Medicare Enrolled

Dr. Nora Bucher, MD

Internal Medicine · Vancouver, WA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Speaking/Promotional
210 SE 136TH AVE, Vancouver, WA 98684
3609449889
In practice since 2007 (19 years)
NPI: 1942416524 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. Bucher 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. Bucher? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Bucher

Dr. Nora Bucher is an internal medicine specialist in Vancouver, WA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Bucher performed 16,572 Medicare services across 1,185 unique beneficiaries.

Between the years covered by Open Payments, Dr. Bucher received a total of $91,487 from 31 pharmaceutical and/or device companies across 194 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Bucher 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 in practice ▲ Top 1% volume in WA $91,487 industry payments

Medicare Practice Summary

Medicare Utilization ↗
16,572
Medicare services
Top 1% in WA for internal medicine
1,185
Unique beneficiaries
$5
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~872 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
Iron infusion (Feraheme)
An injection of ferumoxytol used to treat iron deficiency anemia in patients not on dialysis.
11,220 $0 $6
Contrast dye for imaging (iodine-based)
A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures.
2,280 $0 $3
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
402 $8 $34
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
379 $10 $60
Dexamethasone injection (steroid)
An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram.
360 $0 $1
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
289 $8 $18
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.
210 $97 $331
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 182 $20 $120
Injection, granisetron hydrochloride, 100 mcg 170 $0 $25
Carcinoembryonic antigen (CEA) level test
A blood test that measures the level of carcinoembryonic antigen (CEA) protein. This test is used to monitor certain types of cancer.
133 $19 $93
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.
110 $64 $235
Intravenous injection of additional new drug or substance
Administration of an additional new medication or substance directly into a vein.
77 $13 $102
Intravenous chemotherapy infusion, 1 hour or less
Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete.
73 $106 $666
Non-hormonal chemotherapy injection
This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue.
70 $61 $235
Vitamin D level test
A blood test to measure the amount of Vitamin D-3 in your body.
63 $29 $243
Magnesium level test
A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess.
57 $7 $27
Immunoglobulin level test
A blood test that measures the level of gammaglobulins, which are immune system proteins.
55 $9 $52
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.
49 $11 $90
Ferritin level test (iron stores)
A blood test that measures the level of ferritin, a protein that stores iron in the body.
48 $13 $56
Lactate dehydrogenase (LDH) level test
A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease.
48 $6 $29
Intravenous infusion, 1 hour or less
Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less.
46 $52 $295
Enhanced Oncology Model monthly payment
This code represents the monthly enhanced oncology services payment under the Enhancing Oncology Model. It covers the administrative payment for enhanced services provided to eligible patients.
45 $76 $70
Iron level test 44 $6 $25
Iron binding capacity test
A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron.
44 $9 $33
Additional sequential IV infusion, 1 hour or less
This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less.
30 $24 $148
CT scan of abdomen and pelvis with contrast
A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas.
22 $194 $1,006
CT scan of chest with contrast
A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures.
21 $51 $774
Vitamin B-12 level test
A blood test that measures the amount of vitamin B-12 in your body.
18 $15 $72
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.
16 $104 $509
New patient office visit, complex (60-74 min) 11 $145 $629
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.
68.6% high complexity
18.4% medium
13.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$91,487
Total received (2018-2024)
Avg $13,070/year across 7 years
Top 2% in WA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
194
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$54,312 (59.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$35,597 (38.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,577 (1.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$16,507
2023
$51,135
2022
$9,220
2021
$7,071
2020
$112
2019
$2,288
2018
$5,154

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$11,160
Stemline Therapeutics Inc.
$5,198
Genentech USA, Inc.
$149
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Stemline Therapeutics Inc.
$39,667
AstraZeneca Pharmaceuticals LP
$13,380
Genentech USA, Inc.
$13,373
E.R. Squibb & Sons, L.L.C.
$4,242
Incyte Corporation
$3,412
Karyopharm Therapeutics Inc.
$3,260
BeiGene USA, Inc.
$1,950
TESARO, Inc.
$1,852
Kite Pharma, Inc.
$1,700
Genentech, Inc.
$1,515
G1 Therapeutics, Inc.
$1,500
Daiichi Sankyo Inc.
$1,430
Epizyme, Inc.,
$1,182
Janssen Global Services, LLC
$945
MACROGENICS, INC.
$592
Merck Sharp & Dohme Corporation
$314
Amgen Inc.
$265
Novocure Inc.
$112
Boehringer Ingelheim Pharmaceuticals, Inc.
$106
Novartis Pharmaceuticals Corporation
$103
Janssen Products, LP
$100
Pharmacyclics LLC, An AbbVie Company
$99
PFIZER INC.
$71
Celgene Corporation
$56
Puma Biotechnology, Inc.
$51
Teva Pharmaceuticals USA, Inc.
$44
EMD Serono, Inc.
$44
Bayer HealthCare Pharmaceuticals Inc.
$38
Gilead Sciences, Inc.
$36
Foundation Medicine, Inc.
$28
Alexion Pharmaceuticals, Inc.
$19
Top 3 companies account for 72.6% of all-time payments
Associated products mentioned in payments ›
Abraxane · BENDEKA · BOSULIF · BRUKINSA · Bavencio · Blincyto · CHANTIX · COSELA · Columvi · EMPLICITI · ERLEADA · FOUNDATIONONE · GILOTRIF · IBRANCE · IMFINZI · Imbruvica · JADENU · KEYTRUDA · KISQALI · Kyprolis · Lunsumio · MARGENZA · Nerlynx · Neulasta · Nexavar · Nplate · OPDIVO · Oncology · Optune · Orserdu · POLIVY · PREVYMIS · Pomalyst · SOLIRIS · SPRYCEL · SUTENT · TAGRISSO · TAZVERIK · TECENTRIQ · Tecartus · VENCLEXTA · VOTRIENT · Venclexta · XPOVIO · Xofigo · ZYTIGA
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 →

The majority of payments (59%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for internal medicine in WA.

Looking for an internal medicine specialist in Vancouver?
Compare internal medicine physicians in the Vancouver area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
1,730
Per 100K population
338.9
County median income
$94,948
Nearest hospital
PEACEHEALTH SOUTHWEST MEDICAL CENTER
3.1 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. Bucher is a mixed practice specialist, with above-average Medicare volume (top 1% in WA), with speaking/promotional industry engagement in the top 2% of WA peers, 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 Dr. Bucher experienced with iron infusion (feraheme)?
Based on Medicare claims data, Dr. Bucher performed 11,220 iron infusion (feraheme) 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. Bucher receive payments from pharmaceutical companies?
Yes. Dr. Bucher received a total of $91,487 from 31 companies across 194 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. Bucher's costs compare to other internal medicine physicians in Vancouver?
Dr. Bucher's average Medicare payment per service is $5. 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. Bucher) 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. 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. 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 →