Medicare Enrolled

Dr. Nathan Knapp

Surgery · Pinehurst, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
5 FIRST VILLAGE DR, Pinehurst, NC 28374
9102352716
In practice since 2013 (12 years)
NPI: 1053744961 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 Dr. Knapp 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. Knapp

Dr. Nathan Knapp is a surgery specialist in Pinehurst, NC, with 12 years of NPI registration. Based on federal Medicare data, Dr. Knapp performed 344 Medicare services across 331 unique beneficiaries.

Between the years covered by Open Payments, Dr. Knapp received a total of $1,567 from 6 pharmaceutical and/or device companies across 12 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Knapp 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.

✓ 12 years in practice ▲ Top 27% volume in NC $1,567 industry payments

Medicare Practice Summary

Medicare Utilization ↗
344
Medicare services
Top 27% in NC for surgery
331
Unique beneficiaries
$103
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~29 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
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
57 $58 $240
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.
56 $118 $537
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.
54 $65 $261
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
31 $127 $535
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.
29 $68 $265
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
29 $99 $393
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.
25 $94 $400
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
20 $8 $22
Anterior lumbar interbody fusion with partial disc removal
A surgical procedure to fuse the lower spine bones by accessing the area through the abdomen and partially removing a spinal disc.
16 $660 $4,973
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.
14 $8 $37
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
13 $10 $80
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.
4.7% high complexity
0.0% medium
95.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,567
Total received (2019-2024)
Avg $522/year across 3 years
Bottom 48% in NC for surgery
6
Companies
12
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,186 (75.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$381 (24.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,219
2023
$118
2019
$230

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
4WEB, Inc.
$1,186
La Jolla Pharmaceutical Company
$17
Boston Scientific Corporation
$16
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2019-2024) ›
4WEB, Inc.
$1,186
Allergan Inc.
$219
Stryker Corporation
$88
Boston Scientific Corporation
$41
La Jolla Pharmaceutical Company
$17
Vioptix Inc
$15
Top 3 companies account for 95.3% of all-time payments
Associated products mentioned in payments ›
1688 · GENERAL THERAPIES · SPINE TRUSS SYSTEM · STRATTICE · SpyGlass · SpyGlass Discover · XERAVA
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 (76%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Looking for a surgery specialist in Pinehurst?
Compare surgerists in the Pinehurst area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerists within 10 mi
31
Per 100K population
30.1
County median income
$82,837
Nearest hospital
FIRSTHEALTH MOORE REGIONAL HOSPITAL
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. Knapp is a clinical cardiology specialist, with above-average Medicare volume (top 27% in NC), with consulting-driven industry engagement.

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

Frequently Asked Questions

Is Dr. Knapp experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Knapp performed 57 hospital follow-up visit, moderate complexity 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. Knapp receive payments from pharmaceutical companies?
Yes. Dr. Knapp received a total of $1,567 from 6 companies across 12 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. Knapp's costs compare to other surgerists in Pinehurst?
Dr. Knapp's average Medicare payment per service is $103. 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. Knapp) 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 →
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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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. Payments from industry are legal and do not indicate wrongdoing. 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 →