Medicare Enrolled

Dr. Tracy Byerly, M.D.

Otolaryngology · Fredericksburg, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Mixed engagement
205 W WINDCREST ST STE 210, Fredericksburg, TX 78624
8309974000
In practice since 2011 (15 years)
NPI: 1427354208 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. 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 →
Are you Dr. Byerly? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Byerly

Dr. Tracy Byerly is an otolaryngology in Fredericksburg, TX, with 15 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Allergy immunotherapy preparation5,238$10$41
Allergy injection therapy, multiple injections1,168$8$31
Office visit, established patient (30-39 min)954$89$319
Allergy skin test848$3$13
Test for allergy using allergenic extract injected into skin599$5$24
Dexamethasone injection (steroid)482$0$3
Diagnostic exam of voice box using a flexible endoscope341$86$340
Diagnostic exam of nasal passages using an endoscope225$128$582
Comprehensive hearing and speech recognition test196$26$114
Test to assess middle ear function171$11$45
New patient office visit (45-59 min)156$116$483
Comprehensive hearing test145$23$97
Exam of ear using a microscope136$19$86
Placement of ear probe for computerized measurement of repeated sounds with interpretation and report128$24$99
Test for hearing various pitches using earphone and device placed against the bone105$28$110
Removal of impacted ear wax93$27$139
Ct scan of face without contrast85$89$297
Ultrasound scan of head and neck soft tissue77$76$333
Biopsy or removal of nasal polyp or tissue using an endoscope74$237$749
Reshaping of nasal cartilage67$282$1,861
Office visit, established patient (20-29 min)66$63$218
Destruction of surface soft tissue of nasal passages65$102$824
Unclassified drugs65$6,986$27,000
Partial removal of nasal sinus using an endoscope62$273$1,198
Dilation of nasal sinus using an endoscope61$1,627$5,654
Computer-assisted procedure outside membrane covering brain61$125$524
Dilation of sphenoid and frontal nasal sinus using an endoscope60$3,396$10,833
Ct scan of cranial cavity without contrast47$112$672
Removal or destruction of growth of nose through nose38$511$2,616
Fine needle aspiration biopsy using ultrasound guidance, first growth33$96$372
Dilation of canal between middle ear and throat (eustachian tube) on one side of body, using endoscope inserted through nose25$1,992$6,214
Incision of fluid canal of inner ear with infusion of drugs24$151$601
Telephone medical discussion with physician, 5-10 minutes20$28$50
Removal of impacted ear wax by washing18$10$41
Exam of the nose and throat using an endoscope18$86$323
New patient office visit (30-44 min)16$71$317
Destruction of soft tissue of nasal passages14$80$647
Removal of nasal air passage under lining tissue12$97$817
Therapeutic fracture of nasal passages12$43$354
Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose11$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.
0.2% high complexity
16.4% medium
83.4% 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
Looking for a otolaryngology in Fredericksburg?
Compare otolaryngologys in the Fredericksburg area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Otolaryngologys within 10 mi
5
Per 100K population
18.4
County median income
$67,799
Nearest hospital
HILL COUNTRY MEMORIAL HOSPITAL
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. Byerly is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), and high industry engagement (mixed engagement, top 5%), with 15 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. 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 otolaryngologys 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 →
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 →