Medicare Enrolled
Dr. Shandal Emanuel, MD
Internal Medicine · Nashville, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Emanuel 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. Emanuel
Dr. Shandal Emanuel is an internal medicine specialist in Nashville, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Emanuel performed 2,209 Medicare services across 1,427 unique beneficiaries.
Between the years covered by Open Payments, Dr. Emanuel received a total of $50,672 from 59 pharmaceutical and/or device companies across 1206 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Emanuel 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 16% volume in NC
$50,672 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,209
Medicare services
Top 16% in NC for internal medicine
1,427
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~110 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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
534 | $8 | $23 |
| 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. |
514 | $70 | $282 |
| 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. |
158 | $6 | $34 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
133 | $9 | $16 |
| 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. |
125 | $52 | $199 |
| 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. |
120 | $9 | $48 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
79 | $29 | $65 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
64 | $1 | $8 |
| Nursing facility visit, established patient, straightforward A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes. |
60 | $30 | $96 |
| 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. |
54 | $117 | $382 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
36 | $3 | $11 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 35 | $20 | $45 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
32 | $14 | $35 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
30 | $271 | $378 |
| 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. |
30 | $22 | $45 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
29 | $29 | $44 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
28 | $8 | $27 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
24 | $6 | $19 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
24 | $5 | $19 |
| 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. |
22 | $73 | $254 |
| 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. |
20 | $2 | $10 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
18 | $138 | $426 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
16 | $13 | $20 |
| 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. |
12 | $24 | $68 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
12 | $35 | $100 |
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 ↗$50,672
Total received (2018-2024)
Avg $7,239/year across 7 years
Top 3% in NC for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
59
Companies
1,206
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$36,992 (73.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,680 (27.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$7,440
2023
$8,317
2022
$8,575
2021
$9,863
2020
$9,887
2019
$3,307
2018
$3,282
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$4,704
PFIZER INC.
$335
Novo Nordisk Inc
$330
AstraZeneca Pharmaceuticals LP
$294
Amgen Inc.
$275
GlaxoSmithKline, LLC.
$194
Lilly USA, LLC
$175
Mylan Specialty L.P.
$160
Axsome Therapeutics, Inc.
$133
Exact Sciences Corporation
$130
Medtronic, Inc.
$119
IRONWOOD PHARMACEUTICALS, INC
$98
Boehringer Ingelheim Pharmaceuticals, Inc.
$96
Corium, LLC
$92
AIMMUNE THERAPEUTICS, INC.
$64
Ardelyx, Inc.
$55
Sumitomo Pharma America, Inc.
$37
SANOFI-AVENTIS U.S. LLC
$33
E.R. Squibb & Sons, L.L.C.
$21
Tris Pharma Inc
$21
Lundbeck LLC
$17
Aytu BioPharma, Inc.
$17
Phadia US Inc.
$15
CeQur Corporation
$14
Neos Therapeutics, LP
$14
Top 3 companies account for 72.2% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$20,065
Allergan, Inc.
$10,297
AbbVie Inc.
$6,648
PFIZER INC.
$1,795
Novo Nordisk Inc
$1,717
Amgen Inc.
$1,105
AstraZeneca Pharmaceuticals LP
$850
Lilly USA, LLC
$822
SANOFI-AVENTIS U.S. LLC
$770
Allergan Inc.
$645
GlaxoSmithKline, LLC.
$610
Takeda Pharmaceuticals U.S.A., Inc.
$513
Horizon Therapeutics plc
$357
Sunovion Pharmaceuticals Inc.
$334
Tris Pharma Inc
$323
Boehringer Ingelheim Pharmaceuticals, Inc.
$312
Supernus Pharmaceuticals, Inc.
$307
Corium, LLC
$261
Teva Pharmaceuticals USA, Inc.
$229
Exact Sciences Corporation
$190
Mylan Specialty L.P.
$174
Merck Sharp & Dohme Corporation
$166
Janssen Pharmaceuticals, Inc
$165
Axsome Therapeutics, Inc.
$151
Kowa Pharmaceuticals America, Inc.
$132
Medtronic, Inc.
$119
IRONWOOD PHARMACEUTICALS, INC
$113
AbbVie, Inc.
$112
Ironwood Pharmaceuticals, Inc
$109
Amarin Pharma Inc.
$106
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$99
Adlon Therapeutics L.P.
$94
EISAI INC.
$82
Eisai Inc.
$72
Shire North American Group Inc
$69
CeQur Corporation
$69
AIMMUNE THERAPEUTICS, INC.
$64
Ardelyx, Inc.
$55
ADVANCED RESPIRATORY, INC
$52
Sumitomo Pharma America, Inc.
$48
Genentech USA, Inc.
$47
Merck Sharp & Dohme LLC
$44
Neos Therapeutics, LP
$42
Nestle HealthCare Nutrition Inc.
$39
Aytu BioPharma, Inc.
$38
ARBOR PHARMACEUTICALS, INC.
$29
Phadia US Inc.
$27
Bayer HealthCare Pharmaceuticals Inc.
$25
Baxter Healthcare
$23
Grifols USA, LLC
$21
E.R. Squibb & Sons, L.L.C.
$21
Synergy Pharmaceuticals Inc
$20
Radius Health, Inc.
$19
DERMIRA, INC.
$17
Lundbeck LLC
$17
SANOFI PASTEUR INC.
$14
Arbor Pharmaceuticals, Inc.
$12
Paratek Pharmaceuticals, Inc.
$12
Advanced Respiratory, Inc
$5
Top 3 companies account for 73.0% of all-time payments
Associated products mentioned in payments ›
ADHANSIA XR · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · AVYCAZ · Adzenys XR-ODT · Aimovig · Amitiza · Auvelity · Azstarys · BAQSIMI · BELSOMRA · BEVESPI AEROSPHERE · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · Belviq · CHANTIX · COLOGUARD · CREON · CeQur Simplicity · Cologuard Collection Kit · Corlanor · DUEXIS · DUZALLO · Dayvigo · Dexilant · Dyanavel XR · ELIQUIS · EMGALITY · EUCRISA · EVENITY · Edarbi · Edarbyclor · Entyvio · FARXIGA · FIASP · GEMTESA · HUMALOG · Hillrom - Life 2000 Ventilation System · IBSRELA · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Karbinal · Kerendia · LATUDA · LINZESS · LONHALA MAGNAIR · LYBREL · LYRICA · Linzess · Livalo · MENQUADFI · MINIMED 780G · MOTEGRITY · MOUNJARO · MYDAYIS · Motegrity · NUCALA · NURTEC ODT · NUZYRA · OXTELLAR XR · Otezla · Ozempic · PENNSAID · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolastin-C Liquid · Prolia · QBREXZA · QELBREE · QUILLICHEW ER · QULIPTA · Quillivant · Quillivant XR · RAYOS · REXULTI · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TEFLARO · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · TRUMENBA · The Vest System Model 105 Home Care · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · UTIBRON · UTIBRON NEOHALER · Utibron · VIBERZI · VIIBRYD · VRAYLAR · VYVANSE · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza · Xultophy 100/3.6 · YUPELRI · ZENPEP · ZEPBOUND
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 →
The majority of payments (73%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for internal medicine in NC.
Geographic Context
Internal medicine physicians within 10 mi
60
Per 100K population
62.9
County median income
$60,704
Nearest hospital
UNC HEALTH NASH
7.9 mi
7.9 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. Emanuel is a clinical cardiology specialist, with above-average Medicare volume (top 16% in NC), with speaking/promotional industry engagement in the top 3% 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. Emanuel experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Emanuel performed 534 blood draw (venipuncture) 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. Emanuel receive payments from pharmaceutical companies?
Yes. Dr. Emanuel received a total of $50,672 from 59 companies across 1,206 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. Emanuel's costs compare to other internal medicine physicians in Nashville?
Dr. Emanuel's average Medicare payment per service is $35. 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. Emanuel) 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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