Medicare Enrolled

Dr. James Leffingwell, MD

Otolaryngology · Arlington, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
400 WEST ARBROOK B;LVD, Arlington, TX 76014
8172613000
In practice since 2006 (19 years)
NPI: 1356396493 verify on NPPES ↗
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. Leffingwell 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. Leffingwell

Dr. James Leffingwell is an otolaryngology in Arlington, TX, with 19 years in practice. Based on federal Medicare data, Dr. Leffingwell performed 3,491 Medicare services across 1,183 unique beneficiaries.

Between the years covered by Open Payments, Dr. Leffingwell received a total of $12,630 from 33 pharmaceutical and/or device companies across 204 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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. Leffingwell is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ Top 10% volume in TX$ $12,630 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,491
Medicare services
Top 10% in TX for otolaryngology
1,183
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~184 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.

ProcedureVolumeAvg. paidAvg. submitted
Allergy immunotherapy preparation1,450$11$30
Allergy skin test650$3$8
Office visit, established patient (30-39 min)339$81$250
Office visit, established patient (20-29 min)180$61$177
Test to assess middle ear function152$11$32
Comprehensive hearing and speech recognition test149$26$73
New patient office visit (45-59 min)147$102$325
Removal of impacted ear wax121$31$93
New patient office visit (30-44 min)83$71$218
Ct scan of face without contrast60$92$261
Diagnostic exam of nasal passages using an endoscope58$128$370
Diagnostic exam of voice box using a flexible endoscope48$83$254
Exam of ear using a microscope32$20$57
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing22$33$104
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 ↗
$12,630
Total received (2018-2024)
Avg $1,804/year across 7 years
Top 9% in TX for otolaryngology
33
Companies
204
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
$9,972 (78.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,560 (20.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$99 (0.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$524
2023
$956
2022
$2,895
2021
$908
2020
$1,294
2019
$672
2018
$5,381

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medical Device Business Services, Inc.
$2,843
Optinose US, Inc.
$2,638
Aerin Medical Inc.
$1,575
Acclarent, Inc
$1,236
Medtronic USA, Inc.
$913
Stryker Corporation
$660
GENZYME CORPORATION
$344
SANOFI-AVENTIS U.S. LLC
$231
OptiNose US, Inc.
$220
Medtronic, Inc.
$207
Intersect ENT, Inc.
$203
AERIN MEDICAL INC.
$175
ALK-Abello, Inc
$163
ARBOR PHARMACEUTICALS, INC.
$158
Ethicon US, LLC
$124
Cochlear Americas
$111
Integra LifeSciences Corporation
$110
Smith+Nephew, Inc.
$93
Regeneron Healthcare Solutions, Inc.
$79
GlaxoSmithKline, LLC.
$78
AcelRx Pharmaceuticals, Inc.
$78
Takeda Pharmaceuticals U.S.A., Inc.
$74
kaleo, Inc.
$56
Olympus America Inc.
$50
Phadia US Inc.
$43
Xoran Technologies
$31
Tactile Systems Technology Inc
$29
KARL STORZ Endoscopy-America
$27
Covidien LP
$20
Merz North America, Inc.
$18
Merck Sharp & Dohme LLC
$18
Inspire Medical Systems, Inc.
$17
Mylan Specialty L.P.
$11
Top 3 companies account for 55.9% of total payments
Associated products mentioned in payments ›
ACCLARENT AERA · ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM · ACCLARENT Balloon Inflation Device · ACCLARENT NAVWIRE Sinus Navigation Guidewire · AUVI-Q · Acclarent Aera · CLARIFIX · CLARIFIX CRYOTHERAPY DEVICE · Carto 3 System · Coblation Wands · DSUVIA · DUPIXENT · Dymista · ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM · ENTELLUS - XPRESS ENT DILATION SYSTEM · FLEXITOUCH · FUSION · Flexitouch Plus · HALO · HARMONIC Product Family · HYQVIA · Harmonic · INSPIRE · ImmunoCAP · LATERA · LigaSure · Mega Power · MiniCAT · NIM VITAL · NTSC · NUCALA · NUVENT · Nucleus · Odactra · Olympus TCRF Devices · Otovel · PROPEL · RAPID RHINO Nasal Dressings · RELIEVA SPINPLUS · RELIEVA SPINPLUS Balloon Sinuplasty System · Relieva Spinplus · SCOPIS ENT · SINUVA · SPIROX - LATERA · STANDARDIZED · STROBO VIDERHINLARYNGOSCOPE · SURGICEL Family of Absorbable Hemostats · TIMOTHY · TruDi · TruDi NAV Cable · VIVAER STYLUS · VivAer · Vivaer RF Stylus · Xhance
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 (79%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for otolaryngology in TX.

Equivalent to $362 per 100 Medicare services performed
Looking for a otolaryngology in Arlington?
Compare otolaryngologys in the Arlington area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Otolaryngologys within 10 mi
117
Per 100K population
5.5
County median income
$81,905
Nearest hospital
MEDICAL CITY ARLINGTON
2.9 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Leffingwell is a clinical cardiology specialist, with above-average Medicare volume (top 10% in TX), and high industry engagement (low-engagement, top 9%), with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Leffingwell experienced with allergy immunotherapy preparation?
Based on Medicare claims data, Dr. Leffingwell performed 1,450 allergy immunotherapy preparation 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. Leffingwell receive payments from pharmaceutical companies?
Yes. Dr. Leffingwell received a total of $12,630 from 33 companies across 204 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. Leffingwell's costs compare to other otolaryngologys in Arlington?
Dr. Leffingwell's average Medicare payment per service is $30. 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. Leffingwell) 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 →
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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →