Medicare Enrolled
Dr. Michael Towarnicky, MD
Internal Medicine · Jacksonville, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Towarnicky 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. Towarnicky
Dr. Michael Towarnicky is an internal medicine specialist in Jacksonville, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Towarnicky performed 22,283 Medicare services across 5,582 unique beneficiaries.
Between the years covered by Open Payments, Dr. Towarnicky received a total of $9,499 from 57 pharmaceutical and/or device companies across 622 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Towarnicky 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 in practice
▲ Top 1% volume in NC
$9,499 industry payments
Medicare Practice Summary
Medicare Utilization ↗22,283
Medicare services
Top 1% in NC for internal medicine
5,582
Unique beneficiaries
$10
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,114 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 |
|---|---|---|---|
| Iron infusion (Injectafer) An intravenous injection of ferric carboxymaltose, an iron replacement medication. |
14,250 | $1 | $3 |
| 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. |
1,438 | $59 | $157 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
610 | $8 | $55 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
512 | $8 | $20 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
504 | $16 | $81 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
497 | $13 | $85 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
460 | $10 | $62 |
| 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. |
451 | $83 | $220 |
| Thyroid hormone evaluation A blood test to measure the levels of thyroid hormones in the body. This evaluation helps assess how well the thyroid gland is functioning. |
412 | $6 | $39 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
411 | $7 | $42 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
315 | $10 | $51 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
206 | $9 | $49 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
204 | $28 | $43 |
| 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. |
180 | $72 | $99 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
135 | $1 | $10 |
| Kidney function blood test panel | 132 | $9 | $68 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
114 | $16 | $53 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
93 | $3 | $25 |
| PSA test (prostate cancer screening) | 92 | $18 | $98 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
72 | $29 | $87 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
67 | $8 | $16 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
66 | $14 | $58 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
65 | $34 | $100 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
62 | $11 | $20 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
60 | $13 | $77 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
57 | $19 | $98 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
56 | $8 | $50 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
52 | $4 | $48 |
| Iron level test | 51 | $6 | $32 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
46 | $16 | $116 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
40 | $1 | $23 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
39 | $3 | $35 |
| Additional vaccine administration This code covers the administration of each additional vaccine given during the same encounter. It is billed alongside the primary vaccine administration code. |
38 | $8 | $17 |
| Liver function blood test panel | 36 | $8 | $57 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
33 | $39 | $65 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
31 | $13 | $21 |
| Injection, methylprednisolone acetate, 40 mg | 31 | $5 | $8 |
| Adm sarscv2 bvl 50mcg/.5ml a | 29 | $39 | $65 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
28 | $5 | $78 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
22 | $137 | $1,646 |
| 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. |
22 | $102 | $983 |
| Amylase enzyme level test A blood test that measures the amount of amylase, an enzyme produced by the pancreas and salivary glands, to help evaluate pancreatic health. |
20 | $6 | $36 |
| 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. |
20 | $3 | $17 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
19 | $122 | $124 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
19 | $26 | $124 |
| Lipase level test A blood test that measures the amount of lipase, a fat-digesting enzyme, in your body. |
18 | $7 | $45 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
17 | $8 | $46 |
| 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. |
17 | $10 | $94 |
| Antimicrobial drug evaluation Assessment of the patient's response to antibiotic, antifungal, or antiviral therapy. |
16 | $7 | $44 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
16 | $2 | $25 |
| SARS-CoV-2 vaccine, 30 mcg/0.3 mL Administration of the SARS-CoV-2 (COVID-19) vaccine containing 30 micrograms of antigen in a 0.3 milliliter dose. |
15 | $39 | $65 |
| 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. |
14 | $51 | $365 |
| COVID-19 vaccine (Moderna bivalent) An intramuscular injection of the SARS-CoV-2 vaccine containing 50 micrograms in a 0.5 mL dose. |
14 | $131 | $134 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
13 | $57 | $369 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
12 | $153 | $1,079 |
| Digital breast tomosynthesis (3D mammogram) A specialized imaging test that creates three-dimensional pictures of the breast tissue to help detect abnormalities. |
12 | $15 | $57 |
| Diagnostic mammography of 1 breast An X-ray examination of one breast to evaluate specific breast symptoms or abnormalities. |
11 | $54 | $234 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
11 | $34 | $457 |
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.
64.2% high complexity
2.9% medium
32.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,499
Total received (2018-2024)
Avg $1,357/year across 7 years
Top 10% in NC for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
57
Companies
622
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
$9,499 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,826
2023
$1,395
2022
$1,398
2021
$812
2020
$1,074
2019
$1,522
2018
$1,471
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$417
Bayer Healthcare Pharmaceuticals Inc.
$250
Daiichi Sankyo Inc.
$154
Janssen Pharmaceuticals, Inc
$84
Novo Nordisk Inc
$83
Phathom Pharmaceuticals, Inc.
$76
Lilly USA, LLC
$75
Merck Sharp & Dohme LLC
$74
E.R. Squibb & Sons, L.L.C.
$74
AstraZeneca Pharmaceuticals LP
$67
PFIZER INC.
$50
Amgen Inc.
$45
Abbott Laboratories
$45
Eisai Inc.
$44
iRhythm Technologies, Inc.
$38
ABBVIE INC.
$34
Lexicon Pharmaceuticals, Inc.
