Medicare Enrolled

Dr. Debra Knuckles, N.P.

Nurse Practitioner - Family · Concord, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
855 BRADLEY ST, Concord, NC 28025
7047210535
In practice since 2007 (19 years)
NPI: 1679610844 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. Knuckles 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 →
Are you Dr. Knuckles? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Knuckles

Dr. Debra Knuckles is a nurse practitioner - family in Concord, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Knuckles performed 4,209 Medicare services across 870 unique beneficiaries.

Between the years covered by Open Payments, Dr. Knuckles received a total of $7,529 from 35 pharmaceutical and/or device companies across 444 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. Knuckles 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 1% volume in NC $7,529 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,209
Medicare services
Top 1% in NC for nurse practitioner - family
870
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~222 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.
910 $75 $206
Assessment of emotional or behavioral problems
An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns.
875 $3 $25
Health risk assessment administration and interpretation
This procedure involves administering a health risk assessment to a patient and interpreting the results.
874 $2 $25
Drug screening test
A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample.
633 $60 $200
Definitive drug test using GC/MS or LC/MS
A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS.
398 $195 $468
Ketorolac injection, per 15 mg
An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg.
201 $0 $15
Trigger point injection, 3 or more muscles
Injection of medication into three or more specific muscle trigger points to relieve pain.
130 $33 $120
Methylprednisolone acetate injection, 80 mg
An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication.
58 $9 $50
Definitive drug test using GC/MS or LC/MS
A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS.
32 $135 $338
Definitive drug test using GC/MS or LC/MS
A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS.
30 $108 $280
Psychiatric diagnostic evaluation
A clinical assessment conducted by a psychiatrist to evaluate a patient's mental health status and determine a diagnosis.
27 $114 $200
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
23 $41 $141
New patient office visit, complex (60-74 min) 18 $91 $400
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 ↗
$7,529
Total received (2021-2024)
Avg $1,882/year across 4 years
Top 2% in NC for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
444
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
$7,474 (99.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$54 (0.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,433
2023
$1,935
2022
$2,151
2021
$2,010

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Collegium Pharmaceutical, Inc.
$292
Azurity Pharmaceuticals, Inc.
$256
ABBVIE INC.
$213
PFIZER INC.
$186
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$171
IDORSIA PHARMACEUTICALS US INC
$138
SCILEX PHARMACEUTICALS INC.
$52
IBSA Pharma Inc.
$38
VERTEX PHARMACEUTICALS INCORPORATED
$26
Abbott Laboratories
$25
Hikma Pharmaceuticals USA
$18
Virtus Pharmaceuticals LLC
$17
Top 3 companies account for 53.1% of 2024 payments
All-time payments by company (2021-2024) ›
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,864
Collegium Pharmaceutical, Inc.
$1,132
ABBVIE INC.
$722
Azurity Pharmaceuticals, Inc.
$395
PFIZER INC.
$330
AbbVie Inc.
$326
IDORSIA PHARMACEUTICALS US INC
$325
Merck Sharp & Dohme LLC
$310
ARBOR PHARMACEUTICALS, INC.
$209
RedHill Biopharma Inc.
$193
Biohaven Pharmaceuticals, Inc.
$185
Biohaven Pharmaceutical Holding Company Ltd.
$167
Hikma Pharmaceuticals USA
$157
USWM, LLC
$140
Novo Nordisk Inc
$114
Abbott Laboratories
$113
Eisai Inc.
$97
SCILEX PHARMACEUTICALS INC.
$97
FORTE BIO-PHARMA LLC
$88
Scilex Pharmaceuticals Inc.
$81
BioDelivery Sciences International, Inc.
$61
IBSA Pharma Inc.
$60
Masimo Corporation
$56
Electronic Waveform Lab, Inc.
$46
GRT US Holding, Inc.
$39
Forte Bio-Pharma LLC
$37
Almatica Pharma LLC
$27
VERTEX PHARMACEUTICALS INCORPORATED
$26
Bioventus LLC
$26
Alnylam Pharmaceuticals Inc.
$21
Arbor Pharmaceuticals, Inc.
$20
Averitas Pharma Inc.
$19
Virtus Pharmaceuticals LLC
$17
MML US, Inc.
$15
BOSTON SCIENTIFIC CORPORATION
$15
Top 3 companies account for 49.4% of all-time payments
Associated products mentioned in payments ›
BELBUCA · BELSOMRA · Belbuca · COMIRNATY · Dayvigo · ETERNA · GELSYN-3 · GIVLAARI · HORIZANT · Horizant · Kloxxado · LEVORPHANOL TARTRATE · LICART · Lucemyra · Movantik · NA · NALOCET · NAPRELAN · NURTEC ODT · PAXLOVID · PROCLAIM · PROLATE · Proclaim IPG · QULIPTA · QUTENZA · QUVIVIQ · Qutenza · RELISTOR · ReActiv8 · Saxenda · Tirosint · UBRELVY · WAVEWRITER ALPHA · XTAMPZA · 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 (99%) 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 nurse practitioner - family in NC.

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

Family nurse practitioners within 10 mi
691
Per 100K population
298.8
County median income
$86,084
Nearest hospital
CAROLINAS MEDICAL CENTER-NORTHEAST
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. Knuckles is a clinical cardiology specialist, with above-average Medicare volume (top 1% in NC), with low-engagement industry engagement in the top 2% of NC 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. Knuckles experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Knuckles performed 910 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. Knuckles receive payments from pharmaceutical companies?
Yes. Dr. Knuckles received a total of $7,529 from 35 companies across 444 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. Knuckles's costs compare to other family nurse practitioners in Concord?
Dr. Knuckles's average Medicare payment per service is $49. 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. Knuckles) 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 →