Medicare Enrolled
Dr. Kristin Nikolakeas, D.O.
Family Medicine · Burton, MI
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. Nikolakeas 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. Nikolakeas
Dr. Kristin Nikolakeas is a family medicine specialist in Burton, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Nikolakeas performed 758 Medicare services across 416 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nikolakeas received a total of $24,004 from 94 pharmaceutical and/or device companies across 1627 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. Nikolakeas 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 22% volume in MI
$24,004 industry payments
Medicare Practice Summary
Medicare Utilization ↗758
Medicare services
Top 22% in MI for family medicine
416
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~40 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. |
300 | $84 | $197 |
| 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. |
193 | $51 | $134 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
63 | $123 | $229 |
| 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. |
60 | $12 | $19 |
| 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. |
41 | $10 | $41 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
22 | $29 | $85 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
20 | $3 | $9 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
16 | $29 | $40 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
16 | $39 | $207 |
| Recombinant quadrivalent influenza vaccine A flu shot that protects against four strains of influenza virus. It is produced using recombinant DNA technology rather than growing the virus in eggs. |
15 | $71 | $119 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
12 | $154 | $426 |
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 ↗$24,004
Total received (2018-2024)
Avg $3,429/year across 7 years
Top 1% in MI for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
94
Companies
1,627
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
$23,457 (97.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$547 (2.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,021
2023
$3,214
2022
$3,947
2021
$4,341
2020
$2,929
2019
$2,496
2018
$3,055
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$511
ABBVIE INC.
$287
HARMONY BIOSCIENCES LLC
$267
PFIZER INC.
$249
Lilly USA, LLC
$213
Paratek Pharmaceuticals, Inc.
$210
Novo Nordisk Inc
$194
Amgen Inc.
$185
Astellas Pharma US Inc
$146
Boehringer Ingelheim Pharmaceuticals, Inc.
$145
Collegium Pharmaceutical, Inc.
$143
Lundbeck LLC
$133
Exact Sciences Corporation
$121
Lexicon Pharmaceuticals, Inc.
$117
Teva Pharmaceuticals USA, Inc.
$103
Vanda Pharmaceuticals Inc.
$102
IRONWOOD PHARMACEUTICALS, INC
$102
Alkermes, Inc.
$82
Intra-Sana Laboratories
$65
Otsuka America Pharmaceutical, Inc.
$53
Phathom Pharmaceuticals, Inc.
$52
Corcept Therapeutics
$52
Abbott Laboratories
$50
Mylan Specialty L.P.
$40
AIMMUNE THERAPEUTICS, INC.
$37
Insulet Corporation
$35
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$34
Janssen Pharmaceuticals, Inc
$33
Braeburn Inc.
$31
GlaxoSmithKline, LLC.
$31
Alexion Pharmaceuticals, Inc.
$22
Dexcom, Inc.
$20
Merck Sharp & Dohme LLC
$18
VIVUS LLC
$18
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$17
SHIELD THERAPEUTICS INC
$16
Phadia US Inc.
$15
Takeda Pharmaceuticals U.S.A., Inc.
$15
Axsome Therapeutics, Inc.
$14
Masimo Corporation
$14
Bayer Healthcare Pharmaceuticals Inc.
$13
Ossur Americas, Inc.
$13
Top 3 companies account for 26.5% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,035
Amgen Inc.
$1,689
Novo Nordisk Inc
$1,410
Lilly USA, LLC
$1,188
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,079
GlaxoSmithKline, LLC.
$1,058
Teva Pharmaceuticals USA, Inc.
$1,043
ABBVIE INC.
$960
PFIZER INC.
$942
Corcept Therapeutics
$680
Biohaven Pharmaceuticals, Inc.
$607
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$510
Harmony Biosciences LLC
$487
Astellas Pharma US Inc
$479
AbbVie Inc.
$457
Novartis Pharmaceuticals Corporation
$455
Janssen Pharmaceuticals, Inc
$452
HARMONY BIOSCIENCES LLC
$420
Allergan Inc.
$369
Takeda Pharmaceuticals U.S.A., Inc.
$355
SANOFI-AVENTIS U.S. LLC
$325
Otsuka America Pharmaceutical, Inc.
$291
Lundbeck LLC
$290
Sunovion Pharmaceuticals Inc.
$283
Horizon Therapeutics plc
$273
Ironwood Pharmaceuticals, Inc
$265
Sentynl Therapeutics, Inc.
$256
Paratek Pharmaceuticals, Inc.
$245
Allergan, Inc.
$233
Supernus Pharmaceuticals, Inc.
$231
Collegium Pharmaceutical, Inc.
$210
Exact Sciences Corporation
$209
ITI, Inc.
$208
Vanda Pharmaceuticals Inc.
$205
Bayer Healthcare Pharmaceuticals Inc.
$200
Alkermes, Inc.
$193
Merck Sharp & Dohme LLC
$185
Bayer HealthCare Pharmaceuticals Inc.
$165
Axsome Therapeutics, Inc.
$154
Biohaven Pharmaceutical Holding Company Ltd.
$146
ARBOR PHARMACEUTICALS, INC.
$141
Xeris Pharmaceuticals, Inc.
$138
IRONWOOD PHARMACEUTICALS, INC
$130
Nestle HealthCare Nutrition Inc.
$127
Merck Sharp & Dohme Corporation
$122
Lexicon Pharmaceuticals, Inc.
$117
SCILEX PHARMACEUTICALS INC.
$99
Indivior Inc.
$98
Eisai Inc.
