Medicare Enrolled
Myra Downing-Sherman, ARNP
Nurse Practitioner - Family · Ocala, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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 Downing-Sherman 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 →
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What this data tells you about Downing-Sherman
Myra Downing-Sherman is a nurse practitioner - family in Ocala, FL, with 20 years of NPI registration. Based on federal Medicare data, Downing-Sherman performed 4,294 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Downing-Sherman received a total of $6,425 from 34 pharmaceutical and/or device companies across 243 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 Downing-Sherman 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 3% volume in FL
$6,425 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,294
Medicare services
Top 3% in FL for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$20
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 |
|---|---|---|---|
| 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. |
438 | $72 | $225 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
335 | $8 | $9 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
302 | $10 | $45 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
292 | $6 | $28 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
289 | $8 | $33 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
287 | $15 | $64 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
287 | $9 | $39 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
286 | $16 | $71 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
285 | $10 | $41 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
272 | $13 | $57 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
267 | $29 | $125 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
240 | $14 | $63 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
186 | $2 | $10 |
| 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. |
154 | $6 | $20 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
125 | $109 | $341 |
| 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. |
99 | $9 | $75 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
94 | $1 | $7 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
16 | $19 | $62 |
| 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. |
15 | $52 | $153 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
13 | $25 | $109 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
12 | $8 | $67 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$6,425
Total received (2021-2024)
Avg $1,606/year across 4 years
Top 3% in FL for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
243
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
$981
2023
$1,790
2022
$2,142
2021
$1,512
Payments by company (2024)
Novo Nordisk Inc
$264
AstraZeneca Pharmaceuticals LP
$229
Astellas Pharma US Inc
$88
Lilly USA, LLC
$64
GlaxoSmithKline, LLC.
$54
ABBVIE INC.
$54
PFIZER INC.
$43
Bayer Healthcare Pharmaceuticals Inc.
$39
Phathom Pharmaceuticals, Inc.
$33
Teva Pharmaceuticals USA, Inc.
$28
Novartis Pharmaceuticals Corporation
$24
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Neurocrine Biosciences, Inc.
$20
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$19
Top 3 companies account for 59.2% of 2024 payments
All-time payments by company (2021-2024) ›
Novo Nordisk Inc
$1,371
AstraZeneca Pharmaceuticals LP
$835
Janssen Pharmaceuticals, Inc
$533
Lilly USA, LLC
$472
ABBVIE INC.
$415
Astellas Pharma US Inc
$333
Boehringer Ingelheim Pharmaceuticals, Inc.
$313
Amgen Inc.
$250
AbbVie Inc.
$227
Amarin Pharma Inc.
$227
GlaxoSmithKline, LLC.
$170
Medtronic, Inc.
$153
PAINTEQ LLC
$147
PFIZER INC.
$144
Otsuka America Pharmaceutical, Inc.
$118
Bayer HealthCare Pharmaceuticals Inc.
$98
IDORSIA PHARMACEUTICALS US INC
$62
BOSTON SCIENTIFIC CORPORATION
$60
Phathom Pharmaceuticals, Inc.
$53
SANOFI-AVENTIS U.S. LLC
$53
Lundbeck LLC
$51
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$48
Novartis Pharmaceuticals Corporation
$43
Bayer Healthcare Pharmaceuticals Inc.
$39
E.R. Squibb & Sons, L.L.C.
$32
Teva Pharmaceuticals USA, Inc.
$28
Insulet Corporation
$27
Biohaven Pharmaceutical Holding Company Ltd.
$23
Neurocrine Biosciences, Inc.
$20
Kowa Pharmaceuticals America, Inc.
$18
Biohaven Pharmaceuticals, Inc.
$16
Eisai Inc.
$15
Horizon Therapeutics plc
$15
Abbott Laboratories
$14
Top 3 companies account for 42.6% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · BREZTRI · CREON · DUEXIS · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FreeStyle Libre · INGREZZA · INTERSTIM · JARDIANCE · Kerendia · LEQVIO · LINZESS · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NURTEC ODT · Omnipod · Ozempic · PAINTEQ · PREMARIN · PREVNAR 20 · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veozah · WAVEWRITER ALPHA · Wegovy · XARELTO · XIFAXAN
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
Family nurse practitioners in nearby ZIP areas
461
County median income
$58,535
Nearest hospital to ZIP centroid (approximate)
MARION COMMUNTIY 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
Downing-Sherman is a mixed practice specialist, with above-average Medicare volume (top 3% 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 Downing-Sherman experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Downing-Sherman performed 438 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Downing-Sherman receive payments from pharmaceutical companies?
Yes. Downing-Sherman received a total of $6,425 from 34 companies across 243 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 Downing-Sherman's costs compare to other family nurse practitioners in Ocala?
Downing-Sherman's average Medicare payment per service is $20. 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 Downing-Sherman) 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 →
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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.
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