Not Medicare Enrolled
Tonya Palmer, FNP
Physician Assistant · North Wilkesboro, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 3 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Palmer 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 Palmer?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Palmer
Tonya Palmer is a physician assistant in North Wilkesboro, NC, with 10 years of NPI registration. Based on federal Medicare data, Palmer performed 1,997 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Palmer received a total of $907 from 21 pharmaceutical and/or device companies across 57 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 Palmer 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.
✓ 10 years of NPI registration
▲ Top 4% volume in NC
$907 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,997
Medicare services
Top 4% in NC for physician assistant
Not available
Unique patients (not deduplicated)
$40
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 |
|---|---|---|---|
| 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. |
310 | $77 | $226 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
247 | $61 | $120 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
98 | $12 | $29 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
88 | $10 | $18 |
| 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. |
87 | $8 | $14 |
| 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. |
84 | $152 | $274 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
82 | $8 | $11 |
| 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. |
75 | $51 | $155 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
68 | $29 | $61 |
| Annual alcohol misuse screening, 5 to 15 minutes | 68 | $14 | $35 |
| 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. |
61 | $79 | $300 |
| Airflow rate measurement test A test that measures the rate of airflow. This procedure assesses how quickly air moves. |
60 | $20 | $70 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
58 | $7 | $15 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
57 | $40 | $85 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
56 | $9 | $16 |
| Annual depression screening | 56 | $14 | $35 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
55 | $16 | $30 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
55 | $14 | $25 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
50 | $10 | $18 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
45 | $15 | $28 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
38 | $101 | $210 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
36 | $13 | $28 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
34 | $4 | $8 |
| 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. |
34 | $8 | $25 |
| Rheumatoid factor level | 33 | $6 | $12 |
| 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. |
29 | $20 | $48 |
| 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. |
22 | $16 | $70 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
11 | $14 | $53 |
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 ↗$907
Total received (2021-2024)
Avg $227/year across 4 years
Top 28% in NC for physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
57
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
$381
2023
$453
2022
$66
2021
$6
Payments by company (2024)
ABBVIE INC.
$147
Novo Nordisk Inc
$50
Phathom Pharmaceuticals, Inc.
$32
Indivior Inc.
$30
Braeburn Inc.
$23
Bayer Healthcare Pharmaceuticals Inc.
$23
Lilly USA, LLC
$16
Axsome Therapeutics, Inc.
$16
PFIZER INC.
$16
Paratek Pharmaceuticals, Inc.
$15
AstraZeneca Pharmaceuticals LP
$13
Top 3 companies account for 60.0% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$234
Novo Nordisk Inc
$122
Forte Bio-Pharma LLC
$89
Indivior Inc.
$68
Scilex Pharmaceuticals Inc.
$47
GlaxoSmithKline, LLC.
$47
Phathom Pharmaceuticals, Inc.
$32
Lilly USA, LLC
$30
IDORSIA PHARMACEUTICALS US INC
$30
PFIZER INC.
$30
Braeburn Inc.
$23
Bayer Healthcare Pharmaceuticals Inc.
$23
Otsuka America Pharmaceutical, Inc.
$20
Biohaven Pharmaceutical Holding Company Ltd.
$19
Axsome Therapeutics, Inc.
$16
IMPEL PHARMACEUTICALS INC.
$15
Paratek Pharmaceuticals, Inc.
$15
Amgen Inc.
$14
Exact Sciences Corporation
$14
AstraZeneca Pharmaceuticals LP
$13
Genentech USA, Inc.
$6
Top 3 companies account for 49.0% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · Auvelity · BREZTRI · BRIXADI · CREON · Cologuard Collection Kit · Kerendia · LINZESS · MAVYRET · MOUNJARO · NALOCET · NURTEC ODT · NUZYRA · Otezla · Ozempic · PROLATE · QULIPTA · QUVIVIQ · Rybelsus · SUBLOCADE · TRELEGY ELLIPTA · TRULICITY · Trudhesa · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · Wegovy · Xofluza · ZTLido
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 →
Geographic Context
Physician assistants in nearby ZIP areas
40
County median income
$50,438
Nearest hospital to ZIP centroid (approximate)
WILKES REGIONAL MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 3 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
Palmer is a clinical cardiology specialist, with above-average Medicare volume (top 4% in NC).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Palmer experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Palmer performed 310 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Palmer receive payments from pharmaceutical companies?
Yes. Palmer received a total of $907 from 21 companies across 57 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 Palmer's costs compare to other physician assistants in North Wilkesboro?
Palmer's average Medicare payment per service is $40. 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 Palmer) 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 →
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Which NC physician assistants receive the most from drug and device companies.
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Forte Bio-Pharma LLC Payments to Doctors
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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.
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