Dr. Silvia Gesheva Baxter , MD
Neurological Surgery โข Ocala, FL
304 Sw 15th St
Ocala, FL 344716534
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. Silvia Baxter is listed in NPPES under Neurological Surgery.
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NPI assigned on April 11, 2011; this date does not establish years in practice.
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Published CMS data list 246 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99231 โ Subsequent hospital care with straightforward or low level of medical decision making, per day: 66 service units.
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 56 service units.
- 99213 โ Established patient outpatient office visit: 44 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 115 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Methocarbamol โ 37 prescription fills, including refills.
- Gabapentin โ 33 prescription fills, including refills.
- Pregabalin โ 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 12 in 2018 to 246 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2022.
Practice Location & Contact Primary Location
304 Sw 15th St
Ocala, FL 344716534
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 Colorado Springs, CO; Salt Lake City, UT. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Premier Neurospine Institute, Llc. 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
Howard University College Of Medicine
2011
What Public CMS Data Show
Neurological Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $19,939 in 2022
The total amount Medicare approved for these services in 2022. 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, 2022.
Paid by Medicare
About $15,491 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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, 2022.
30-day fills
121 standardized 30-day fills in 2022
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
$1,579 in 2022
The total cost of these prescriptions in 2022, 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, 2022.
Open Payments general payments, program year 2025
All general payments: $2,223.04 across 14 records.
By nature of payment
- Consulting Fee: $1,233.00 across 2 records.
- Travel and Lodging: $669.27 across 5 records.
- Food and Beverage: $320.77 across 7 records.
Reporting-company totals
- Stryker Corporation: $2,042.80 across 11 records.
- Boston Scientific Corporation: $180.24 across 3 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
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 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
2011
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)
Dr. Baxter 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. Baxter 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 Ocala and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Baxter are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Baxter are from 2022.
15 active clinicians are listed under Neurological Surgery with a practice address in Ocala, FL (645 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Ocala
13.3% of these 15 clinicians have the CMS telehealth indicator.
66.7% of these 15 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 12 in 2018 to 246 in 2022.
- 2018: 12
- 2019: 197
- 2020: 294
- 2021: 156
- 2022: 246
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Medicare-allowed amount
Medicare-allowed amount went from $914 in 2018 to $19,939 in 2022.
- 2018: $914
- 2019: $23,909
- 2020: $47,580
- 2021: $12,325
- 2022: $19,939
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Paid by Medicare
Paid by Medicare went from $728 in 2018 to $15,491 in 2022.
- 2018: $728
- 2019: $19,049
- 2020: $37,727
- 2021: $9,680
- 2022: $15,491
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 271% from 31 in 2013 to 115 in 2022.
- 2013: 31
- 2014: 21
- 2015: 11
- 2021: 15
- 2022: 115
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30-day fills
30-day fills increased 290% from 31 in 2013 to 121 in 2022.
- 2013: 31
- 2014: 21
- 2015: 11
- 2021: 15
- 2022: 121
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Part D drug cost
Part D drug cost went from $255 in 2013 to $1,579 in 2022.
- 2013: $255
- 2014: $213
- 2015: $167
- 2021: $508
- 2022: $1,579
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 65% from $6,348.11 in 2019 to $2,223.04 in 2025.
- 2019: $6,348.11
- 2020: $243.36
- 2021: $173.26
- 2022: $299.19
- 2025: $2,223.04
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2022), 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): 14 records totaling $2,223.04.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Consulting Fee
Cash or cash equivalent
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โ | General | $1,000.00 |
| Stryker Corporation |
Travel and Lodging
Cash or cash equivalent
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CORE | General | $257.98 |
| Stryker Corporation |
Travel and Lodging
Cash or cash equivalent
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CORE | General | $256.28 |
| Stryker Corporation |
Consulting Fee
Cash or cash equivalent
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โ | General | $233.00 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $163.87 |
| Stryker Corporation |
Travel and Lodging
Cash or cash equivalent
|
CORE | General | $81.47 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
CORE | General | $65.41 |
| Stryker Corporation |
Travel and Lodging
Cash or cash equivalent
|
CORE | General | $59.26 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
MILD DEVICE KIT | General | $31.54 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
CORE | General | $30.13 |
| Stryker Corporation |
Travel and Lodging
Cash or cash equivalent
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CORE | General | $14.28 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
CORE | General | $13.45 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Intracept | General | $8.71 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Intracept | General | $7.66 |
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 2017โ2021 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, 2018โ2022; 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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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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66 | 49 | $137.55 | $39.14 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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56 | 55 | $255.00 | $71.32 |
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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
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44 | 34 | $323.59 | $90.64 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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37 | 36 | $363.76 | $102.18 |
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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
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16 | 16 | $400.50 | $113.15 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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15 | 14 | $454.80 | $126.89 |
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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
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12 | 12 | $599.50 | $156.64 |
Source: CMS Part B by Provider and Service, 2022; 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 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Methocarbamol | Methocarbamol | 37 | 1,270 | $306.21 | 22 |
| Gabapentin | Gabapentin | 33 | 990 | $157.95 | 14 |
| Pregabalin | Pregabalin | 21 | 630 | $534.63 | 11 |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 13 | 314 | $474.56 | โ |
| Methylprednisolone | Methylprednisolone | 11 | 65 | $105.50 | โ |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-11-02NUCC 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.
NUCC 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.
NUCC 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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20230518000990
CO
4789983677
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
Premier Neurospine Institute, Llc
5800 49th St N, St Petersburg, FL 337092100
Phone: 7276051770
Secondary Practice Locations
1725 E Boulder St Ste 101
Colorado Springs, CO 809095740
Phone: 7193656300
175 North Medical Drive East
Salt Lake City, UT 841322272
Phone: 8015816908
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
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Radiology - Vascular & Interventional Radiology
Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Acute Care
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 304 SW 15TH ST, OCALA, FL 344716534 (Tel: 3524018817)
Neurological Surgery (license number reported to NPPES: CO DR.0070233)
Registered at 1600 SW ARCHER RD, BOX 100265, GAINESVILLE, FL 32610 (Tel: 3522739000)
Neurological Surgery (license number reported to NPPES: FL ME140852)
Registered at 2405 SE 17TH ST STE 201, OCALA, FL 344719190 (Tel: 3526902171)
Registered at 175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 841322272 (Tel: 8015816908)
Registered at 175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132
Recorded as SILVIA BAXTER, M.D.
Neurological Surgery (license number reported to NPPES: UT 10804037-1205)
NPI status registered as active in NPPES database
Registered at 2020 GRAVIER ST, NEW ORLEANS, LA 701122272 (Tel: 2026425770)
Registered at 2020 GRAVIER ST, SUITE 749, NEW ORLEANS, LA 701122272 (Tel: 5045686123)
Recorded as SILVIA GESHEVA, M.D.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Neurological Surgery Specialists in Ocala
- Dr. Luca Debs, MD
- Dr. Racheal Peterson, MD
- Dr. Jacob Freeman, MD
- Dr. Thomas Oliver, MD
- Dr. John Main, DO
- Dr. Shawn Rai, MD
Mailing Address
1600 Sw Archer Rd, Box 100265
Gainesville, FL 32610
Phone: 3522739000