Medicare Enrolled
Dr. Narendra Nigalye, M.D.
Emergency Medicine · Brownwood, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 specialist in Brownwood, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Nigalye performed 4,068 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Nigalye received a total of $1,362 from 28 pharmaceutical and/or device companies across 79 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 1% volume in TX
$1,362 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,068
Medicare services
Top 1% in TX for emergency medicine
Not available
Unique patients (not deduplicated)
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
568 | $78 | $242 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
499 | $1 | $32 |
| 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. |
348 | $61 | $246 |
| 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. |
334 | $55 | $192 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
307 | $0 | $36 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
257 | $51 | $184 |
| 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. |
242 | $82 | $283 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
213 | $9 | $62 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
168 | $0 | $48 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
161 | $138 | $449 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
138 | $92 | $352 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
91 | $117 | $361 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
75 | $134 | $684 |
| Nursing facility discharge management, more than 30 minutes This service involves care coordination and management activities performed by a healthcare professional to prepare a patient for discharge from a nursing facility. It requires more than 30 minutes of time spent on these activities. |
69 | $97 | $281 |
| Smoking cessation counseling, more than 10 minutes Intensive counseling session focused on helping patients quit smoking and tobacco use, lasting more than 10 minutes. |
69 | $26 | $75 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
67 | $62 | $246 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
55 | $124 | $299 |
| 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. |
50 | $133 | $381 |
| 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. |
44 | $88 | $362 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
40 | $14 | $35 |
| 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. |
38 | $10 | $139 |
| Annual depression screening | 33 | $18 | $55 |
| 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. |
26 | $37 | $176 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
23 | $167 | $713 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
23 | $211 | $609 |
| Annual alcohol misuse screening, 5 to 15 minutes | 22 | $18 | $55 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
19 | $47 | $122 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
18 | $15 | $85 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
17 | $28 | $135 |
| Initial nursing facility care, moderate complexity Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes. |
16 | $102 | $354 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
13 | $47 | $222 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
13 | $53 | $73 |
| Hospice care plan supervision, complex multidisciplinary Physician oversight of a patient enrolled in a Medicare-approved hospice program without the patient being present. This involves developing or revising care plans and reviewing reports for complex, multidisciplinary care needs. |
12 | $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. These counts do not measure clinical quality or years of experience.
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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
79
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
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)
Lilly USA, LLC
$62
AstraZeneca Pharmaceuticals LP
$37
Novo Nordisk Inc
$31
PFIZER INC.
$24
Mylan Specialty L.P.
$20
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
Bayer Healthcare Pharmaceuticals Inc.
$17
Radius Health, Inc.
$17
Sumitomo Pharma America, Inc.
$16
IDORSIA PHARMACEUTICALS US INC
$15
Novartis Pharmaceuticals Corporation
$15
Top 3 companies account for 47.7% of 2024 payments
All-time payments by company (2018-2024) ›
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 all-time 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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Emergency medicines in nearby ZIP areas
8
County median income
$55,305
Nearest hospital to ZIP centroid (approximate)
HENDRICK MEDICAL CENTER BROWNWOOD
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Nigalye is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Nigalye experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Nigalye performed 568 nursing facility visit, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Nigalye receive payments from pharmaceutical companies?
Yes. Dr. Nigalye received a total of $1,362 from 28 companies across 79 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 $55. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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