Medicare Enrolled
Dr. Duncan Scott, MD
Interventional Pain Medicine Physician · Fletcher, NC
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. Scott 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. Scott
Dr. Duncan Scott is an interventional pain medicine physician in Fletcher, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Scott performed 2,146 Medicare services across 1,044 unique beneficiaries.
Between the years covered by Open Payments, Dr. Scott received a total of $5,959 from 48 pharmaceutical and/or device companies across 336 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. 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. Scott 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 35% volume in NC
$5,959 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,146
Medicare services
Top 35% in NC for interventional pain medicine physician
1,044
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~113 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 |
|---|---|---|---|
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
378 | $90 | $310 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
350 | $60 | $220 |
| 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. |
330 | $54 | $183 |
| 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. |
233 | $12 | $45 |
| 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. |
207 | $78 | $260 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
203 | $9 | $40 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
69 | $163 | $751 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
62 | $89 | $406 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
50 | $85 | $258 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
41 | $125 | $805 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
38 | $50 | $189 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
28 | $24 | $130 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
25 | $165 | $720 |
| Injection, methylprednisolone acetate, 40 mg | 25 | $6 | $25 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
24 | $90 | $365 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
22 | $184 | $635 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
17 | $434 | $1,652 |
| 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. |
16 | $76 | $260 |
| 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. |
15 | $126 | $400 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
13 | $236 | $969 |
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 ↗$5,959
Total received (2018-2024)
Avg $851/year across 7 years
Top 34% in NC for interventional pain medicine physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
336
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
$5,893 (98.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$66 (1.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$605
2023
$963
2022
$1,095
2021
$803
2020
$584
2019
$882
2018
$1,027
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Collegium Pharmaceutical, Inc.
$213
SPR Therapeutics, Inc
$77
PFIZER INC.
$62
TerSera Therapeutics LLC
$61
Saluda Medical Americas, Inc.
$38
Teva Pharmaceuticals USA, Inc.
$35
ABBVIE INC.
$32
VERTEX PHARMACEUTICALS INCORPORATED
$21
Medtronic, Inc.
$21
Pacira Pharmaceuticals Incorporated
$20
Curonix LLC
$17
Ossur Americas, Inc.
$10
Top 3 companies account for 58.1% of 2024 payments
All-time payments by company (2018-2024) ›
Collegium Pharmaceutical, Inc.
$1,185
Supernus Pharmaceuticals, Inc.
$404
TerSera Therapeutics LLC
$358
PFIZER INC.
$329
Amgen Inc.
$322
AbbVie Inc.
$267
ABBVIE INC.
$253
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$247
Lilly USA, LLC
$186
Daiichi Sankyo Inc.
$179
Medtronic USA, Inc.
$163
Takeda Pharmaceuticals U.S.A., Inc.
$146
Teva Pharmaceuticals USA, Inc.
$144
Forte Bio-Pharma LLC
$140
Medtronic, Inc.
$138
SPR Therapeutics, Inc
$117
Boston Scientific Corporation
$109
Kaleo, Inc.
$84
Scilex Pharmaceuticals Inc.
$82
GRT US Holding, Inc.
$76
Hikma Pharmaceuticals USA
$66
Pernix Therapeutics Holdings, Inc.
$66
US WorldMeds, LLC
$64
Allergan, Inc.
$60
Purdue Pharma L.P.
$60
Biohaven Pharmaceutical Holding Company Ltd.
$57
BioDelivery Sciences International, Inc.
$51
BOSTON SCIENTIFIC CORPORATION
$49
Abbott Laboratories
$47
Novartis Pharmaceuticals Corporation
$44
AstraZeneca Pharmaceuticals LP
$40
Stimwave Technologies Incorporated
$39
Saluda Medical Americas, Inc.
$38
NOVARTIS PHARMACEUTICALS CORPORATION
$38
Biohaven Pharmaceuticals, Inc.
$36
IBSA Pharma Inc.
$34
Jazz Pharmaceuticals Inc.
$34
Almatica Pharma LLC
$31
INSYS Therapeutics Inc
$26
Shionogi Inc
$23
VERTEX PHARMACEUTICALS INCORPORATED
$21
Pacira Pharmaceuticals Incorporated
$20
PORTOLA PHARMACEUTICALS, INC.
$20
Curonix LLC
$17
Bausch Health US, LLC
$15
AbbVie, Inc.
$13
Kowa Pharmaceuticals America, Inc.
$13
Ossur Americas, Inc.
$10
Top 3 companies account for 32.7% of all-time payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIMOVIG · AJOVY · Aimovig · Amitiza · BEVYXXA · BUNAVAIL 2.1 mg 30-count box · Belbuca · COLOGUARD DNA CAPTURE REAGENTS · EMGALITY · Evoke · Evzio · Exparel · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · HYSINGLA ER · Humira · INTELLIS · INTELLIS ADAPTIVESTIM · Kloxxado · LYRICA · Licart · MIGRANAL · MOTEGRITY · MOVANTIK · MYOBLOC · Miami J · Morphabond ER · Motegrity · NALOCET · NURTEC ODT · Nalocet · OCTRODE · OXTELLAR XR · Octrode SCS Leads · PAXLOVID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · Prialt · Proclaim Family of SCS IPGs · QULIPTA · Qutenza · RELISTOR · RELISTOR ORAL · RESTORE · SEGLENTIS · SPRINT PNS System · SUBSYS · SYMPROIC · SYNCHROMED · Symproic · TROKENDI XR · Tirosint · Trintellix · UBRELVY · VANTA ADAPTIVESTIM · XTAMPZA · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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.
Geographic Context
Interventional pain medicine physicians within 10 mi
6
Per 100K population
5.1
County median income
$67,623
Nearest hospital
ADVENTHEALTH HENDERSONVILLE
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. Scott is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, 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. Scott experienced with telephone medical discussion, 21-30 minutes?
Based on Medicare claims data, Dr. Scott performed 378 telephone medical discussion, 21-30 minutes 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. Scott receive payments from pharmaceutical companies?
Yes. Dr. Scott received a total of $5,959 from 48 companies across 336 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. Scott's costs compare to other interventional pain medicine physicians in Fletcher?
Dr. Scott's average Medicare payment per service is $68. 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. Scott) 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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Supernus Pharmaceuticals, Inc. Payments to Doctors
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By company
TerSera Therapeutics LLC Payments to Doctors
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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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