Medicare Enrolled

Dr. Lindy Rachal, M.D.

Gastroenterology · Kerrville, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
575 HILL COUNTRY DR, Kerrville, TX 78028
8302587762
In practice since 2005 (20 years)
NPI: 1275533150 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. Rachal 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. Rachal? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Rachal

Dr. Lindy Rachal is a gastroenterology in Kerrville, TX, with 20 years in practice. Based on federal Medicare data, Dr. Rachal performed 1,715 Medicare services across 1,485 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rachal received a total of $4,952 from 39 pharmaceutical and/or device companies across 342 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Rachal 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 9% volume in TX$ $4,952 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,715
Medicare services
Top 9% in TX for gastroenterology
1,485
Unique beneficiaries
$92
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~86 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
Office visit, established patient (30-39 min)551$87$319
Office visit, established patient (20-29 min)307$64$219
Upper GI endoscopy with biopsy151$75$1,095
Colonoscopy with biopsy142$123$601
New patient office visit (45-59 min)132$115$481
New patient office visit (30-44 min)126$67$315
Removal of polyps or growths of large bowel using an endoscope with mechanical snare61$205$1,309
Colorectal cancer screening; colonoscopy on individual at high risk52$178$971
Stool analysis for blood, by fecal hemoglobin determination by immunoassay44$16$53
Office visit, established patient (10-19 min)34$40$132
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk27$178$972
New patient office visit, complex (60-74 min)26$156$609
Office visit, established patient, complex (40-54 min)25$118$428
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional19$17$67
Diagnostic exam of large bowel using a flexible endoscope18$134$554
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 2024 ↗
$4,952
Total received (2018-2024)
Avg $707/year across 7 years
Top 39% in TX for gastroenterology
39
Companies
342
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
$4,952 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$830
2023
$583
2022
$714
2021
$921
2020
$271
2019
$709
2018
$924

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$874
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$850
AbbVie Inc.
$367
Janssen Biotech, Inc.
$344
Takeda Pharmaceuticals U.S.A., Inc.
$323
Gilead Sciences, Inc.
$253
AbbVie, Inc.
$206
Allergan Inc.
$153
Ferring Pharmaceuticals Inc.
$149
QOL Medical, LLC
$149
Romark Laboratories, LC
$121
Celgene Corporation
$116
Merck Sharp & Dohme LLC
$97
PFIZER INC.
$96
GENZYME CORPORATION
$76
Ironwood Pharmaceuticals, Inc
$73
Alnylam Pharmaceuticals Inc.
$69
Intercept Pharmaceuticals, Inc.
$68
Braintree Laboratories, Inc.
$67
Shionogi Inc
$59
AIMMUNE THERAPEUTICS, INC.
$57
Alexion Pharmaceuticals, Inc.
$57
Echosens North America, Inc.
$50
Madrigal Pharmaceuticals
$40
Prometheus Laboratories Inc.
$25
Synergy Pharmaceuticals Inc
$23
NESTLE HEALTHCARE NUTRITION INC.
$22
Celltrion USA Inc.
$20
Nestle HealthCare Nutrition Inc.
$19
Phathom Pharmaceuticals, Inc.
$18
PORTOLA PHARMACEUTICALS, INC.
$18
Olympus America Inc.
$18
Otsuka America Pharmaceutical, Inc.
$14
Bolton Medical Inc
$13
Ethicon US, LLC
$12
Novartis Pharmaceuticals Corporation
$11
Merck Sharp & Dohme Corporation
$11
Ambu Inc.
$10
Micro-tech Endoscopy USA, Inc.
$8
Top 3 companies account for 42.2% of total payments
Associated products mentioned in payments ›
ANDEXXA · Alinia · Alinia Tablets 500mg 30 count bottle · Amitiza · Andexxa · BREATHTEK · CIMZIA · CLENPIQ · CREON · Creon · DIFICID · DUPIXENT · Dexilant · ENTRESTO · ENTYVIO · EOHILIA · Fibroscan · GATTEX · GIVLAARI · HUMIRA · Humira · LINZESS · Linzess · MAVYRET · Mavyret · Mulpleta · OCALIVA · QULIPTA · REBYOTA · RELISTOR · REMICADE · RESMETIROM · RINVOQ · Relay Plus · SKYRIZI · STELARA · SUCRAID · SUPREP · SUPREP BOWEL PREP · SUTAB · Snares · Sucraid · Symproic · TREMFYA · TRULANCE · Trintellix · Trulance · VEGZELMA · VIBERZI · VISIGLIDE · VOQUEZNA · VOWST · XELJANZ · XIFAXAN · XIFAXANIBSD · XIFIXAN · ZENPEP · ZEPOSIA
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $289 per 100 Medicare services performed
Looking for a gastroenterology in Kerrville?
Compare gastroenterologys in the Kerrville area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologys nearby

Geographic Context

Gastroenterologys within 10 mi
6
Per 100K population
11.3
County median income
$67,927
Nearest hospital
PETERSON REGIONAL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
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. Rachal is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), and low-engagement industry engagement, 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. Rachal experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rachal performed 551 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. Rachal receive payments from pharmaceutical companies?
Yes. Dr. Rachal received a total of $4,952 from 39 companies across 342 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. Rachal's costs compare to other gastroenterologys in Kerrville?
Dr. Rachal's average Medicare payment per service is $92. 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. Rachal) 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 →