Medicare Enrolled

Dr. David Buller, MD

Emergency Medicine · Gilmer, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
602 N TITUS, Gilmer, TX 75644
9038435585
In practice since 2005 (20 years)
NPI: 1285637843 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. Buller 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. Buller? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Buller

Dr. David Buller is an emergency medicine in Gilmer, TX, with 20 years in practice. Based on federal Medicare data, Dr. Buller performed 694 Medicare services across 557 unique beneficiaries.

Between the years covered by Open Payments, Dr. Buller received a total of $1,163 from 15 pharmaceutical and/or device companies across 59 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Buller 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 15% volume in TX$ $1,163 industry payments

Medicare Practice Summary

Medicare Utilization ↗
694
Medicare services
Top 15% in TX for emergency medicine
557
Unique beneficiaries
$80
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~35 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
Emergency department visit, moderate complexity239$94$1,593
Emergency department visit, high complexity128$137$2,374
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes110$29$79
Nursing facility visit, low complexity50$57$110
Emergency department visit with low level of medical decision making42$55$1,068
Nursing facility visit, moderate complexity33$82$175
Office visit, established patient (30-39 min)27$71$200
3D screening mammography (tomosynthesis)21$23$71
Screening mammography21$88$300
Chest X-ray, 2 views12$12$64
Complete blood count (CBC) with differential11$8$40
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 2023 ↗
$1,163
Total received (2018-2023)
Avg $194/year across 6 years
Top 10% in TX for emergency medicine
15
Companies
59
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,013 (87.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$150 (12.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$14
2022
$49
2021
$43
2020
$336
2019
$485
2018
$236

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Amarin Pharma Inc.
$203
Janssen Pharmaceuticals, Inc
$162
Galderma Laboratories, L.P.
$150
Novartis Pharmaceuticals Corporation
$108
Amgen Inc.
$103
Avanir Pharmaceuticals, Inc.
$102
Sunovion Pharmaceuticals Inc.
$82
CMP Pharma, Inc.
$64
Lilly USA, LLC
$53
Novo Nordisk Inc
$46
ITI, Inc.
$35
Allergan Inc.
$19
GE HEALTHCARE
$14
PFIZER INC.
$12
Teva Pharmaceuticals USA, Inc.
$11
Top 3 companies account for 44.3% of total payments
Associated products mentioned in payments ›
AJOVY · APTIOM · Aimovig · CAPLYTA · CHANTIX · Carospir · EMGALITY · ENTRESTO · LONHALA MAGNAIR · NUEDEXTA · NovoLog · Prolia · TRULICITY · Tresiba · VIBERZI · Vascepa · Victoza · XARELTO
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 →

Most payments (87%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for emergency medicine in TX.

Equivalent to $168 per 100 Medicare services performed
Looking for a emergency medicine in Gilmer?
Compare emergency medicines in the Gilmer area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Emergency Medicines within 10 mi
25
Per 100K population
59.7
County median income
$62,794
Nearest hospital
UT HEALTH EAST TEXAS PITTSBURG HOSPITAL
12.6 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2023
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. Buller is a mixed practice specialist, with above-average Medicare volume (top 15% in TX), and high industry engagement (low-engagement, top 10%), 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. Buller experienced with emergency department visit, moderate complexity?
Based on Medicare claims data, Dr. Buller performed 239 emergency department visit, moderate complexity 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. Buller receive payments from pharmaceutical companies?
Yes. Dr. Buller received a total of $1,163 from 15 companies across 59 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. Buller's costs compare to other emergency medicines in Gilmer?
Dr. Buller's average Medicare payment per service is $80. 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. Buller) 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 →