Rose Paccione

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.

• Cleveland Clinic Martin North Hospital Hospital · Stuart, FL

Colleagues at Martin Memorial Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 516 clinicians in the practice; 12 are shown here.

• Patrice Cohen, MD Radiation Oncology Physician · Stuart, FL
• Dr. Sameh Talaat Demian, MD Internal Medicine Physician · Orlando, FL
• Kiersten Marie Fanell, PA-C Physician Assistant · Stuart, FL
• Bernny Felix Saladin, MD Internal Medicine Physician · Stuart, FL
• Dr. Resham Khilnani, MD Internal Medicine Physician · Stuart, FL
• Purandath Lall, MD Vascular Surgery Physician · Port St Lucie, FL
• Dr. Michael Allan Mackechnie, MD, CM, FAAOS Sports Medicine (Orthopaedic Surgery) Physician · Stuart, FL
• Priya Vikash Negandhi, MD Internal Medicine Physician · Stuart, FL
• Aaron Michael Reames, PA Physician Assistant · Stuart, FL
• Gaurav R Shah, MD Nephrology Physician · Stuart, FL
• Dr. Alexander Usorov, MD Nephrology Physician · Stuart, FL
• Jason Scott Weisstein, MD, MPH Orthopaedic Surgery Physician · Stuart, FL

Other providers in Port St Lucie

• Jose Roberto Castaneda, MD

  Individual Pulmonary Disease Physician · NPI 1346665130

  1651 SE Tiffany Ave, Port St Lucie, FL 34952-7564 · (772) 398-1800

• Vivek Kaul, MD

  Individual Pulmonary Disease Physician · NPI 1497853212

  1651 SE Tiffany Ave, Port St Lucie, FL 34952-7564 · (772) 398-1800

• Barrington L Nelson M D

  Individual Pulmonary Disease Physician · NPI 1669440566

  1801 SE Hillmoor Dr Ste C103, Port St Lucie, FL 34952-7553 · (772) 398-7110

• Oasis Pulmonary and Sleep Medicine LLC

  Organization Pulmonary Disease Physician · NPI 1700035177

  8980 S US Highway 1 Ste 101, Port St Lucie, FL 34952-3482 · (772) 807-6500

• Bharat Upadhyay, MD

  Individual Pulmonary Disease Physician · NPI 1912951740

  1700 SE Hillmoor Dr Ste 200, Port St Lucie, FL 34952-7539 · (772) 335-9600