Medicare Enrolled
Dr. Tracy Byerly, M.D.
Otolaryngology · Fredericksburg, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Mixed engagement
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. Byerly 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. Byerly
Dr. Tracy Byerly is an otolaryngology specialist in Fredericksburg, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Byerly performed 12,016 Medicare services across 3,244 unique beneficiaries.
Between the years covered by Open Payments, Dr. Byerly received a total of $24,444 from 31 pharmaceutical and/or device companies across 217 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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. Byerly 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.
✓ 15 years in practice
▲ Top 1% volume in TX
$24,444 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,016
Medicare services
Top 1% in TX for otolaryngology
3,244
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~801 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 |
|---|---|---|---|
| Allergy immunotherapy preparation A professional service involving the preparation and administration of one or more antigens. |
5,238 | $10 | $41 |
| Allergy injection therapy, multiple injections A professional service involving the administration of multiple allergen injections. |
1,168 | $8 | $31 |
| 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. |
954 | $89 | $319 |
| Allergy skin test A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens. |
848 | $3 | $13 |
| Skin allergy test A test where small amounts of potential allergens are injected into the skin to check for allergic reactions. |
599 | $5 | $24 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
482 | $0 | $3 |
| Flexible laryngoscopy A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx. |
341 | $86 | $340 |
| Nasal endoscopy A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages. |
225 | $128 | $582 |
| Comprehensive hearing and speech recognition test A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech. |
196 | $26 | $114 |
| Middle ear function test A diagnostic test used to evaluate how well the middle ear is functioning. |
171 | $11 | $45 |
| 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. |
156 | $116 | $483 |
| Comprehensive hearing test A complete evaluation of hearing ability to assess how well a person can hear sounds across different frequencies and volumes. |
145 | $23 | $97 |
| Microscopic ear examination A detailed visual inspection of the ear using a specialized microscope to examine the ear canal and eardrum. |
136 | $19 | $86 |
| Ear probe test for repeated sounds A probe is placed in the ear to measure how the ear responds to repeated sounds. The results are interpreted and a report is provided. |
128 | $24 | $99 |
| Hearing test using earphones and bone oscillator A hearing assessment that measures the ability to hear different sound pitches. The test uses earphones for air conduction and a device placed against the bone for bone conduction. |
105 | $28 | $110 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
93 | $27 | $139 |
| CT scan of face, without contrast A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye. |
85 | $89 | $297 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
77 | $76 | $333 |
| Endoscopic nasal polyp biopsy or removal A procedure to remove or sample nasal polyps or tissue using an endoscope. The endoscope allows the provider to view the nasal passages during the procedure. |
74 | $237 | $749 |
| Reshaping of nasal cartilage | 67 | $282 | $1,861 |
| 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. |
66 | $63 | $218 |
| Destruction of nasal surface soft tissue A procedure to remove or destroy abnormal tissue on the surface lining of the nasal passages. |
65 | $102 | $824 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
65 | $6,986 | $27,000 |
| Endoscopic partial removal of nasal sinus A surgical procedure to partially remove tissue from a nasal sinus using an endoscope, a thin tube with a camera inserted through the nose. |
62 | $273 | $1,198 |
| Endoscopic sinus dilation A procedure that widens the nasal sinuses using an endoscope to improve drainage and airflow. |
61 | $1,627 | $5,654 |
| Computer-assisted neurosurgery outside brain covering A surgical procedure using computer guidance to operate on areas outside the membrane covering the brain. |
61 | $125 | $524 |
| Endoscopic dilation of sphenoid and frontal sinuses A procedure using an endoscope to widen the sphenoid and frontal sinuses. |
60 | $3,396 | $10,833 |
| CT scan of head, without contrast A CT scan uses X-rays to create detailed images of the brain and skull. This specific scan is performed without the use of contrast dye. |
47 | $112 | $672 |
| Nasal growth removal or destruction This procedure involves the removal or destruction of a growth located in the nose using an approach through the nostrils. |
38 | $511 | $2,616 |
| 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. |
33 | $96 | $372 |
| Eustachian tube dilation via nasal endoscope This procedure involves widening the Eustachian tube, which connects the middle ear to the throat, using an endoscope inserted through the nose. |
25 | $1,992 | $6,214 |
| Inner ear fluid canal incision with drug infusion A surgical procedure involving an incision into the fluid-filled canal of the inner ear followed by the infusion of medication. |
24 | $151 | $601 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
20 | $28 | $50 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
18 | $10 | $41 |
| Nasal and throat exam with endoscope A procedure to visually examine the nose and throat using a thin, flexible tube with a camera. This allows for direct visualization of the internal structures of the upper airway. |
18 | $86 | $323 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
16 | $71 | $317 |
| Destruction of nasal passage soft tissue A procedure to destroy abnormal or excess soft tissue within the nasal passages. |
14 | $80 | $647 |
| Removal of nasal air passage under lining tissue A surgical procedure to remove tissue from the nasal air passage located beneath the lining. |
12 | $97 | $817 |
| Therapeutic fracture of nasal passages | 12 | $43 | $354 |
| Eustachian tube dilation, bilateral, via endoscope This procedure widens the Eustachian tubes on both sides using an endoscope inserted through the nose. |
11 | $2,070 | $8,600 |
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.