$33
Exact Sciences Corporation
$31
Boehringer Ingelheim Pharmaceuticals, Inc.
$28
Esperion Therapeutics, Inc.
$20
IRONWOOD PHARMACEUTICALS, INC
$20
Philips North America LLC
$18
Astellas Pharma US Inc
$17
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$17
GENZYME CORPORATION
$15
Edwards Lifesciences Corporation
$14
Top 3 companies account for 45.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$1,195
AstraZeneca Pharmaceuticals LP
$978
Amgen Inc.
$930
Janssen Pharmaceuticals, Inc
$778
Novo Nordisk Inc
$594
Bayer Healthcare Pharmaceuticals Inc.
$486
Daiichi Sankyo Inc.
$387
SANOFI-AVENTIS U.S. LLC
$365
PFIZER INC.
$362
Lilly USA, LLC
$321
Bayer HealthCare Pharmaceuticals Inc.
$270
Boehringer Ingelheim Pharmaceuticals, Inc.
$231
Abbott Laboratories
$219
Merck Sharp & Dohme Corporation
$199
Neurocrine Biosciences, Inc.
$146
Amarin Pharma Inc.
$122
Akcea Therapeutics, Inc.
$120
Regeneron Healthcare Solutions, Inc.
$120
Medtronic, Inc.
$112
Merck Sharp & Dohme LLC
$111
E.R. Squibb & Sons, L.L.C.
$103
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$101
Alnylam Pharmaceuticals Inc.
$78
Phathom Pharmaceuticals, Inc.
$76
Lexicon Pharmaceuticals, Inc.
$63
iRhythm Technologies, Inc.
$61
Xeris Pharmaceuticals, Inc.
$59
GlaxoSmithKline, LLC.
$56
Astellas Pharma US Inc
$52
ABBVIE INC.
$48
AbbVie Inc.
$45
Eisai Inc.
$44
Ironwood Pharmaceuticals, Inc
$44
ARBOR PHARMACEUTICALS, INC.
$40
Medtronic USA, Inc.
$40
Boston Scientific Corporation
$39
BIOTRONIK INC.
$37
Esperion Therapeutics, Inc.
$34
Inspire Medical Systems, Inc.
$33
IRONWOOD PHARMACEUTICALS, INC
$32
Exact Sciences Corporation
$31
Philips Electronics North America Corporation
$31
Edwards Lifesciences Corporation
$30
MannKind Corporation
$29
GENZYME CORPORATION
$29
Strongbridge US INC.
$28
Kiniksa Pharmaceuticals, Ltd.
$25
CALLIDITAS THERAPEUTICS US INC.
$25
HARMONY BIOSCIENCES LLC
$24
Philips North America LLC
$18
AtriCure, Inc.
$15
Phadia US Inc.
$15
Paratek Pharmaceuticals, Inc.
$15
Horizon Therapeutics plc
$13
Cardiovascular Systems Inc.
$13
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$13
Takeda Pharmaceuticals U.S.A., Inc.
$12
Top 3 companies account for 32.7% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · (5050) Extended Holter · AFREZZA · AIRSUPRA · AMPLATZER AMULET · Aimovig · Amitiza · Arcalyst · BELSOMRA · BREZTRI · BRILINTA · CAMZYOS · CARDIOMEMS · CHANTIX · Cologuard Collection Kit · Corlanor · DUEXIS · ELEVATE · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Epi-Sense Guided Coagulation System with VisiTrax · FABRAZYME · FABRY-DISEASE · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · FreeStyle Libre · GARDASIL · GENERAL PAIN MANAGEMENT · GIVLAARI · GVOKE HYPOPEN · Horizant · INGREZZA · INJECTAFER · INSPIRE · INTELLIS · INTELLIS ADAPTIVESTIM · INVOKANA · ImmunoCAP · Inpefa · JANUVIA · JARDIANCE · KEVEYIS · Kerendia · LEQVIO · LEXISCAN · LINZESS · LOKELMA · LYRICA · Leqembi · LifeVest · Linzess · MICRA · MOUNJARO · Models · NEXLETOL · NUZYRA · ONPATTRO · Ongentys · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · RYBELSUS · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · TARPEYO · TEGSEDI · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULANCE · TRULICITY · Tresiba · UBRELVY · VERQUVO · VOQUEZNA · VRAYLAR · VYNDAQEL · Vascepa · Veozah · Victoza · Wakix · XARELTO · Xultophy 100/3.6 · ZIO XT Patch
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for internal medicine in NC.
Geographic Context
Internal medicine physicians within 10 mi
71
Per 100K population
34.0
County median income
$64,568
Nearest hospital
ONSLOW MEMORIAL HOSPITAL
0.0 mi
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. Towarnicky is a mixed practice specialist, with above-average Medicare volume (top 1% in NC), with low-engagement industry engagement in the top 10% of NC peers, 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. Towarnicky experienced with iron infusion (injectafer)?
Based on Medicare claims data, Dr. Towarnicky performed 14,250 iron infusion (injectafer) 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. Towarnicky receive payments from pharmaceutical companies?
Yes. Dr. Towarnicky received a total of $9,499 from 57 companies across 622 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. Towarnicky's costs compare to other internal medicine physicians in Jacksonville?
Dr. Towarnicky's average Medicare payment per service is $10. 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. Towarnicky) 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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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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