Medicare Enrolled
Dr. J Atwell, MD
Urology Physician · Vero Beach, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Atwell from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Atwell?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Atwell
Dr. J Atwell is an urology physician in Vero Beach, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Atwell performed 16,310 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Atwell received a total of $6,264 from 42 pharmaceutical and/or device companies across 198 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Atwell is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 8% volume in FL
$6,264 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗16,310
Medicare services
Top 8% in FL for urology physician
Not available
Unique patients (not deduplicated)
$28
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| BCG treatment for bladder cancer | 3,651 | $2 | $4 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
2,673 | $3 | $20 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
2,372 | $6 | $20 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
2,372 | $5 | $20 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
953 | $71 | $134 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
832 | $100 | $190 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
303 | $46 | $125 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
293 | $195 | $300 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
278 | $18 | $35 |
| Biofeedback training for bowel or bladder control, initial 15 minutes A 15-minute session using biofeedback techniques to help patients gain control over bowel or bladder functions. The training involves monitoring physiological processes to learn how to manage muscle activity. |
267 | $64 | $120 |
| Biofeedback training for bowel or bladder control, each additional 15 minutes This procedure involves additional 15-minute sessions of biofeedback training to help improve control over bowel or bladder functions. |
267 | $26 | $48 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
218 | $129 | $247 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 198 | $136 | $355 |
| Lower leg neurostimulator electrode insertion A procedure to place an electrode in the lower leg for neurostimulation therapy. |
196 | $96 | $183 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
181 | $44 | $82 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
175 | $8 | $30 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
166 | $9 | $100 |
| Injection, garamycin, gentamicin, up to 80 mg | 99 | $2 | $10 |
| Injection, tobramycin sulfate, up to 80 mg | 87 | $2 | $10 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
78 | $87 | $207 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
77 | $146 | $265 |
| Bladder instillation of anti-cancer drug A procedure where an anti-cancer medication is introduced directly into the bladder. This method delivers the treatment locally to the bladder tissue. |
74 | $72 | $200 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
60 | $11 | $35 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
54 | $30 | $105 |
| Catheter specimen collection A procedure to collect a specimen using a catheter. This service is available in all places of service. |
43 | $8 | $10 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
39 | $135 | $320 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
37 | $85 | $166 |
| Other procedure on male genital system A surgical or medical intervention performed on the male genital organs that does not fall under other specific categories. |
36 | $144 | $320 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
35 | $66 | $100 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
32 | $110 | $203 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
25 | $43 | $100 |
| Insertion of temporary bladder tube | 22 | $38 | $115 |
| Laser vaporization of prostate A procedure that uses a laser to remove excess prostate tissue through an endoscope. The process includes controlling any bleeding that occurs during the treatment. |
21 | $560 | $2,500 |
| Ultrasound of scrotum An imaging test that uses sound waves to create pictures of the scrotum and its contents. It helps evaluate the testicles and surrounding structures. |
20 | $81 | $140 |
| Endoscopic removal of foreign body, stone, or stent from urethra or bladder A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item. |
19 | $265 | $440 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
16 | $350 | $635 |
| Bladder/urethra growth removal via endoscope, 0.5-2.0 cm This procedure uses an endoscope to destroy or remove a growth from the bladder or urethra that measures between 0.5 and 2.0 centimeters. |
15 | $196 | $365 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
15 | $28 | $95 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
11 | $94 | $140 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
0.5% high complexity
5.6% medium
93.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,264
Total received (2018-2024)
Avg $895/year across 7 years
Top 34% in FL for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
198
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$460
2023
$2,550
2022
$1,287
2021
$554
2020
$311
2019
$537
2018
$564
Payments by company (2024)
PROCEPT BioRobotics Corporation
$138
Astellas Pharma US Inc
$136
Antares Pharma, Inc.
$80
Blue Earth Diagnostics Limited
$33
Axonics, Inc.
$23
Tolmar, Inc.
$21
Olympus America Inc.
$15
Laborie Medical Technologies Corp.
$15
Top 3 companies account for 76.9% of 2024 payments
All-time payments by company (2018-2024) ›
PROCEPT BioRobotics Corporation
$2,007
Astellas Pharma US Inc
$861
Teleflex LLC
$592
Axonics, Inc.
