Medicare Enrolled
Dr. Lester Nave, MD
Family Medicine · Sanford, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Nave 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. Nave
Dr. Lester Nave is a family medicine specialist in Sanford, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Nave performed 4,976 Medicare services across 2,893 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nave received a total of $3,877 from 42 pharmaceutical and/or device companies across 246 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Nave 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 3% volume in NC
$3,877 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,976
Medicare services
Top 3% in NC for family medicine
2,893
Unique beneficiaries
$24
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~249 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. |
535 | $8 | $20 |
| 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. |
534 | $83 | $196 |
| 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. |
450 | $8 | $40 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
367 | $10 | $77 |
| 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. |
347 | $59 | $135 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
332 | $13 | $95 |
| 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. |
263 | $4 | $33 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
214 | $10 | $65 |
| 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. |
172 | $10 | $40 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
131 | $29 | $37 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
130 | $16 | $90 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
130 | $76 | $125 |
| 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. |
113 | $2 | $20 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
100 | $8 | $30 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
99 | $1 | $21 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
98 | $8 | $59 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
90 | $1 | $6 |
| Iron level test | 81 | $6 | $46 |
| 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. |
81 | $9 | $42 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
68 | $16 | $40 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
61 | $15 | $96 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
60 | $6 | $72 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
60 | $5 | $39 |
| 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. |
57 | $4 | $33 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
51 | $19 | $99 |
| 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. |
44 | $16 | $91 |
| 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. |
36 | $40 | $188 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
35 | $35 | $98 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
34 | $29 | $150 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
32 | $36 | $375 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
28 | $45 | $175 |
| 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. |
24 | $9 | $88 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
21 | $150 | $400 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
16 | $7 | $35 |
| PSA test (prostate cancer screening) | 16 | $18 | $99 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
16 | $31 | $147 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
14 | $37 | $125 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
13 | $50 | $135 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
12 | $29 | $37 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
11 | $27 | $132 |
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 ↗$3,877
Total received (2018-2024)
Avg $554/year across 7 years
Top 12% in NC for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
246
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
$3,877 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,031
2023
$912
2022
$611
2021
$207
2020
$137
2019
$471
2018
$507
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$355
Lilly USA, LLC
$138
Boehringer Ingelheim Pharmaceuticals, Inc.
$71
Bayer Healthcare Pharmaceuticals Inc.
$58
GlaxoSmithKline, LLC.
$58
E.R. Squibb & Sons, L.L.C.
$51
SHIELD THERAPEUTICS INC
$43
ABBVIE INC.
$42
Abbott Laboratories
$31
Otsuka America Pharmaceutical, Inc.
$26
Agios Pharmaceuticals, Inc.
$25
SANOFI-AVENTIS U.S. LLC
$23
AstraZeneca Pharmaceuticals LP
$23
Novartis Pharmaceuticals Corporation
$23
Inspire Medical Systems, Inc.
$19
Merck Sharp & Dohme LLC
$16
IDORSIA PHARMACEUTICALS US INC
$14
Amgen Inc.
$13
Top 3 companies account for 54.7% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,229
Amgen Inc.
$519
Novartis Pharmaceuticals Corporation
$276
Boehringer Ingelheim Pharmaceuticals, Inc.
$223
Lilly USA, LLC
$163
Daiichi Sankyo Inc.
$120
Bayer Healthcare Pharmaceuticals Inc.
$116
Amarin Pharma Inc.
$113
ABBVIE INC.
$108
SANOFI-AVENTIS U.S. LLC
$90
Otsuka America Pharmaceutical, Inc.
$81
Merck Sharp & Dohme Corporation
$61
IDORSIA PHARMACEUTICALS US INC
$59
GlaxoSmithKline, LLC.
$58
Merck Sharp & Dohme LLC
$52
E.R. Squibb & Sons, L.L.C.
$51
SHIELD THERAPEUTICS INC
$43
Genentech USA, Inc.
$40
Astellas Pharma US Inc
$40
AstraZeneca Pharmaceuticals LP
$37
Exact Sciences Corporation
$36
Abbott Laboratories
$31
PFIZER INC.
$30
Agios Pharmaceuticals, Inc.
$25
Neos Therapeutics, LP
$22
Dexcom, Inc.
$19
Bausch Health US, LLC
$19
Inspire Medical Systems, Inc.
$19
Ironwood Pharmaceuticals, Inc
$19
Sunovion Pharmaceuticals Inc.
$18
Xeris Pharmaceuticals, Inc.
$17
Cranial Technologies, Inc
$17
Biohaven Pharmaceutical Holding Company Ltd.
$17
kaleo, Inc.
$14
Dynavax Technologies Corporation
$13
Horizon Therapeutics plc
$13
IBSA Pharma Inc.
$13
Agile Therapeutics, Inc.
$13
AbbVie Inc.
$12
Bayer HealthCare Pharmaceuticals Inc.
$12
Tris Pharma Inc
$11
Kowa Pharmaceuticals America, Inc.
$11
Top 3 companies account for 52.2% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AUVI-Q · Adzenys XR-ODT · Aimovig · CAMZYOS · Cologuard Collection Kit · Dexcom G6 Transmitter · Doc Band · ELIQUIS · ENTRESTO · EVENITY · FARXIGA · GARDASIL · GARDASIL 9 · GEMTESA · GVOKE PFS · Heplisav-B · INJECTAFER · INSPIRE · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · Linzess · Livalo · MIGRANAL · MOUNJARO · MYRBETRIQ · Morphabond ER · NUEDEXTA · NURTEC ODT · Otezla · Ozempic · PNEUMOVAX 23 · PREMARIN · PROCLAIM · PYRUKYND · Prolia · QULIPTA · QUVIVIQ · Quillivant XR · REXULTI · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · Saxenda · TOUJEO · TZIELD · Tirosint · Tresiba · Twirla · UBRELVY · VESICARE · VRAYLAR · Vascepa · Wegovy · Xofluza · 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
149
Per 100K population
230.8
County median income
$63,060
Nearest hospital
CENTRAL CAROLINA 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. Nave is a clinical cardiology specialist, with above-average Medicare volume (top 3% in NC), with low-engagement industry engagement in the top 12% 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. Nave experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Nave performed 535 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. Nave receive payments from pharmaceutical companies?
Yes. Dr. Nave received a total of $3,877 from 42 companies across 246 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. Nave's costs compare to other family medicine physicians in Sanford?
Dr. Nave's average Medicare payment per service is $24. 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. Nave) 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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