Medicare Enrolled

Dr. Richard Farnam, MD

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · El Paso, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
4501 N MESA ST, El Paso, TX 79912
9155335600
In practice since 2005 (20 years)
NPI: 1205818234 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. Farnam 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. Farnam

Dr. Richard Farnam is an urogynecology and reconstructive pelvic surgery (urology) physician in El Paso, TX, with 20 years in practice. Based on federal Medicare data, Dr. Farnam performed 500 Medicare services across 461 unique beneficiaries.

Between the years covered by Open Payments, Dr. Farnam received a total of $1,294,020 from 34 pharmaceutical and/or device companies across 1757 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urogynecology and reconstructive pelvic surgery (urology) physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Farnam 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 50% volume in TX$ $1,294,020 industry payments

Medicare Practice Summary

Medicare Utilization ↗
500
Medicare services
Top 50% in TX for urogynecology and reconstructive pelvic surgery (urology) physician
461
Unique beneficiaries
$137
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~25 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 (20-29 min)101$62$202
Office visit, established patient (30-39 min)97$83$298
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina49$85$343
Complete ultrasound scan of pelvis48$78$333
Diagnostic exam of bladder and urethra using an endoscope47$162$583
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory39$41$124
Cervical or vaginal cancer screening; pelvic and clinical breast examination37$36$107
Surgical repair of vaginal defect using an endoscope19$705$2,688
Creation of sling around urethra in female to control leakage14$345$1,994
Biopsy of lining of uterus and/or removal of polyp using an endoscope13$1,024$3,766
Automated urinalysis13$2$9
Repair of bladder hernia into vaginal wall12$255$1,753
Injection of implant material beneath lining of bladder and/or urethra using an endoscope11$117$567
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 ↗
$1,294,020
Total received (2018-2024)
Avg $184,860/year across 7 years
Top 12% in TX for urogynecology and reconstructive pelvic surgery (urology) physician
34
Companies
1,757
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,052,258 (81.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$232,534 (18.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,228 (0.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$166,582
2023
$160,601
2022
$236,647
2021
$111,789
2020
$117,745
2019
$265,978
2018
$234,677

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Intuitive Surgical, Inc.
$775,138
INTUITIVE SURGICAL, INC.
$152,658
CooperSurgical, Inc.
$152,271
Caldera Medical, Inc
$55,343
Medtronic, Inc.
$42,787
Applied Medical Resources Corporation
$29,243
Avanos Medical
$25,365
Acessa Health Inc.
$18,842
Medtronic USA, Inc.
$16,536
Astellas Pharma US Inc
$12,053
Allotrope Medical, Inc
$6,591
Axonics, Inc.
$3,885
Hologic, LLC
$522
Boston Scientific Corporation
$413
Stryker Corporation
$380
Integra LifeSciences Corporation
$295
FEMSelect Inc.
$245
Minerva Surgical, Inc
$189
Duchesnay USA Incorporated
$175
Bolder Surgical LLC
$162
COLOPLAST CORP
$153
CONMED Corporation
$128
Vertical Pharmaceuticals, LLC
$102
PFIZER INC.
$97
Avion Pharmaceuticals
$89
AMAG Pharmaceuticals, Inc.
$85
BOSTON SCIENTIFIC CORPORATION
$64
TherapeuticsMD, Inc.
$52
Lupin Inc.
$39
ABBVIE INC.
$29
Exeltis, USA Inc.
$28
Olympus America Inc.
$27
Allergan Inc.
$22
AbbVie, Inc.
$14
Top 3 companies account for 83.5% of total payments
Associated products mentioned in payments ›
1688 · ACESSA PROVU SYSTEM · ADVANTAGE · AIRSEAL · ALEXIS CONTAINED EXTRACTION SYSTEM · ALLY II UPS · Acessa · Advantage System · Advincula Delineator Uterine Manipulator · Axonics r-SNM System · Balcoltra · Bulkamid · DA VINCI SP · DIVIGEL · Da Vinci Surgical System · Desara · ENPLACE · Endometrial Ablation System (Device) · Endosee · GELPOINT · GELPOINT MINI · HOMEPUMP PUMP AND ACCESSORIES · IMVEXXY · INTERSEPT · INTERSTIM · INTERSTIM ICON · INTRAROSA · JustRight Sealer and CoolSeal Sealer · LO LOESTRIN FE · MYOSURE TISSUE REMOVAL DEVICE · Myosure Manual · OMNI HYSTEROSCOPE · OMNIGRAFT · ON-Q · ON-Q PUMP AND ACCESSORIES · ON-Q* PUMP AND ACCESSORIES · Olympus Integration Professional Services · Osphena · PREMARIN · PVC · Restorelle · SOLOSEC · SURGIMEND · StimSite · SuperCut Hysterectomy Scissors · ThinPrep · Upsylon · Uterine Manipulators & Injectors · VCARE · Veozah · Vitafol Ultra
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 (81%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in urogynecology and reconstructive pelvic surgery (urology) physician and does not inherently indicate bias, but patients may wish to be aware.

Equivalent to $258,804 per 100 Medicare services performed
Looking for a urogynecology and reconstructive pelvic surgery (urology) physician in El Paso?
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Geographic Context

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physicians within 10 mi
1
Per 100K population
0.1
County median income
$58,859
Nearest hospital
RIO VISTA BEHAVIORAL HEALTH
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. Farnam is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 12%), 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. Farnam experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Farnam performed 101 office visit, established patient (20-29 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. Farnam receive payments from pharmaceutical companies?
Yes. Dr. Farnam received a total of $1,294,020 from 34 companies across 1,757 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. Farnam's costs compare to other urogynecology and reconstructive pelvic surgery (urology) physicians in El Paso?
Dr. Farnam's average Medicare payment per service is $137. 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. Farnam) 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 →