Dr. Fernando L Miranda , MD
Specialist • Winter Haven, FL
50 2nd St Se
Winter Haven, FL 338806300
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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NPI assigned on May 17, 2006; this date does not establish years in practice.
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Published CMS data list 2,477 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 591 service units.
- 62323 — Injection of substance into lower spine canal using imaging guidance: 234 service units.
- 99213 — Established patient outpatient office visit: 204 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 24 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 2,296 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:
- Tramadol Hcl — 554 prescription fills, including refills.
- Methylprednisolone — 284 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 278 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 all 24 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Specialist in Florida (2024, 456 clinicians with data). Median for this group: 1,487. Middle half: 453 to 3,647.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 5,431 in 2020 to 2,477 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
50 2nd St Se
Winter Haven, FL 338806300
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: Neurology And Neurosurgery Associates. 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
State University Of Iowa College Of Homeopathic Medicine
1992
What Public CMS Data Show
Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
387 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 – by Provider, 2024.
Medicare-allowed amount
About $283,286 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 – by Provider and Service, 2024.
Paid by Medicare
About $210,317 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 – by Provider and Service, 2024.
30-day fills
2,421 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
$34,568 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.
Open Payments general payments, program year 2025
All general payments: $1,387.67 across 45 records.
By nature of payment
- Food and Beverage: $1,387.67 across 45 records.
Reporting-company totals (3 largest of 10)
- Boston Scientific Corporation: $878.02 across 32 records.
- INTUITIVE SURGICAL, INC.: $119.36 across 1 record.
- Novo Nordisk Inc: $91.31 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
34 years (graduated 1992)
CMS Doctors and Clinicians data list 1992 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
2006
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, “Does your provider accept Medicare as full payment?”
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. Miranda 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. Miranda 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 Winter Haven and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Specialist in Florida (2024, 456 clinicians with data). Median for this group: 1,487. Middle half: 453 to 3,647.
Too few clinicians listed under Specialist in Winter Haven have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Specialist in Florida (2024, 456 clinicians with data). Median for this group: $129,953. Middle half: $43,519 to $280,097.
Too few clinicians listed under Specialist in Winter Haven have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Specialist in Florida (2024, 456 clinicians with data). Median for this group: $96,632. Middle half: $32,296 to $209,932.
Too few clinicians listed under Specialist in Winter Haven have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Specialist in Florida (2024, 508 clinicians with data). Median for this group: 602. Middle half: 126 to 2,340.
Too few clinicians listed under Specialist in Winter Haven have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Specialist in Florida (2024, 508 clinicians with data). Median for this group: $35,772. Middle half: $2,466 to $359,998.
Too few clinicians listed under Specialist in Winter Haven have Medicare Part D data for 2024 to compare.
14 active clinicians are listed under Specialist with a practice address in Winter Haven, FL (2,695 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Winter Haven
7.1% of these 14 clinicians have the CMS telehealth indicator.
7.1% of these 14 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 5,431 in 2020 to 2,477 in 2024.
- 2020: 5,431
- 2021: 5,022
- 2022: 4,279
- 2023: 3,105
- 2024: 2,477
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Medicare-allowed amount
Medicare-allowed amount decreased 51% from $579,206 in 2020 to $283,286 in 2024.
- 2020: $579,206
- 2021: $575,249
- 2022: $618,256
- 2023: $405,401
- 2024: $283,286
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Paid by Medicare
Paid by Medicare decreased 53% from $448,426 in 2020 to $210,317 in 2024.
- 2020: $448,426
- 2021: $446,391
- 2022: $473,982
- 2023: $308,587
- 2024: $210,317
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 2,481 in 2020 and 2,296 in 2024.
- 2020: 2,481
- 2021: 2,216
- 2022: 2,249
- 2023: 2,321
- 2024: 2,296
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30-day fills
30-day fills decreased 10% from 2,700 in 2020 to 2,421 in 2024.
- 2020: 2,700
- 2021: 2,418
- 2022: 2,466
- 2023: 2,483
- 2024: 2,421
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Part D drug cost
Part D drug cost decreased 62% from $90,243 in 2020 to $34,568 in 2024.
- 2020: $90,243
- 2021: $71,443
- 2022: $63,865
- 2023: $36,136
- 2024: $34,568
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $980.39 in 2021 to $1,387.67 in 2025.
