Medicare Enrolled
Smitha John, FNP
Nurse Practitioner - Family · Carmel, NY
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 John 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 John?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about John
Smitha John is a nurse practitioner - family in Carmel, NY, with 9 years of NPI registration. Based on federal Medicare data, John performed 4,306 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, John received a total of $5,460 from 34 pharmaceutical and/or device companies across 269 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 John 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.
✓ 9 years of NPI registration
▲ Top 2% volume in NY
$5,460 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,306
Medicare services
Top 2% in NY for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$25
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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
420 | $8 | $15 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
378 | $10 | $40 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
305 | $13 | $55 |
| 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. |
294 | $8 | $32 |
| 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. |
280 | $58 | $231 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
259 | $16 | $69 |
| 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. |
248 | $75 | $343 |
| 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. |
210 | $2 | $10 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
207 | $29 | $121 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
185 | $9 | $45 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
175 | $117 | $372 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
172 | $65 | $270 |
| 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. |
153 | $8 | $55 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
131 | $15 | $62 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
130 | $14 | $61 |
| Annual alcohol misuse screening, 5 to 15 minutes | 105 | $17 | $58 |
| Annual depression screening | 101 | $17 | $58 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
97 | $13 | $56 |
| Iron level test | 97 | $6 | $27 |
| 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. |
97 | $9 | $36 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
53 | $9 | $37 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
49 | $19 | $76 |
| 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. |
34 | $17 | $70 |
| 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. |
31 | $6 | $24 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
31 | $5 | $22 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
26 | $3 | $11 |
| 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. |
25 | $4 | $19 |
| 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. |
13 | $109 | $528 |
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 ↗$5,460
Total received (2021-2024)
Avg $1,365/year across 4 years
Top 4% in NY for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
269
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
$1,453
2023
$1,414
2022
$1,391
2021
$1,203
Payments by company (2024)
GlaxoSmithKline, LLC.
$230
PFIZER INC.
$223
AstraZeneca Pharmaceuticals LP
$203
ABBVIE INC.
$203
Exact Sciences Corporation
$136
Boehringer Ingelheim Pharmaceuticals, Inc.
$109
Novo Nordisk Inc
$104
Lilly USA, LLC
$59
Janssen Pharmaceuticals, Inc
$48
Merck Sharp & Dohme LLC
$48
Astellas Pharma US Inc
$42
Corcept Therapeutics
$28
Novartis Pharmaceuticals Corporation
$22
Top 3 companies account for 45.1% of 2024 payments
All-time payments by company (2021-2024) ›
GlaxoSmithKline, LLC.
$883
PFIZER INC.
$604
Boehringer Ingelheim Pharmaceuticals, Inc.
$483
AstraZeneca Pharmaceuticals LP
$436
ABBVIE INC.
$435
Novo Nordisk Inc
$322
Corcept Therapeutics
$290
Janssen Pharmaceuticals, Inc
$237
AbbVie Inc.
$225
Exact Sciences Corporation
$221
Novartis Pharmaceuticals Corporation
$189
Merck Sharp & Dohme LLC
$166
E.R. Squibb & Sons, L.L.C.
$145
Abbott Laboratories
$129
RECORDATI_RARE_DISEASES_INC.
$94
SANOFI-AVENTIS U.S. LLC
$79
Lilly USA, LLC
$73
Astellas Pharma US Inc
$71
Amgen Inc.
$45
Avanir Pharmaceuticals, Inc.
$33
Boston Scientific Corporation
$31
IBSA Pharma Inc.
$30
MEDICOMP INC
$29
Nestle HealthCare Nutrition Inc.
$27
Mylan Specialty L.P.
$23
Bayer HealthCare Pharmaceuticals Inc.
$23
Medtronic, Inc.
$21
Dexcom, Inc.
$20
IDORSIA PHARMACEUTICALS US INC
$18
Genentech USA, Inc.
$17
EUSA Pharma (US) LLC
$16
TherapeuticsMD, Inc.
$15
Merck Sharp & Dohme Corporation
$13
ARBOR PHARMACEUTICALS, INC.
$13
Top 3 companies account for 36.1% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · BAQSIMI · BELSOMRA · BREZTRI · BRILINTA · CAMZYOS · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · Edarbi · FARXIGA · FASENRA · FREESTYLE LIBRE · GARDASIL 9 · General - Pain Management · IMVEXXY · INVOKANA · JARDIANCE · Kerendia · Korlym · LEQVIO · MINIMED 770G · MYRBETRIQ · NUCALA · NURTEC ODT · Nuedexta · OFEV · ORIAHNN · ORILISSA · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREMARIN · PREVNAR 20 · QULIPTA · QUVIVIQ · Rybelsus · SHINGRIX · SIGNIFOR LAR · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYNTHROID · Sylvant · TELEPATCH CARDIAC MONITOR · TEZSPIRE · TOUJEO · TRELEGY ELLIPTA · Tirosint · UBRELVY · VERQUVO · VIBERZI · VRAYLAR · Veozah · XARELTO · Xofluza · YUPELRI · ZENPEP
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
Family nurse practitioners in nearby ZIP areas
605
County median income
$127,405
Nearest hospital to ZIP centroid (approximate)
PUTNAM HOSPITAL 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
John is a clinical cardiology specialist, with above-average Medicare volume (top 2% in NY).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is John experienced with blood draw (venipuncture)?
Based on Medicare claims data, John performed 420 blood draw (venipuncture) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does John receive payments from pharmaceutical companies?
Yes. John received a total of $5,460 from 34 companies across 269 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 John's costs compare to other family nurse practitioners in Carmel?
John's average Medicare payment per service is $25. 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 John) 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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