Medicare Enrolled
Dr. David Jayakar, M.D.
Vascular Surgery Physician · Longview, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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. Jayakar 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. Jayakar
Dr. David Jayakar is a vascular surgery physician in Longview, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Jayakar performed 2,109 Medicare services across 1,613 unique beneficiaries.
Between the years covered by Open Payments, Dr. Jayakar received a total of $30,851 from 22 pharmaceutical and/or device companies across 154 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in vascular surgery physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Jayakar 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.
✓ 19 years in practice
▲ Top 6% volume in TX
$30,851 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,109
Medicare services
Top 6% in TX for vascular surgery physician
1,613
Unique beneficiaries
$126
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~111 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 |
|---|---|---|---|
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
269 | $62 | $196 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
175 | $39 | $106 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
162 | $100 | $371 |
| 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. |
127 | $97 | $287 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
125 | $11 | $39 |
| Insertion of non-tunneled central venous catheter A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin. |
120 | $65 | $335 |
| Arterial line insertion A tube is inserted into an artery through the skin to allow for blood sampling or infusion. |
117 | $34 | $142 |
| 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. |
94 | $70 | $195 |
| 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. |
92 | $122 | $439 |
| Insertion of tube in pulmonary artery for monitoring | 56 | $68 | $356 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
54 | $133 | $549 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
44 | $566 | $3,295 |
| Insertion of tunneled central venous catheter for infusion, age 5+ A surgical procedure to place a long-term catheter into a large vein for delivering medications or fluids. The catheter is tunneled under the skin to reduce infection risk and provide stable access for patients aged 5 and older. |
44 | $170 | $724 |
| Arterial thrombectomy, chest, neck, or brain A procedure to remove a blood clot and part of an artery in the chest, neck, or brain. |
42 | $848 | $3,133 |
| Revision of hemodialysis graft A procedure to repair or restore the function of a surgically created blood vessel connection used for hemodialysis. |
39 | $544 | $2,090 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
39 | $10 | $134 |
| Insertion of chest tube for lung fluid drainage A procedure to place a tube into the chest cavity to drain excess fluid from around the lungs. |
36 | $153 | $575 |
| Balloon dilation of dialysis access with radiologist review A minimally invasive procedure to widen a narrowed section of a dialysis access vessel using a balloon catheter. The procedure includes review by a radiologist to ensure proper placement and effectiveness. |
34 | $112 | $344 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
27 | $96 | $312 |
| Drainage of blood or fluid accumulation A procedure to remove excess blood or fluid that has collected in the body. |
26 | $62 | $433 |
| Radiologist review of drainage imaging A radiologist reviews medical images to assess the drainage of fluid. |
26 | $44 | $160 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
26 | $63 | $196 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
25 | $14 | $39 |
| Needle or tube insertion into hemodialysis circuit with radiologist review A procedure involving the insertion of a needle or tube into a hemodialysis circuit, accompanied by a review of the procedure by a radiologist. |
22 | $126 | $400 |
| Tying or banding of surgically created artery-vein connection This procedure involves closing off a surgically created connection between an artery and a vein by tying or banding it. |
22 | $169 | $1,032 |
| Pre-operative ultrasound for hemodialysis access A complete ultrasound assessment of artery and vein blood flow performed before surgery to evaluate hemodialysis access. |
22 | $18 | $67 |
| Coronary artery bypass graft, 1 artery Surgical procedure to bypass a blocked coronary artery using a graft from another artery. This restores blood flow to the heart muscle. |
20 | $1,169 | $5,118 |
| 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. |
20 | $44 | $116 |
| Thoracentesis, removal of fluid from between lung and chest cavity This procedure involves removing fluid that has accumulated in the space between the lung and the chest wall. |
18 | $111 | $433 |
| Coronary artery bypass graft, 1 graft Surgery to create a new route for blood to flow around a blocked coronary artery using a vein or artery graft. |
18 | $141 | $515 |
| 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. |
18 | $87 | $288 |
| Endoscopic vein harvest A surgical procedure to remove a vein using an endoscope, which is a thin, lighted tube inserted through small incisions. |
17 | $12 | $44 |
| Harvest of upper arm vein segment | 17 | $239 | $886 |
| Harvest of arm artery for heart bypass Surgical removal of a segment of artery from the arm to be used as a graft in a heart bypass procedure. |
17 | $141 | $703 |
| Fluoroscopic-guided stomach tube insertion A tube is placed into the stomach through the nose or mouth while using live X-ray imaging to guide the procedure. |
17 | $31 | $113 |
| Removal of lung lining tube This procedure involves the removal of a tube that has been placed in the lining of the lung. |
15 | $97 | $497 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
15 | $65 | $274 |
| Removal of blood clot and portion of deep upper thigh artery A surgical procedure to remove a blood clot and a section of the deep artery in the upper thigh. |
14 | $474 | $2,718 |
| Removal of tunneled central venous tube This procedure involves the removal of a catheter that has been surgically placed under the skin and threaded into a large vein. |
14 | $129 | $442 |
| Coronary artery bypass graft, 2 grafts A surgical procedure to restore blood flow to the heart by creating bypasses using two vein or artery grafts. |
12 | $311 | $1,132 |
| Relocation of upper arm vein to artery for hemodialysis A surgical procedure to move a vein from the upper arm and connect it to an artery to create access for hemodialysis. |
12 | $523 | $2,024 |
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.
