Medicare Enrolled

Melisa Janosik, CNP

Nurse Practitioner - Family · Vermilion, OH
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1607 STATE RD STE 6, Vermilion, OH 44089
4409678713
Registered in NPPES since 2007
NPI: 1114128345 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 Janosik 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 Janosik

Melisa Janosik is a nurse practitioner - family in Vermilion, OH, with 19 years of NPI registration. Based on federal Medicare data, Janosik performed 305 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Janosik received a total of $3,445 from 34 pharmaceutical and/or device companies across 163 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 Janosik 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 of NPI registration ▲ Top 35% volume in OH $3,445 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
305
Medicare services
Top 35% in OH for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$45
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 (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.
95 $39 $134
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.
56 $53 $191
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
51 $104 $215
Influenza virus detection test
A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation.
38 $16 $45
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.
20 $2 $7
SARS-CoV-2 immunoassay test
A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus.
17 $35 $66
Strep A rapid test
A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation.
17 $16 $66
Ear wax removal by washing
This procedure involves the removal of impacted ear wax using a washing technique.
11 $9 $35
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 2023 ↗
$3,445
Total received (2021-2023)
Avg $1,148/year across 3 years
Top 8% in OH for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
163
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.

2023
$992
2022
$1,591
2021
$863

Payments by company (2023)

GlaxoSmithKline, LLC.
$247
ABBVIE INC.
$210
Amgen Inc.
$198
Exact Sciences Corporation
$62
Janssen Pharmaceuticals, Inc
$60
Boehringer Ingelheim Pharmaceuticals, Inc.
$43
AstraZeneca Pharmaceuticals LP
$35
PFIZER INC.
$19
Astellas Pharma US Inc
$19
Novartis Pharmaceuticals Corporation
$19
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
Ironshore Pharmaceuticals Inc.
$17
Bayer Healthcare Pharmaceuticals Inc.
$15
Novo Nordisk Inc
$15
Lilly USA, LLC
$14
Top 3 companies account for 66.1% of 2023 payments
All-time payments by company (2021-2023) ›
Amgen Inc.
$387
ABBVIE INC.
$343
Biohaven Pharmaceutical Holding Company Ltd.
$336
GlaxoSmithKline, LLC.
$274
Biohaven Pharmaceuticals, Inc.
$236
Boehringer Ingelheim Pharmaceuticals, Inc.
$202
AstraZeneca Pharmaceuticals LP
$181
Novartis Pharmaceuticals Corporation
$160
Novo Nordisk Inc
$142
Lilly USA, LLC
$126
Takeda Pharmaceuticals U.S.A., Inc.
$124
Janssen Pharmaceuticals, Inc
$112
Bayer HealthCare Pharmaceuticals Inc.
$89
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$87
JAZZ PHARMACEUTICALS INC.
$74
AbbVie Inc.
$70
Exact Sciences Corporation
$62
Nestle HealthCare Nutrition Inc.
$58
Collegium Pharmaceutical, Inc.
$44
Otsuka America Pharmaceutical, Inc.
$39
Corium, LLC
$37
PFIZER INC.
$36
Dexcom, Inc.
$36
Scilex Pharmaceuticals Inc.
$30
Paratek Pharmaceuticals, Inc.
$26
Astellas Pharma US Inc
$19
Genentech USA, Inc.
$17
Horizon Therapeutics plc
$17
Ironshore Pharmaceuticals Inc.
$17
Bayer Healthcare Pharmaceuticals Inc.
$15
EVOKE PHARMA, INC.
$14
Validus Pharmaceuticals LLC
$14
Bausch Health US, LLC
$12
Teva Pharmaceuticals USA, Inc.
$11
Top 3 companies account for 30.9% of all-time payments
Associated products mentioned in payments ›
AJOVY · APLENZIN · AZSTARYS · Aimovig · BREZTRI · COMIRNATY · CREON · Cologuard Collection Kit · DUEXIS · Dexcom G6 Transmitter · ELYXYB - celecoxib · EMGALITY · ENTRESTO · EVENITY · Equetro · FARXIGA · GIMOTI · JARDIANCE · JORNAY PM · Kerendia · LEQVIO · MOUNJARO · Myrbetriq · NURTEC ODT · NUZYRA · Otezla · Ozempic · PREVNAR 13 · QULIPTA · REXULTI · Repatha · Rybelsus · SHINGRIX · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO RESPIMAT · SUNOSI · SYNTHROID · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · UBRELVY · VRAYLAR · VYVANSE · XIFAXAN · Xofluza · ZENPEP · ZTLido
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 nurse practitioner - family in Vermilion?
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Geographic Context

Family nurse practitioners in nearby ZIP areas
269
County median income
$68,431
Nearest hospital to ZIP centroid (approximate)
MERCY REGIONAL MEDICAL CENTER
8.5 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 2023
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

Janosik is a clinical cardiology specialist, with moderate Medicare volume, 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 Janosik experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Janosik performed 95 office visit, established patient (20-29 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 Janosik receive payments from pharmaceutical companies?
Yes. Janosik received a total of $3,445 from 34 companies across 163 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 Janosik's costs compare to other family nurse practitioners in Vermilion?
Janosik's average Medicare payment per service is $45. 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 Janosik) 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 →