- 2021: $980.39
- 2022: $1,097.76
- 2023: $1,891.63
- 2024: $1,430.20
- 2025: $1,387.67
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 · 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 – December 31, 2025): 45 records totaling $1,387.67.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $149.01 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $139.09 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Intracept | General | $119.43 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $119.36 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Pain Management | General | $112.72 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $91.31 |
| Merit Medical Systems Inc |
Food and Beverage
Cash or cash equivalent
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STAR Tumor Ablation System | General | $91.25 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
— | General | $49.84 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $39.55 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Intracept | General | $37.40 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Intracept | General | $25.39 |
| Averitas Pharma Inc. |
Food and Beverage
In-kind items and services
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QUTENZA | General | $22.82 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
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VYEPTI | General | $22.59 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Therapies | General | $21.29 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $18.71 |
| Spinal Simplicity, LLC |
Food and Beverage
In-kind items and services
|
HA MINUTEMAN G3-R | General | $17.15 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VYALEV | General | $16.74 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VYALEV | General | $16.72 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Intracept RF Probe | General | $16.62 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VYALEV | General | $16.28 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VYALEV | General | $16.10 |
| InSightec,Inc |
Food and Beverage
Cash or cash equivalent
|
Exablate | General | $14.97 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Intracept | General | $14.58 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
— | General | $14.52 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Therapies | General | $14.29 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, 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 2016–2023 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, 2017–2024; 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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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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591 | 241 | $45.00 | $0.98 |
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62323
Injection of substance into lower spine canal using imaging guidance
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234 | 120 | $500.00 | $246.34 |
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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
|
204 | 138 | $125.37 | $88.57 |
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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
|
166 | 137 | $175.45 | $124.84 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
137 | 97 | $20.00 | $6.33 |
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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
|
112 | 112 | $325.00 | $162.11 |
|
64494
Injection of lower or sacral spine facet joint using imaging guidance, second level
|
107 | 65 | $250.00 | $87.99 |
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64493
Injection of lower or sacral spine facet joint using imaging guidance, single level
|
106 | 64 | $500.00 | $170.26 |
|
64635
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
|
94 | 70 | $800.00 | $421.20 |
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64636
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
|
94 | 70 | $400.00 | $226.25 |
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27096
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
|
76 | 45 | $631.58 | $168.03 |
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64490
Injection of upper or middle spine facet joint using imaging guidance, single level
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72 | 40 | $600.00 | $181.46 |
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64491
Injection of upper or middle spine facet joint using imaging guidance, second level
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71 | 39 | $300.00 | $92.41 |
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J1040
Injection, methylprednisolone acetate, 80 mg
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70 | 61 | $30.00 | $9.64 |
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20610
Aspiration and/or injection of fluid from large joint
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60 | 40 | $250.00 | $64.32 |
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64483
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
|
59 | 40 | $400.00 | $235.77 |
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J1010
Injection, methylprednisolone acetate, 1 mg
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55 | 51 | $20.36 | $0.13 |
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62321
Injection of substance into middle or upper spine canal using imaging guidance
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45 | 24 | $800.00 | $251.29 |
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J1885
Injection, ketorolac tromethamine, per 15 mg
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27 | 17 | $10.00 | $0.58 |
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64633
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
|
25 | 20 | $900.00 | $418.24 |
|
64634
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint
|
25 | 20 | $500.00 | $241.66 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
20 | 20 | $20.00 | $1.29 |
|
Q9967
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
|
14 | 12 | $10.00 | $0.14 |
|
97033
Application of medication using electrical current, each 15 minutes
|
13 | 13 | $35.00 | $17.54 |
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 |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 554 | 14,508 | $3,350.65 | 173 |
| Methylprednisolone | Methylprednisolone | 284 | 1,737 | $1,942.35 | 187 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 278 | 7,629 | $4,136.62 | 54 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 246 | 6,689 | $3,418.04 | 49 |
| Tizanidine Hcl | Tizanidine Hcl | 216 | 7,627 | $1,965.48 | 53 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 95 | 3,217 | $637.11 | 29 |
| Gabapentin | Gabapentin | 87 | 3,665 | $886.49 | 27 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 68 | 1,794 | $1,600.97 | — |
| Meloxicam | Meloxicam | 66 | 2,400 | $160.86 | 18 |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 49 | 975 | $430.99 | 18 |
| Oxycodone Hcl | Oxycodone Hcl | 44 | 1,320 | $221.45 | — |
| Pregabalin | Pregabalin | 42 | 1,260 | $1,312.94 | — |
| Baclofen | Baclofen | 40 | 1,200 | $372.52 | — |
| Duloxetine Hcl | Duloxetine Hcl | 39 | 1,270 | $532.31 | — |
| Morphine Sulfate Er | Morphine Sulfate | 32 | 960 | $1,074.18 | — |
| Methocarbamol | Methocarbamol | 27 | 870 | $137.61 | — |
| Diclofenac Sodium | Diclofenac Sodium | 24 | 725 | $612.29 | — |
| Belbuca | Buprenorphine Hcl | 20 | 553 | $7,567.32 | — |
| Pentazocine-Naloxone Hcl | Pentazocine Hcl/Naloxone Hcl | 17 | 455 | $1,751.58 | — |
| Buprenorphine | Buprenorphine | 15 | 424 | $909.25 | — |
| Naloxone Hcl | Naloxone Hcl | 14 | 239 | $827.42 | 13 |
| Cephalexin | Cephalexin | 13 | 77 | $97.42 | — |
| Alprazolam | Alprazolam | 13 | 13 | $11.84 | 11 |
| Lidocaine | Lidocaine | 13 | 420 | $610.29 | — |
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: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERVENTIONAL PAIN MANAGEMENT
I20050623000125
FL
6507801214
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
Neurology And Neurosurgery Associates
180 Ave A Se, Winter Haven, FL 338806301
Phone: 8632932107
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Specialist
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Physical Therapist - Neurology
Physical Therapist
Career & Practice History
NPI enumerated May 17, 2006.
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 Specialists in Winter Haven
Healthcare providers in Winter HavenMailing Address
50 2nd St Se
Winter Haven, FL 338806300
Phone: 8632932107