Dr. Brian Gegel, CRNA, MSN
What this data tells you about Dr. Gegel
Dr. Brian Gegel is a nurse anesthetist in Houston, TX, with 20 years in practice. Based on federal Medicare data, Dr. Gegel performed 992 Medicare services across 438 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gegel received a total of $498 from 12 pharmaceutical and/or device companies across 13 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse anesthetist. 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. Gegel 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.
Medicare Practice Summary
Medicare Utilization ↗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 injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 143 | $71 | $823 |
| Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 55 | $85 | $616 |
| Injection, ketorolac tromethamine, per 15 mg | 49 | $0 | $5 |
| Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance | 37 | $86 | $829 |
| Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance | 35 | $71 | $676 |
| Injection, lidocaine hcl for intravenous infusion, 10 mg | 33 | $0 | $10 |
| Anesthesia for other procedure on large bowel using an endoscope | 31 | $45 | $467 |
| Injection, fentanyl citrate, 0.1 mg | 25 | $1 | $3 |
| Anesthesia for nerve block and injection procedure, prone position | 24 | $82 | $520 |
| Injection, midazolam hydrochloride, per 1 mg | 20 | $0 | $10 |
| Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 18 | $49 | $500 |
| Anesthesia for exam of colon using an endoscope | 17 | $49 | $410 |
| Anesthesia for nerve block and injection | 14 | $55 | $284 |
| Anesthesia for procedure on small and large bowel using an endoscope | 11 | $63 | $627 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for nurse anesthetist in TX.
Geographic Context
3.1 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. Gegel is a mixed practice specialist, with above-average Medicare volume (top 0% in TX), and high industry engagement (low-engagement, top 9%), 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
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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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