Medicare Enrolled

Tara Fletcher, FNP

Registered Nurse · Lenox, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
36267 26 MILE RD STE 3, Lenox, MI 48048
5867161371
Registered in NPPES since 2021
NPI: 1902474778 verify on NPPES ↗
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 Fletcher 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 Fletcher

Tara Fletcher is a registered nurse in Lenox, MI, with 5 years of NPI registration. Based on federal Medicare data, Fletcher performed 153 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Fletcher received a total of $1,453 from 20 pharmaceutical and/or device companies across 57 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 Fletcher 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.

✓ 5 years of NPI registration ▲ Top 30% volume in MI $1,453 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
153
Medicare services
Top 30% in MI for registered nurse
Not available
Unique patients (not deduplicated)
$46
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 (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.
48 $61 $100
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
33 $82 $125
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
15 $6 $6
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.
13 $8 $25
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
11 $10 $30
Magnesium level test
A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess.
11 $7 $20
Uric acid level test
A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines.
11 $4 $15
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.
11 $87 $150
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 ↗
$1,453
Total received (2023-2024)
Avg $727/year across 2 years
Top 13% in MI for registered nurse
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
57
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
$862
2023
$592

Payments by company (2024)

Amgen Inc.
$141
ABBVIE INC.
$96
Lilly USA, LLC
$94
GlaxoSmithKline, LLC.
$79
Merck Sharp & Dohme LLC
$71
SHIELD THERAPEUTICS INC
$57
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$52
Novo Nordisk Inc
$49
AstraZeneca Pharmaceuticals LP
$48
Edwards Lifesciences Corporation
$39
PFIZER INC.
$32
Celgene Corporation
$23
IDORSIA PHARMACEUTICALS US INC
$18
Tolmar, Inc.
$17
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$15
Pulmonx Corporation
$15
Top 3 companies account for 38.5% of 2024 payments
All-time payments by company (2023-2024) ›
Amgen Inc.
$254
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$196
Janssen Biotech, Inc.
$188
ABBVIE INC.
$120
Lilly USA, LLC
$94
GlaxoSmithKline, LLC.
$79
Merck Sharp & Dohme LLC
$71
Takeda Pharmaceuticals U.S.A., Inc.
$70
Celgene Corporation
$57
SHIELD THERAPEUTICS INC
$57
Novo Nordisk Inc
$49
AstraZeneca Pharmaceuticals LP
$48
Edwards Lifesciences Corporation
$39
PFIZER INC.
$32
Janssen Scientific Affairs, LLC
$19
IDORSIA PHARMACEUTICALS US INC
$18
Tolmar, Inc.
$17
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$15
Pulmonx Corporation
$15
Top 3 companies account for 43.9% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · CAPLYTA · CHARTIS CATHETER · EMGALITY · ENTYVIO · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · GARDASIL · JARDIANCE · JATENZO · MOUNJARO · NURTEC ODT · OFEV · Otezla · QULIPTA · QUVIVIQ · RINVOQ · Repatha · Rybelsus · STELARA · TRELEGY ELLIPTA · UBRELVY · VRAYLAR · Wegovy · XIFAXAN · ZEPOSIA
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 →
Looking for a registered nurse in Lenox?
Compare registered nurses in the Lenox area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Registered nurses in nearby ZIP areas
681
County median income
$76,399
Nearest hospital to ZIP centroid (approximate)
HARBOR OAKS HOSPITAL
4.6 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

Fletcher is a clinical cardiology specialist, with above-average Medicare volume (top 30% in MI).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Fletcher experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Fletcher performed 48 office visit, established patient (20-29 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 Fletcher receive payments from pharmaceutical companies?
Yes. Fletcher received a total of $1,453 from 20 companies across 57 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 Fletcher's costs compare to other registered nurses in Lenox?
Fletcher's average Medicare payment per service is $46. 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 Fletcher) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →