Medicare Enrolled

Dr. Michael Gnuechtel, D.O.

Otolaryngology · Kerrville, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
310 WESLEY DR, Kerrville, TX 78028
8308954443
In practice since 2005 (20 years)
NPI: 1033101902 verify on NPPES ↗
High
DATA COVERAGE
Data in 3 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. Gnuechtel 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. Gnuechtel

Dr. Michael Gnuechtel is an otolaryngology specialist in Kerrville, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gnuechtel performed 15,063 Medicare services across 2,760 unique beneficiaries.

The Data Coverage level for Dr. Gnuechtel is 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 1% volume in TX

Medicare Practice Summary

Medicare Utilization ↗
15,063
Medicare services
Top 1% in TX for otolaryngology
2,760
Unique beneficiaries
$22
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~753 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.

Procedure Volume Avg. paid Avg. submitted
Allergy immunotherapy preparation
A professional service involving the preparation and administration of one or more antigens.
 6,760 $11 $35
Allergy injection therapy, multiple injections
A professional service involving the administration of multiple allergen injections.
 2,149 $8 $35
Allergy skin test
A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens.
 1,728 $3 $12
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.
 966 $63 $150
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
 770 $29 $120
Skin allergy test
A test where small amounts of potential allergens are injected into the skin to check for allergic reactions.
 480 $6 $15
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.
 239 $67 $243
Comprehensive hearing and speech recognition test
A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech.
 233 $26 $115
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
 230 $140 $375
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.
 227 $40 $95
Middle ear function test
A diagnostic test used to evaluate how well the middle ear is functioning.
 182 $11 $60
CT scan of face, without contrast
A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye.
 176 $67 $819
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.
 145 $86 $225
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
 140 $92 $425
Allergen injection administration
Professional service for the administration of a single allergen injection.
 133 $7 $28
Impacted earwax removal by physician
Removal of impacted earwax from one or both ears by a physician on the same day as audiologic testing.
 99 $32 $120
Ultrasound of head and neck soft tissue
This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation.
 98 $50 $319
Endoscopic nasal polyp biopsy or removal
A procedure to remove or sample nasal polyps or tissue using an endoscope. The endoscope allows the provider to view the nasal passages during the procedure.
 82 $244 $913
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.
 79 $114 $350
Manual therapy (hands-on treatment), per 15 min 46 $21 $70
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.
 28 $117 $275
New patient office visit, complex (60-74 min) 26 $139 $395
Endoscopic control of nosebleed
A procedure to stop bleeding in the nose using an endoscope to visualize the area.
 18 $191 $1,375
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
 18 $40 $225
Removal of foreign body in ear canal 11 $47 $275
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.
Looking for an otolaryngology specialist in Kerrville?
Compare otolaryngologists in the Kerrville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Otolaryngologists within 10 mi
5
Per 100K population
9.4
County median income
$67,927
Nearest hospital
PETERSON REGIONAL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments — No payments N/A
Disciplinary History — Not public N/A

This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Gnuechtel is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), with 20 years of NPI registration.

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. Gnuechtel experienced with allergy immunotherapy preparation?
Based on Medicare claims data, Dr. Gnuechtel performed 6,760 allergy immunotherapy preparation 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.
How do Dr. Gnuechtel's costs compare to other otolaryngologists in Kerrville?
Dr. Gnuechtel's average Medicare payment per service is $22. 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 High for Dr. Gnuechtel) 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 →

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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 ↗, 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 →