Medicare Enrolled

Dr. Narendra Nigalye, M.D.

Emergency Medicine · Brownwood, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
2502 CROCKETT DR STE A, Brownwood, TX 76801
3256490999
In practice since 2005 (20 years)
NPI: 1659369056 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. Nigalye 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. Nigalye

Dr. Narendra Nigalye is an emergency medicine in Brownwood, TX, with 20 years in practice. Based on federal Medicare data, Dr. Nigalye performed 3,759 Medicare services across 1,568 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nigalye received a total of $1,362 from 28 pharmaceutical and/or device companies across 79 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency medicine. 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. Nigalye 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.

✓ 20 years in practice▲ Top 1% volume in TX$ $1,362 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,759
Medicare services
Top 1% in TX for emergency medicine
1,568
Unique beneficiaries
$50
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~188 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
Steroid injection (triamcinolone)499$1$32
Nursing facility visit, moderate complexity472$77$242
Hospital follow-up visit, moderate complexity348$61$246
Office visit, established patient (20-29 min)334$55$192
Injection, ketorolac tromethamine, per 15 mg307$0$36
Office visit, established patient (30-39 min)242$82$283
Nursing facility visit, low complexity232$50$184
Drug injection, under skin or into muscle213$9$62
Ceftriaxone antibiotic injection168$0$48
Hospital follow-up visit, high complexity138$92$352
Initial hospital admission, high complexity75$134$684
Smoking and tobacco use intensive counseling, more than 10 minutes69$26$75
Hospital discharge day management, 30 minutes or less67$62$246
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes63$117$361
Annual wellness visit, follow-up55$124$299
Office visit, established patient, complex (40-54 min)50$133$381
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes47$137$449
Hospital discharge management, 30+ min44$88$362
Smoking and tobacco use intensive counseling, 4-10 minutes40$14$35
Electrocardiogram (EKG), 12-lead38$10$139
Annual depression screening33$18$55
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and26$37$176
Critical care, first 30-74 min23$167$713
Nursing facility discharge management, more than 30 minutes23$92$281
Transitional care management services for problem of high complexity23$211$609
Annual alcohol misuse screening, 5 to 15 minutes22$18$55
Joint injection, major joint19$47$122
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)18$15$85
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a17$28$135
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes16$102$354
Destruction of precancerous skin growth, 113$47$222
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza13$53$73
Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien12$80$289
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 ↗
$1,362
Total received (2018-2024)
Avg $195/year across 7 years
Top 9% in TX for emergency medicine
28
Companies
79
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
$1,362 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$272
2023
$227
2022
$351
2021
$239
2020
$128
2019
$124
2018
$22

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$288
PFIZER INC.
$117
Novo Nordisk Inc
$95
IDORSIA PHARMACEUTICALS US INC
$81
Lilly USA, LLC
$80
Novartis Pharmaceuticals Corporation
$78
Collaborative Care Diagnostics, LLC
$65
Merck Sharp & Dohme LLC
$56
Boehringer Ingelheim Pharmaceuticals, Inc.
$54
Mylan Specialty L.P.
$50
Radius Health, Inc.
$46
Medtronic Vascular, Inc.
$44
Merck Sharp & Dohme Corporation
$42
ABBVIE INC.
$29
Melinta Therapeutics, Inc.
$22
AbbVie Inc.
$20
Abbott Laboratories
$19
Janssen Pharmaceuticals, Inc
$19
Horizon Therapeutics plc
$18
Biogen, Inc.
$18
Kowa Pharmaceuticals America, Inc.
$17
Bayer Healthcare Pharmaceuticals Inc.
$17
Sumitomo Pharma America, Inc.
$16
Allergan Inc.
$16
Eisai Inc.
$15
Alkermes, Inc.
$14
Corium, Inc.
$14
Antares Pharma, Inc.
$12
Top 3 companies account for 36.7% of total payments
Associated products mentioned in payments ›
AIRSUPRA · ARISTADA · Azstarys · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · Baxdela · Dayvigo · ELIQUIS · ENTRESTO · FARXIGA · FreeStyle Libre · GEMTESA · HawkOne · JANUVIA · JARDIANCE · Kerendia · LEQVIO · Livalo · MOUNJARO · Ozempic · PREMARIN · QULIPTA · QUVIVIQ · RAYOS · Rybelsus · SYMBICORT · TRULICITY · Tymlos · UBRELVY · VRAYLAR · Wegovy · XARELTO · XYOSTED · YUPELRI
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. Total industry engagement is in the top 9% for emergency medicine in TX.

Equivalent to $36 per 100 Medicare services performed
Looking for a emergency medicine in Brownwood?
Compare emergency medicines in the Brownwood area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Emergency Medicines within 10 mi
8
Per 100K population
20.9
County median income
$55,305
Nearest hospital
HENDRICK MEDICAL CENTER BROWNWOOD
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. Nigalye is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), and high industry engagement (low-engagement, top 9%), with 20 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. Nigalye experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Nigalye performed 499 steroid injection (triamcinolone) 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. Nigalye receive payments from pharmaceutical companies?
Yes. Dr. Nigalye received a total of $1,362 from 28 companies across 79 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. Nigalye's costs compare to other emergency medicines in Brownwood?
Dr. Nigalye's average Medicare payment per service is $50. 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. Nigalye) 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 →