Medicare Enrolled
Avery Smith
Gastroenterology · Abilene, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 Smith 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 Smith
Avery Smith is a gastroenterology specialist in Abilene, TX, with 12 years of NPI registration. Based on federal Medicare data, Smith performed 2,057 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Smith received a total of $3,272 from 28 pharmaceutical and/or device companies across 184 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Smith 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.
✓ 12 years of NPI registration
▲ Top 6% volume in TX
$3,272 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,057
Medicare services
Top 6% in TX for gastroenterology
Not available
Unique patients (not deduplicated)
$91
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
412 | $60 | $140 |
| 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. |
309 | $90 | $253 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
306 | $87 | $200 |
| 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. |
239 | $114 | $327 |
| 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. |
139 | $64 | $179 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
114 | $143 | $883 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
110 | $67 | $767 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
77 | $39 | $142 |
| Upper endoscopy (EGD) A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope. |
54 | $82 | $596 |
| Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length. |
51 | $91 | $2,297 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
48 | $165 | $682 |
| Endoscopic removal of bile or pancreatic duct stone A flexible endoscope is used to remove stones or debris from the bile or pancreatic ducts. |
40 | $214 | $709 |
| Endoscopic incision of pancreatic outlet A procedure where a flexible endoscope is used to make an incision in the pancreatic outlet. |
30 | $26 | $695 |
| Endoscopic ultrasound of esophagus, stomach, or small bowel An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope inserted through the mouth. |
22 | $132 | $381 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
20 | $130 | $682 |
| Ultrasound-guided esophageal needle biopsy A procedure using a flexible endoscope with ultrasound to guide a needle for sampling tissue from the esophagus. |
16 | $164 | $452 |
| Endoscopic control of upper GI bleeding A flexible endoscope is used to locate and stop bleeding in the esophagus, stomach, or upper small intestine. |
16 | $151 | $1,339 |
| Radiologist review of bile duct tube placement imaging A radiologist reviews images taken during the placement of a tube into the bile duct using an endoscope. |
15 | $18 | $50 |
| Pancreatic or bile duct stent insertion A flexible endoscope is used to place a stent into the pancreatic or bile duct to keep it open. |
14 | $313 | $901 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
14 | $158 | $915 |
| Endoscopic insertion of stomach tube A flexible endoscope is used to guide the placement of a tube into the stomach. |
11 | $151 | $388 |
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. These counts do not measure clinical quality or years of experience.
0.7% high complexity
19.4% medium
79.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$3,272
Total received (2018-2024)
Avg $467/year across 7 years
Top 49% in TX for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
184
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$835
2023
$568
2022
$438
2021
$434
2020
$84
2019
$546
2018
$366
Payments by company (2024)
ABBVIE INC.
$164
Celltrion USA Inc.
$102
PFIZER INC.
$102
Janssen Biotech, Inc.
$91
AIMMUNE THERAPEUTICS, INC.
$72
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$66
Regeneron Healthcare Solutions, Inc.
$65
Boston Scientific Corporation
$36
Takeda Pharmaceuticals U.S.A., Inc.
$33
Phathom Pharmaceuticals, Inc.
$27
Echosens North America, Inc.
$22
VIVUS LLC
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
RedHill Biopharma Inc.
$13
Top 3 companies account for 44.1% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie Inc.
$406
ABBVIE INC.
$402
AbbVie, Inc.
$362
Takeda Pharmaceuticals U.S.A., Inc.
$305
PFIZER INC.
$248
Regeneron Healthcare Solutions, Inc.
$199
Merck Sharp & Dohme Corporation
$150
Boston Scientific Corporation
$145
Alexion Pharmaceuticals, Inc.
$110
Celltrion USA Inc.
$102
Janssen Biotech, Inc.
$91
Aries Pharmaceuticals, Inc.
$82
RedHill Biopharma Inc.
$79
AIMMUNE THERAPEUTICS, INC.
$72
QOL Medical, LLC
$69
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$66
Covidien LP
$65
Intercept Pharmaceuticals, Inc.
$40
INTERCEPT PHARMACEUTICALS, INC.
$39
Braintree Laboratories, Inc.
$38
Celgene Corporation
$33
Daiichi Sankyo Inc.
$33
Gilead Sciences, Inc.
$27
Phathom Pharmaceuticals, Inc.
$27
Echosens North America, Inc.
$22
VIVUS LLC
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Ferring Pharmaceuticals Inc.
$18
Top 3 companies account for 35.7% of all-time payments
Associated products mentioned in payments ›
CLENPIQ · CREON · CYLTEZO · DIFICID · DUPIXENT · ELEVIEW · ENTYVIO · EOHILIA · EXALT Model D · Entyvio · FibroScan · GATTEX · HUMIRA · HYDRATOME · Humira · INFLECTRA · INJECTAFER · Kanuma · LINZESS · MAVYRET · MOTEGRITY · Mavyret · OCALIVA · PANCREAZE · RINVOQ · Resolution 360 Clip · SKYRIZI · SUCRAID · SUTAB · Sucraid · TREMFYA · Talicia · VEGZELMA · VELSIPITY · VIBERZI · VOQUEZNA · VOWST · Viekira Pak · XELJANZ · XIFAXAN · ZEPOSIA · ZINPLAVA · ZYMFENTRA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Gastroenterologists in nearby ZIP areas
4
County median income
$63,472
Nearest hospital to ZIP centroid (approximate)
HENDRICK MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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
Smith is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Smith experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Smith performed 412 hospital follow-up visit, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Smith receive payments from pharmaceutical companies?
Yes. Smith received a total of $3,272 from 28 companies across 184 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Smith's costs compare to other gastroenterologists in Abilene?
Smith's average Medicare payment per service is $91. 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 Smith) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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