$579
Coloplast Corp
$256
TOLMAR Pharmaceuticals, Inc.
$199
Boston Scientific Corporation
$185
NeoTract Inc.
$165
Antares Pharma, Inc.
$152
Laborie Medical Technologies Corp.
$133
COLOPLAST CORP
$112
Janssen Biotech, Inc.
$91
Endo Pharmaceuticals Inc.
$66
Supernus Pharmaceuticals, Inc.
$64
Blue Earth Diagnostics Limited
$57
Rochester Medical Corporation
$50
AbbVie, Inc.
$47
Myriad Genetic Laboratories, Inc.
$47
Bayer HealthCare Pharmaceuticals Inc.
$43
Tolmar, Inc.
$39
PFIZER INC.
$36
Avadel Specialty Pharmaceuticals, LLC
$35
Myovant Sciences Inc.
$34
Sumitomo Pharma America, Inc.
$32
Allergan, Inc.
$32
UROVANT SCIENCES INC
$32
Olympus America Inc.
$32
Clarus Therapeutics Inc.
$28
UroGen Pharma, Inc.
$25
AbbVie Inc.
$25
C. R. Bard, Inc. & Subsidiaries
$23
KARL STORZ Endoscopy-America
$23
Agiliti Surgical, Inc.
$22
Ferring Pharmaceuticals Inc.
$22
Novartis Pharmaceuticals Corporation
$17
Alnylam Pharmaceuticals Inc.
$16
Allergan Inc.
$16
UROGEN PHARMA, INC.
$15
Dendreon Pharmaceuticals LLC
$14
Aytu BioScience, Inc
$14
BOSTON SCIENTIFIC CORPORATION
$13
DENTSPLY IH Inc.
$11
Top 3 companies account for 55.3% of all-time payments
Associated products mentioned in payments ›
8.5 FR. X 675MM · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · Altis · Androgel · Axonics · Axonics r-SNM System · Axumin · BOTOX · Bovie · Bulkamid · CMOS VIDEO URETEROSCOPE · CONTINENCE CARE · ELIGARD · Erleada · GEMTESA · GREENLIGHT · JATENZO · JELMYTO · LOCAMETZ · LithoVue · LoFric · MYRBETRIQ · MYRISK · Myrbetriq · NOCDURNA · Natesto · Noctiva · Nubeqa · ORGOVYX · OXLUMO · Olympus Cystoscopes · POSLUMA · PROVENGE · REZUM · SPEEDICATH · SpeediCath · TRINITY · UROLIFT · Urgent PC Neuromodulation System · UroLift · UroLift System · VESICARE · Veozah · XIAFLEX · XTANDI · XYOSTED · ZYTIGA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Urology physicians in nearby ZIP areas
16
County median income
$71,049
Nearest hospital to ZIP centroid (approximate)
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Atwell is a clinical cardiology specialist, with above-average Medicare volume (top 8% in FL), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Atwell experienced with bcg treatment for bladder cancer?
Based on Medicare claims data, Dr. Atwell performed 3,651 bcg treatment for bladder cancer services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Atwell receive payments from pharmaceutical companies?
Yes. Dr. Atwell received a total of $6,264 from 42 companies across 198 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Atwell's costs compare to other urology physicians in Vero Beach?
Dr. Atwell's average Medicare payment per service is $28. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Atwell) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
Explore related providers
Same specialty & city
Urology Physicians in Vero Beach
Browse urology physicians in Vero Beach ranked by procedure volume and transparency data.
Highest volume
Top Urology Physicians in FL
Urology physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Urology Physicians in FL
Which FL urology physicians receive the most from drug and device companies.
By company
PROCEPT BioRobotics Corporation Payments to Doctors
See all physicians who received payments from PROCEPT BioRobotics Corporation.
By company
Astellas Pharma US Inc Payments to Doctors
See all physicians who received payments from Astellas Pharma US Inc.
By company
Teleflex LLC Payments to Doctors
See all physicians who received payments from Teleflex LLC.
About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology