Medicare Enrolled

Dr. John Tsai, MD

Gastroenterology · Austin, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
4310 JAMES CASEY ST, Austin, TX 78745
5124484588
In practice since 2008 (18 years)
NPI: 1437321791 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. Tsai 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 →
Are you Dr. Tsai? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Tsai

Dr. John Tsai is a gastroenterology in Austin, TX, with 18 years in practice. Based on federal Medicare data, Dr. Tsai performed 964 Medicare services across 923 unique beneficiaries.

Between the years covered by Open Payments, Dr. Tsai received a total of $13,344 from 44 pharmaceutical and/or device companies across 752 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Tsai 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.

✓ 18 years in practice▲ Top 26% volume in TX$ $13,344 industry payments

Medicare Practice Summary

Medicare Utilization ↗
964
Medicare services
Top 26% in TX for gastroenterology
923
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~54 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
Office visit, established patient (20-29 min)186$63$160
Upper GI endoscopy with biopsy172$57$592
Removal of polyps or growths of large bowel using an endoscope with mechanical snare157$183$1,171
Office visit, established patient (30-39 min)111$91$234
Colonoscopy with biopsy72$82$883
New patient office visit (30-44 min)71$79$235
New patient office visit (45-59 min)56$115$365
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm37$94$637
Colorectal cancer screening; colonoscopy on individual at high risk34$179$803
Diagnostic exam of large bowel using a flexible endoscope25$133$818
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk19$179$818
Measurement of liver stiffness13$23$75
Initial hospital admission, moderate complexity11$102$310
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 ↗
$13,344
Total received (2018-2024)
Avg $1,906/year across 7 years
Top 15% in TX for gastroenterology
44
Companies
752
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
$13,327 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$17 (0.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,140
2023
$2,527
2022
$2,267
2021
$1,572
2020
$1,259
2019
$2,217
2018
$1,363

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AbbVie Inc.
$1,929
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,799
ABBVIE INC.
$1,619
Takeda Pharmaceuticals U.S.A., Inc.
$808
Janssen Biotech, Inc.
$691
AbbVie, Inc.
$691
Celgene Corporation
$625
PFIZER INC.
$605
Regeneron Healthcare Solutions, Inc.
$448
RedHill Biopharma Inc.
$403
GENZYME CORPORATION
$358
Janssen Scientific Affairs, LLC
$355
Romark Laboratories, LC
$298
UCB, Inc.
$247
Allergan Inc.
$213
Gilead Sciences, Inc.
$212
Boston Scientific Corporation
$181
Merck Sharp & Dohme Corporation
$164
Braintree Laboratories, Inc.
$144
QOL Medical, LLC
$137
Ferring Pharmaceuticals Inc.
$132
Ardelyx, Inc.
$113
Ironwood Pharmaceuticals, Inc
$111
Lilly USA, LLC
$102
IRONWOOD PHARMACEUTICALS, INC
$97
Intercept Pharmaceuticals, Inc.
$89
AIMMUNE THERAPEUTICS, INC.
$82
Synergy Pharmaceuticals Inc
$78
Merck Sharp & Dohme LLC
$74
NESTLE HEALTHCARE NUTRITION INC.
$74
Daiichi Sankyo Inc.
$58
Shire North American Group Inc
$58
Johnson & Johnson Health Care Systems Inc.
$52
Organon LLC
$51
Allergan, Inc.
$43
Nestle HealthCare Nutrition Inc.
$38
Fresenius Kabi USA, LLC
$29
BOSTON SCIENTIFIC CORPORATION
$24
ALBIREO PHARMA, INC.
$24
Madrigal Pharmaceuticals
$24
Alfasigma USA, Inc.
$18
Ethicon US, LLC
$17
Celltrion USA Inc.
$17
Cumberland Pharmaceuticals, Inc.
$12
Top 3 companies account for 40.1% of total payments
Associated products mentioned in payments ›
ALINIA · AMITIZA · APRISO · Aemcolo · Alinia · Alinia Tablets 500mg 30 count bottle · Amitiza · CIMZIA · CLENPIQ · CREON · Cimzia · Creon · DIFICID · DUPIXENT · Dexilant · ENTYVIO · EOHILIA · Entyvio · GATTEX · HUMIRA · Humira · IBSRELA · IDACIO · INFLECTRA · INJECTAFER · IQIRVO · LINX Reflux Management System · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · Mavyret · Movantik · OCALIVA · OMVOH · Omeclamox · REBYOTA · REMICADE · RENFLEXIS · RESMETIROM · RINVOQ · Resolution Clip · SKYRIZI · STELARA · SUCRAID · SUPREP · SUTAB · Sucraid · TREMFYA · TRULANCE · Talicia · Trulance · VELSIPITY · VIBERZI · VOWST · WATCHMAN · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA · ZINPLAVA · ZYMFENTRA
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $1,384 per 100 Medicare services performed
Looking for a gastroenterology in Austin?
Compare gastroenterologys in the Austin area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
67
Per 100K population
5.1
County median income
$97,169
Nearest hospital
AUSTIN OAKS HOSPITAL
0.0 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. Tsai is a clinical cardiology specialist, with above-average Medicare volume (top 26% in TX), and high industry engagement (low-engagement, top 15%), with 18 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. Tsai experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Tsai performed 186 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. Tsai receive payments from pharmaceutical companies?
Yes. Dr. Tsai received a total of $13,344 from 44 companies across 752 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. Tsai's costs compare to other gastroenterologys in Austin?
Dr. Tsai's average Medicare payment per service is $100. 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. Tsai) 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 →