Medicare Enrolled
Dr. Richard Shack, MD
Family Medicine · Alpharetta, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Shack 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 Dr. Shack
Dr. Richard Shack is a family medicine specialist in Alpharetta, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shack performed 3,140 Medicare services across 2,294 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shack received a total of $14,121 from 54 pharmaceutical and/or device companies across 574 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Shack 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.
✓ 19 years in practice
▲ Top 11% volume in GA
$14,121 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,140
Medicare services
Top 11% in GA for family medicine
2,294
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~165 Medicare services per year of practice
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. |
904 | $85 | $172 |
| 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. |
346 | $2 | $20 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
290 | $48 | $118 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
217 | $128 | $172 |
| Annual depression screening | 188 | $18 | $60 |
| 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. |
170 | $10 | $79 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
103 | $10 | $57 |
| 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. |
102 | $66 | $102 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
73 | $14 | $31 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
66 | $30 | $59 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
64 | $30 | $58 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
54 | $38 | $55 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
52 | $50 | $150 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
44 | $282 | $517 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
41 | $8 | $15 |
| Annual alcohol misuse screening, 5 to 15 minutes | 41 | $18 | $99 |
| 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. |
39 | $10 | $39 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
37 | $24 | $110 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
34 | $74 | $131 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
31 | $16 | $29 |
| 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. |
29 | $134 | $264 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
25 | $10 | $58 |
| 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. |
24 | $8 | $39 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
23 | $13 | $110 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
21 | $16 | $38 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
19 | $16 | $110 |
| 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. |
18 | $98 | $273 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
18 | $3 | $75 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
16 | $39 | $488 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
15 | $161 | $208 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
14 | $12 | $38 |
| 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. |
11 | $33 | $84 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
11 | $166 | $257 |
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. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$14,121
Total received (2018-2024)
Avg $2,017/year across 7 years
Top 2% in GA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
574
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,756 (69.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$4,365 (30.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$6,150
2023
$1,591
2022
$1,806
2021
$1,254
2020
$381
2019
$1,184
2018
$1,755
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Eli Lilly and Company
$4,365
Lilly USA, LLC
$184
AstraZeneca Pharmaceuticals LP
$181
Esperion Therapeutics, Inc.
$168
Novo Nordisk Inc
$155
GlaxoSmithKline, LLC.
$154
Abbott Laboratories
$139
PFIZER INC.
$120
Astellas Pharma US Inc
$99
Boehringer Ingelheim Pharmaceuticals, Inc.
$95
Amgen Inc.
$86
Dexcom, Inc.
$66
Bayer Healthcare Pharmaceuticals Inc.
$61
Novartis Pharmaceuticals Corporation
$59
ABBVIE INC.
$33
Inspire Medical Systems, Inc.
$30
Eisai Inc.
$28
Exact Sciences Corporation
$27
Dynavax Technologies Corporation
$26
Regeneron Healthcare Solutions, Inc.
$24
SANOFI-AVENTIS U.S. LLC
$20
Phathom Pharmaceuticals, Inc.
$18
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Top 3 companies account for 76.9% of 2024 payments
All-time payments by company (2018-2024) ›
Eli Lilly and Company
$4,365
Novo Nordisk Inc
$1,199
AstraZeneca Pharmaceuticals LP
$1,052
Amgen Inc.
$971
Lilly USA, LLC
$750
GlaxoSmithKline, LLC.
$584
PFIZER INC.
$498
Abbott Laboratories
$410
Astellas Pharma US Inc
$403
Boehringer Ingelheim Pharmaceuticals, Inc.
$374
ABBVIE INC.
$339
Novartis Pharmaceuticals Corporation
$322
Takeda Pharmaceuticals U.S.A., Inc.
$235
Amarin Pharma Inc.
$234
AbbVie Inc.
$228
Esperion Therapeutics, Inc.
$219
Janssen Pharmaceuticals, Inc
$214
Biohaven Pharmaceutical Holding Company Ltd.
$158
Merck Sharp & Dohme Corporation
$154
Inspire Medical Systems, Inc.
$148
Dexcom, Inc.
$119
Bayer Healthcare Pharmaceuticals Inc.
$99
Boston Scientific Corporation
$98
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$85
Exact Sciences Corporation
$81
Kowa Pharmaceuticals America, Inc.
$71
Eisai Inc.
$55
Upsher-Smith Laboratories LLC
$54
Allergan Inc.
$51
Hologic Sales and Service, LLC
$43
Nalpropion Pharmaceuticals, Inc.
$42
Dynavax Technologies Corporation
$37
VIVUS, Inc.
$36
SANOFI-AVENTIS U.S. LLC
$33
Teva Pharmaceuticals USA, Inc.
$27
AbbVie, Inc.
$27
Edwards Lifesciences Corporation
$24
Otsuka America Pharmaceutical, Inc.
$24
Regeneron Healthcare Solutions, Inc.
$24
Merck Sharp & Dohme LLC
$23
Lundbeck LLC
$22
Optinose US, Inc.
$20
Bayer HealthCare Pharmaceuticals Inc.
$19
Phathom Pharmaceuticals, Inc.
$18
UPSHER-SMITH LABORATORIES LLC
$17
VIVUS LLC
$17
Endo Pharmaceuticals Inc.
$17
Shire North American Group Inc
$15
Horizon Pharma plc
$14
Paratek Pharmaceuticals, Inc.
$13
Qiagen, LLC
$13
Avanir Pharmaceuticals, Inc.
$12
ARBOR PHARMACEUTICALS, INC.
$11
Currax Pharmaceuticals LLC
$8
Top 3 companies account for 46.8% of all-time payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · AJOVY · ANORO · APTIMA · AREXVY · Aimovig · Amitiza · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BYDUREON · BYSTOLIC · CHANTIX · CONTRAVE · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · EVKEEZA · Edarbi · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FASENRA · FLECTOR PATCH · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL 9 · Heplisav-B · INSPIRE · INVOKANA · Inspire Upper Airway Stimulation System · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LYRICA · Leqembi · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Myrbetriq · NASCOBAL · NEXLETOL · NEXLIZET · NURTEC ODT · NUZYRA · ONZETRA Xsail · Otezla · Ozempic · PAXLOVID · PREVNAR 20 · Prolia · QSYMIA · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · Qsymia · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TOPIRAMATE Extended Release Capsules · TOSYMRA · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TZIELD · Trintellix · UBRELVY · VESICARE · VIAGRA · VOQUEZNA · VRAYLAR · VYEPTI · VYNDAMAX · Vascepa · Veozah · Victoza · WATCHMAN · Wegovy · XARELTO · XIFAXAN · Xhance · ZEPBOUND
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (69%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in GA.
Geographic Context
Family medicine physicians within 10 mi
1,128
Per 100K population
105.6
County median income
$91,490
Nearest hospital
EMORY JOHNS CREEK HOSPITAL
6.0 mi
6.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | 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. Shack is a clinical cardiology specialist, with above-average Medicare volume (top 11% in GA), with low-engagement industry engagement in the top 2% of GA peers, with 19 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. Shack experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shack performed 904 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Shack receive payments from pharmaceutical companies?
Yes. Dr. Shack received a total of $14,121 from 54 companies across 574 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Shack's costs compare to other family medicine physicians in Alpharetta?
Dr. Shack's average Medicare payment per service is $55. 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. Shack) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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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