Medicare Enrolled

Dr. David Macdougall, D.O., F.A.C.O.S., PA

Neurological Surgery · Baytown, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4201 GARTH RD STE 205, Baytown, TX 77521
7137955300
In practice since 2007 (19 years)
NPI: 1376662726 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. Macdougall 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. Macdougall

Dr. David Macdougall is a neurological surgery specialist in Baytown, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Macdougall performed 679 Medicare services across 573 unique beneficiaries.

Between the years covered by Open Payments, Dr. Macdougall received a total of $531 from 9 pharmaceutical and/or device companies across 10 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. 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. Macdougall 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 19% volume in TX $531 industry payments

Medicare Practice Summary

Medicare Utilization ↗
679
Medicare services
Top 19% in TX for neurological surgery
573
Unique beneficiaries
$215
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~36 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 (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.
135 $91 $205
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.
122 $85 $205
Partial removal of spine bone with nerve release, each additional segment
This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment.
96 $166 $700
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
76 $141 $275
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
49 $105 $250
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
44 $42 $80
Partial removal of spine bone with nerve release, 1 segment
A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment.
38 $885 $3,500
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc 28 $327 $1,275
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.
25 $64 $130
Graft of donor bone to spine 22 $91 $360
Spinal fusion with disc removal and nerve release, 1 disc
This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve.
22 $1,363 $5,450
Spinal stabilization device placement, 2-3 segments
Surgical placement of a device to stabilize the front of two to three spinal segments.
11 $600 $2,350
Spinal stabilization device placement, 4-7 segments
Surgical placement of a device to stabilize the front of the spine across four to seven bone segments.
11 $625 $2,425
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.
7.4% high complexity
0.0% medium
92.6% routine

Industry Payment Transparency

Open Payments through 2023 ↗
$531
Total received (2018-2023)
Avg $106/year across 5 years
Bottom 21% in TX for neurological surgery
9
Companies
10
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
$525 (98.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$6 (1.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$96
2022
$111
2021
$281
2020
$38
2018
$6

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
SEASPINE ORTHOPEDICS CORPORATION
$156
SI-BONE, INC.
$125
KARL STORZ Endoscopy-America
$74
Intrinsic Therapeutics
$53
Orthofix Medical, Inc.
$40
Nevro Corp.
$38
Medtronic, Inc.
$22
Baxter Healthcare
$18
Ethicon US, LLC
$6
Top 3 companies account for 66.8% of total payments
Associated products mentioned in payments ›
BARRICAID ACD (ANNULAR CLOSURE DEVICE) · Cervical-Stim · FLOSEAL · IFUSE IMPLANT · METRX SYSTEM · Senza Spinal Cord Stimulation System
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $78 per 100 Medicare services performed
Looking for a neurological surgery specialist in Baytown?
Compare neurological surgerists in the Baytown area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurological surgerists within 10 mi
14
Per 100K population
0.3
County median income
$73,104
Nearest hospital
HOUSTON METHODIST BAYTOWN HOSPITAL
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 2023
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. Macdougall is a clinical cardiology specialist, with above-average Medicare volume (top 19% in TX), with low-engagement industry engagement, 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. Macdougall experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Macdougall performed 135 office visit, established patient (30-39 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. Macdougall receive payments from pharmaceutical companies?
Yes. Dr. Macdougall received a total of $531 from 9 companies across 10 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. Macdougall's costs compare to other neurological surgerists in Baytown?
Dr. Macdougall's average Medicare payment per service is $215. 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. Macdougall) 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 →