0.7% high complexity
18.2% medium
81.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$24,444
Total received (2018-2024)
Avg $3,492/year across 7 years
Top 5% in TX for otolaryngology
31
Companies
217
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
$9,091 (37.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$7,768 (31.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,585 (31.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$764
2023
$2,482
2022
$11,024
2021
$1,532
2020
$907
2019
$1,620
2018
$6,117
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$8,127
Arrinex, Inc.
$5,645
Aerin Medical Inc.
$2,071
Intersect ENT, Inc.
$1,808
AERIN MEDICAL INC.
$1,638
Stryker Corporation
$1,541
Inspire Medical Systems, Inc.
$619
Acclarent, Inc
$456
Preceptis Medical, Inc.
$378
Neurent Medical Limited
$377
GlaxoSmithKline, LLC.
$319
Sanara MedTech Inc.
$294
GENZYME CORPORATION
$273
Innovation Technologies Inc
$129
AstraZeneca Pharmaceuticals LP
$128
ALK-Abello, Inc
$105
Olympus America Inc.
$96
SANOFI-AVENTIS U.S. LLC
$92
Medtronic USA, Inc.
$81
Integra LifeSciences Corporation
$45
OptiNose US, Inc.
$42
ABBVIE INC.
$25
Takeda Pharmaceuticals U.S.A., Inc.
$23
Boston Scientific Corporation
$23
kaleo, Inc.
$20
Xoran Technologies
$19
Hikma Pharmaceuticals USA
$17
Regeneron Healthcare Solutions, Inc.
$14
Cochlear Americas
$13
DePuy Synthes Sales Inc.
$13
Optinose US, Inc.
$13
Top 3 companies account for 64.8% of total payments
Associated products mentioned in payments ›
ACCLARENT AERA · ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM · ACCLARENT NAVWIRE SINUS NAVIGATION GUIDEWIRE · ACCLARENT SE Inflation Device · AUDION ET DILATION SYSTEM · AUVI-Q · Acclarent Aera · Apollo 2-0 Polypropylene Endobariatric Suture · CLARIFIX · CLARIFIX CRYOTHERAPY DEVICE · CONSOLE · CellerateRx · Clarifix · DIEGO POWER DISSECTOR CONSOLE · DUPIXENT · Dexilant · ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM · ENTELLUS - XPRESS ENT DILATION SYSTEM · FASENRA · Grastek · Hummingbird Tympanostomy Tube System · INSPIRE · IRRISEPT · Inspire Upper Airway Stimulation System · LATERA · LENS CLEANER InstaClear · MiniCAT · NAV - CRANIALMAP NUERO SOFTWARE AND INSTRUMENTATION · NEUROMARK Device · NUCALA · NUVENT · Nucleus · Odactra · Olympus ENT Fiber Scopes · Otiprio · PK Diego · PRE-PEN · PROPEL · PTEYE PARATHYROID DETECTION SYSTEM · PlasmaBlade · RELIEVA Spin Balloon Sinuplasty System · RHINAER STYLUS · RHINO-LARYNGO VIDEOSCOPE · Ryaltris · SBD II · SCOPIS ENT · SINUVA · TruDi Navigation System · UBRELVY · VIVAER STYLUS · VivAer · Vivaer RF Stylus · XPRESS ENT DILATION SYSTEM · XPRESS LOPROFILE · Xhance
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 (37%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 5% for otolaryngology in TX.
Equivalent to $203 per 100 Medicare services performed
Geographic Context
Otolaryngologists within 10 mi
5
Per 100K population
18.4
County median income
$67,799
Nearest hospital
HILL COUNTRY MEMORIAL HOSPITAL
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. Byerly is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), with mixed engagement industry engagement in the top 5% of TX peers, with 15 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. Byerly experienced with allergy immunotherapy preparation?
Based on Medicare claims data, Dr. Byerly performed 5,238 allergy immunotherapy preparation 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. Byerly receive payments from pharmaceutical companies?
Yes. Dr. Byerly received a total of $24,444 from 31 companies across 217 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. Byerly's costs compare to other otolaryngologists in Fredericksburg?
Dr. Byerly's average Medicare payment per service is $100. 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. Byerly) 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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