Medicare Enrolled
Dr. Mitchell Engle, M.D., PH.D.
Pain Medicine · Houston, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Engle 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. Engle
Dr. Mitchell Engle is a pain medicine specialist in Houston, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Engle performed 5,770 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Engle received a total of $38,849 from 47 pharmaceutical and/or device companies across 667 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 Dr. Engle 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.
✓ 18 years of NPI registration
▲ Top 10% volume in TX
$38,849 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗5,770
Medicare services
Top 10% in TX for pain medicine
Not available
Unique patients (not deduplicated)
$38
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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
1,603 | $0 | $30 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
1,548 | $1 | $65 |
| 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. |
911 | $88 | $250 |
| 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. |
320 | $62 | $200 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
109 | $47 | $150 |
| 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. |
98 | $121 | $400 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
94 | $45 | $800 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
92 | $66 | $220 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
77 | $233 | $1,100 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
75 | $52 | $150 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
68 | $10 | $165 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
57 | $99 | $200 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
53 | $42 | $150 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
52 | $66 | $315 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
51 | $180 | $700 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
51 | $35 | $100 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
47 | $211 | $1,800 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
45 | $0 | $50 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
43 | $169 | $965 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
41 | $98 | $1,200 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
41 | $38 | $524 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
39 | $45 | $109 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
38 | $85 | $320 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
37 | $84 | $225 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
34 | $51 | $900 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
28 | $81 | $189 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
27 | $117 | $1,541 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
27 | $45 | $500 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
26 | $85 | $500 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
19 | $181 | $900 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
19 | $196 | $1,947 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$38,849
Total received (2018-2024)
Avg $5,550/year across 7 years
Top 7% in TX for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
667
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
$11,464
2023
$11,901
2022
$3,079
2021
$2,439
2020
$3,063
2019
$3,160
2018
$3,743
Payments by company (2024)
Nalu Medical, Inc.
$9,526
Boston Scientific Corporation
$1,119
Abbott Laboratories
$217
Curonix LLC
$189
Nevro Corp.
$123
PFIZER INC.
$64
XTANT MEDICAL INC
$63
ABBVIE INC.
$50
Averitas Pharma Inc.
$44
VERTEX PHARMACEUTICALS INCORPORATED
$36
Medtronic, Inc.
$19
Collegium Pharmaceutical, Inc.
$15
Top 3 companies account for 94.7% of 2024 payments
All-time payments by company (2018-2024) ›
Nalu Medical, Inc.
$20,926
Boston Scientific Corporation
$5,010
Abbott Laboratories
$2,717
Vertos Medical, Inc.
$1,818
Nevro Corp.
$1,627
Vertiflex, Inc.
$1,104
Relievant Medsystems, Inc.
$1,005
Medtronic USA, Inc.
$808
Saluda Medical Americas, Inc.
$555
BOSTON SCIENTIFIC CORPORATION
$281
Supernus Pharmaceuticals, Inc.
$260
Teva Pharmaceuticals USA, Inc.
$229
SPR Therapeutics, Inc
$221
Curonix LLC
$189
Medtronic, Inc.
$189
Collegium Pharmaceutical, Inc.
$188
SPINEFRONTIER, INC.
$182
PFIZER INC.
$140
Biohaven Pharmaceuticals, Inc.
$110
Stryker Corporation
$107
SI-BONE, Inc.
$104
ABBVIE INC.
$100
Horizon Therapeutics plc
$99
FIDIA PHARMA USA INC.
$80
Lilly USA, LLC
$71
SpineSmith Holdings, LLC
$69
XTANT MEDICAL INC
$63
TerSera Therapeutics LLC
$60
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$48
Nuvectra Corporation
$48
Radius Health, Inc.
$46
ARBOR PHARMACEUTICALS, INC.
$44
Averitas Pharma Inc.
$44
VERTEX PHARMACEUTICALS INCORPORATED
$36
GRT US Holding, Inc.
$36
Merz Pharmaceuticals, LLC
$34
Stratus Medical, LLC
$30
RedHill Biopharma Inc.
$25
Hikma Pharmaceuticals USA
$21
Daiichi Sankyo Inc.
$20
DePuy Synthes Sales Inc.
$20
Novartis Pharmaceuticals Corporation
$19
AstraZeneca Pharmaceuticals LP
$17
Amgen Inc.
$16
Biohaven Pharmaceutical Holding Company Ltd.
$12
Horizon Pharma plc
$12
BioDelivery Sciences International, Inc.
$11
Top 3 companies account for 73.8% of all-time payments
Associated products mentioned in payments ›
ADAPT · ADAPTIVESTIM · AIMOVIG · AJOVY · Aimovig · Algovita · Axium INS DRG IPG · BELBUCA · Belbuca · CoverEdge 32 · DUEXIS · EMGALITY · ETERNA · Evoke SCS · FIXATE · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · Horizant · Hymovis · INFINION · INTELLIS · INTELLIS ADAPTIVESTIM · Infinion 16 · Inspan · Intracept · Kloxxado · LIORESAL · LYRICA · MONOVISC · MOVANTIK · Morphabond ER · Movantik · NURTEC ODT · Nalu Neurostimulation System · OSTEOCOOL RF ABLATION · OXTELLAR XR · Omnia · PENNSAID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · QULIPTA · QUTENZA · Qutenza · RELISTOR · RESTORE · REYVOW · SPECTRA WAVEWRITER · SPRINT PNS System · SYNCHROMED · SYNCHROMEDII · Senza · Senza Spinal Cord Stimulation System · Superion ISS · TROKENDI XR · Tymlos · VECTRIS · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · Xeomin · iFuse Implant · mild Device Kit
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 →
Geographic Context
Pain medicines in nearby ZIP areas
83
County median income
$73,104
Nearest hospital to ZIP centroid (approximate)
MEMORIAL HERMANN - TEXAS MEDICAL CENTER
0.0 mi
0.0 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
Dr. Engle is a clinical cardiology specialist, with above-average Medicare volume (top 10% in TX), with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Engle experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Engle performed 1,603 dexamethasone injection (steroid) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Engle receive payments from pharmaceutical companies?
Yes. Dr. Engle received a total of $38,849 from 47 companies across 667 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 Dr. Engle's costs compare to other pain medicines in Houston?
Dr. Engle's average Medicare payment per service is $38. 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. Engle) 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 →
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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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