Medicare Enrolled
Dr. Kristie Pepper, D.O.
Internal Medicine · Middletown, PA
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. Pepper 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. Pepper
Dr. Kristie Pepper is an internal medicine specialist in Middletown, PA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Pepper performed 5,139 Medicare services across 1,203 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pepper received a total of $1,456 from 16 pharmaceutical and/or device companies across 67 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. Pepper 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.
✓ 14 years in practice
▲ Top 2% volume in PA
$1,456 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,139
Medicare services
Top 2% in PA for internal medicine
1,203
Unique beneficiaries
$25
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~367 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 3,300 | $18 | $30 |
| 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. |
295 | $88 | $140 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
174 | $1 | $4 |
| 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. |
116 | $10 | $50 |
| Autoimmune disorder antibody test A laboratory test that measures antibodies in the blood to help assess for autoimmune disorders. |
112 | $18 | $46 |
| 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. |
111 | $109 | $200 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
100 | $8 | $10 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
96 | $5 | $18 |
| 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. |
81 | $65 | $110 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
62 | $29 | $100 |
| Liver enzyme (SGOT) level test A blood test that measures the level of the liver enzyme SGOT to help assess liver health. |
59 | $5 | $18 |
| Liver enzyme (SGPT) level test A blood test that measures the level of the liver enzyme SGPT to assess liver function. |
59 | $5 | $18 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
55 | $90 | $290 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
55 | $1 | $15 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
46 | $5 | $18 |
| 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. |
45 | $5 | $44 |
| 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. |
44 | $36 | $200 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
44 | $43 | $120 |
| X-ray of hand, 2 views An X-ray imaging test of the hand using two different angles to visualize the bones and joints. |
38 | $19 | $60 |
| Albumin level test A blood test that measures the amount of albumin, a protein made by the liver, in your body. |
36 | $5 | $17 |
| 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. |
35 | $40 | $75 |
| Alkaline phosphatase level test A blood test that measures the level of alkaline phosphatase, an enzyme found in the liver and bones. |
31 | $5 | $18 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
27 | $78 | $218 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
24 | $61 | $200 |
| DNA antibody test (native or double-stranded) A blood test that measures the level of antibodies targeting native or double-stranded DNA. This test is used to detect the presence of these specific antibodies in the body. |
16 | $13 | $44 |
| Measurement of dna antibody, single stranded | 16 | $12 | $46 |
| 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. |
14 | $72 | $195 |
| Autoimmune disorder screening test A laboratory test used to screen for the presence of autoimmune disorders. |
13 | $12 | $44 |
| New patient office visit, complex (60-74 min) | 13 | $139 | $250 |
| 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. |
11 | $35 | $100 |
| Rheumatoid factor level | 11 | $6 | $15 |
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.
2.1% high complexity
71.2% medium
26.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,456
Total received (2021-2024)
Avg $364/year across 4 years
Top 26% in PA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
67
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
$1,456 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$469
2023
$656
2022
$290
2021
$41
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$112
UCB, Inc.
$111
Novartis Pharmaceuticals Corporation
$86
AstraZeneca Pharmaceuticals LP
$62
GlaxoSmithKline, LLC.
$38
Janssen Biotech, Inc.
$25
Amgen Inc.
$18
Lilly USA, LLC
$18
Top 3 companies account for 65.7% of 2024 payments
All-time payments by company (2021-2024) ›
AstraZeneca Pharmaceuticals LP
$279
Janssen Biotech, Inc.
$200
UCB, Inc.
$189
GlaxoSmithKline, LLC.
$137
Amgen Inc.
$137
ABBVIE INC.
$112
Novartis Pharmaceuticals Corporation
$86
Kyowa Kirin, Inc.
$56
E.R. Squibb & Sons, L.L.C.
$53
Horizon Therapeutics plc
$42
Lilly USA, LLC
$42
ANI Pharmaceuticals, Inc.
$32
Genentech USA, Inc.
$25
Fresenius Kabi USA, LLC
$24
AbbVie Inc.
$23
Exeltis, USA Inc.
$20
Top 3 companies account for 45.8% of all-time payments
Associated products mentioned in payments ›
Actemra · BENLYSTA · COSENTYX · Cimzia · Crysvita · EVENITY · Enbrel · IDACIO · KRYSTEXXA · ORENCIA · PURIFIED CORTROPHIN GEL · Prolia · REMICADE · RINVOQ · SAPHNELO · SIMPONI ARIA · SKYRIZI · TALTZ · TREMFYA
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
869
Per 100K population
302.3
County median income
$74,159
Nearest hospital
MILTON S HERSHEY MEDICAL CENTER
7.3 mi
7.3 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. Pepper is a mixed practice specialist, with above-average Medicare volume (top 2% in PA), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Pepper experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Pepper performed 3,300 denosumab injection (prolia/xgeva) 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. Pepper receive payments from pharmaceutical companies?
Yes. Dr. Pepper received a total of $1,456 from 16 companies across 67 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. Pepper's costs compare to other internal medicine physicians in Middletown?
Dr. Pepper'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 Dr. Pepper) 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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