Shakera Headley

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Cape Cod Hospital Hospital · Hyannis, MA

Colleagues at Medical Affiliates of Cape Cod Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 235 clinicians in the practice; 12 are shown here.

• Jennifer Lynn August, PA-C Medical Physician Assistant · Mashpee, MA
• Dr. Peter Laurence Friedman, MD Clinical Cardiac Electrophysiology Physician · Hyannis, MA
• Mr. David Wayne Gager, MS, CCC-A Audiologist-Hearing Aid Fitter · Falmouth, MA
• Michael Levangie, MD Cardiovascular Disease Physician · Hyannis, MA
• Emilio M Melchionna, MD Neurology Physician · Springfield, MA
• MS. Jennifer T Miller, PA Surgical Physician Assistant · Hyannis, MA
• Dr. Jennifer Buchanan Nalepinski, DNP, FNP Family Nurse Practitioner · Springfield, MA
• David Wayne Rancourt, DO Internal Medicine Physician · Falmouth, MA
• Dr. Kelsey Nicole Rigby, DO Rheumatology Physician · Falmouth, MA
• Matthew T Rittel, MD Internal Medicine Physician · Cotuit, MA
• Dr. Mary M Smyth, MDPC Otolaryngology Physician · Dartmouth, MA
• Karen A Trait, PA-C Physician Assistant · Falmouth, MA

Other providers in Harwich

• Justin Leonard Bennett, CNP

  Individual Family Nurse Practitioner · NPI 1760241103

  18 Great Woods Rd, Harwich, MA 02645-1211 · (203) 510-1956

• Agnieszka Duffany, FNP

  Individual Family Nurse Practitioner · NPI 1376452953

  525 Long Pond Dr, Harwich, MA 02645-1227 · (774) 487-2233

• Karen Maney, NP

  Individual Family Nurse Practitioner · NPI 1881675528

  55 Clearwater Dr, Harwich, MA 02645-2901 · (774) 237-9116