Medicare Enrolled

Dr. Michele Nedelka, MD

Student in an Organized Health Care Education/Training Program · Kerrville, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1001 WATER ST, Kerrville, TX 78028
8302573131
In practice since 2008 (17 years)
NPI: 1003079138 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. Nedelka 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. Nedelka

Dr. Michele Nedelka is a student in an organized health care education/training program specialist in Kerrville, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Nedelka performed 3,228 Medicare services across 1,222 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nedelka received a total of $705 from 10 pharmaceutical and/or device companies across 19 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. 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. Nedelka 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.

✓ 17 years in practice ▲ Top 5% volume in TX $705 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,228
Medicare services
Top 5% in TX for student in an organized health care education/training program
1,222
Unique beneficiaries
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~190 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
CT guidance for radiation therapy 1,001 $35 $131
Radiation treatment management, 5 treatment sessions 390 $149 $589
Calculation of radiation therapy dose 325 $26 $96
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 267 $16 $61
Design and construction of complex radiation treatment device 226 $47 $190
Office visit, established patient (10-19 min) 207 $26 $170
Office visit, established patient (20-29 min) 127 $42 $217
New patient office visit, complex (60-74 min) 114 $139 $615
Complex radiation therapy planning 112 $130 $491
Design and construction of radiation treatment device for high precision radiation therapy 94 $174 $803
High precision radiation therapy planning 71 $324 $1,232
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 58 $64 $240
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 55 $30 $108
3d radiation therapy planning 45 $179 $704
Office visit, established patient, complex (40-54 min) 33 $109 $429
Special radiation treatment 19 $85 $323
Placement of device in prostate for radiation therapy 15 $56 $422
Management of cranial lesion surgery using radiation over multiple sessions 15 $508 $2,063
Ultrasonic guidance for needle placement 14 $23 $104
Obtaining respiratory data needed to develop the optimal radiation treatment 14 $83 $234
Design and construction of simple radiation treatment device 14 $19 $84
Office visit, established patient (30-39 min) 12 $70 $320
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.
0.5% high complexity
83.8% medium
15.7% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$705
Total received (2018-2024)
Avg $117/year across 6 years
Top 29% in TX for student in an organized health care education/training program
10
Companies
19
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
$705 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$182
2023
$27
2022
$161
2021
$89
2019
$206
2018
$39

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novocure Inc.
$182
Allergan Inc.
$107
Elekta, Inc.
$99
Intuitive Surgical, Inc.
$91
BOSTON SCIENTIFIC CORPORATION
$89
Boston Scientific Corporation
$53
Blue Earth Diagnostics Limited
$27
IsoRay, Inc
$22
Smith+Nephew, Inc.
$17
AstraZeneca Pharmaceuticals LP
$17
Top 3 companies account for 55.0% of total payments
Associated products mentioned in payments ›
Axumin · Brachytherapy Source · COLLAGENASE SANTYL · Da Vinci Surgical System · IMFINZI · NATRELLE · Optune · SPACEOAR VUE · SpaceOAR VUE System - 10mL · Versa HD · WATCHMAN
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 $22 per 100 Medicare services performed
Looking for a student in an organized health care education/training program specialist in Kerrville?
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Geographic Context

Student in an organized health care education/training programs within 10 mi
14
Per 100K population
26.3
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 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. Nedelka is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX), with low-engagement industry engagement, with 17 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. Nedelka experienced with ct guidance for radiation therapy?
Based on Medicare claims data, Dr. Nedelka performed 1,001 ct guidance for radiation therapy 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. Nedelka receive payments from pharmaceutical companies?
Yes. Dr. Nedelka received a total of $705 from 10 companies across 19 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. Nedelka's costs compare to other student in an organized health care education/training programs in Kerrville?
Dr. Nedelka's average Medicare payment per service is $70. 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. Nedelka) 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 →