Mark Noles, CRNA
Nurse Anesthetist, Certified Registered · Burlington, NCNPI 1033552518
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $6,760 of the $7,641 with a category attached, or 88.5%. Paragonix Technologies, Inc. accounts for 88.5% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2023 at $6,835 and has fallen 95.4% since, to $311 in 2025. Among nurse anesthetist, certified registered clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 49 payments — averaging $155.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragonix Technologies, Inc.$7K
- Merck$189
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$174
- Takeda Pharmaceuticals U.S.A., Inc.$76
- Medtronic$76
- Aimmune Therapeutics, Inc.$68
- plus $298 from 10 others
What the payments were for
- Consulting fees$6,76088%
- Food & beverage$88112%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Paragonix Technologies, Inc. | 2 | $6,760 |
| Merck | 10 | $189 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 8 | $174 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $76 |
| Medtronic | 4 | $76 |
| Aimmune Therapeutics, Inc. | 4 | $68 |
| Madrigal Pharmaceuticals | 3 | $66 |
| AbbVie | 3 | $48 |
| Ardelyx, Inc. | 3 | $48 |
| Heron Therapeutics, Inc. | 2 | $32 |
| Johnson & Johnson | 1 | $20 |
| Eagle Pharmaceuticals, Inc. | 1 | $19 |
| Draeger Medical Systems, Inc | 1 | $18 |
| Regeneron Healthcare Solutions, Inc. | 1 | $17 |
| Intercept Pharmaceuticals, Inc. | 1 | $17 |
| Acacia Pharma Inc | 1 | $13 |
How this compares
$7,641 in reported general payments places this provider in the 95th percentile of 2,608 nurse anesthetist, certified registered providers in North Carolina.
See all nurse anesthetist, certified registered providers in North Carolina →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other nurse anesthetist, certified registered in Burlington
- Patricia FletcherBurlington$1K
- Betty RocchioCharlotte$15K
- Joseph KeckAsheville$10K
- Katelyn PowellWilmington$8K
- Joseph ChapmanChapel Hill$6K
- Brad TurnerGreenville$4K
- Alyssa SarchettHickory$3K
- Peter HonerkampConcord$3K
- James HicksRocky Mount$3K
- John HaslamAsheville$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.