Robert A Midence, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Aveanna Home Health Home health agency · Bradenton, FL · listed as Home Health
• Florida Home Health Home health agency · Bradenton, FL · listed as Home Health
• Patients First Home Care Llc Home health agency · Bradenton, FL · listed as Patients First Home Care, LLC
• Vitas Healthcare Corporation Of Florida Hospice · Melbourne, FL
• Adventhealth Sebring Hospital · Sebring, FL
• Hca Florida Highlands Hospital Hospital · Sebring, FL
• Centerwell Home Health Home health agency · Winter Haven, FL
• Palms Home Care Home health agency · Sebring, FL

Colleagues at St Lucie Medical Specialists LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 39 clinicians in the practice; 12 are shown here.

• Dr. Brian A Akrami, DO Cardiovascular Disease Physician · Port St Lucie, FL
• Aleithe N Alvarez, ARNP Nurse Practitioner · Jensen Beach, FL
• Dawn Chiarenza, ARNP Nurse Practitioner · Port Saint Lucie, FL
• Dr. Jeffrey S Gottfried, DO Family Medicine Physician · Fort Pierce, FL
• Dr. Lindsay Nicole Lewis, MD Family Medicine Physician · Port St Lucie, FL
• Dr. Michael James Moffatt, DO Internal Medicine Physician · Port St Lucie, FL
• Dr. Kamlesh Pranshanker Pandya, MD Pulmonary Disease Physician · Fort Pierce, FL
• Dr. Chandrakant N Patel, MD Internal Medicine Physician · Port St Lucie, FL
• Kelly J. Romanelly Nurse Practitioner · Port St Lucie, FL
• Dr. Scott Randall Towbin, MD Family Medicine Physician · Port St Lucie, FL
• Donald K Ware, DO Family Medicine Physician · Sebring, FL
• Natasha Williamson Jones, ARNP Family Nurse Practitioner · Port St Lucie, FL

Other providers in Sebring

• Ike I Lee MD

  Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1508256108

  3101 Medical Way, Sebring, FL 33870-5548 · (863) 402-0909

• Stephen J Piccione, MD

  Individual Geriatric Medicine (Internal Medicine) Physician · NPI 1811918295

  2227 US Highway 27 S, Sebring, FL 33870-4936 · (863) 202-8100