Medicare Enrolled

Dr. Nicole Ryman, MD

Internal Medicine · Cedar Park, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
600 N BELL BLVD STE 100, Cedar Park, TX 78613
7373210200
In practice since 2018 (8 years)
NPI: 1427552579 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. Ryman 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. Ryman? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ryman

Dr. Nicole Ryman is an internal medicine in Cedar Park, TX, with 8 years in practice. Based on federal Medicare data, Dr. Ryman performed 712 Medicare services across 579 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ryman received a total of $5,112 from 39 pharmaceutical and/or device companies across 285 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Ryman 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.

✓ 8 years in practice▲ Top 47% volume in TX$ $5,112 industry payments

Medicare Practice Summary

Medicare Utilization ↗
712
Medicare services
Top 47% in TX for internal medicine
579
Unique beneficiaries
$73
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~89 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 (30-39 min)295$77$283
Annual wellness visit, follow-up154$117$299
Office visit, established patient (20-29 min)55$51$192
New patient office visit (45-59 min)35$96$438
Annual depression screening34$17$47
Testing for presence of drug, read by direct observation33$12$41
Drug injection, under skin or into muscle27$9$62
Flu vaccine administration21$31$37
Flu vaccine, high-dose20$72$109
Annual alcohol misuse screening, 5 to 15 minutes16$17$47
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment11$151$436
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report11$6$55
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 ↗
$5,112
Total received (2021-2024)
Avg $1,278/year across 4 years
Top 16% in TX for internal medicine
39
Companies
285
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
$5,112 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,420
2023
$1,835
2022
$1,703
2021
$154

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$566
GlaxoSmithKline, LLC.
$561
PFIZER INC.
$386
AstraZeneca Pharmaceuticals LP
$379
Lilly USA, LLC
$358
ABBVIE INC.
$348
Amgen Inc.
$288
Mylan Specialty L.P.
$268
IDORSIA PHARMACEUTICALS US INC
$243
Medtronic, Inc.
$179
Boehringer Ingelheim Pharmaceuticals, Inc.
$173
AbbVie Inc.
$171
SANOFI-AVENTIS U.S. LLC
$144
Novartis Pharmaceuticals Corporation
$136
Biohaven Pharmaceutical Holding Company Ltd.
$114
Exact Sciences Corporation
$107
Axsome Therapeutics, Inc.
$98
Bayer HealthCare Pharmaceuticals Inc.
$75
Antares Pharma, Inc.
$72
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$48
Amarin Pharma Inc.
$41
Abbott Laboratories
$38
Bayer Healthcare Pharmaceuticals Inc.
$37
Sumitomo Pharma America, Inc.
$26
IRONSHORE PHARMACEUTICALS INC.
$24
Dexcom, Inc.
$23
Sunovion Pharmaceuticals Inc.
$22
SHIELD THERAPEUTICS INC
$22
Janssen Pharmaceuticals, Inc
$20
Shield Therapeutics Inc
$20
Otsuka America Pharmaceutical, Inc.
$18
Supernus Pharmaceuticals, Inc.
$14
Stryker Corporation
$14
Nevro Corp.
$14
Amneal Pharmaceuticals LLC
$14
Astellas Pharma US Inc
$13
Horizon Therapeutics plc
$13
Avanir Pharmaceuticals, Inc.
$12
Takeda Pharmaceuticals U.S.A., Inc.
$12
Top 3 companies account for 29.6% of total payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · AREXVY · Aimovig · Auvelity · BREZTRI · COMIRNATY · CREON · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE · GEMTESA · INTELLIS ADAPTIVESTIM · JARDIANCE · JORNAY PM · Kerendia · LEQVIO · LINZESS · MAKO · MINIMED 770G · MOUNJARO · NOCDURNA · NURTEC ODT · Nuedexta · Otezla · Ozempic · PAXLOVID · PENNSAID · PREVNAR 20 · PROCLAIM · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SYNTHROID · Senza · TLANDO · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · UBRELVY · UNITHROID · VRAYLAR · Vascepa · Veozah · Wegovy · XARELTO · XIFAXAN · YUPELRI · 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.

Equivalent to $718 per 100 Medicare services performed
Looking for a internal medicine in Cedar Park?
Compare internal medicines in the Cedar Park area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal Medicines within 10 mi
880
Per 100K population
136.7
County median income
$108,309
Nearest hospital
CEDAR PARK REGIONAL MEDICAL CENTER
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. Ryman is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 16%).

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. Ryman experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Ryman performed 295 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. Ryman receive payments from pharmaceutical companies?
Yes. Dr. Ryman received a total of $5,112 from 39 companies across 285 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. Ryman's costs compare to other internal medicines in Cedar Park?
Dr. Ryman's average Medicare payment per service is $73. 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. Ryman) 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 →