Medicare Enrolled
Dr. Robert Cary, MD
Family Medicine · Longview, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Cary 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. Cary
Dr. Robert Cary is a family medicine specialist in Longview, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Cary performed 5,596 Medicare services across 3,796 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cary received a total of $13,998 from 59 pharmaceutical and/or device companies across 996 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Cary 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 3% volume in TX
$13,998 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,596
Medicare services
Top 3% in TX for family medicine
3,796
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~280 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 |
|---|---|---|---|
| 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. |
494 | $72 | $200 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
456 | $8 | $20 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
392 | $10 | $105 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
384 | $8 | $40 |
| 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. |
366 | $55 | $135 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
345 | $13 | $66 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
305 | $3 | $20 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
272 | $9 | $60 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
237 | $16 | $70 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
228 | $2 | $18 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
211 | $124 | $130 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
199 | $6 | $27 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
167 | $41 | $65 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
132 | $3 | $22 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
117 | $29 | $140 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
110 | $19 | $95 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
106 | $9 | $65 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
92 | $7 | $50 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
87 | $6 | $70 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
87 | $5 | $25 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
70 | $9 | $41 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
66 | $8 | $35 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
61 | $6 | $20 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
50 | $29 | $70 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
47 | $36 | $50 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
46 | $8 | $40 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
46 | $80 | $150 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
35 | $8 | $59 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
34 | $154 | $300 |
| PSA test (prostate cancer screening) | 32 | $18 | $95 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
31 | $177 | $410 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
29 | $8 | $20 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
26 | $30 | $31 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
25 | $85 | $300 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
24 | $23 | $71 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
23 | $72 | $85 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
22 | $38 | $110 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
21 | $9 | $45 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
19 | $21 | $76 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
18 | $15 | $77 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
18 | $40 | $80 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
16 | $45 | $235 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
15 | $51 | $240 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
12 | $28 | $83 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
12 | $8 | $50 |
| Low dose CT scan of chest for lung cancer screening A specialized CT scan of the chest using a lower radiation dose to screen for lung cancer. |
11 | $87 | $271 |
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 ↗$13,998
Total received (2018-2024)
Avg $2,000/year across 7 years
Top 2% in TX for family medicine
59
Companies
996
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
$12,921 (92.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,077 (7.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$242
2023
$2,400
2022
$3,070
2021
$2,041
2020
$1,594
2019
$2,152
2018
$2,499
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$1,987
Novo Nordisk Inc
$1,469
AstraZeneca Pharmaceuticals LP
$1,229
GlaxoSmithKline, LLC.
$1,183
PFIZER INC.
$1,004
Boehringer Ingelheim Pharmaceuticals, Inc.
$775
Lilly USA, LLC
$683
AbbVie Inc.
$649
Janssen Pharmaceuticals, Inc
$420
Amarin Pharma Inc.
$343
Astellas Pharma US Inc
$285
Allergan Inc.
$279
Novartis Pharmaceuticals Corporation
$278
Merck Sharp & Dohme Corporation
$258
Takeda Pharmaceuticals U.S.A., Inc.
$244
Otsuka America Pharmaceutical, Inc.
$244
Merck Sharp & Dohme LLC
$215
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$190
Radius Health, Inc.
$187
ABBVIE INC.
$183
SANOFI-AVENTIS U.S. LLC
$183
Teva Pharmaceuticals USA, Inc.
$177
Bayer HealthCare Pharmaceuticals Inc.
$174
Allergan, Inc.
$160
Exact Sciences Corporation
$106
Biohaven Pharmaceutical Holding Company Ltd.
$100
Integra LifeSciences Corporation
$82
Kowa Pharmaceuticals America, Inc.
$80
Eisai Inc.
$70
Abbott Laboratories
$68
Daiichi Sankyo Inc.
$63
ITI, Inc.
$57
Dynavax Technologies Corporation
$53
IDORSIA PHARMACEUTICALS US INC
$50
Nevro Corp.
$38
Boston Scientific Corporation
$35
ARBOR PHARMACEUTICALS, INC.
$35
Biohaven Pharmaceuticals, Inc.
$32
Avanir Pharmaceuticals, Inc.
$26
Antares Pharma, Inc.
$22
JAZZ PHARMACEUTICALS INC.
$20
Bayer Healthcare Pharmaceuticals Inc.
$20
Xeris Pharmaceuticals, Inc.
$19
Tris Pharma Inc
$19
Jazz Pharmaceuticals Inc.
$18
Almatica Pharma LLC
$18
Orexigen Therapeutics, Inc.
$18
EISAI INC.
$15
Purdue Pharma L.P.
$15
Supernus Pharmaceuticals, Inc.
$14
Ironwood Pharmaceuticals, Inc
$14
GE HEALTHCARE
$14
Horizon Therapeutics plc
$14
Synergy Pharmaceuticals Inc
$13
Paratek Pharmaceuticals, Inc.
$13
IMPEL PHARMACEUTICALS INC.
$12
Shire North American Group Inc
$12
AbbVie, Inc.
$11
Inogen, Inc.
$6
Top 3 companies account for 33.5% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AUSTEDO · Aimovig · AirDuo Digihaler · Amitiza · Androgel · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · Belviq · CAPLYTA · CELEBREX · CHANTIX · CONTRAVE · CREON · Cologuard Collection Kit · DUZALLO · Dayvigo · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FIASP · FORTEO · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL9 · GRALISE · GVOKE PFS · Heplisav-B · INJECTAFER · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LYRICA · Livalo · MOUNJARO · MYDAYIS · Myrbetriq · NOCDURNA · NUEDEXTA · NURTEC ODT · NUZYRA · OFEV · OMNIGRAFT · Omnia · Otezla · Otovel · Ozempic · PENNSAID · PNEUMOVAX 23 · PRALUENT · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · REXULTI · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · SYMBICORT · SYMPROIC · SYNJARDY · SYNVISC-ONE · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TROKENDI XR · TRULICITY · Tresiba · Tribenzor · Trintellix · Trudhesa · Trulance · Tymlos · UBRELVY · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Vyvanse · WATCHMAN Access System · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · XYREM · Xultophy 100/3.6 · Xyrem
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 (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in TX.
Equivalent to $250 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
81
Per 100K population
64.9
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. Cary is a clinical cardiology specialist, with above-average Medicare volume (top 3% in TX), with low-engagement industry engagement in the top 2% of TX peers, 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. Cary experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Cary performed 494 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. Cary receive payments from pharmaceutical companies?
Yes. Dr. Cary received a total of $13,998 from 59 companies across 996 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. Cary's costs compare to other family medicine physicians in Longview?
Dr. Cary's average Medicare payment per service is $27. 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. Cary) 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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