Medicare Enrolled
Dr. Leonardo Kapural, M.D.
Pain Medicine · Winston Salem, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Kapural 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. Kapural
Dr. Leonardo Kapural is a pain medicine specialist in Winston Salem, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Kapural performed 2,678 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Kapural received a total of $589,410 from 51 pharmaceutical and/or device companies across 882 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 Dr. Kapural 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 of NPI registration
▲ Top 13% volume in NC
$589,410 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,678
Medicare services
Top 13% in NC for pain medicine
Not available
Unique patients (not deduplicated)
$69
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. |
674 | $85 | $150 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
549 | $1 | $10 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
403 | $59 | $150 |
| 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. |
382 | $153 | $275 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
128 | $0 | $5 |
| Anti-nausea injection (ondansetron/Zofran) | 75 | $0 | $5 |
| 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. |
64 | $116 | $200 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 48 | $41 | $483 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
45 | $14 | $85 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
32 | $244 | $1,036 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
30 | $165 | $1,573 |
| Lactated Ringer's infusion, up to 1000 cc Intravenous administration of Lactated Ringer's solution, a fluid used to replace fluids and electrolytes, in amounts up to 1000 cubic centimeters. |
26 | $2 | $48 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
23 | $51 | $221 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
22 | $180 | $1,368 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
21 | $44 | $175 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
20 | $102 | $850 |
| Promethazine HCl injection, up to 50 mg Administration of promethazine hydrochloride medication via injection for doses up to 50 mg. |
20 | $2 | $5 |
| 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. |
19 | $66 | $98 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
19 | $131 | $195 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
18 | $207 | $4,200 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
17 | $38 | $195 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
17 | $67 | $1,600 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
15 | $103 | $557 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
11 | $160 | $2,000 |
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.
3.4% high complexity
36.6% medium
60.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$589,410
Total received (2018-2024)
Avg $84,201/year across 7 years
Top 0% in NC for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
51
Companies
882
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
$59,610
2023
$98,446
2022
$77,108
2021
$47,546
2020
$65,088
2019
$137,452
2018
$104,160
Payments by company (2024)
BIOTRONIK NRO, Inc.
$30,390
Saluda Medical Americas, Inc.
$13,583
Nevro Corp.
$5,030
SI-BONE, INC.
$4,095
Medtronic, Inc.
$1,647
Nalu Medical, Inc.
$1,500
Abbott Laboratories
$1,101
PAINTEQ LLC
$1,027
Avanos Medical
$575
Boston Scientific Corporation
$212
BIOTRONIK INC.
$200
Curonix LLC
$98
Collegium Pharmaceutical, Inc.
$80
VERTEX PHARMACEUTICALS INCORPORATED
$28
SCILEX PHARMACEUTICALS INC.
$23
Azurity Pharmaceuticals, Inc.
$20
Top 3 companies account for 82.2% of 2024 payments
All-time payments by company (2018-2024) ›
Nevro Corp.
$301,931
Saluda Medical Americas, Inc.
$67,530
Avanos Medical
$55,307
Medtronic USA, Inc.
$37,606
BIOTRONIK NRO, Inc.
$30,592
PAINTEQ LLC
$25,591
Medtronic, Inc.
$21,111
BIOTRONIK INC.
$18,659
Abbott Laboratories
$9,114
Averitas Pharma Inc.
$5,572
Nalu Medical, Inc.
$4,804
SI-BONE, INC.
$4,095
SPR Therapeutics, Inc
$2,800
Vertos Medical, Inc.
$1,125
Dr.Reddy's Laboratories,Inc.
$898
Vertiflex, Inc.
$457
Daiichi Sankyo Inc.
$352
Boston Scientific Corporation
$257
Collegium Pharmaceutical, Inc.
$230
ABBVIE INC.
$204
Spinal Simplicity, LLC
$135
Curonix LLC
$98
Flowonix Medical Incorporated
$94
BOSTON SCIENTIFIC CORPORATION
$78
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$69
BioDelivery Sciences International, Inc.
$68
Scilex Pharmaceuticals Inc.
$49
GRT US Holding, Inc.
$43
IBSA Pharma Inc.
$41
Nuvectra Corporation
$40
Sentynl Therapeutics, Inc.
$39
US WorldMeds, LLC
$33
INSYS Therapeutics Inc
$31
VERTEX PHARMACEUTICALS INCORPORATED
$28
PFIZER INC.
$26
Hikma Pharmaceuticals USA
$25
Stratus Medical, LLC
$25
Purdue Pharma L.P.
$24
AbbVie Inc.
$24
SCILEX PHARMACEUTICALS INC.
$23
TerSera Therapeutics LLC
$21
RedHill Biopharma Inc.
$20
Jazz Pharmaceuticals Inc.
$20
Azurity Pharmaceuticals, Inc.
$20
Pacira Pharmaceuticals Incorporated
$20
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$16
Flexion Therapeutics, Inc.
$15
Teva Pharmaceuticals USA, Inc.
$14
Currax Pharmaceuticals LLC
$14
Almatica Pharma LLC
$13
Assertio Therapeutics, Inc.
$11
Top 3 companies account for 72.1% of all-time payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AJOVY · Accurian · Algovita · Axium Sheath Braided DRG · BELBUCA · BIOTRONIK · BUNAVAIL 2.1 mg 30-count box · Belbuca · BioMonitor 2 · CONTRAVE · COOLIEF · COOLIEF COOLED RADIOFREQUENCY · COOLIEF* COOLED RADIOFREQUENCY · Cambia · DRG Accessories · DRG leads · ETERNA · Evoke · Evoke SCS · Exparel · GENERATOR · GRALISE · HA MINUTEMAN G3-R · HORIZANT · ICD Leads · IFUSE IMPLANT SYSTEM · INTELLIS · INTELLIS ADAPTIVESTIM · Inflate FX · Kloxxado · LYRICA · Levorphanol · Levorphanol Tartrate · Licart · Lucemyra/Lofexidine · Morphabond ER · Movantik · NT1100 NT2000iX Simplicity · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · Nimbus · OCTRODE · ON-Q PUMP AND ACCESSORIES · Octrode SCS Leads · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · Prospera · Protege Family of SCS IPGs · QULIPTA · Qutenza · RELISTOR · RELISTOR ORAL · RESTORE · REYVOW · S-Series SCS Leads · SCS IPGs · SPRINT PNS System · SUBSYS · SYMPROIC · SYNCHROMED · Senza · Senza II · Senza Spinal Cord Stimulation System · Superion · Superion ISS · UBRELVY · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · Xtampza ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · mild Device Kit
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
Pain medicines in nearby ZIP areas
9
County median income
$65,541
Nearest hospital to ZIP centroid (approximate)
NOVANT HEALTH FORSYTH MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Kapural is a clinical cardiology specialist, with above-average Medicare volume (top 13% in NC), 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. Kapural experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kapural performed 674 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 Dr. Kapural receive payments from pharmaceutical companies?
Yes. Dr. Kapural received a total of $589,410 from 51 companies across 882 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 Dr. Kapural's costs compare to other pain medicines in Winston Salem?
Dr. Kapural's average Medicare payment per service is $69. 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. Kapural) 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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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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