Medicare Enrolled
Dr. Ripul Panchal, DO
Neurological Surgery · Frisco, 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. Panchal 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. Panchal
Dr. Ripul Panchal is a neurological surgery specialist in Frisco, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Panchal performed 1,095 Medicare services across 792 unique beneficiaries.
Between the years covered by Open Payments, Dr. Panchal received a total of $411,475 from 44 pharmaceutical and/or device companies across 343 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. 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. Panchal 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.
✓ 18 years in practice
▲ Top 8% volume in TX
$411,475 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,095
Medicare services
Top 8% in TX for neurological surgery
792
Unique beneficiaries
$200
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~61 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. |
214 | $88 | $790 |
| 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. |
155 | $129 | $1,105 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
122 | $193 | $1,502 |
| 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. |
97 | $115 | $1,006 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
79 | $41 | $309 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
73 | $292 | $2,400 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
65 | $38 | $298 |
| Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | 41 | $296 | $2,438 |
| 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. |
30 | $64 | $447 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
24 | $1,282 | $10,453 |
| New patient office visit, complex (60-74 min) | 24 | $161 | $1,264 |
| Spinal fusion with partial bone and disc removal A surgical procedure to join additional segments of the spine. It involves the partial removal of spine bone and disc tissue. |
21 | $362 | $3,043 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
21 | $570 | $4,907 |
| Partial bone removal of additional lower back spine segment during fusion This procedure involves the partial removal of bone from an additional segment of the lower spine to release the spinal cord or nerves. It is performed as part of a spinal fusion surgery in the lower back. |
20 | $171 | $1,118 |
| Lower back spinal fusion with bone and disc removal A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area. |
19 | $1,229 | $11,357 |
| Computer-assisted spinal procedure A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution. |
19 | $173 | $1,421 |
| Partial removal of spine bone with nerve release during fusion This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion. |
18 | $193 | $1,492 |
| Spinal stabilization device placement, 4-7 segments Surgical placement of a device to stabilize the front of the spine across four to seven bone segments. |
15 | $565 | $4,644 |
| Spinal stabilization device placement, 2-3 segments Surgical placement of a device to stabilize the front of two to three spinal segments. |
13 | $543 | $4,473 |
| X-ray of entire middle and lower spine, 4-5 views This procedure involves taking 4 to 5 X-ray images of the entire middle and lower spine to visualize the bones and structures in that area. |
13 | $60 | $461 |
| X-ray of entire middle and lower spine, minimum of 6 views An X-ray imaging procedure that captures at least six views of the entire middle and lower spine to visualize the bones and structures in these regions. |
12 | $76 | $578 |
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.
30.9% high complexity
0.0% medium
69.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$411,475
Total received (2018-2024)
Avg $58,782/year across 7 years
Top 3% in TX for neurological surgery
44
Companies
343
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
$175,914 (42.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$115,555 (28.1%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$105,506 (25.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,500 (3.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$36,401
2023
$53,893
2022
$73,974
2021
$116,230
2020
$41,405
2019
$35,376
2018
$54,197
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Evolution Spine, LLC
$222,465
Medtronic USA, Inc.
$113,821
Medtronic, Inc.
$30,566
Spinevision SAS
$25,389
Globus Medical, Inc.
$5,801
Intelivation Technologies, LLC
$3,000
Augmedics Inc.
$1,823
Vertiflex, Inc.
$1,334
Medical Device Business Services, Inc.
$1,050
Boston Scientific Corporation
$954
Pylant Medical
$772
SEASPINE ORTHOPEDICS CORPORATION
$659
Abbott Laboratories
$570
Spinevision Inc.
$369
Synthes GmbH
$324
Nevro Corp.
$278
SeaSpine Orthopedics Corporation
$275
DePuy Synthes Sales Inc.
$218
Curiteva, Inc.
$216
Integra LifeSciences Corporation
$193
Penumbra, Inc.
$162
Arthrex, Inc.
$161
CPM Medical Consultants, LLC
$132
Cerapedics, Inc.
$131
SI-BONE, Inc.
$114
PROVIDENCE MEDICAL TECHNOLOGY, INC.
$98
Arteriocyte Medical Systems, Inc.
$85
Intrinsic Therapeutics
$61
Alphatec Spine, Inc
$56
Orthofix Medical, Inc.
$44
Providence Medical Technology, Inc.
$38
Ethicon US, LLC
$35
Spineology Inc.
$33
SPINAL ELEMENTS, INC.
$30
SpineSmith Holdings, LLC
$30
NuVasive, Inc.
$28
Baxter Healthcare
$27
Cerapedics Inc.
$25
Neo Spine USA Inc
$23
Centinel Spine, LLC
$20
Genentech USA, Inc.
$19
MIMEDX Group, Inc.
$17
Misonix Inc
$14
Musculoskeletal Transplant Foundation Inc.
$11
Top 3 companies account for 89.2% of total payments
Associated products mentioned in payments ›
7D Surgical System · ACIS · ACTIVOS · Artemis · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · BIOFIX · CD HORIZON · CLYDESDALE PTC SPINAL SYSTEM · COALITION AGX / AGX RP · CODMAN CERTAS · CONDUIT · CREO · DIVERGENCE-L · ELSA · ETERNA · EXCELSIUS · EXCELSIUS GPS · Emerge Anterior Cervical Plate System · Endoskeleton-L · Excelsius Robotics System · FLOSEAL · GENERAL PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRAFTON · GRAFTONAND GRAFTON PLUSDEMINERALIZED BONE MATRIX (DBM) · General - Pain Management · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · INFINITY OCT System · INFUSE · INFUSE BONE GRAFT · INTELLIS · INTELLIS ADAPTIVESTIM · INVICTUS OPEN · IntraLIF · KYPHON EXPRESS II KYPHOPAK TRAY · MASTERGRAFT · MIDAS REX · MINI VAC · MLX · Magellan · Mariner · MaxFuse-C · MazorX Renaissance · Medical Devices · NeXus · Neo Pedicle Screw System · NorthStar · O-ARM-ST · O-ARM-Spine · OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM · OSTEOCOOL RF ABLATION · Omnia · PIVOX Oblique Lateral Spinal System · PROCLAIM · PRODISC L · Proclaim Family of SCS IPGs · RISE · RISE Intra LIF · RISE-L · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · SYNERGY · Senza · Simplify Cervical Artificial Disc · Spinal-Stim · StealthStation · Superion ISS · T2 ALTITUDE · T2 STRATOSPHERE · Teligen · UNID_PASS · VECTRIS · VISTASEAL · WaveWriter Alpha Prime 16 · Whistler Modular Screw System and Lumbar and Cervical Plates and Cages · Xofluza · Xvision
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 (43%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 3% for neurological surgery in TX.
Equivalent to $37,578 per 100 Medicare services performed
Geographic Context
Neurological surgerists within 10 mi
61
Per 100K population
6.5
County median income
$108,185
Nearest hospital
TEXAS HEALTH HOSPITAL FRISCO
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. Panchal is a clinical cardiology specialist, with above-average Medicare volume (top 8% in TX), with consulting-driven industry engagement in the top 3% of TX peers, with 18 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. Panchal experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Panchal performed 214 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. Panchal receive payments from pharmaceutical companies?
Yes. Dr. Panchal received a total of $411,475 from 44 companies across 343 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. Panchal's costs compare to other neurological surgerists in Frisco?
Dr. Panchal's average Medicare payment per service is $200. 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. Panchal) 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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