$97
Alexion Pharmaceuticals, Inc.
$92
Abbott Laboratories
$91
Ironshore Pharmaceuticals Inc.
$86
IDORSIA PHARMACEUTICALS US INC
$76
Daiichi Sankyo Inc.
$72
Medtronic MiniMed, Inc.
$69
Neurocrine Biosciences, Inc.
$68
JAZZ PHARMACEUTICALS INC.
$65
Intra-Sana Laboratories
$65
Dexcom, Inc.
$64
Radius Health, Inc.
$63
IBSA Pharma Inc.
$56
Insulet Corporation
$54
Phathom Pharmaceuticals, Inc.
$52
Zyla Life Sciences, Inc.
$42
Mylan Specialty L.P.
$40
Medtronic, Inc.
$38
AIMMUNE THERAPEUTICS, INC.
$37
Zyla Life Sciences
$37
SANOFI PASTEUR INC.
$34
Circassia Pharmaceuticals Inc
$32
Orexo US, Inc.
$32
Braeburn Inc.
$31
NESTLE HEALTHCARE NUTRITION INC.
$30
Gilead Sciences, Inc.
$28
Avion Pharmaceuticals
$27
E.R. Squibb & Sons, L.L.C.
$25
Grifols USA, LLC
$25
BioDelivery Sciences International, Inc.
$24
EISAI INC.
$23
VIVUS LLC
$18
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$17
Smith+Nephew, Inc.
$17
Athena Bioscience, LLC
$17
SHIELD THERAPEUTICS INC
$16
Phadia US Inc.
$15
Nabriva Therapeutics, plc
$14
Masimo Corporation
$14
Inogen, Inc.
$14
Ossur Americas, Inc.
$13
Virtus Pharmaceuticals LLC
$12
Evoke Pharma, Inc.
$12
Esperion Therapeutics, Inc.
$11
Sanofi Pasteur Inc.
$11
Purdue Pharma L.P.
$11
Top 3 companies account for 21.4% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ABILIFY MYCITE · ACCRUFER · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · ARISTADA · AUSTEDO · Aimovig · Amitiza · Austedo XR · Auvelity · BELSOMRA · BEVESPI AEROSPHERE · BREZTRI · BREZTRI AEROSPHERE · BRIXADI · BUNAVAIL 2.1 mg 30-count box · Balcoltra · Belbuca · CAPLYTA · CHANTIX · COLLAGENASE SANTYL · COLOGUARD · COMIRNATY · COPAXONE · CREON · CYCLOSET · Cologuard Collection Kit · DEXCOM CGM · DEXCOM G6 CGM SYSTEM · DIFICID · DUEXIS · Dayvigo · Descovy · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · Evekeo · FANAPT · FARXIGA · FASENRA · FLUZONE QUADRIVALENT · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FORTEO · FREESTYLE LIBRE 3 · GEMTESA · GIMOTI · GVOKE HYPOPEN · GVOKE PFS · Guardian Connect · HETLIOZ · Horizant · INGREZZA · INVOKANA · ImmunoCAP · InPen · InogenOne · Inpefa · JANUVIA · JARDIANCE · JORNAY PM · KRYSTEXXA · Kerendia · Korlym · LANTUS · LATUDA · LEVORPHANOL TARTRATE · LINZESS · LO LOESTRIN FE · LYRICA · Levorphanol Tartrate · Licart · Linzess · MENACTRA · MOTEGRITY · MOUNJARO · MYRBETRIQ · Miami J · Minimed 670G System · Morphabond ER · Myrbetriq · NEXLETOL · NUCALA · NURTEC ODT · NUZYRA · ONGENTYS · Omnipod · Otezla · Ozempic · PAXLOVID · PENNSAID · PREMARIN · PREVNAR 20 · Prolastin-C · Prolastin-C Liquid · Prolia · QELBREE · QSYMIA · QULIPTA · QUVIVIQ · Qdolo · RAYOS · RECORLEV · RELTONE 200 MG · REXULTI · RYBELSUS · Repatha · Rybelsus · SET and rainbow SET · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA · SPIRIVA RESPIMAT · SPRIX · STEGLATRO · STIOLTO · STIOLTO RESPIMAT · STRENSIQ · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SUNOSI · SYMBICORT · SYMPROIC · SYNTHROID · Saxenda · Sivextro · Strensiq · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · TUDORZA PRESSAIR · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · ULTOMIRIS · VESICARE · VIAGRA · VIBERZI · VIVITROL · VOQUEZNA · VRAYLAR · VYVANSE · Veozah · Victoza · WAKIX · Wakix · Wegovy · XARELTO · XIFAXAN · XTAMPZA · XTAMPZAER · XYWAV · YUPELRI · ZAVZPRET · ZENPEP · ZTLido
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 1% for family medicine in MI.
Geographic Context
Family medicine physicians within 10 mi
368
Per 100K population
91.1
County median income
$60,673
Nearest hospital
HURLEY MEDICAL CENTER
5.9 mi
5.9 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. Nikolakeas is a clinical cardiology specialist, with above-average Medicare volume (top 22% in MI), with low-engagement industry engagement in the top 1% of MI 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. Nikolakeas experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nikolakeas performed 300 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. Nikolakeas receive payments from pharmaceutical companies?
Yes. Dr. Nikolakeas received a total of $24,004 from 94 companies across 1,627 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. Nikolakeas's costs compare to other family medicine physicians in Burton?
Dr. Nikolakeas's average Medicare payment per service is $64. 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. Nikolakeas) 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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