Dr. Angie Layme , MD
General Practice โข Spring Hill, FL
11089 Spring Hill Dr
Spring Hill, FL 346085000
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on August 21, 2018; this date does not establish years in practice.
-
Published CMS data list 166 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.
-
Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 100 service units.
- 99213 โ Established patient outpatient office visit: 30 service units.
- 80305 โ Testing for presence of drug, read by direct observation: 19 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 4 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 14,841 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.
-
Published Part D records, 2024:
- Atorvastatin Calcium โ 843 prescription fills, including refills.
- Levothyroxine Sodium โ 653 prescription fills, including refills.
- Omeprazole โ 536 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 176 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
Close to the middle for Medicare Part B services among clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 283 in 2020 to 166 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
11089 Spring Hill Dr
Spring Hill, FL 346085000
NPPES lists 1 additional practice-address record in Spring Hill, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Access Health Care Physicians Llc; Conviva Medical Center Management, 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
2007
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
85 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 $15,434 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 $9,312 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
32,062 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
$687,565 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: $45.07 across 2 records.
By nature of payment
- Food and Beverage: $45.07 across 2 records.
Reporting-company totals
- AstraZeneca Pharmaceuticals LP: $27.14 across 1 record.
- Tonix Medicines, Inc.: $17.93 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
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 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
2018
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
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.
Enrolled in Medicare (PECOS)
Dr. Layme 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. Layme 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 Spring Hill and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Too few clinicians listed under General Practice in Spring Hill have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $12,422. Middle half: $5,563 to $41,228.
Too few clinicians listed under General Practice in Spring Hill have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $9,105. Middle half: $3,803 to $30,969.
Too few clinicians listed under General Practice in Spring Hill have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Too few clinicians listed under General Practice in Spring Hill have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.
Too few clinicians listed under General Practice in Spring Hill have Medicare Part D data for 2024 to compare.
16 active clinicians are listed under General Practice with a practice address in Spring Hill, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spring Hill
6.2% of these 16 clinicians have the CMS telehealth indicator.
62.5% of these 16 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.
-
Medicare Part B services
Medicare Part B services decreased 41% from 283 in 2020 to 166 in 2024.
- 2020: 283
- 2021: 245
- 2022: 250
- 2023: 593
- 2024: 166
-
Medicare-allowed amount
Medicare-allowed amount varied from year to year: $16,101 in 2020 and $15,434 in 2024.
- 2020: $16,101
- 2021: $13,464
- 2022: $18,456
- 2023: $43,895
- 2024: $15,434
-
Paid by Medicare
Paid by Medicare decreased 16% from $11,071 in 2020 to $9,312 in 2024.
- 2020: $11,071
- 2021: $9,908
- 2022: $11,837
- 2023: $31,977
- 2024: $9,312
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 83% from 8,126 in 2020 to 14,841 in 2024.
- 2020: 8,126
- 2021: 11,141
- 2022: 13,747
- 2023: 14,965
- 2024: 14,841
-
30-day fills
30-day fills increased 115% from 14,884 in 2020 to 32,062 in 2024.
- 2020: 14,884
- 2021: 22,375
- 2022: 28,115
- 2023: 31,682
- 2024: 32,062
-
Part D drug cost
Part D drug cost increased 182% from $243,464 in 2020 to $687,565 in 2024.
- 2020: $243,464
- 2021: $367,786
- 2022: $518,192
- 2023: $690,787
- 2024: $687,565
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $85.93 in 2021 to $45.07 in 2025.
