As the number of driven concrete piles with Embedded Data Collectors increases, it has become possible to compare the widely used Beta Method to assess pile damage (using the change of pile impedance) with the so-called Measured Pile Integrity (MPI) method (a combination of two approaches using both the change of pile impedance and the change in pile pre-stress levels). After a brief introduction of both methods, this paper presents the outcome of that comparison based on data from more than 400 concrete piles driven in Florida, which brings into question the reliability of any damage assessment method based solely on the change of pile impedance (such as the Beta Method), especially to detect damage near the pile toe. Moreover the paper demonstrates the need to re-assess the damage classification used for the Beta Method as well as the use of Pile Driving Analysis (PDA) to detect pile toe damage.