Medicare Enrolled
Dr. Joshua Macomber, M.D.
Cardiovascular Disease · Cary, NC
Practice pattern: Remote & Cardiac
— Practice combining remote and cardiac services
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. Macomber 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. Macomber
Dr. Joshua Macomber is a cardiovascular disease specialist in Cary, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Macomber performed 4,425 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Macomber received a total of $18,144 from 48 pharmaceutical and/or device companies across 890 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 Dr. Macomber 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 13% volume in NC
$18,144 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,425
Medicare services
Top 13% in NC for cardiovascular disease
Not available
Unique patients (not deduplicated)
$63
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. |
749 | $84 | $298 |
| 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. |
442 | $10 | $54 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
339 | $29 | $119 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
325 | $6 | $36 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
308 | $34 | $176 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
301 | $34 | $146 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
288 | $43 | $161 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
287 | $110 | $469 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
214 | $87 | $188 |
| Tc-99m radiopharmaceutical, non-highly enriched uranium source This code covers the cost of Technetium-99m radiopharmaceuticals derived from non-highly enriched uranium sources. It is billed as an add-on per study dose for full cost recovery. |
189 | $8 | $10 |
| 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. |
156 | $91 | $290 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
107 | $319 | $1,410 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
107 | $16 | $82 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
68 | $22 | $96 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
61 | $47 | $251 |
| 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. |
60 | $109 | $459 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
55 | $101 | $384 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
54 | $106 | $393 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
40 | $26 | $189 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
40 | $58 | $203 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
31 | $630 | $2,075 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
30 | $20 | $74 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
24 | $58 | $170 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
24 | $9 | $37 |
| Cardiac catheterization | 18 | $160 | $885 |
| 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. |
17 | $61 | $202 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
16 | $89 | $298 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
15 | $128 | $520 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
13 | $117 | $565 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
12 | $18 | $77 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
12 | $97 | $451 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
12 | $137 | $516 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
11 | $422 | $1,706 |
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.
12.8% high complexity
17.2% medium
69.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$18,144
Total received (2018-2024)
Avg $2,592/year across 7 years
Top 16% in NC for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
890
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
$1,973
2023
$1,749
2022
$3,426
2021
$2,580
2020
$2,191
2019
$3,525
2018
$2,700
Payments by company (2024)
E.R. Squibb & Sons, L.L.C.
$360
Esperion Therapeutics, Inc.
$214
Novartis Pharmaceuticals Corporation
$174
Novo Nordisk Inc
$156
Amgen Inc.
$136
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$126
Lexicon Pharmaceuticals, Inc.
$114
AstraZeneca Pharmaceuticals LP
$109
Janssen Pharmaceuticals, Inc
$87
HEARTFLOW, INC.
$79
SANOFI-AVENTIS U.S. LLC
$77
Kiniksa Pharmaceuticals International, plc
$74
Boehringer Ingelheim Pharmaceuticals, Inc.
$63
Kestra Medical Technology Services, Inc.
$47
Merck Sharp & Dohme LLC
$42
PFIZER INC.
$32
GENZYME CORPORATION
$26
Medtronic, Inc.
$20
ABIOMED
$19
Becton, Dickinson and Company
$17
Top 3 companies account for 37.9% of 2024 payments
All-time payments by company (2018-2024) ›
E.R. Squibb & Sons, L.L.C.
$2,440
Janssen Pharmaceuticals, Inc
$2,297
AstraZeneca Pharmaceuticals LP
$1,587
Esperion Therapeutics, Inc.
$1,255
Novartis Pharmaceuticals Corporation
$1,130
SANOFI-AVENTIS U.S. LLC
$1,124
Amgen Inc.
$1,118
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,035
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$819
Amarin Pharma Inc.
$805
PREVENTRIC DIAGNOSTICS, INC.
$552
Novo Nordisk Inc
$433
PFIZER INC.
$296
ABIOMED
$281
Medtronic Vascular, Inc.
$243
United Therapeutics Corporation
$194
Merck Sharp & Dohme LLC
$187
Medtronic, Inc.
$167
Actelion Pharmaceuticals US, Inc.
$152
Lexicon Pharmaceuticals, Inc.
$129
Cardiovascular Systems Inc.
$125
GENZYME CORPORATION
$123
Abbott Laboratories
$120
BIOTRONIK INC.
$111
Kowa Pharmaceuticals America, Inc.
$111
Regeneron Healthcare Solutions, Inc.
$102
Boston Scientific Corporation
$97
Lundbeck LLC
$94
Merck Sharp & Dohme Corporation
$92
Rigel Pharmaceuticals, Inc.
$91
Chiesi USA, Inc.
$87
HEARTFLOW, INC.
$79
Kiniksa Pharmaceuticals International, plc
$74
Edwards Lifesciences Corporation
$72
Baxter Healthcare
$68
Alnylam Pharmaceuticals Inc.
$65
CHIESI USA, INC.
$59
Celgene Corporation
$58
Kiniksa Pharmaceuticals, Ltd.
$54
Kestra Medical Technology Services, Inc.
$47
Otsuka America Pharmaceutical, Inc.
$47
ARBOR PHARMACEUTICALS, INC.
$27
iRhythm Technologies, Inc.
$26
Becton, Dickinson and Company
$17
Shockwave Medical, Inc
$14
Philips Electronics North America Corporation
$14
HeartFlow, Inc.
$14
CARDIVA MEDICAL, INC.
$12
Top 3 companies account for 34.9% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · AMVUTTRA · Arcalyst · Assure WCD · BPRO BT AMBULATORY BLOOD PRESSURE MONITORING SYSTEM · BRILINTA · Bidil · CAMZYOS · CARDENE · CARDIOMEMS · CLEVIPREX · CLEVIPREX 25MG/50ML · COREVALVE EVOLUT R · CardioMEMS HF System · Corlanor · Coronary Orbital Atherectomy System · ELIQUIS · ENTRESTO · Edarbyclor · Edwards SAPIEN 3 Transcatheter Heart Valve · FABRAZYME · FARXIGA · FFRct · GENERAL THERAPIES · Hillrom - Cardiac Ambulatory Monitor · IN.PACT Admiral · Impella · Inpefa · JARDIANCE · KENGREAL · KENGREAL 50MG/10ML L · LEQVIO · LifeVest · Livalo · MICRA · MITRIS RESILIA Mitral Valve · MULTAQ · NEXLETOL · NEXLIZET · NORTHERA · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Perclose ProGlide suture mediated closure system · Pulsar-18 T3 · RYBELSUS · Repatha · Reveal LINQ · Rybelsus · SAMSCA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Saxenda · Tavalisse · UPTRAVI · VERQUVO · VYNDAQEL · Vascepa · Vascular Closure Device · Venclose Maven Catheter · WAINUA · Wegovy · XARELTO · ZIO Patch
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
Cardiologists in nearby ZIP areas
121
County median income
$101,763
Nearest hospital to ZIP centroid (approximate)
WAKEMED, CARY HOSPITAL
2.4 mi
2.4 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
Dr. Macomber is a remote & cardiac specialist, with above-average Medicare volume (top 13% in NC), 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 Dr. Macomber experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Macomber performed 749 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 Dr. Macomber receive payments from pharmaceutical companies?
Yes. Dr. Macomber received a total of $18,144 from 48 companies across 890 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 Dr. Macomber's costs compare to other cardiologists in Cary?
Dr. Macomber's average Medicare payment per service is $63. 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. Macomber) 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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