Medicare Enrolled

Dr. Clifford Menafra, NP

Nurse Practitioner - Family · Cary, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
210 ASHVILLE AVE, Cary, NC 27518
9195762330
In practice since 2020 (6 years)
NPI: 1558989269 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 Dr. Menafra 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. Menafra

Dr. Clifford Menafra is a nurse practitioner - family in Cary, NC, with 6 years of NPI registration. Based on federal Medicare data, Dr. Menafra performed 1,975 Medicare services across 1,573 unique beneficiaries.

Between the years covered by Open Payments, Dr. Menafra received a total of $1,167 from 21 pharmaceutical and/or device companies across 47 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Menafra 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.

✓ 6 years in practice ▲ Top 5% volume in NC $1,167 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,975
Medicare services
Top 5% in NC for nurse practitioner - family
1,573
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~329 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 (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.
332 $52 $156
Urinalysis with microscopic exam
A urine test performed manually that includes examining the sample under a microscope to check for abnormalities.
318 $3 $19
Creatinine test (kidney function)
A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury.
318 $5 $24
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.
235 $71 $215
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.
191 $2 $19
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
179 $7 $74
Simple insertion of temporary bladder tube
A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder.
81 $39 $253
Simple change of bladder tube 78 $63 $382
Leuprolide acetate (for depot suspension), 7.5 mg 75 $133 $2,231
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.
59 $94 $348
Bladder instillation of anti-cancer drug
A procedure where an anti-cancer medication is introduced directly into the bladder. This method delivers the treatment locally to the bladder tissue.
56 $57 $370
Telephone medical discussion, 5-10 minutes
A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters.
31 $31 $132
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
22 $73 $256
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 ↗
$1,167
Total received (2021-2024)
Avg $292/year across 4 years
Top 24% in NC for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
47
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
$917 (78.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$250 (21.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$344
2023
$440
2022
$354
2021
$30

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Janssen Biotech, Inc.
$97
Sumitomo Pharma America, Inc.
$54
Endo Pharmaceuticals Inc.
$32
PROCEPT BioRobotics Corporation
$32
CIVCO Medical Instruments
$26
Ambu Inc.
$24
Calyxo, Inc.
$22
PFIZER INC.
$22
ABBVIE INC.
$18
UROGEN PHARMA, INC.
$17
Top 3 companies account for 53.3% of 2024 payments
All-time payments by company (2021-2024) ›
Astellas Pharma US Inc
$250
Sumitomo Pharma America, Inc.
$210
Janssen Biotech, Inc.
$177
Endo Pharmaceuticals Inc.
$96
UROVANT SCIENCES INC
$60
Coloplast Corp
$52
Progenics Pharmaceuticals, Inc.
$33
PROCEPT BioRobotics Corporation
$32
Tolmar, Inc.
$27
Medtronic, Inc.
$27
CIVCO Medical Instruments
$26
Ambu Inc.
$24
Calyxo, Inc.
$22
PFIZER INC.
$22
ABBVIE INC.
$18
Merck Sharp & Dohme LLC
$18
UROGEN PHARMA, INC.
$17
Olympus America Inc.
$17
Smith+Nephew, Inc.
$14
Foundation Medicine, Inc.
$14
Teleflex LLC
$13
Top 3 companies account for 54.6% of all-time payments
Associated products mentioned in payments ›
AQUABEAM SYSTEM · AVEED · Altis · BOTOX · CVAC ASPIRATION SYSTEM · CYSTO-NEPHRO VIDEOSCOPE · ELIGARD · ERLEADA · FOUNDATIONONE LIQUID CDX · GEMTESA · INTERSTIM · JELMYTO · KEYTRUDA · PYLARIFY · STRAVIX · SpeediCath · UroLift System · XIAFLEX · XTANDI
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 (79%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a nurse practitioner - family in Cary?
Compare family nurse practitioners in the Cary area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family nurse practitioners within 10 mi
1,067
Per 100K population
92.7
County median income
$101,763
Nearest hospital
WAKEMED, CARY HOSPITAL
0.0 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. Menafra is a clinical cardiology specialist, with above-average Medicare volume (top 5% in NC), with low-engagement industry engagement.

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

Frequently Asked Questions

Is Dr. Menafra experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Menafra performed 332 office visit, established patient (20-29 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. Menafra receive payments from pharmaceutical companies?
Yes. Dr. Menafra received a total of $1,167 from 21 companies across 47 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. Menafra's costs compare to other family nurse practitioners in Cary?
Dr. Menafra's average Medicare payment per service is $34. 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. Menafra) 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 →
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.

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. Payments from industry are legal and do not indicate wrongdoing. 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 →