Nurse Practitioner Program year 2025 Reported 2021–2025 Source: CMS Open Payments, 2026 publication

Melody Smith

Nurse Practitioner, Family Muscle Shoals, AL Nurse Practitioner

NPI 1952734162 CMS profile 11134820

203 Avalon Ave Ste 130, Muscle Shoals, AL 35661

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General payments

$5,275

145 records reported · program years 2021–2025

Research payments

$0

Paid to them · None reported · program years 2021–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Melody Smith of Muscle Shoals, AL is reported in the CMS Open Payments database as having received $5,275 across 145 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 94th percentile of Nurse Practitioner, Family profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

5 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $3,545 89
2024 General $383 14
2023 General $131 7
2022 General $157 4
2021 General $1,060 31

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Melody Smith
  • Nurse Practitioner, Family median
  • Middle half of Nurse Practitioner, Family
  • National median

In program year 2025, general payments to Melody Smith were reported at $3,545. Among 107,232 Nurse Practitioner, Family profiles paid that year, the median was $168 and the middle half received between $53 and $521.

Show as a table
Year Melody Smith Nurse Practitioner, Family median Middle half National median
2019 $0 $39 $18–$91 $163
2020 $0 $32 $17–$76 $114
2021 $1,060 $124 $35–$379 $132
2022 $157 $141 $44–$430 $149
2023 $131 $154 $49–$476 $160
2024 $383 $165 $51–$504 $164
2025 $3,545 $168 $53–$521 $169

Breakdown

Who paid General payments · program years 2021–2025
  1. Inspire Medical Systems, Inc. $1,464 15 payments
  2. AstraZeneca Pharmaceuticals LP $901 31 payments
  3. Allergan Inc. $661 1 payment
  4. Genzyme Corporation $351 14 payments
  5. Harmony Biosciences LLC $317 8 payments
  6. Insmed, Inc. $316 14 payments
  7. AbbVie, Inc. $216 16 payments
  8. Grifols USA, LLC $144 5 payments
  9. Lilly USA, LLC $138 3 payments
  10. Pfizer Inc. $97 6 payments
  11. Other $668 32 payments

Every payment, record by record

What the payments were for General payments · program years 2021–2025
  1. Food and Beverage $3,539 137 payments
  2. Travel and Lodging $906 5 payments
  3. Consulting Fee $661 1 payment
  4. Education $169 2 payments
Products named General payments · program years 2021–2025
  1. INSPIRE $1,464 15 payments
  2. BOTOX $661 1 payment
  3. DUPIXENT $430 15 payments
  4. AIRSUPRA $387 9 payments
  5. BREZTRI $318 5 payments
  6. Arikayce $316 14 payments
  7. FARXIGA $292 9 payments
  8. TEZSPIRE $207 4 payments
  9. WAKIX $193 4 payments
  10. Prolastin-C Liquid $144 5 payments
  11. Other $1,436 74 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 108 drugs

Part D claims

3,700

Median for Nurse Practitioner: 389

Drug cost

$271,364

Median for Nurse Practitioner: $21,885

Branded share of claims

18.8%

Median for Nurse Practitioner: 19.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Mounjaro Tirzepatide Brand 40 $57,732
Ozempic Semaglutide Brand 33 $43,170
Farxiga Dapagliflozin Propanediol Brand 21 $30,999
Eliquis Apixaban Brand 37 $30,839
Trulicity Dulaglutide Brand 14 $27,087
Linzess Linaclotide Brand 20 $21,993
Emgality Pen Galcanezumab-Gnlm Brand 11 $7,817
Aripiprazole Generic 21 $3,251
Ondansetron Odt Ondansetron Brand 64 $2,463
Albuterol Sulfate Hfa Albuterol Sulfate Brand 34 $1,762

The 10 drugs with the highest cost, of 108 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 229,976 Part D prescribers listed as Nurse Practitioner; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 24 billing codes

Paid by Medicare

$30,336

Of which drugs: $488

Medicare patients

139

Average age 73

Services billed

1,344

91 women, 48 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 50%
Diabetes 41%
Ischemic heart disease 36%
Depression 35%
Chronic kidney disease 24%
COPD 21%
Atrial fibrillation 17%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, methylprednisolone acetate, 1 mg J1010 Office 14 521 $45
Injection, ceftriaxone sodium, per 250 mg J0696 Office 24 122 $31
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420 Office 15 26 $22
Injection, dexamethasone sodium phosphate, 1 mg J1100 Office 20 92 $5

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 9 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
WAKIX
  • Harmony Biosciences LLC $193
$193 — —
AIRSUPRA
  • AstraZeneca Pharmaceuticals LP $51
$51 — —
TEZSPIRE
  • AstraZeneca Pharmaceuticals LP $19
  • Amgen Inc. $16
$35 — —
WINREVAIR
  • Merck Sharp & Dohme Corporation $34
$34 — —
MOUNJARO
  • Lilly USA, LLC $16
$16 40 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 9 in the dashboard with a free account

Records

145 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Nurse Practitioner, Family in Alabama

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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