Medicare Enrolled
Dr. Brooke Bear, D.O.
Internal Medicine · Winterville, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Bear 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. Bear?
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What this data tells you about Dr. Bear
Dr. Brooke Bear is an internal medicine specialist in Winterville, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Bear performed 15,101 Medicare services across 6,469 unique beneficiaries.
Between the years covered by Open Payments, Dr. Bear received a total of $1,392 from 25 pharmaceutical and/or device companies across 93 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Bear 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.
✓ 19 years in practice
▲ Top 2% volume in NC
$1,392 industry payments
Medicare Practice Summary
Medicare Utilization ↗15,101
Medicare services
Top 2% in NC for internal medicine
6,469
Unique beneficiaries
$23
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~795 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
3,823 | $0 | $2 |
| Denosumab injection (Prolia/Xgeva) | 1,560 | $18 | $50 |
| 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. |
1,269 | $86 | $271 |
| MRI contrast dye injection (gadobutrol) | 1,100 | $0 | $2 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
901 | $8 | $11 |
| 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. |
658 | $8 | $29 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
611 | $10 | $50 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
482 | $16 | $58 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
446 | $124 | $267 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
426 | $13 | $71 |
| 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. |
273 | $58 | $191 |
| 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. |
206 | $10 | $58 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
201 | $9 | $44 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
182 | $29 | $40 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
173 | $3 | $17 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
170 | $72 | $80 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
157 | $29 | $150 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
131 | $8 | $48 |
| 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. |
124 | $4 | $25 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
113 | $8 | $37 |
| 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. |
106 | $15 | $54 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
103 | $19 | $55 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
96 | $16 | $46 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
94 | $15 | $55 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
93 | $5 | $25 |
| 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. |
84 | $6 | $29 |
| Iron level test | 77 | $6 | $34 |
| 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. |
77 | $9 | $40 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
72 | $13 | $63 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
61 | $8 | $60 |
| 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. |
59 | $10 | $48 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
57 | $8 | $100 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
56 | $50 | $114 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
56 | $121 | $300 |
| 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. |
55 | $27 | $160 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
52 | $0 | $10 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
47 | $14 | $51 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
44 | $9 | $68 |
| PSA test (prostate cancer screening) | 41 | $18 | $66 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
37 | $3 | $19 |
| 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. |
37 | $157 | $429 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
35 | $5 | $75 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
32 | $212 | $580 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
31 | $49 | $170 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
31 | $29 | $37 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
30 | $38 | $119 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
28 | $54 | $516 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
27 | $90 | $382 |
| 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. |
26 | $25 | $82 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
26 | $17 | $102 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
25 | $7 | $30 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
25 | $282 | $571 |
| 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. |
22 | $4 | $16 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
21 | $17 | $51 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
19 | $13 | $49 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
19 | $74 | $250 |
| Digital breast tomosynthesis (3D mammogram) A specialized imaging test that creates three-dimensional pictures of the breast tissue to help detect abnormalities. |
18 | $41 | $174 |
| Low dose CT scan of chest for lung cancer screening A specialized CT scan of the chest using a lower radiation dose to screen for lung cancer. |
17 | $86 | $220 |
| Trabecular bone score calculation A technical analysis performed on bone density images to assess the microarchitecture of the bone. This calculation helps evaluate bone quality beyond standard density measurements. |
17 | $20 | $66 |
| Autoimmune disorder screening test A laboratory test used to screen for the presence of autoimmune disorders. |
17 | $12 | $64 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
16 | $48 | $414 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
16 | $156 | $636 |
| Lipase level test A blood test that measures the amount of lipase, a fat-digesting enzyme, in your body. |
16 | $7 | $35 |
| HIV-1 antigen and HIV-1/2 antibody test A laboratory test using immunoassay techniques to detect HIV-1 antigens and antibodies for both HIV-1 and HIV-2. |
16 | $24 | $71 |
| 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. |
16 | $138 | $379 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
15 | $6 | $48 |
| 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. |
15 | $40 | $158 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
14 | $30 | $80 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
14 | $81 | $1,175 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
13 | $49 | $182 |
| Diagnostic mammography of 1 breast An X-ray examination of one breast to evaluate specific breast symptoms or abnormalities. |
13 | $87 | $275 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
13 | $105 | $421 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
12 | $25 | $72 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
12 | $45 | $150 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
12 | $32 | $125 |
| 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. |
12 | $40 | $146 |
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.
0.2% high complexity
44.6% medium
55.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,392
Total received (2018-2024)
Avg $348/year across 4 years
Top 34% in NC for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
93
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
$1,392 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$447
2020
$107
2019
$695
2018
$142
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$70
Novo Nordisk Inc
$50
AstraZeneca Pharmaceuticals LP
$33
GlaxoSmithKline, LLC.
$31
Exact Sciences Corporation
$30
Astellas Pharma US Inc
$25
Boston Scientific Corporation
$25
Lundbeck LLC
$24
Inspire Medical Systems, Inc.
$24
Takeda Pharmaceuticals U.S.A., Inc.
$21
Eisai Inc.
$18
Dynavax Technologies Corporation
$17
Amgen Inc.
$17
Lilly USA, LLC
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
PFIZER INC.
$16
Dexcom, Inc.
$15
Top 3 companies account for 34.1% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$278
Amgen Inc.
$243
Astellas Pharma US Inc
$117
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$106
AstraZeneca Pharmaceuticals LP
$102
ABBVIE INC.
$70
GlaxoSmithKline, LLC.
$67
Dynavax Technologies Corporation
$44
PFIZER INC.
$32
SANOFI-AVENTIS U.S. LLC
$32
Exact Sciences Corporation
$30
Lilly USA, LLC
$27
Boston Scientific Corporation
$25
Teva Pharmaceuticals USA, Inc.
$25
Amarin Pharma Inc.
$24
Lundbeck LLC
$24
Inspire Medical Systems, Inc.
$24
Takeda Pharmaceuticals U.S.A., Inc.
$21
Eisai Inc.
$18
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Dexcom, Inc.
$15
Kowa Pharmaceuticals America, Inc.
$15
Hikma Pharmaceuticals USA
$13
ARBOR PHARMACEUTICALS, INC.
$13
Janssen Pharmaceuticals, Inc
$12
Top 3 companies account for 45.8% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · AREXVY · Aimovig · CHANTIX · Cologuard Collection Kit · Dexcom G6 Transmitter · EVENITY · Edarbi · FARXIGA · Heplisav-B · INSPIRE · INVOKANA · JARDIANCE · Leqembi · Livalo · MOUNJARO · MYRBETRIQ · Mitigare · Ozempic · PREVNAR 20 · Prolia · QULIPTA · REXULTI · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SYMBICORT · Saxenda · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · UBRELVY · Vascepa · Veozah · WaveWriter Alpha Prime 16 · Wegovy · XIFAXAN
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
Internal medicine physicians within 10 mi
209
Per 100K population
121.3
County median income
$58,851
Nearest hospital
ECU HEALTH MEDICAL CENTER
9.6 mi
9.6 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. Bear is a mixed practice specialist, with above-average Medicare volume (top 2% in NC), with low-engagement industry engagement, with 19 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. Bear experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Bear performed 3,823 contrast dye for imaging (iodine-based) 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. Bear receive payments from pharmaceutical companies?
Yes. Dr. Bear received a total of $1,392 from 25 companies across 93 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. Bear's costs compare to other internal medicine physicians in Winterville?
Dr. Bear's average Medicare payment per service is $23. 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. Bear) 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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