Medicare Enrolled
Noah Appel, M. D.
Radiation Oncology · Fort Worth, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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 Appel 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 Appel?
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What this data tells you about Appel
Noah Appel is a radiation oncology specialist in Fort Worth, TX, with 21 years of NPI registration. Based on federal Medicare data, Appel performed 846 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Appel received a total of $6,049 from 33 pharmaceutical and/or device companies across 128 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 Appel 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.
✓ 21 years of NPI registration
▲ 846 Medicare services
$6,049 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗846
Medicare services
Bottom 24% in TX for radiation oncology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$46
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 |
|---|---|---|---|
| Ultrasound-guided fine needle aspiration biopsy, first lesion A biopsy procedure where a thin needle is used to collect tissue samples from a growth, guided by ultrasound imaging. This code applies to the first lesion or mass sampled during the session. |
70 | $57 | $292 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
64 | $30 | $158 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
63 | $24 | $132 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
50 | $9 | $50 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
48 | $11 | $57 |
| Chest X-ray, 1 view An X-ray image of the chest taken from a single angle. This imaging test is used to visualize the structures within the chest cavity. |
47 | $7 | $36 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
42 | $29 | $156 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
35 | $10 | $50 |
| Fluoroscopic guidance for central vein access device Use of live X-ray imaging to guide the placement or removal of a central vein access device. |
34 | $14 | $75 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
34 | $18 | $96 |
| Abdominal fluid drainage with imaging guidance Removal of fluid from the abdominal cavity using imaging technology to guide the procedure. |
30 | $80 | $438 |
| Radiologist review of abscess or sinus study A radiologist reviews the images from a study of an abscess or sinus cavity. |
29 | $20 | $104 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
29 | $16 | $89 |
| Contrast injection through abdominal tube for X-ray A contrast dye is injected into the abdomen through a tube to enhance visibility during an X-ray study. |
28 | $27 | $154 |
| Radiologist review of CT-guided needle placement A radiologist reviews the CT imaging used to guide the placement of a needle. |
28 | $56 | $227 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
27 | $26 | $138 |
| Ultrasound-guided fine needle aspiration biopsy, each additional growth This procedure involves using ultrasound guidance to perform a fine needle aspiration biopsy on an additional growth during the same session. |
23 | $37 | $199 |
| Liver needle biopsy through skin A procedure in which a needle is inserted through the skin to remove a small sample of liver tissue for examination. |
21 | $63 | $414 |
| Bile duct injection for X-ray with imaging guidance A radiologist uses imaging guidance to inject dye into the bile duct through an existing skin access point for an X-ray examination. |
21 | $54 | $386 |
| CT-guided tissue removal A procedure using computed tomography imaging to guide the removal of tissue from the body. |
20 | $145 | $773 |
| Destruction of growth of kidney by freezing | 19 | $358 | $1,927 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
16 | $22 | $111 |
| Core needle biopsy of lung or mediastinum A procedure to remove a small tissue sample from the lung or the space between the lungs using a needle inserted through the skin. |
15 | $120 | $617 |
| Needle biopsy of abdominal cavity growth A needle is inserted into a growth within the abdominal cavity to remove a small tissue sample for laboratory analysis. |
15 | $59 | $345 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
13 | $85 | $452 |
| Central venous port insertion A surgical procedure to place a small reservoir under the skin for long-term access to the bloodstream. The device is connected to a vein to allow for repeated medication administration or blood draws. |
13 | $258 | $1,432 |
| Muscle needle biopsy A procedure in which a needle is used to remove a small sample of muscle tissue for laboratory examination. |
12 | $42 | $238 |
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 ↗$6,049
Total received (2018-2024)
Avg $864/year across 7 years
Top 11% in TX for radiation oncology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
128
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
$1,060
2023
$1,052
2022
$2,296
2021
$780
2020
$54
2019
$187
2018
$620
Payments by company (2024)
Inari Medical, Inc.
$356
Boston Scientific Corporation
$336
Penumbra, Inc.
$179
Balt USA, LLC
$70
Medtronic, Inc.
$53
Sirtex Medical Inc
$41
TriSalus Life Sciences, Inc.
$25
Top 3 companies account for 82.1% of 2024 payments
All-time payments by company (2018-2024) ›
ARGON MEDICAL DEVICES, INC.
$1,617
Boston Scientific Corporation
$1,158
Inari Medical, Inc.
$719
BOSTON SCIENTIFIC CORPORATION
$364
Medtronic, Inc.
$301
Balt USA, LLC
$238
AngioDynamics, Inc.
$201
Cook Medical LLC
$199
Sirtex Medical Inc
$182
Penumbra, Inc.
$179
HeartFlow, Inc.
$143
Bard Peripheral Vascular, Inc.
$87
EKOS Corporation
$66
XACT Robotics Ltd
$65
Terumo Medical Corporation
$62
MicroVention, Inc.
$56
Endocare, Inc.
$49
DePuy Synthes Sales Inc.
$39
Medtronic USA, Inc.
$39
Varian Medical Systems, Inc.
$31
Siemens Medical Solutions USA, Inc.
$28
TriSalus Life Sciences, Inc.
$25
B. Braun Interventional Systems Inc.
$24
Becton, Dickinson and Company
$23
Medtronic Vascular, Inc.
$21
Baylis Medical Technologies Inc.
$21
W. L. Gore & Associates, Inc.
$19
Applied Medical Technology Inc
$19
HealthTronics Mobile Solutions, LLC
$19
Veran Medical Technologies, Inc.
$15
Philips Electronics North America Corporation
$14
GE Healthcare
$13
Covidien LP
$12
Top 3 companies account for 57.8% of all-time payments
Associated products mentioned in payments ›
(6582) Visions 035 · ACQUIRE · ALPHAVAC · AZUR · AZUR CX DETACHABLE · AlphaVac · BIOPSY NEEDLE · BioFlo · Bridle · CONCERTOTM · COOK MEDICAL CATHETERS · COOK MEDICAL DRAINAGE · COOK MEDICAL FILTERS · Cook Medical Embolization · Cook Medical Filters · EKOSONIC · EMBOLD Fibered · EMBOTRAP II Revascularization Device · EMPRINT · FFRct · FLOWTRIEVER CATHETER · GENERAL ATHERECTOMY · General - Atherectomy · General - IO Ablation · IN.PACT AV · Indigo System · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · Mobile Cryoblation Services · OBSIDIO · OPTION · OSTEOCOOL RF ABLATION SYSTEM · PULSERIDER · Prestige Coil System · S · SIR-Spheres Microspheres · SPYGLASS · STENT · Spin · SpyGlass · SpyGlass Discover · THROMBECTOMY · TRINAV INFUSION SYSTEM · VENATECH VASCULAR IMPLANT · VIATORR TIPS Endoprosthesis w/ Controlled Expansion · Varian CRYOCARE TOUCH System · XACT ACE Robotic System · ZILVER PTX
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
Radiation oncologists in nearby ZIP areas
243
County median income
$81,905
Nearest hospital to ZIP centroid (approximate)
JPS HEALTH NETWORK
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
Appel is a mixed practice specialist, with moderate Medicare volume, with 21 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Appel experienced with ultrasound-guided fine needle aspiration biopsy, first lesion?
Based on Medicare claims data, Appel performed 70 ultrasound-guided fine needle aspiration biopsy, first lesion services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Appel receive payments from pharmaceutical companies?
Yes. Appel received a total of $6,049 from 33 companies across 128 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 Appel's costs compare to other radiation oncologists in Fort Worth?
Appel's average Medicare payment per service is $46. 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 Appel) 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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