Medicare Enrolled
Dr. John Michels, M.D.
Pain Medicine · Dallas, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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. Michels 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. Michels
Dr. John Michels is a pain medicine specialist in Dallas, TX, with 16 years of NPI registration. Based on federal Medicare data, Dr. Michels performed 2,202 Medicare services across 1,314 unique beneficiaries.
Between the years covered by Open Payments, Dr. Michels received a total of $52,911 from 42 pharmaceutical and/or device companies across 458 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Michels 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.
✓ 16 years in practice
▲ Top 43% volume in TX
$52,911 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,202
Medicare services
Top 43% in TX for pain medicine
1,314
Unique beneficiaries
$98
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~138 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. |
873 | $95 | $213 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
296 | $9 | $28 |
| 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. |
204 | $68 | $141 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
167 | $222 | $657 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
148 | $121 | $330 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
75 | $91 | $324 |
| 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. |
52 | $144 | $288 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
39 | $187 | $626 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
36 | $203 | $727 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
33 | $102 | $265 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
32 | $88 | $168 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
31 | $52 | $162 |
| New patient office visit, complex (60-74 min) | 31 | $171 | $415 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
30 | $75 | $684 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
27 | $176 | $566 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
25 | $92 | $230 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
24 | $0 | $40 |
| Spinal nerve root injection with imaging guidance An injection of anesthetic or steroid medication into a single nerve root in the upper or middle spine. The procedure uses imaging guidance to ensure accurate placement. |
22 | $215 | $664 |
| Additional spine nerve root injection with imaging An anesthetic and/or steroid medication is injected into an additional nerve root in the upper or middle spine. The procedure uses imaging guidance to ensure accurate placement. |
21 | $109 | $323 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
18 | $158 | $412 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
18 | $40 | $239 |
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 ↗$52,911
Total received (2018-2024)
Avg $7,559/year across 7 years
Top 4% in TX for pain medicine
42
Companies
458
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$34,621 (65.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,166 (26.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,124 (7.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$512
2023
$472
2022
$1,506
2021
$2,559
2020
$1,787
2019
$13,151
2018
$32,923
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$37,776
AcelRx Pharmaceuticals, Inc.
$4,139
Nuvectra Corporation
$2,687
Vertiflex, Inc.
$1,916
Nevro Corp.
$1,373
Pylant Medical
$669
Medtronic, Inc.
$626
MML US, Inc.
$560
Stimwave Technologies Incorporated
$504
Genesys Orthopedics Systems, L.L.C.
$312
Vertos Medical, Inc.
$273
Boston Scientific Corporation
$251
Stryker Corporation
$216
BOSTON SCIENTIFIC CORPORATION
$164
Amgen Inc.
$160
SPINAL ELEMENTS, INC.
$145
PAINTEQ LLC
$111
Allergan Inc.
$99
Medtronic USA, Inc.
$93
ABBVIE INC.
$86
SPR Therapeutics, Inc
$85
SI-BONE, Inc.
$71
ARBOR PHARMACEUTICALS, INC.
$67
VGI Medical, LLC
$52
Flexion Therapeutics, Inc.
$45
Relievant Medsystems, Inc.
$40
Novartis Pharmaceuticals Corporation
$36
DJO, LLC
$33
SCILEX PHARMACEUTICALS INC.
$33
Almatica Pharma LLC
$32
Arteriocyte Medical Systems, Inc.
$31
Arbor Pharmaceuticals, Inc.
$31
Baudax Bio Inc.
$29
Konica Minolta Healthcare Americas, Inc
$26
Nalu Medical, Inc.
$24
Pacira Therapeutics, Inc.
$24
Spinal Simplicity, LLC
$20
Bioventus LLC
$18
Horizon Pharma plc
$18
Scilex Pharmaceuticals Inc.
$17
Allergan, Inc.
$12
Stratus Medical, LLC
$7
Top 3 companies account for 84.3% of total payments
Associated products mentioned in payments ›
AIMOVIG · ANJESO · Aimovig · Algovita · Axium INS DRG IPG · BOTOX · BOTOX THERAPEUTIC · CFNS StimQ Peripheral Nerve StimulatorSystem · Cardiovascular- Research only · DRG IPGs · DRG leads · DSUVIA · DUEXIS · Durolane · ETERNA · EVENITY · Eon Family of SCS IPGs · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · HA MINUTEMAN G3-R · Horizant · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · Medical Device · NAPRELAN · Nalu Neurostimulation System · Nanostim Leadleas Pacemaker · Neuromodulation Dspsbls and Accs · Nimbus · OCTRODE · OPTABLATE · Octrode SCS Leads · Omnia · PAINTEQ · PROCARE Bracing & Supports · PROCLAIM · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · QULIPTA · ReActiv8 · SACROILIAC JOINT FUSION SYSTEM · SCS IPGs · SCS leads · SPECTRA WAVEWRITER · SPRINT PNS System · Senza Spinal Cord Stimulation System · SiJoin · Superion · Superion ISS · Swift-Lock SCS · VANTA ADAPTIVESTIM · VECTRIS · Vanta · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · iFuse Implant · mild Device Kit
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 →
The majority of payments (65%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 4% for pain medicine in TX.
Equivalent to $2,403 per 100 Medicare services performed
Geographic Context
Pain medicines within 10 mi
12
Per 100K population
0.5
County median income
$74,149
Nearest hospital
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
0.0 mi
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 2024 |
| 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. Michels is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 4% of TX peers, with 16 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. Michels experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Michels performed 873 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. Michels receive payments from pharmaceutical companies?
Yes. Dr. Michels received a total of $52,911 from 42 companies across 458 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. Michels's costs compare to other pain medicines in Dallas?
Dr. Michels's average Medicare payment per service is $98. 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. Michels) 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 →
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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.
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