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Michael R. Royall Jr., NP

NPI 1356819320ActiveIndividual· Nurse Practitioner· North Wilkesboro, NC

Nurse Practitioner (NP) in North Wilkesboro, North Carolina, licensed in NC, with an NPI issued in November 2018. Their prescriptions cost Medicare Part D more than their services did: $355,647 for 2,228 claims, against $16,079 paid for services in 2024. Braeburn Inc. was the largest of 5 companies reporting payments in 2025, $578.39 in all, mostly food and beverage.

Overview

NPI1356819320
StatusActive
Entity typeIndividual
CredentialNP
Sole proprietorYes
NPI issuedNov 8, 2018
Last updated in NPPESFeb 7, 2020
Certified by providerFeb 7, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X5011192NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (NC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients22
Services billed413 across 12 procedure codes
Paid by Medicare$16,079

Part D prescriptions in 2024

Prescriptions (claims)2,228 · 2,254 30-day fills
Patients114
Total drug cost$355,647
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyNurse Practitioner

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$578.39 · 32 payments from 5 companies
  • 2024$931.58 · 48 payments from 6 companies

Top paying companies in 2025

CompanyAmountPayments
Braeburn Inc.$152.4714
Forte Bio-Pharma LLC$137.926
Orexo US, Inc.$103.445
Indivior Inc.$101.053
Alkermes, Inc.$83.514

What the 2025 payments were for

  • Food and Beverage$578.39 · 32 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in North Wilkesboro

All Nurse Practitioner providers in North Carolina →