Medicare Enrolled

Michelle Starnes, FNP

Nurse Practitioner - Family · Hickory, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1205 N CENTER ST, Hickory, NC 28601
8288553644
Registered in NPPES since 2014
NPI: 1487052445 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 Starnes 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 Starnes? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Starnes

Michelle Starnes is a nurse practitioner - family in Hickory, NC, with 11 years of NPI registration. Based on federal Medicare data, Starnes performed 614 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Starnes received a total of $5,260 from 45 pharmaceutical and/or device companies across 241 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 Starnes 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.

✓ 11 years of NPI registration ▲ Top 24% volume in NC $5,260 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
614
Medicare services
Top 24% in NC for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$34
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
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
154 $6 $6
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.
90 $61 $253
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.
67 $46 $178
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
67 $104 $257
Annual intensive behavioral therapy for cardiovascular disease, 15 minutes
A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually.
67 $21 $52
Annual depression screening 65 $15 $36
Annual alcohol misuse screening, 5 to 15 minutes 54 $15 $37
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.
24 $2 $7
Flu vaccine, high-dose
High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe.
13 $72 $166
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
13 $29 $77
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 ↗
$5,260
Total received (2021-2024)
Avg $1,315/year across 4 years
Top 4% in NC for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
241
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
$850
2023
$1,464
2022
$1,122
2021
$1,824

Payments by company (2024)

Lilly USA, LLC
$179
PFIZER INC.
$80
AstraZeneca Pharmaceuticals LP
$76
ABBVIE INC.
$67
GlaxoSmithKline, LLC.
$66
Dexcom, Inc.
$49
Bayer Healthcare Pharmaceuticals Inc.
$43
Astellas Pharma US Inc
$39
Boehringer Ingelheim Pharmaceuticals, Inc.
$34
Eisai Inc.
$26
Axsome Therapeutics, Inc.
$24
IDORSIA PHARMACEUTICALS US INC
$22
Janssen Pharmaceuticals, Inc
$22
Abbott Laboratories
$21
Esperion Therapeutics, Inc.
$20
Otsuka America Pharmaceutical, Inc.
$17
Teva Pharmaceuticals USA, Inc.
$17
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$17
Organon Llc
$16
Phathom Pharmaceuticals, Inc.
$15
Top 3 companies account for 39.4% of 2024 payments
All-time payments by company (2021-2024) ›
Novo Nordisk Inc
$1,088
ABBVIE INC.
$590
GlaxoSmithKline, LLC.
$530
AbbVie Inc.
$465
Lilly USA, LLC
$393
Astellas Pharma US Inc
$240
IDORSIA PHARMACEUTICALS US INC
$239
AstraZeneca Pharmaceuticals LP
$168
Boehringer Ingelheim Pharmaceuticals, Inc.
$151
Takeda Pharmaceuticals U.S.A., Inc.
$146
Otsuka America Pharmaceutical, Inc.
$120
PFIZER INC.
$106
Abbott Laboratories
$97
Janssen Pharmaceuticals, Inc
$94
Dexcom, Inc.
$71
Bayer Healthcare Pharmaceuticals Inc.
$67
Supernus Pharmaceuticals, Inc.
$63
Novartis Pharmaceuticals Corporation
$54
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$48
Exact Sciences Corporation
$46
Currax Pharmaceuticals LLC
$45
Biohaven Pharmaceuticals, Inc.
$33
Ironwood Pharmaceuticals, Inc
$29
Organon LLC
$29
Eisai Inc.
$26
Axsome Therapeutics, Inc.
$24
SCYNEXIS, Inc.
$23
Bayer HealthCare Pharmaceuticals Inc.
$22
Tolmar, Inc.
$21
Esperion Therapeutics, Inc.
$20
Teva Pharmaceuticals USA, Inc.
$17
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$17
Organon Llc
$16
Amarin Pharma Inc.
$16
Phathom Pharmaceuticals, Inc.
$15
IBSA Pharma Inc.
$15
SANOFI-AVENTIS U.S. LLC
$15
Boston Scientific Corporation
$14
Nestle HealthCare Nutrition Inc.
$14
Adlon Therapeutics L.P.
$14
Merck Sharp & Dohme Corporation
$13
Gilead Sciences, Inc.
$12
IMPEL PHARMACEUTICALS INC.
$12
Kowa Pharmaceuticals America, Inc.
$12
Amgen Inc.
$11
Top 3 companies account for 42.0% of all-time payments
Associated products mentioned in payments ›
ADHANSIA XR · AIRSUPRA · AJOVY · ANORO ELLIPTA · AREXVY · Afinion 2 · Auvelity · BELSOMRA · BREZTRI · CAPLYTA · CONTRAVE · Cologuard Collection Kit · Descovy · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · ETERNA · FARXIGA · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · JARDIANCE · JATENZO · Kerendia · LEQVIO · LINZESS · Leqembi · Licart · Linzess · Livalo · MOUNJARO · NEXLETOL · NEXPLANON · NURTEC ODT · Otezla · Ozempic · PREVNAR 13 · PREVNAR 20 · QELBREE · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Rybelsus · SOLIQUA 100/33 · STIOLTO RESPIMAT · Saxenda · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · Trudhesa · UBRELVY · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · WATCHMAN Access System · Wegovy · XARELTO · XIFAXAN · ZENPEP · ZEPBOUND
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 →
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Geographic Context

Family nurse practitioners in nearby ZIP areas
277
County median income
$64,544
Nearest hospital to ZIP centroid (approximate)
FRYE REGIONAL MEDICAL CENTER
0.0 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

Starnes is a clinical cardiology specialist, with above-average Medicare volume (top 24% in NC).

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

Frequently Asked Questions

Is Starnes experienced with blood draw (venipuncture)?
Based on Medicare claims data, Starnes performed 154 blood draw (venipuncture) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Starnes receive payments from pharmaceutical companies?
Yes. Starnes received a total of $5,260 from 45 companies across 241 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 Starnes's costs compare to other family nurse practitioners in Hickory?
Starnes'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 Starnes) 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 →