Medicare Enrolled
Dr. Stephanie Silverman, FNP-C
Physician Assistant · 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. Silverman 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. Silverman
Dr. Stephanie Silverman is a physician assistant in Longview, TX, with 10 years of NPI registration. Based on federal Medicare data, Dr. Silverman performed 5,152 Medicare services across 3,422 unique beneficiaries.
Between the years covered by Open Payments, Dr. Silverman received a total of $6,334 from 40 pharmaceutical and/or device companies across 405 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. 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. Silverman 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.
✓ 10 years in practice
▲ Top 2% volume in TX
$6,334 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,152
Medicare services
Top 2% in TX for physician assistant
3,422
Unique beneficiaries
$39
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~515 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. |
592 | $73 | $200 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
461 | $8 | $20 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
369 | $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. |
354 | $8 | $40 |
| 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. |
327 | $38 | $65 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
324 | $13 | $66 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
286 | $106 | $130 |
| 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. |
250 | $47 | $135 |
| Annual depression screening | 225 | $15 | $20 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
182 | $67 | $100 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
172 | $10 | $60 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
146 | $16 | $70 |
| 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. |
140 | $62 | $150 |
| 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. |
107 | $23 | $70 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
96 | $30 | $31 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
87 | $29 | $140 |
| 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. |
83 | $72 | $85 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
74 | $29 | $30 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
71 | $282 | $305 |
| 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. |
64 | $6 | $70 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
64 | $5 | $25 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
58 | $38 | $110 |
| 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. |
42 | $95 | $270 |
| Iron level test | 39 | $6 | $35 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
39 | $8 | $35 |
| 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. |
36 | $29 | $50 |
| 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. |
34 | $171 | $410 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
34 | $19 | $95 |
| 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. |
31 | $33 | $80 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
30 | $8 | $59 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
30 | $15 | $77 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
30 | $13 | $72 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
29 | $9 | $40 |
| 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. |
27 | $8 | $50 |
| 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. |
26 | $134 | $300 |
| Liver function blood test panel | 24 | $8 | $51 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
24 | $3 | $22 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
23 | $61 | $185 |
| 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. |
23 | $8 | $40 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
20 | $9 | $41 |
| 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. |
19 | $12 | $25 |
| 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. |
17 | $2 | $18 |
| 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. |
16 | $35 | $80 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
14 | $8 | $20 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
13 | $4 | $25 |
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 ↗$6,334
Total received (2021-2024)
Avg $1,583/year across 4 years
Top 4% in TX for physician assistant
40
Companies
405
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
$6,174 (97.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$160 (2.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,636
2023
$1,691
2022
$1,398
2021
$1,609
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$778
AstraZeneca Pharmaceuticals LP
$581
PFIZER INC.
$566
ABBVIE INC.
$407
Daiichi Sankyo Inc.
$320
GlaxoSmithKline, LLC.
$320
Bayer Healthcare Pharmaceuticals Inc.
$309
AbbVie Inc.
$304
Astellas Pharma US Inc
$259
Lilly USA, LLC
$250
Novartis Pharmaceuticals Corporation
$245
Merck Sharp & Dohme LLC
$236
Amgen Inc.
$232
Bayer HealthCare Pharmaceuticals Inc.
$210
Tandem Diabetes Care, Inc.
$188
Boehringer Ingelheim Pharmaceuticals, Inc.
$144
Amarin Pharma Inc.
$130
Xeris Pharmaceuticals, Inc.
$88
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$80
Kowa Pharmaceuticals America, Inc.
$78
SANOFI-AVENTIS U.S. LLC
$67
Abbott Laboratories
$65
Exact Sciences Corporation
$63
Dynavax Technologies Corporation
$59
Medtronic, Inc.
$48
Lundbeck LLC
$44
Eisai Inc.
$32
IDORSIA PHARMACEUTICALS US INC
$29
Dexcom, Inc.
$24
Itamar Medical Inc
$21
Nevro Corp.
$20
Ultragenyx Pharmaceutical Inc.
$19
Sumitomo Pharma America, Inc.
$18
Phathom Pharmaceuticals, Inc.
$16
E.R. Squibb & Sons, L.L.C.
$16
Teva Pharmaceuticals USA, Inc.
$15
Janssen Pharmaceuticals, Inc
$14
Esperion Therapeutics, Inc.
$14
ARBOR PHARMACEUTICALS, INC.
$12
Merck Sharp & Dohme Corporation
$11
Top 3 companies account for 30.4% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · AREXVY · Aimovig · BELSOMRA · BREZTRI · COLOGUARD DNA CAPTURE REAGENTS · CREON · CRYSViTA · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbyclor · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL · GEMTESA · GVOKE HYPOPEN · GVOKE PFS · Heplisav-B · INJECTAFER · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · Livalo · MINIMED 780G · MOUNJARO · Myrbetriq · NEXLETOL · Omnia · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR 20 · QULIPTA · QUVIVIQ · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · STEGLATRO · TRULICITY · TRUMENBA · TZIELD · UBRELVY · VOQUEZNA · VRAYLAR · VYEPTI · Vascepa · Veozah · WatchPATONE · Wegovy · XARELTO · XIFAXAN · t:slim X2 Insulin Pump with Control-IQ
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for physician assistant in TX.
Equivalent to $123 per 100 Medicare services performed
Geographic Context
Physician assistants within 10 mi
75
Per 100K population
60.1
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. Silverman is a clinical cardiology specialist, with above-average Medicare volume (top 2% in TX), with low-engagement industry engagement in the top 4% of TX peers.
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. Silverman experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Silverman performed 592 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. Silverman receive payments from pharmaceutical companies?
Yes. Dr. Silverman received a total of $6,334 from 40 companies across 405 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. Silverman's costs compare to other physician assistants in Longview?
Dr. Silverman's average Medicare payment per service is $39. 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. Silverman) 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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