Melissa Tharpe
Nurse Practitioner · Charlotte, NCNPI 1629102868
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $16,080 of the $24,381 with a category attached, or 66.0%. Hologic Sales And Service, LLC accounts for 77.5% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $17,763, more than ten times the $1,193 reported in 2022. Among nurse practitioner 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 47 payments — averaging $518.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Hologic Sales And Service, LLC$19K
- Cytyc Surgical Products, LLC$2K
- Bayer$2K
- Pfizer$1K
- AbbVie$120
- Astellas Pharma US Inc$109
- plus $89 from 3 others
What the payments were for
- Consulting fees$16,08066%
- Speaking & faculty fees$1,6007%
- Travel & lodging$5,34222%
- Food & beverage$1,3596%
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 |
|---|---|---|
| Hologic Sales And Service, LLC | 29 | $18,900 |
| Cytyc Surgical Products, LLC | 6 | $2,328 |
| Bayer | 2 | $1,700 |
| Pfizer | 3 | $1,133 |
| AbbVie | 3 | $120 |
| Astellas Pharma US Inc | 1 | $109 |
| Novo Nordisk | 1 | $50 |
| Cumberland Pharmaceuticals, Inc. | 1 | $24 |
| Johnson & Johnson | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- NovaSure$15,328
- NONE$4,028
- Lynkuet$1,600
- MYFEMBREE$1,080
- ACESSA PROVU SYSTEM$818
- MYOSURE TISSUE REMOVAL DEVICE$506
- Veozah$109
How this compares
$24,381 in reported general payments places this provider in the 95th percentile of 4,393 nurse practitioner 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| YuvafemEstradiol | 11 | $2,630 |
| Estradiol | 28 | $1,762 |
| Estradiol (Twice Weekly)Estradiol | 13 | $1,718 |
| ProgesteroneProgesterone, Micronized | 14 | $1,016 |
| Clobetasol Propionate | 16 | $232 |
| Hydrocortisone | 19 | $193 |
| Fluconazole | 11 | $53 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Charlotte
- Mary DilorenzoCharlotte$71K
- Dennis TaylorCharlotte$39K
- Geovanna DeeseCharlotte$26K
- Marie MooreCharlotte$21K
- Natasha LaunganiCharlotte$18K
- Vicki MortonCharlotte$18K
- Courtney CarrCharlotte$18K
- Travis ShipeCharlotte$17K
- Kelly XiongCharlotte$16K
- Christina ChristensenCharlotte$13K
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.