Medicare Enrolled

Dr. Lindy Rachal, M.D.

Gastroenterology · Kerrville, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
575 HILL COUNTRY DR, Kerrville, TX 78028
8302587762
Registered in NPPES since 2005
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 specialist in Kerrville, TX, with 21 years of NPI registration. Based on federal Medicare data, Dr. Rachal performed 1,715 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Rachal received a total of $4,952 from 39 pharmaceutical and/or device companies across 342 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. Rachal 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.

✓ 21 years of NPI registration ▲ Top 9% volume in TX $4,952 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,715
Medicare services
Top 9% in TX for gastroenterology
Not available
Unique patients (not deduplicated)
$92
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
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.
551 $87 $319
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.
307 $64 $219
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
151 $75 $1,095
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
142 $123 $601
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.
132 $115 $481
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
126 $67 $315
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
61 $205 $1,309
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
52 $178 $971
Stool test for hidden blood (FIT)
A laboratory test that analyzes a stool sample to detect hidden blood using an immunoassay method.
44 $16 $53
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
34 $40 $132
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
27 $178 $972
New patient office visit, complex (60-74 min) 26 $156 $609
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
25 $118 $428
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
19 $17 $67
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
18 $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. These counts do not measure clinical quality or years of experience.

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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
342
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
$830
2023
$583
2022
$714
2021
$921
2020
$271
2019
$709
2018
$924

Payments by company (2024)

ABBVIE INC.
$275
Takeda Pharmaceuticals U.S.A., Inc.
$130
Janssen Biotech, Inc.
$111
AIMMUNE THERAPEUTICS, INC.
$57
PFIZER INC.
$53
Madrigal Pharmaceuticals
$40
Gilead Sciences, Inc.
$34
Merck Sharp & Dohme LLC
$31
Alnylam Pharmaceuticals Inc.
$28
Celltrion USA Inc.
$20
Phathom Pharmaceuticals, Inc.
$18
GENZYME CORPORATION
$16
Braintree Laboratories, Inc.
$16
Top 3 companies account for 62.2% of 2024 payments
All-time payments by company (2018-2024) ›
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 all-time 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? 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 gastroenterology specialist in Kerrville?
Compare gastroenterologists in the Kerrville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologists in nearby ZIP areas
6
County median income
$67,927
Nearest hospital to ZIP centroid (approximate)
PETERSON REGIONAL MEDICAL CENTER
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. Rachal is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), with 21 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. 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Rachal receive payments from pharmaceutical companies?
Yes. Dr. Rachal received a total of $4,952 from 39 companies across 342 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. Rachal's costs compare to other gastroenterologists 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 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.

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. 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 →