Medicare Enrolled
Dr. Andrea Natale, MD
Cardiovascular Disease · Austin, TX
Practice pattern: Electrophysiology & Interventional
— Practice combining electrophysiology and interventional services
Consulting-driven
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. Natale 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. Natale
Dr. Andrea Natale is a cardiovascular disease specialist in Austin, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Natale performed 1,714 Medicare services across 1,478 unique beneficiaries.
Between the years covered by Open Payments, Dr. Natale received a total of $1,050,225 from 44 pharmaceutical and/or device companies across 1869 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Natale 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
▲ 1,714 Medicare services
$1,050,225 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,714
Medicare services
Bottom 45% in TX for cardiovascular disease
1,478
Unique beneficiaries
$179
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~90 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 |
|---|---|---|---|
| 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. |
249 | $65 | $139 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
168 | $11 | $60 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
138 | $240 | $1,299 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
135 | $18 | $72 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
128 | $742 | $3,648 |
| 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. |
125 | $93 | $203 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
121 | $237 | $1,235 |
| Ultrasound of heart blood vessels with radiologist review An ultrasound exam that evaluates blood vessels within the heart, including a review of the results by a radiologist. |
96 | $58 | $823 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
88 | $637 | $2,495 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
84 | $20 | $79 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
60 | $398 | $2,578 |
| 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. |
56 | $81 | $208 |
| Insertion of catheter into left heart chamber through septum A procedure to place a tube into the left side of the heart by passing it through the wall separating the heart chambers. |
50 | $155 | $627 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
50 | $89 | $200 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
43 | $66 | $610 |
| Left heart catheterization with pacing and arrhythmia induction A procedure where catheters are inserted to record electrical activity and pace the left lower chamber of the heart. It also involves intentionally inducing an abnormal heart rhythm for diagnostic purposes. |
25 | $130 | $614 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
23 | $59 | $185 |
| 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. |
23 | $129 | $320 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
22 | $72 | $152 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
17 | $79 | $253 |
| Cardiac rhythm monitor evaluation Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity. |
13 | $35 | $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.
35.9% high complexity
5.6% medium
58.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,050,225
Total received (2018-2024)
Avg $150,032/year across 7 years
Top 0% in TX for cardiovascular disease
44
Companies
1,869
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$620,201 (59.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$260,899 (24.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$123,591 (11.8%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$45,534 (4.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$245,224
2023
$213,923
2022
$208,194
2021
$87,991
2020
$66,085
2019
$152,864
2018
$75,944
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$327,868
BIOTRONIK INC.
$93,005
Biosense Webster, Inc.
$86,542
Medical Device Business Services, Inc.
$80,094
Itamar Medical Inc
$76,413
Abbott Laboratories
$75,199
Volta Medical Inc
$66,231
Medtronic, Inc.
$62,541
Medtronic Vascular, Inc.
$35,177
Acutus Medical, Inc.
$27,854
Baylis Medical Company Inc
$14,638
SANOFI-AVENTIS U.S. LLC
$14,348
PFIZER INC.
$14,039
CARDIVA MEDICAL, INC.
$13,604
BioSig Technologies, Inc.
$12,617
ATRICURE, INC.
$9,997
Janssen Scientific Affairs, LLC
$7,153
Pulse Biosciences, Inc.
$6,500
AtriCure, Inc.
$4,755
BOSTON SCIENTIFIC CORPORATION
$4,578
Philips Electronics North America Corporation
$4,197
Siemens Medical Solutions USA, Inc.
$3,835
Merit Medical Systems Inc
$2,959
iRhythm Technologies, Inc.
$1,554
Janssen Pharmaceuticals, Inc
$1,274
GE HEALTHCARE
$1,200
Impulse Dynamics (USA) Inc.
$557
CVRx, Inc.
$417
ViiV Healthcare Company
$309
GE HealthCare
$146
Bardy Diagnostics, Inc.
$115
Amgen Inc.
$72
Terumo Medical Corporation
$70
Johnson & Johnson Health Care Systems Inc.
$68
Novartis Pharmaceuticals Corporation
$60
Acclarent, Inc
$54
PORTOLA PHARMACEUTICALS, INC.
$31
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$31
Kiniksa Pharmaceuticals International, plc
$30
Vital Connect, Inc
$25
Stereotaxis Inc
$22
AstraZeneca Pharmaceuticals LP
$19
E.R. Squibb & Sons, L.L.C.
