Medicare Enrolled

Dr. Kelli Fletcher, NP

Nurse Practitioner - Family · Grapevine, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1600 W COLLEGE ST STE 140, Grapevine, TX 76051
2146928262
In practice since 2018 (7 years)
NPI: 1811483407 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. Fletcher 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. Fletcher? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Fletcher

Dr. Kelli Fletcher is a nurse practitioner - family in Grapevine, TX, with 7 years in practice. Based on federal Medicare data, Dr. Fletcher performed 3,583 Medicare services across 2,602 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fletcher received a total of $2,438 from 31 pharmaceutical and/or device companies across 107 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Fletcher is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 7 years in practice▲ Top 3% volume in TX$ $2,438 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,583
Medicare services
Top 3% in TX for nurse practitioner - family
2,602
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~512 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)750$54$183
Automated urinalysis506$2$5
Blood draw (venipuncture)386$8$17
Office visit, established patient (30-39 min)321$79$259
PSA test (prostate cancer screening)281$18$37
Bladder ultrasound after voiding235$8$22
Urine culture, bacterial identification214$8$16
Urine culture, bacterial colony count197$8$16
Leuprolide acetate (for depot suspension), 7.5 mg156$133$377
Bacterial culture, aerobic118$8$16
Antibiotic sensitivity test114$8$17
New patient office visit (45-59 min)105$106$336
Testosterone (hormone) level, total58$25$52
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle50$23$70
New patient office visit (30-44 min)44$66$226
Psa (prostate specific antigen) measurement, free25$18$37
Office visit, established patient (10-19 min)23$34$115
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,438
Total received (2021-2024)
Avg $610/year across 4 years
Top 13% in TX for nurse practitioner - family
31
Companies
107
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
$2,274 (93.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$164 (6.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$784
2023
$950
2022
$354
2021
$351

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Sumitomo Pharma America, Inc.
$279
Astellas Pharma US Inc
$235
Dendreon Pharmaceuticals LLC
$224
PFIZER INC.
$201
Antares Pharma, Inc.
$170
Janssen Biotech, Inc.
$167
Axonics, Inc.
$159
COLOPLAST CORP
$144
Ferring Pharmaceuticals Inc.
$133
Tolmar, Inc.
$62
PROCEPT BioRobotics Corporation
$58
Myovant Sciences Inc.
$56
Progenics Pharmaceuticals, Inc.
$54
Sun Pharmaceutical Industries Inc.
$52
Endo Pharmaceuticals Inc.
$43
UROGEN PHARMA, INC.
$37
AstraZeneca Pharmaceuticals LP
$37
ACCORD HEALTHCARE, INC.
$35
PROGENICS PHARMACEUTICALS, INC.
$34
Clarus Therapeutics Inc.
$34
Pacira Pharmaceuticals Incorporated
$33
Merck Sharp & Dohme Corporation
$31
UroGen Pharma, Inc.
$21
Mission Pharmacal Company
$21
Endo USA, Inc.
$20
Supernus Pharmaceuticals, Inc.
$18
Olympus America Inc.
$17
Teleflex LLC
$17
Amgen Inc.
$16
BOSTON SCIENTIFIC CORPORATION
$15
GENZYME CORPORATION
$13
Top 3 companies account for 30.3% of total payments
Associated products mentioned in payments ›
ADSTILADRIN · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · Axonics · Bulkamid · CAMCEVI · Dormia · ELIGARD · ERLEADA · Exparel · GEMTESA · JATENZO · JELMYTO · JEVTANA · KEYTRUDA · LYNPARZA · MYRBETRIQ · Myrbetriq · NOCDURNA · ORGOVYX · PROVENGE · PYLARIFY · ReTrace · SPACEOAR VUE · TLANDO · URIBEL TABS · UroLift System · Veozah · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xtandi · YONSA · iTIND System
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 (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $68 per 100 Medicare services performed
Looking for a nurse practitioner - family in Grapevine?
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Geographic Context

Nurse Practitioner - Familys within 10 mi
3,287
Per 100K population
153.9
County median income
$81,905
Nearest hospital
BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Fletcher is a clinical cardiology specialist, with above-average Medicare volume (top 3% in TX), and high industry engagement (low-engagement, top 13%).

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Fletcher experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Fletcher performed 750 office visit, established patient (20-29 min) 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. Fletcher receive payments from pharmaceutical companies?
Yes. Dr. Fletcher received a total of $2,438 from 31 companies across 107 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. Fletcher's costs compare to other nurse practitioner - familys in Grapevine?
Dr. Fletcher's average Medicare payment per service is $34. 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. Fletcher) 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 →
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. The Transparency Score measures 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. Payments from industry are legal and do not indicate wrongdoing. 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 →