- 2021: $85.93
- 2022: $220.88
- 2023: $401.82
- 2024: $320.74
- 2025: $45.07
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): fewer than 11 records totaling $45.07.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $27.14 |
| Tonix Medicines, Inc. |
Food and Beverage
In-kind items and services
|
TONMYA | General | $17.93 |
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 2018โ2023 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, 2019โ2024; 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 |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
100 | 72 | $207.00 | $124.10 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
30 | 20 | $140.00 | $88.52 |
|
80305
Testing for presence of drug, read by direct observation
|
19 | 19 | $30.11 | $12.35 |
|
36415
Insertion of needle into vein for collection of blood sample
|
17 | 16 | $14.47 | $7.84 |
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 |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 843 | 67,472 | $6,828.08 | 259 |
| Levothyroxine Sodium | Levothyroxine Sodium | 653 | 52,585 | $8,905.72 | 184 |
| Omeprazole | Omeprazole | 536 | 43,156 | $5,215.70 | 183 |
| Gabapentin | Gabapentin | 498 | 34,244 | $12,058.23 | 183 |
| Lisinopril | Lisinopril | 476 | 39,595 | $2,321.12 | 165 |
| Alprazolam | Alprazolam | 476 | 14,713 | $1,332.39 | 100 |
| Losartan Potassium | Losartan Potassium | 403 | 31,204 | $2,730.80 | 127 |
| Metformin Hcl | Metformin Hcl | 348 | 26,566 | $1,728.95 | 106 |
| Amlodipine Besylate | Amlodipine Besylate | 346 | 28,079 | $1,384.21 | 108 |
| Tramadol Hcl | Tramadol Hcl | 334 | 8,298 | $4,181.03 | 92 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 320 | 25,970 | $2,778.75 | 99 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 318 | 11,951 | $10,634.89 | 126 |
| Simvastatin | Simvastatin | 295 | 24,350 | $1,762.29 | 89 |
| Alendronate Sodium | Alendronate Sodium | 255 | 19,416 | $2,112.05 | 89 |
| Metoprolol Tartrate | Metoprolol Tartrate | 230 | 16,640 | $1,767.64 | 72 |
| Pantoprazole Sodium | Pantoprazole Sodium | 224 | 15,478 | $4,263.71 | 64 |
| Trazodone Hcl | Trazodone Hcl | 220 | 16,366 | $2,081.07 | 70 |
| Furosemide | Furosemide | 208 | 13,576 | $885.17 | 81 |
| Citalopram Hbr | Citalopram Hydrobromide | 207 | 16,875 | $1,118.91 | 68 |
| Tizanidine Hcl | Tizanidine Hcl | 205 | 9,694 | $1,976.62 | 82 |
| Fluticasone Propionate | Fluticasone Propionate | 184 | 11,507 | $1,407.08 | 81 |
| Pregabalin | Pregabalin | 177 | 5,700 | $8,410.28 | 41 |
| Sertraline Hcl | Sertraline Hcl | 169 | 14,287 | $1,702.21 | 50 |
| Glimepiride | Glimepiride | 169 | 13,707 | $1,098.33 | 60 |
| Zolpidem Tartrate | Zolpidem Tartrate | 167 | 5,550 | $812.21 | 32 |
(top 25 shown)
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: 2025-08-12NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20181025001628
FL
1759634405
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
Conviva Medical Center Management, Llc
4340 W Hillsborough Ave, Tampa, FL 336145522
Phone: 8134258970
Access Health Care Physicians Llc
11089 Spring Hill Dr, Spring Hill, FL 346085000
Phone: 3523454374
Secondary Practice Locations
11075 Spring Hill Dr
Spring Hill, FL 346085000
Phone: 3526915250
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Internal Medicine
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 11089 SPRING HILL DR, SPRING HILL, FL 346085000 (Tel: 3526915250)
General Practice (license number reported to NPPES: FL ACN1090)
Registered at 2173 MARINER BLVD, SPRING HILL, FL 346093860 (Tel: 3526865003)
Registered at 5400 PINEHURST DR, SPRING HILL, FL 346063833 (Tel: 3522775305)
Registered at 5350 SPRING HILL DR, SPRING HILL, FL 346064562 (Tel: 3526888116)
Registered at 14690 SPRING HILL DR STE 305, SPRING HILL, FL 346098102 (Tel: 3522775348)
Registered at 7206 N ARMENIA AVE, TAMPA, FL 336045201 (Tel: 8139332880)
Registered at 7206 N ARMENIA AVE, TAMPA, FL 336045201
NPI status registered as active in NPPES database
Registered at 8 CALLE JAVILLA, SAN GERMAN, PR 006834102 (Tel: 7878925300)
Registered at 1067 DUDLEY DR, KISSIMMEE, FL 347582919
Recorded as ANGIE LAYME, MD
General Practice (license number reported to NPPES: PR 19988)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Spring Hill
- Dr. Evelyn Castillo Delgado, MD
- Dr. Rajesh Sarkar, MD
- Dr. David Mcgrew, MD
- Dr. Jorge Gaud Morales, MD
- Dr. Samir Shah, MD
- Dr. Howard Glicksman, MD
Mailing Address
5400 Pinehurst Dr
Spring Hill, FL 346063833
Phone: 3522775348