Medicare Enrolled

Dr. Robert Holmes, M.D.

Gastroenterology · Winston-Salem, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1901 S HAWTHORNE RD, Winston-Salem, NC 27103
3364482427
Registered in NPPES since 2006
NPI: 1306803234 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. Holmes 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. Holmes

Dr. Robert Holmes is a gastroenterology specialist in Winston-Salem, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Holmes performed 584 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Holmes received a total of $4,984 from 41 pharmaceutical and/or device companies across 279 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. Holmes 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 45% volume in NC $4,984 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
584
Medicare services
Top 45% in NC for gastroenterology
Not available
Unique patients (not deduplicated)
$107
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
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.
146 $189 $1,160
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.
96 $88 $260
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.
77 $66 $180
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.
71 $81 $760
Dilation of esophagus 45 $31 $340
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
32 $79 $660
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.
32 $101 $1,030
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
25 $38 $100
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.
21 $118 $360
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.
21 $172 $870
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.
18 $78 $250
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 ↗
$4,984
Total received (2018-2024)
Avg $712/year across 7 years
Top 29% in NC for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
279
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
$872
2023
$1,029
2022
$493
2021
$64
2020
$482
2019
$820
2018
$1,224

Payments by company (2024)

ABBVIE INC.
$238
Janssen Biotech, Inc.
$125
Takeda Pharmaceuticals U.S.A., Inc.
$116
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$105
Gilead Sciences, Inc.
$74
PFIZER INC.
$55
Celgene Corporation
$49
Regeneron Healthcare Solutions, Inc.
$28
Madrigal Pharmaceuticals
$22
GENZYME CORPORATION
$18
Ardelyx, Inc.
$17
Merck Sharp & Dohme LLC
$14
Lilly USA, LLC
$13
Top 3 companies account for 54.9% of 2024 payments
All-time payments by company (2018-2024) ›
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$755
ABBVIE INC.
$515
Janssen Biotech, Inc.
$392
Takeda Pharmaceuticals U.S.A., Inc.
$390
AbbVie, Inc.
$384
PFIZER INC.
$258
Gilead Sciences, Inc.
$258
UCB, Inc.
$256
FUJIFILM Medical Systems USA, Inc.
$217
Celgene Corporation
$174
Allergan Inc.
$117
FUJIFILM Healthcare Americas Corporation
$91
QOL Medical, LLC
$90
Organon LLC
$77
Synergy Pharmaceuticals Inc
$75
Ironwood Pharmaceuticals, Inc
$70
Shionogi Inc
$67
Merck Sharp & Dohme LLC
$66
Daiichi Sankyo Inc.
$60
Regeneron Healthcare Solutions, Inc.
$59
GENZYME CORPORATION
$56
Shire North American Group Inc
$54
RedHill Biopharma Inc.
$53
INTERCEPT PHARMACEUTICALS, INC.
$51
AstraZeneca Pharmaceuticals LP
$49
Braintree Laboratories, Inc.
$48
Merck Sharp & Dohme Corporation
$42
Intercept Pharmaceuticals, Inc.
$35
AbbVie Inc.
$25
Amgen Inc.
$23
Madrigal Pharmaceuticals
$22
Mylan Institutional Inc.
$20
Nestle HealthCare Nutrition Inc.
$20
Ardelyx, Inc.
$17
Horizon Therapeutics plc
$16
Ferring Pharmaceuticals Inc.
$15
Intra-Sana Laboratories
$15
Alexion Pharmaceuticals, Inc.
$14
Shield Therapeutics Inc
$14
Lilly USA, LLC
$13
INTRA-SANA LABORATORIES
$13
Top 3 companies account for 33.3% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · APRISO · AVSOLA · CREON · Cimzia · Creon · DIFICID · DUPIXENT · ENTYVIO · EOHILIA · ESD - Core Endoscopy · Entyvio · FUJIFILM · GATTEX · HADLIMA · HUMIRA · Hulio · Humira · IBSRELA · IMFINZI · IMJUDO · INFLECTRA · INJECTAFER · KRYSTEXXA · Kanuma · LINZESS · Linzess · MAVYRET · MOVANTIK · Mavyret · Mulpleta · OCALIVA · OMVOH · Otezla · REBYOTA · RELTONE 200 MG · REMICADE · RENFLEXIS · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUFLAVE · SUTAB · Sucraid · Symproic · TREMFYA · TRULANCE · Talicia · Trulance · UCERIS TABLETS · VIBERZI · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA
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 →
Looking for a gastroenterology specialist in Winston-Salem?
Compare gastroenterologists in the Winston-Salem area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists in nearby ZIP areas
51
County median income
$65,541
Nearest hospital to ZIP centroid (approximate)
NOVANT HEALTH FORSYTH MEDICAL CENTER
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. Holmes is a clinical cardiology specialist, with moderate Medicare volume, 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. Holmes experienced with colon polyp removal with endoscopic snare?
Based on Medicare claims data, Dr. Holmes performed 146 colon polyp removal with endoscopic snare 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. Holmes receive payments from pharmaceutical companies?
Yes. Dr. Holmes received a total of $4,984 from 41 companies across 279 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. Holmes's costs compare to other gastroenterologists in Winston-Salem?
Dr. Holmes's average Medicare payment per service is $107. 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. Holmes) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →