Medicare Enrolled

Brian Gegel, CRNA, MSN

Nurse Anesthetist · Houston, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
1500 CITYWEST BLVD STE 300, Houston, TX 77042
7136204000
Registered in NPPES since 2005
NPI: 1689665432 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 Gegel 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 Gegel

Brian Gegel is a nurse anesthetist specialist in Houston, TX, with 20 years of NPI registration. Based on federal Medicare data, Gegel performed 992 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Gegel received a total of $498 from 12 pharmaceutical and/or device companies across 13 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 Gegel 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.

✓ 20 years of NPI registration ▲ Top 0% volume in TX $498 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
992
Medicare services
Top 0% in TX for nurse anesthetist
Not available
Unique patients (not deduplicated)
$27
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
Injection, propofol, 10 mg 480 $0 $10
Anesthesia for spine injection or aspiration with imaging
This code covers the administration of anesthesia for injection, drainage, or aspiration procedures on the lower back spine or spinal cord. The procedure is performed through the skin using imaging guidance.
143 $71 $823
Anesthesia for spine nerve destruction procedure
Administration of anesthesia during a procedure to destroy nerves in the lower back or spinal cord, guided by imaging.
55 $85 $616
Ketorolac injection, per 15 mg
An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg.
49 $0 $5
Anesthesia for spine nerve destruction procedure
Anesthesia provided during a procedure to destroy nerves in the neck or upper back spine. The procedure is performed through the skin using imaging guidance.
37 $86 $829
Anesthesia for spine injection or aspiration with imaging guidance
Administration of anesthesia during injection, drainage, or aspiration procedures on the spine or spinal cord in the neck or upper back, using imaging guidance.
35 $71 $676
Lidocaine HCl injection for IV infusion, 10 mg
Administration of a 10 mg dose of lidocaine hydrochloride via intravenous infusion.
33 $0 $10
Anesthesia for large bowel endoscopy
Administration of anesthesia during a procedure to examine the large bowel using an endoscope.
31 $45 $467
Injection, fentanyl citrate, 0.1 mg 25 $1 $3
Anesthesia for nerve block and injection, prone position
Administration of anesthesia during a nerve block or injection procedure while the patient is lying face down.
24 $82 $520
Midazolam injection, per 1 mg
Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments.
20 $0 $10
Anesthesia for endoscopic procedure on esophagus, stomach, or upper small bowel
Administration of anesthesia during an endoscopic procedure involving the esophagus, stomach, or upper small bowel.
18 $49 $500
Anesthesia for colonoscopy
Administration of anesthesia during an examination of the colon using an endoscope.
17 $49 $410
Anesthesia for nerve block and injection
Administration of anesthetic medication to numb a specific nerve or area during a nerve block or injection procedure.
14 $55 $284
Anesthesia for bowel endoscopy
Administration of anesthesia during a procedure to examine the small and large bowel using an endoscope.
11 $63 $627
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.
3.3% high complexity
85.6% medium
11.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$498
Total received (2021-2024)
Avg $125/year across 4 years
Top 9% in TX for nurse anesthetist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
12
Companies
13
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
$146
2023
$268
2022
$61
2021
$23

Payments by company (2024)

Pacira Pharmaceuticals Incorporated
$125
Averitas Pharma Inc.
$21
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2021-2024) ›
Pacira Pharmaceuticals Incorporated
$125
Fisher & Paykel Healthcare Inc
$101
Trevena, Inc.
$100
Nevro Corp.
$31
Medtronic, Inc.
$26
Regeneron Healthcare Solutions, Inc.
$22
Averitas Pharma Inc.
$21
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$20
BOSTON SCIENTIFIC CORPORATION
$16
Hikma Pharmaceuticals USA
$13
Lilly USA, LLC
$12
Boston Scientific Corporation
$11
Top 3 companies account for 65.6% of all-time payments
Associated products mentioned in payments ›
DUPIXENT · EMGALITY · Exparel · FISHER & PAYKEL HEALTHCARE · GENERAL PAIN MANAGEMENT · INTELLIS ADAPTIVESTIM · Kloxxado · OLINVYK · QUTENZA · RELISTOR · Senza · Spectra WaveWriter
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 →
Looking for a nurse anesthetist specialist in Houston?
Compare nurse anesthetists in the Houston area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Nurse anesthetists in nearby ZIP areas
1,050
County median income
$73,104
Nearest hospital to ZIP centroid (approximate)
ALTUS HOUSTON HOSPITAL, LP
3.1 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

Gegel is a mixed practice specialist, with above-average Medicare volume (top 0% in TX), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Gegel experienced with injection, propofol, 10 mg?
Based on Medicare claims data, Gegel performed 480 injection, propofol, 10 mg services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Gegel receive payments from pharmaceutical companies?
Yes. Gegel received a total of $498 from 12 companies across 13 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 Gegel's costs compare to other nurse anesthetists in Houston?
Gegel's average Medicare payment per service is $27. 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 Gegel) 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 →
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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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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →