SDN Members don't see this ad. (About Ads) There are a few things here: First the ENT should not be writing a script for hypertension unless that medication was already prescribed by a primary care doctor, internist or someone in an internal medicine subspecialty. They just don't have much experience to chose the right medicine. If we assume that you would get reimbursed for only the disease you are treating rather than lumping it into the visit- I would say that a cards NP should get paid more than an ENT for treating hypertension but less than a cardiologist. That said, an ENT really should not be treating hypertension except under very rare circumstances just like a PCP or cardiologist should not be treating something like vocal cord paresis.