Medicare Enrolled
Dr. Richard Gayles, MD
Interventional Pain Medicine Physician · Carrollton, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Gayles from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Gayles
Dr. Richard Gayles is an interventional pain medicine physician in Carrollton, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gayles performed 3,660 Medicare services across 1,058 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gayles received a total of $14,176 from 60 pharmaceutical and/or device companies across 536 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gayles is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 19% volume in GA
$14,176 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,660
Medicare services
Top 19% in GA for interventional pain medicine physician
1,058
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~193 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
1,654 | $0 | $1 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
669 | $63 | $225 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
496 | $1 | $5 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
237 | $81 | $329 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
78 | $207 | $682 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
72 | $116 | $514 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
60 | $151 | $495 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
60 | $183 | $534 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
53 | $190 | $536 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
51 | $104 | $275 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
30 | $82 | $336 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
28 | $476 | $1,295 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
26 | $71 | $286 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
26 | $187 | $650 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
24 | $86 | $275 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
23 | $168 | $591 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
21 | $192 | $600 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
19 | $86 | $294 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
17 | $39 | $173 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
16 | $56 | $190 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$14,176
Total received (2018-2024)
Avg $2,025/year across 7 years
Top 14% in GA for interventional pain medicine physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
60
Companies
536
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,186 (93.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$990 (7.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,421
2023
$2,546
2022
$1,947
2021
$1,553
2020
$2,740
2019
$2,743
2018
$1,226
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Pacira Pharmaceuticals Incorporated
$589
Collegium Pharmaceutical, Inc.
$352
Medtronic, Inc.
$126
BIOTRONIK NRO, Inc.
$75
Azurity Pharmaceuticals, Inc.
$70
Boston Scientific Corporation
$70
SCILEX PHARMACEUTICALS INC.
$41
Vertos Medical, Inc.
$37
Nevro Corp.
$22
Atland Pharmaceuticals, LLC
$20
Abbott Laboratories
$19
Top 3 companies account for 75.1% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$3,379
Fones Marketing Management, Inc.
$990
Nevro Corp.
$900
Pacira Pharmaceuticals Incorporated
$645
Vertos Medical, Inc.
$623
Flowonix Medical Incorporated
$572
ABBVIE INC.
$515
Boston Scientific Corporation
$485
Medtronic, Inc.
$469
Amgen Inc.
$456
Collegium Pharmaceutical, Inc.
$440
Medtronic USA, Inc.
$424
Lilly USA, LLC
$394
Curonix LLC
$315
Kowa Pharmaceuticals America, Inc.
$244
BIOTRONIK NRO, Inc.
$222
Biohaven Pharmaceuticals, Inc.
$211
AbbVie Inc.
$203
Scilex Pharmaceuticals Inc.
$194
Biohaven Pharmaceutical Holding Company Ltd.
$174
Horizon Pharma plc
$163
Horizon Therapeutics plc
$145
Flexion Therapeutics, Inc.
$128
Almatica Pharma LLC
$127
Teva Pharmaceuticals USA, Inc.
$125
Saluda Medical Americas, Inc.
$125
Allergan, Inc.
$115
BOSTON SCIENTIFIC CORPORATION
$106
PFIZER INC.
$102
Stimwave Technologies Incorporated
$84
IDORSIA PHARMACEUTICALS US INC
$83
TerSera Therapeutics LLC
$75
SCILEX PHARMACEUTICALS INC.
$70
Azurity Pharmaceuticals, Inc.
$70
ARBOR PHARMACEUTICALS, INC.
$66
Allergan Inc.
$59
FIDIA PHARMA USA INC.
$48
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$46
Novartis Pharmaceuticals Corporation
$44
Arbor Pharmaceuticals, Inc.
$43
Masimo Corporation
$42
GRT US Holding, Inc.
$42
Avanos Medical
$33
Bausch Health US, LLC
$33
SI-BONE, Inc.
$30
Stryker Corporation
$29
Ultragenyx Pharmaceutical Inc.
$28
Relievant Medsystems, Inc.
$27
BioDelivery Sciences International, Inc.
$27
IMPEL PHARMACEUTICALS INC.
$24
Purdue Pharma L.P.
$23
DePuy Synthes Sales Inc.
$23
Lundbeck LLC
$22
Atland Pharmaceuticals, LLC
$20
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$19
Nalu Medical, Inc.
$18
ASSERTIO THERAPEUTICS, Inc.
$16
Shionogi Inc
$16
Kaleo, Inc.
$14
Nuvectra Corporation
$11
Top 3 companies account for 37.2% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · ASPIRIN AND CAFFEINE · AXIUM · Aimovig · Algovita · BELBUCA · BIOTRONIK · BOTOX · BOTOX COSMETIC · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · Belbuca · COMIRNATY · Crysvita · DUEXIS · EMGALITY · EVENITY · EVZIO · Edarbyclor · Evoke SCS · Exparel · GENVISC 850 SODIUM HYALURONATE · GRALISE · Gralise · HORIZANT · Horizant · Hymovis · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · IonicRF Generator · Iovera · KYPHON Balloon Kyphoplasty · LYRICA · Livalo · MIGRANAL · MULTIGEN 2 · NAPRELAN · NURTEC ODT · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · ORPHENADRINE CITRATE · ORTHOVISC · Omnia · PENNSAID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · Pacel Bipolar Pacing Catheter · Patient SafetyNet System · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · Prospera · QULIPTA · QUVIVIQ · Qutenza · RAYOS · RELISTOR · RESTORE · SEGLENTIS · SPECTRA WAVEWRITER · SYMPROIC · SYNCHROMED · Seglentis · Senza · Senza Spinal Cord Stimulation System · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion · Superion Indirect Decompression System · Symproic · Trudhesa · UBRELVY · VRAYLAR · VYEPTI · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · iFuse Implant · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Interventional pain medicine physicians within 10 mi
1
Per 100K population
0.8
County median income
$72,327
Nearest hospital
TANNER MEDICAL CENTER - CARROLLTON
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Gayles is a clinical cardiology specialist, with above-average Medicare volume (top 19% in GA), with low-engagement industry engagement in the top 14% of GA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gayles experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Gayles performed 1,654 dexamethasone injection (steroid) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gayles receive payments from pharmaceutical companies?
Yes. Dr. Gayles received a total of $14,176 from 60 companies across 536 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gayles's costs compare to other interventional pain medicine physicians in Carrollton?
Dr. Gayles's average Medicare payment per service is $43. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gayles) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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