13
- 2023: 253
- 2024: 617
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Medicare-allowed amount
Medicare-allowed amount increased 3932% from $1,034 in 2022 to $41,682 in 2024.
- 2022: $1,034
- 2023: $16,243
- 2024: $41,682
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Paid by Medicare
Paid by Medicare went from $824 in 2022 to $30,139 in 2024.
- 2022: $824
- 2023: $12,435
- 2024: $30,139
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 155% from 157 in 2022 to 400 in 2024.
- 2022: 157
- 2023: 402
- 2024: 400
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30-day fills
30-day fills increased 189% from 235 in 2022 to 679 in 2024.
- 2022: 235
- 2023: 685
- 2024: 679
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Part D drug cost
Part D drug cost decreased 21% from $13,288 in 2022 to $10,474 in 2024.
- 2022: $13,288
- 2023: $11,834
- 2024: $10,474
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $290.95 in 2022 to $1,796.58 in 2025.
- 2022: $290.95
- 2023: $1,543.06
- 2024: $664.59
- 2025: $1,796.58
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, 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): 47 records totaling $1,796.58.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
โ | General | $232.46 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $155.56 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
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โ | General | $145.00 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
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โ | General | $145.00 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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NUVENT | General | $139.26 |
| ARS Pharmaceuticals Operations, Inc. |
Food and Beverage
In-kind items and services
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NEFFY | General | $93.19 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $59.98 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $58.57 |
| AERIN MEDICAL INC. |
Food and Beverage
In-kind items and services
|
VIVAER STYLUS | General | $57.23 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $39.53 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
โ | General | $35.07 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $33.96 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $33.43 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $31.30 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $30.48 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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NUCALA | General | $27.17 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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NUVENT | General | $27.16 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $27.08 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
STEALTHSTATION S8 PLATFORM | General | $26.15 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
NUCALA | General | $25.50 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $24.49 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
NUCALA | General | $21.54 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
NUCALA | General | $21.31 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
NUCALA | General | $21.15 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
TEZSPIRE | General | $20.96 |
(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 2021โ2023 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, 2022โ2024; 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 |
|---|---|---|---|---|
|
69210
Removal of impacted ear wax
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145 | 95 | $116.00 | $41.23 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
135 | 103 | $302.00 | $110.09 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
93 | 75 | $334.76 | $77.97 |
|
92567
Test to assess middle ear function
|
92 | 80 | $38.00 | $13.83 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
42 | 42 | $397.00 | $144.82 |
|
92557
Comprehensive hearing and speech recognition test
|
40 | 38 | $203.00 | $30.74 |
|
G0268
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
|
38 | 36 | $123.79 | $45.57 |
|
31575
Diagnostic exam of voice box using a flexible endoscope
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18 | 17 | $303.00 | $110.61 |
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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
|
14 | 14 | $266.00 | $91.67 |
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 |
|---|---|---|---|---|---|
| Azelastine Hcl | Azelastine Hcl | 79 | 4,335 | $2,291.95 | 60 |
| Fluticasone Propionate | Fluticasone Propionate | 78 | 5,190 | $1,596.97 | 55 |
| Fluocinolone Acetonide Oil | Fluocinolone Acetonide Oil | 61 | 1,371 | $2,410.78 | 52 |
| Mupirocin | Mupirocin | 39 | 560 | $246.26 | 34 |
| Ipratropium Bromide | Ipratropium Bromide | 27 | 1,648 | $756.10 | 24 |
| Prednisone | Prednisone | 25 | 162 | $32.86 | 22 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 25 | 1,950 | $397.55 | 16 |
| Famotidine | Famotidine | 20 | 1,620 | $254.49 | 15 |
| Mometasone Furoate | Mometasone Furoate | 18 | 531 | $494.31 | 15 |
| Ciprofloxacin-Dexamethasone | Ciprofloxacin Hcl/Dexameth | 17 | 242 | $1,912.09 | 16 |
| Methylprednisolone | Methylprednisolone | 11 | 66 | $80.16 | โ |
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: 2022-09-20NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20210820001007
FL
5092110643
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
Florida Ent Associates Inc
500 N Hiatus Rd, Pembroke Pines, FL 330265213
Phone: 9544387171
Florida Ent Associates Inc
8940 N Kendall Dr, Miami, FL 331762150
Phone: 3055956200
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Surgical
Physician Assistant (Certified)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Physician Assistant - Surgical
Physician Assistant
Neurological Surgery
Advanced Registered Nurse Practitioner
Physician Assistant - Medical
Physician Assistant (Certified)
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 15280 NW 79TH CT STE 200, MIAMI LAKES, FL 330165873 (Tel: 3055583724)
Registered at 4302 ALTON RD STE 830, MIAMI BEACH, FL 331402899 (Tel: 3056742950)
NPI status registered as active in NPPES database
Registered at 7051 SEACREST BLVD, LANTANA, FL 334625139 (Tel: 5612965288)
Registered at 649 E SHERIDAN ST APT 403, DANIA, FL 330044619 (Tel: 5618702466)
Recorded as RYAN CHIARELLO, PA-C
Physician Assistant (license number reported to NPPES: FL PA9114117)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Miami Beach
- Doralyn Maya-Azoulay, PA-C
- Ariel Carrero, PA-C
- Christine Anderson, PA-C
- Ryan Logan
- Shirene Tabarestani, PA-C
- Melissa Petersen
Mailing Address
15280 Nw 79th Ct Ste 200
Miami Lakes, FL 330165873
Phone: 3055583724