$17
AltaThera Pharmaceuticals LLC
$10
Top 3 companies account for 48.3% of total payments
Associated products mentioned in payments ›
(9124) LM Undivided · ACHIEVE · ACUSON Origin Diagnostic Ultrasound System · AFFERA MAPPING SYSTEM · AGILIS HISPRO · AMPLATZER · AMPLATZER AMULET · AMPLATZER Occluders · ANDEXXA · ARCTIC FRONT ADVANCE · ASSURITY · ATRICLIP LAA EXCLUSION SYSTEM · ATRICURE SYNERGY ABLATION SYSTEM · AVEIR · AZUR · Acclarent Aera · Acticor · Acticor 7 VR-T DX · Adapta · Advisa · Advisor Catheter · Agilis NxT EP Introducer · Allure CRT Pacemaker · Allure Quadra RF CRT Pacemaker · Ampere RF Ablation Generator · Arcalyst · Arctic Front · Assurity Pacemaker · AtriCure Synergy Ablation System · BRK EP Transseptal Access · Barostim Neo System · CARDIOMEMS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · CHANTIX · COBALT DR MRI SURESCAN · CRM-Research only · CardioMEMS HF System · Cardiovascular- Research only · Cardiva VASCADE MVP VVCS 6-12F · CareLink · Carnation Ambulatory Monitor · Carto 3 · Carto 3 System · Carto Smarttouch · CartoSound · CellFx · Confidense · Confirm Rx · CryoConsole · DOVATO · ELIQUIS · ENGAGE · ENSITE · ENSITE PRECISION · ENTRESTO · EP-Research Only · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edora · Edora 8 DR-T · Ellipse ICD · EnSite Precision Cardiac Mapping System · EnSite X · Ensite Cardiac Mapping System · FARXIGA · FLEXABILITY · FORTIFY ASSURA · FlexAbility Ablation Catheter · Fortify Assura · GALLANT · GENERAL STRUCTURAL HEART · GENERAL THERAPIES · GENERAL THERAPIES · GENERAL - THERAPIES · GENERAL THERAPIES · General - EP · General - Therapies · Generators · Glidesheath · Inquiry Steerable Catheters · JOT DX · LARIAT RS · LINQ II · LifeVest · MICRA · MODELS · MULTAQ · MetaCross · Micra · Mitra Clip system · NA · NRG needle · NUVISION ICE CATHETER · Navistar · Niobe · OCTARAY MAPPING CATHETER · OPTIMIZER · OPTIMIZER SMART SYSTEM · Optimizer · Optimizer Smart System · PULSESELECT · PURE EP · PURE EP SYSTEM · Pentaray · Perclose ProGlide suture mediated closure system · Plexa · QDOT MICRO Catheter · Quadra Assura CRT Defibrillator · RESONATE · Repatha · Reveal LINQ · Rhythmia Mapping System · Rivacor · Rivacor 7 DR-T · SENSOR ENABLED · SYNERGY ABLATION SYSTEM · Selectra · SmartAblateTM System RF Generator · Smartablate · Solia · Sotalol Hydrochloride · Soundstar · Spectranetics Undiv · TACTICATH ABLATION CATHETER · THERAPIES · THERMOCOOL SMARTTOUCH · TactiCath Quartz CFA Catheter · Tendril Pacing Lead · Therapy Ablation Catheter · Thermocool · Thermocool SF · VIEWMATE · VITALPATCH RTM · VX1 · VYNDAQEL · Vascular Closure Device · VersaCross Fixed · ViewFlex Xtra ICE Catheter · ViewMate Intracardiac Echo · Visia AF · Vivid · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · WatchPAT · WatchPat · Webster · XARELTO · ZIO XT Patch
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 →
The majority of payments (59%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 0% for cardiovascular disease in TX.
Equivalent to $61,273 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
92
Per 100K population
7.0
County median income
$97,169
Nearest hospital
ASCENSION SETON MEDICAL CENTER AUSTIN
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Natale is an electrophysiology & interventional specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 0% of TX peers, with 19 years of NPI registration.
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. Natale experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Natale performed 249 office visit, established patient (20-29 min) 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. Natale receive payments from pharmaceutical companies?
Yes. Dr. Natale received a total of $1,050,225 from 44 companies across 1,869 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. Natale's costs compare to other cardiologists in Austin?
Dr. Natale's average Medicare payment per service is $179. 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. Natale) 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. 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.
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