Medicare Enrolled
Trey Pirkey, NP
Nurse Practitioner - Family · New Boston, TX
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 Pirkey 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 Pirkey?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Pirkey
Trey Pirkey is a nurse practitioner - family in New Boston, TX, with 19 years of NPI registration. Based on federal Medicare data, Pirkey performed 6,590 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Pirkey received a total of $3,048 from 31 pharmaceutical and/or device companies across 198 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 Pirkey 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 1% volume in TX
$3,048 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,590
Medicare services
Top 1% in TX 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 |
|---|---|---|---|
| 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. |
608 | $45 | $105 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
539 | $8 | $10 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
519 | $31 | $74 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
518 | $40 | $92 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
473 | $0 | $5 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
471 | $3 | $12 |
| 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. |
441 | $68 | $160 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
370 | $1 | $5 |
| 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. |
313 | $8 | $50 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
292 | $31 | $85 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
259 | $26 | $61 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
243 | $6 | $24 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
243 | $5 | $24 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
192 | $31 | $76 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
168 | $0 | $20 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
114 | $59 | $350 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
108 | $0 | $10 |
| 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. |
94 | $67 | $178 |
| Quadrivalent influenza vaccine, cell culture-derived A flu shot that protects against four strains of the influenza virus. It is produced using cell culture technology rather than traditional egg-based methods. |
92 | $32 | $69 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
92 | $29 | $35 |
| Annual alcohol misuse screening, 5 to 15 minutes | 92 | $15 | $58 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
89 | $108 | $156 |
| 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. |
88 | $17 | $98 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
45 | $1 | $10 |
| 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. |
44 | $8 | $68 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
18 | $53 | $178 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
17 | $39 | $154 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
17 | $12 | $31 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
16 | $16 | $53 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
15 | $21 | $110 |
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 ↗$3,048
Total received (2021-2024)
Avg $762/year across 4 years
Top 9% in TX for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
198
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
$598
2023
$871
2022
$911
2021
$668
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$169
GlaxoSmithKline, LLC.
$137
Lilly USA, LLC
$70
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$58
ABBVIE INC.
$31
Amgen Inc.
$21
Phathom Pharmaceuticals, Inc.
$20
Astellas Pharma US Inc
$18
Janssen Pharmaceuticals, Inc
$17
INOGEN, INC.
$16
IDORSIA PHARMACEUTICALS US INC
$14
Novo Nordisk Inc
$14
Boston Scientific Corporation
$14
Top 3 companies account for 62.7% of 2024 payments
All-time payments by company (2021-2024) ›
AstraZeneca Pharmaceuticals LP
$566
GlaxoSmithKline, LLC.
$450
ABBVIE INC.
$445
Lilly USA, LLC
$343
Paratek Pharmaceuticals, Inc.
$148
PFIZER INC.
$137
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$130
Amgen Inc.
$102
Novo Nordisk Inc
$87
Boehringer Ingelheim Pharmaceuticals, Inc.
$86
AbbVie Inc.
$84
Novartis Pharmaceuticals Corporation
$79
IDORSIA PHARMACEUTICALS US INC
$53
ITI, Inc.
$39
Teva Pharmaceuticals USA, Inc.
$34
Coala Life Inc
$20
Phathom Pharmaceuticals, Inc.
$20
QorumPartners
$20
Amarin Pharma Inc.
$20
Astellas Pharma US Inc
$18
Biohaven Pharmaceuticals, Inc.
$17
Janssen Pharmaceuticals, Inc
$17
INOGEN, INC.
$16
Abbott Laboratories
$16
Merck Sharp & Dohme Corporation
$16
UPSHER-SMITH LABORATORIES LLC
$15
SANOFI-AVENTIS U.S. LLC
$15
Silk Road Medical, Inc.
$15
SCYNEXIS, Inc.
$14
Boston Scientific Corporation
$14
Merck Sharp & Dohme LLC
$13
Top 3 companies account for 47.9% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AIRSUPRA · AJOVY · ANORO ELLIPTA · AREXVY · Aimovig · BREZTRI · CAPLYTA · Coala Heart Monitor · ELIQUIS · EMGALITY · ENROUTE Transcarotid Stent · ENTRESTO · FARXIGA · FreeStyle Libre 2 · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · JANUVIA · JARDIANCE · LEQVIO · MOUNJARO · NURTEC ODT · NUZYRA · Otezla · Ozempic · PREMARIN · QULIPTA · QUVIVIQ · Rybelsus · SPRAVATO · TOSYMRA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VERQUVO · VOQUEZNA · VRAYLAR · Vascepa · Veozah · WATCHMAN FLX · Wegovy · XIFAXAN · ZEPBOUND
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
132
County median income
$59,295
Nearest hospital to ZIP centroid (approximate)
CHRISTUS ST MICHAEL HEALTH SYSTEM
17.7 mi
17.7 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
Pirkey is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), 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 Pirkey experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Pirkey performed 608 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 Pirkey receive payments from pharmaceutical companies?
Yes. Pirkey received a total of $3,048 from 31 companies across 198 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 Pirkey's costs compare to other family nurse practitioners in New Boston?
Pirkey'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 Pirkey) 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 →
Explore related providers
Same specialty & city
Family Nurse Practitioners in New Boston
Browse family nurse practitioners in New Boston ranked by procedure volume and transparency data.
Highest volume
Top Family Nurse Practitioners in TX
Family nurse practitioners ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Family Nurse Practitioners in TX
Which TX family nurse practitioners receive the most from drug and device companies.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
By company
GlaxoSmithKline, LLC. Payments to Doctors
See all physicians who received payments from GlaxoSmithKline, LLC.
By company
ABBVIE INC. Payments to Doctors
See all physicians who received payments from ABBVIE INC.
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