Medicare Enrolled
Dr. Nora Hart, MD
Family Medicine · Shenandoah, 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 Dr. Hart 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. Hart?
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What this data tells you about Dr. Hart
Dr. Nora Hart is a family medicine specialist in Shenandoah, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Hart performed 638 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Hart received a total of $8,799 from 71 pharmaceutical and/or device companies across 555 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 Dr. Hart 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.
✓ 20 years of NPI registration
▲ Top 42% volume in TX
$8,799 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗638
Medicare services
Top 42% in TX for family medicine
Not available
Unique patients (not deduplicated)
$79
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 (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. |
290 | $81 | $236 |
| 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. |
156 | $59 | $159 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
79 | $122 | $242 |
| 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. |
29 | $111 | $316 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
26 | $10 | $30 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
20 | $36 | $117 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
13 | $66 | $80 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
13 | $27 | $75 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
12 | $211 | $522 |
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 ↗$8,799
Total received (2018-2024)
Avg $1,257/year across 7 years
Top 6% in TX for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
71
Companies
555
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
$1,655
2023
$1,309
2022
$1,282
2021
$1,258
2020
$826
2019
$1,275
2018
$1,194
Payments by company (2024)
Lilly USA, LLC
$234
Novo Nordisk Inc
$217
Amgen Inc.
$162
AstraZeneca Pharmaceuticals LP
$157
ABBVIE INC.
$143
Ardelyx, Inc.
$83
Exact Sciences Corporation
$80
GlaxoSmithKline, LLC.
$78
Sumitomo Pharma America, Inc.
$72
PFIZER INC.
$69
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$56
Boehringer Ingelheim Pharmaceuticals, Inc.
$55
Inspire Medical Systems, Inc.
$53
Astellas Pharma US Inc
$46
Axsome Therapeutics, Inc.
$32
Philips North America LLC
$28
IRONWOOD PHARMACEUTICALS, INC
$24
SHIELD THERAPEUTICS INC
$18
Acella Pharmaceuticals, LLC
$17
Currax Pharmaceuticals LLC
$16
Phathom Pharmaceuticals, Inc.
$16
Top 3 companies account for 37.1% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,305
Lilly USA, LLC
$961
AstraZeneca Pharmaceuticals LP
$715
Boehringer Ingelheim Pharmaceuticals, Inc.
$676
Amgen Inc.
$608
GlaxoSmithKline, LLC.
$449
ABBVIE INC.
$398
Takeda Pharmaceuticals U.S.A., Inc.
$291
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$232
Daiichi Sankyo Inc.
$210
Allergan, Inc.
$197
AbbVie Inc.
$195
Allergan Inc.
$168
PFIZER INC.
$167
VIVUS LLC
$122
Exact Sciences Corporation
$121
Amarin Pharma Inc.
$117
Merck Sharp & Dohme Corporation
$91
Dynavax Technologies Corporation
$88
Astellas Pharma US Inc
$85
AMAG Pharmaceuticals, Inc.
$85
Ardelyx, Inc.
$83
Endo Pharmaceuticals Inc.
$78
Sumitomo Pharma America, Inc.
$72
Inspire Medical Systems, Inc.
$72
Abbott Laboratories
$61
VIVUS, Inc.
$61
Eisai Inc.
$53
Shire North American Group Inc
$53
Teva Pharmaceuticals USA, Inc.
$49
Synergy Pharmaceuticals Inc
$47
Currax Pharmaceuticals LLC
$43
Supernus Pharmaceuticals, Inc.
$40
IDORSIA PHARMACEUTICALS US INC
$34
Ultragenyx Pharmaceutical Inc.
$33
Hikma Pharmaceuticals USA
$33
iRhythm Technologies, Inc.
$32
Axsome Therapeutics, Inc.
$32
IBSA Pharma Inc.
$30
SANOFI-AVENTIS U.S. LLC
$30
Biohaven Pharmaceutical Holding Company Ltd.
$28
Philips North America LLC
$28
Hologic, LLC
$26
Genentech USA, Inc.
$26
DERMIRA, INC.
$24
AbbVie, Inc.
$24
IRONWOOD PHARMACEUTICALS, INC
$24
Bayer HealthCare Pharmaceuticals Inc.
$23
JAZZ PHARMACEUTICALS INC.
$22
Biosense Webster, Inc.
$20
GRT US Holding, Inc.
$20
Azurity Pharmaceuticals, Inc.
$20
Biohaven Pharmaceuticals, Inc.
$19
Nalpropion Pharmaceuticals LLC
$19
Shield Therapeutics Inc
$19
SHIELD THERAPEUTICS INC
$18
Duchesnay USA Incorporated
$18
Assertio Therapeutics, Inc.
$18
Horizon Therapeutics plc
$17
Acella Pharmaceuticals, LLC
$17
EISAI INC.
$16
Phathom Pharmaceuticals, Inc.
$16
Merck Sharp & Dohme LLC
$16
SI-BONE, Inc.
$16
Concordia Pharmaceuticals Inc.
$15
Ironwood Pharmaceuticals, Inc
$15
Lundbeck LLC
$14
TherapeuticsMD, Inc.
$13
Novartis Pharmaceuticals Corporation
$13
Mission Pharmacal Company
$11
Lupin Inc.
$11
Top 3 companies account for 33.9% of all-time payments
Associated products mentioned in payments ›
(AK6) Vest Therapy · ACCRUFER · AIRSUPRA · AJOVY · AREXVY · Aimovig · Aptima HPV · Auvelity · BASAGLAR · BEXSERO · BOTOX · BREZTRI · BYSTOLIC · BYVALSON · Belviq · Bonjesta · CONTRAVE · Cambia · Carto Smarttouch · Cologuard Collection Kit · Crysvita · Dayvigo · Donnatal · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL 9 · GEMTESA · HUMULIN · Heplisav-B · Horizant · IBSRELA · IMVEXXY · INJECTAFER · INSPIRE · INTRAROSA · JANUVIA · JARDIANCE · Kerendia · LINZESS · Linzess · MOUNJARO · MYRBETRIQ · Mitigare · NASCOBAL · NP Thyroid 60 · NURTEC ODT · ONZETRA XSAIL · Otezla · Ozempic · PANCREAZE · PENNSAID · PREVNAR 13 · PREVNAR 20 · Prolia · QBREXZA · QELBREE · QSYMIA · QULIPTA · QUVIVIQ · Qsymia · Qutenza · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SUPRAX · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · Tirosint · Tresiba · Trintellix · Trulance · UBRELVY · Uribel · VOQUEZNA · VRAYLAR · VYEPTI · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XIFAXAN · XYWAV · Xofluza · ZIO XT Patch · iFuse Implant
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 medicine physicians in nearby ZIP areas
658
County median income
$97,266
Nearest hospital to ZIP centroid (approximate)
HOUSTON METHODIST THE WOODLANDS HOSPITAL
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
Dr. Hart is a clinical cardiology specialist, with moderate Medicare volume, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Hart experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hart performed 290 office visit, established patient (30-39 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 Dr. Hart receive payments from pharmaceutical companies?
Yes. Dr. Hart received a total of $8,799 from 71 companies across 555 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 Dr. Hart's costs compare to other family medicine physicians in Shenandoah?
Dr. Hart's average Medicare payment per service is $79. 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. Hart) 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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