13.9% high complexity
14.6% medium
71.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$30,851
Total received (2018-2024)
Avg $4,407/year across 7 years
Top 14% in TX for vascular surgery physician
22
Companies
154
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$23,665 (76.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,186 (23.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$7,986
2023
$10,017
2022
$6,462
2021
$361
2020
$791
2019
$4,852
2018
$383
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Molnlycke Health Care US, LLC
$23,665
Medtronic Vascular, Inc.
$4,520
Abbott Laboratories
$1,138
Edwards Lifesciences Corporation
$499
Medtronic, Inc.
$245
Artivion, Inc.
$231
Getinge USA Sales, LLC
$117
AngioDynamics, Inc.
$114
BIOTRONIK INC.
$59
Solventum Corporation
$32
Maquet Cardiovascular U.S. Sales, L.L.C.
$27
CashFlow Solutions, LLC
$27
W. L. Gore & Associates, Inc.
$22
Baxter Healthcare
$21
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$20
LSI SOLUTIONS INC
$20
LeMaitre Vascular, Inc.
$20
ATRICURE, INC.
$17
E.R. Squibb & Sons, L.L.C.
$16
Inari Medical, Inc.
$15
Bardy Diagnostics, Inc.
$14
BARD PERIPHERAL VASCULAR, INC.
$13
Top 3 companies account for 95.0% of total payments
Associated products mentioned in payments ›
3F · ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM · AURORA EV-ICD MRI SURESCAN · Acrobat-I Stabilizer · Biogel Eclipse · Biogel Indicator System · Biogel M Surgeons · Biogel PI Indicator Underglove · Biogel PI Micro · Biogel PI Pro-Fit · CAMZYOS · CARDIOBLATE · CARDIOHELP · Cardiac non-SynerGraft · Carnation Ambulatory Monitor · CoreValve Evolut · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EXCLUDER Conformable AAA Endoprosthesis with Active Control · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FLOWTRIEVER CATHETER · ILLUMISITE · LYMPHA PRESS OPTIMAL PLUS(US) BT · LifeVest · MiniArm · Mitra Clip system · Mosaic · Octopus · PREVELEAK · RESTOREFLO · Reveal LINQ · S · SAPIEN 3 Ultra RESILIA · V.A.C. GRANUFOAM · Valiant Captivia
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 →
The majority of payments (77%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.
Equivalent to $1,463 per 100 Medicare services performed
Geographic Context
Vascular surgery physicians within 10 mi
1
Per 100K population
0.8
County median income
$64,809
Nearest hospital
LONGVIEW REGIONAL MEDICAL CENTER
0.0 mi
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. Jayakar is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with consulting-driven industry engagement in the top 14% of TX peers, with 19 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. Jayakar experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Jayakar performed 269 hospital follow-up visit, moderate complexity 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. Jayakar receive payments from pharmaceutical companies?
Yes. Dr. Jayakar received a total of $30,851 from 22 companies across 154 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. Jayakar's costs compare to other vascular surgery physicians in Longview?
Dr. Jayakar's average Medicare payment per service is $126. 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. Jayakar) 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 ↗, 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.
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