Medicare Enrolled

Dr. Brian Smith, M.D.

Gastroenterology · Shelby, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
808 N WASHINGTON ST, Shelby, NC 28150
7044800008
In practice since 2006 (20 years)
NPI: 1215908272 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. Smith 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 Dr. Smith? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Smith

Dr. Brian Smith is a gastroenterology specialist in Shelby, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 504 Medicare services across 493 unique beneficiaries.

Between the years covered by Open Payments, Dr. Smith received a total of $50,959 from 59 pharmaceutical and/or device companies across 946 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Smith 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 49% volume in NC $50,959 industry payments

Medicare Practice Summary

Medicare Utilization ↗
504
Medicare services
Top 49% in NC for gastroenterology
493
Unique beneficiaries
$97
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~25 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
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
88 $97 $800
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
82 $191 $880
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.
69 $61 $135
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
68 $73 $400
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
26 $168 $721
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
24 $8 $10
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.
23 $84 $205
Dilation of esophagus 21 $27 $350
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
20 $76 $489
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
19 $133 $613
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.
19 $68 $177
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
17 $156 $766
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
14 $10 $33
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 $30
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 ↗
$50,959
Total received (2018-2024)
Avg $7,280/year across 7 years
Top 7% in NC for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
59
Companies
946
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
$32,548 (63.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$16,811 (33.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,600 (3.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,932
2023
$2,790
2022
$2,856
2021
$2,688
2020
$4,690
2019
$17,917
2018
$15,086

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
CapsoVision, Inc.
$1,600
ABBVIE INC.
$882
Takeda Pharmaceuticals U.S.A., Inc.
$590
Janssen Biotech, Inc.
$268
Lilly USA, LLC
$213
Gilead Sciences, Inc.
$178
QOL Medical, LLC
$162
Celgene Corporation
$159
Madrigal Pharmaceuticals
$123
Organon Llc
$77
PFIZER INC.
$75
Fresenius Kabi USA, LLC
$63
Phathom Pharmaceuticals, Inc.
$62
GENZYME CORPORATION
$61
Regeneron Healthcare Solutions, Inc.
$54
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$45
Celltrion USA Inc.
$41
Merck Sharp & Dohme LLC
$38
Braintree Laboratories, Inc.
$37
Ardelyx, Inc.
$35
Intercept Pharmaceuticals, Inc.
$34
EVOKE PHARMA, INC.
$31
Boehringer Ingelheim Pharmaceuticals, Inc.
$24
AIMMUNE THERAPEUTICS, INC.
$20
Ipsen Biopharmaceuticals, Inc
$17
IRONWOOD PHARMACEUTICALS, INC
$15
Teva Pharmaceuticals USA, Inc.
$15
Echosens North America, Inc.
$13
Top 3 companies account for 62.3% of 2024 payments
All-time payments by company (2018-2024) ›
Allergan Inc.
$29,937
Takeda Pharmaceuticals U.S.A., Inc.
$2,796
Allergan, Inc.
$2,000
AbbVie Inc.
$1,932
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,875
ABBVIE INC.
$1,636
CapsoVision, Inc.
$1,600
Gilead Sciences, Inc.
$1,230
QOL Medical, LLC
$1,140
Janssen Biotech, Inc.
$759
AbbVie, Inc.
$677
Celgene Corporation
$418
Braintree Laboratories, Inc.
$411
PFIZER INC.
$382
Ferring Pharmaceuticals Inc.
$303
Ironwood Pharmaceuticals, Inc
$289
Janssen Scientific Affairs, LLC
$250
Covidien LP
$242
Lilly USA, LLC
$228
Merck Sharp & Dohme LLC
$189
RedHill Biopharma Inc.
$178
Synergy Pharmaceuticals Inc
$168
Regeneron Healthcare Solutions, Inc.
$156
Nestle HealthCare Nutrition Inc.
$150
INTERCEPT PHARMACEUTICALS, INC.
$144
GENZYME CORPORATION
$140
Madrigal Pharmaceuticals
$123
Fresenius Kabi USA, LLC
$114
Daiichi Sankyo Inc.
$112
Merck Sharp & Dohme Corporation
$108
IRONWOOD PHARMACEUTICALS, INC
$103
Ardelyx, Inc.
$98
Celltrion USA Inc.
$81
Medtronic USA, Inc.
$80
Phathom Pharmaceuticals, Inc.
$80
Organon Llc
$77
UCB, Inc.
$69
Intuitive Surgical, Inc.
$64
AstraZeneca Pharmaceuticals LP
$61
NESTLE HEALTHCARE NUTRITION INC.
$61
Boehringer Ingelheim Pharmaceuticals, Inc.
$59
Organon LLC
$49
Amgen Inc.
$47
Intercept Pharmaceuticals, Inc.
$47
Shionogi Inc
$34
EVOKE PHARMA, INC.
$31
Shire North American Group Inc
$31
Exact Sciences Corporation
$22
Abbott Laboratories
$22
Novo Nordisk Inc
$21
AIMMUNE THERAPEUTICS, INC.
$20
Endo Pharmaceuticals Inc.
$19
Ipsen Biopharmaceuticals, Inc
$17
Medtronic, Inc.
$16
Teva Pharmaceuticals USA, Inc.
$15
Echosens North America, Inc.
$13
Hologic, LLC
$12
Myovant Sciences Inc.
$11
Endogastric Solutions, Inc
$9
Top 3 companies account for 68.2% of all-time payments
Associated products mentioned in payments ›
AMJEVITA · APTIMA · AVSOLA · Aemcolo · Amitiza · BYSTOLIC · Barrx · CIMZIA · CLENPIQ · CREON · CYLTEZO · CapsoCam Colon · Cimzia · Cologuard Collection Kit · Creon · DIFICID · DUPIXENT · Da Vinci Surgical System · Dexilant · ENTYVIO · EOHILIA · ESOPHYX · Entyvio · Epclusa · FibroScan · GATTEX · GI GENIUS · GIMOTI · HADLIMA · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · INTERSTIM · LINZESS · LYNPARZA · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · MYFEMBREE · Mavyret · Motegrity · Movantik · Mulpleta · NASCOBAL · OCALIVA · OMVOH · Optis Coronary Imaging System · PLENVU · REBYOTA · RELISTOR · REMICADE · RENFLEXIS · RESMETIROM · REZDIFFRA · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUFLAVE · SUPREP · SUPREP BOWEL PREP · SUTAB · Saxenda · Sucraid · TREMFYA · TRULANCE · Talicia · Trintellix · Trulance · VEGZELMA · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · XIFAXANIBSD · YUFLYMA · ZENPEP · ZEPOSIA · ZYMFENTRA
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 (64%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for gastroenterology in NC.

Looking for a gastroenterology specialist in Shelby?
Compare gastroenterologists in the Shelby area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
13
Per 100K population
13.0
County median income
$55,769
Nearest hospital
ATRIUM HEALTH CLEVELAND
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. Smith is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 7% 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. Smith experienced with colonoscopy with biopsy?
Based on Medicare claims data, Dr. Smith performed 88 colonoscopy with biopsy 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. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $50,959 from 59 companies across 946 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. Smith's costs compare to other gastroenterologists in Shelby?
Dr. Smith's average Medicare payment per service is $97. 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. Smith) 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 →