Medicare Enrolled
Dr. James McDonald, M.D.
Family Medicine · Lubbock, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. McDonald 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. McDonald
Dr. James McDonald is a family medicine specialist in Lubbock, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. McDonald performed 2,360 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. McDonald received a total of $5,408 from 34 pharmaceutical and/or device companies across 328 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. McDonald is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 11% volume in TX
$5,408 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,360
Medicare services
Top 11% in TX for family medicine
Not available
Unique patients (not deduplicated)
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 (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. |
513 | $60 | $111 |
| 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. |
465 | $81 | $172 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
171 | $10 | $45 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
168 | $123 | $341 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
132 | $1 | $10 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
123 | $13 | $93 |
| 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. |
91 | $8 | $32 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
80 | $10 | $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. |
80 | $10 | $63 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
74 | $16 | $71 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
59 | $53 | $257 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
58 | $9 | $38 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
54 | $69 | $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. |
54 | $5 | $5 |
| 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. |
43 | $2 | $9 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
37 | $5 | $5 |
| 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. |
35 | $282 | $690 |
| 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. |
21 | $57 | $202 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
19 | $8 | $18 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
19 | $16 | $50 |
| PSA test (prostate cancer screening) | 18 | $18 | $77 |
| 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. |
18 | $7 | $80 |
| 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. |
14 | $6 | $25 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
14 | $5 | $21 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$5,408
Total received (2020-2024)
Avg $1,082/year across 5 years
Top 12% in TX for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
328
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,311
2023
$1,577
2022
$1,321
2021
$888
2020
$310
Payments by company (2024)
ABBVIE INC.
$402
Lilly USA, LLC
$230
PFIZER INC.
$106
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$101
AstraZeneca Pharmaceuticals LP
$86
E.R. Squibb & Sons, L.L.C.
$71
Astellas Pharma US Inc
$67
Exact Sciences Corporation
$64
Insulet Corporation
$48
Dexcom, Inc.
$41
Daiichi Sankyo Inc.
$25
Bayer Healthcare Pharmaceuticals Inc.
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$19
Esperion Therapeutics, Inc.
$16
Paratek Pharmaceuticals, Inc.
$13
Top 3 companies account for 56.3% of 2024 payments
All-time payments by company (2020-2024) ›
ABBVIE INC.
$1,064
Lilly USA, LLC
$921
AstraZeneca Pharmaceuticals LP
$481
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$380
Astellas Pharma US Inc
$247
AbbVie Inc.
$243
PFIZER INC.
$239
Biohaven Pharmaceutical Holding Company Ltd.
$218
Bayer HealthCare Pharmaceuticals Inc.
$202
Bayer Healthcare Pharmaceuticals Inc.
$200
Boehringer Ingelheim Pharmaceuticals, Inc.
$171
E.R. Squibb & Sons, L.L.C.
$138
Exact Sciences Corporation
$125
Esperion Therapeutics, Inc.
$116
Novartis Pharmaceuticals Corporation
$71
GlaxoSmithKline, LLC.
$70
Merck Sharp & Dohme Corporation
$69
Insulet Corporation
$48
Daiichi Sankyo Inc.
$44
Dexcom, Inc.
$41
Genentech USA, Inc.
$37
Biohaven Pharmaceuticals, Inc.
$32
Boston Scientific Corporation
$32
Allergan, Inc.
$29
Amarin Pharma Inc.
$29
Kowa Pharmaceuticals America, Inc.
$27
Regeneron Healthcare Solutions, Inc.
$23
Abbott Laboratories
$18
SANOFI PASTEUR INC.
$17
Lundbeck LLC
$16
Amgen Inc.
$16
Merck Sharp & Dohme LLC
$16
Becton, Dickinson and Company
$14
Paratek Pharmaceuticals, Inc.
$13
Top 3 companies account for 45.6% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · Aimovig · BASAGLAR · BD Onclarity · BELSOMRA · BREZTRI · CAMZYOS · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CREON · Cologuard Collection Kit · DIFICID · DUPIXENT · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · FARXIGA · FREESTYLE LIBRE 2 · INJECTAFER · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXLETOL · NEXLIZET · NURTEC ODT · NUZYRA · OFEV · Omnipod · QUADRACEL · QULIPTA · SHINGRIX · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · TRADJENTA · TRELEGY ELLIPTA · TRULANCE · TRULICITY · UBRELVY · VIBERZI · VRAYLAR · VYEPTI · Vascepa · Veozah · WATCHMAN FLX · XIFAXAN · Xofluza
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Family medicine physicians in nearby ZIP areas
111
County median income
$63,367
Nearest hospital to ZIP centroid (approximate)
EXCEPTIONAL COMMUNITY HOSPITAL LUBBOCK
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. McDonald is a clinical cardiology specialist, with above-average Medicare volume (top 11% in TX), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. McDonald experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. McDonald performed 513 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. McDonald receive payments from pharmaceutical companies?
Yes. Dr. McDonald received a total of $5,408 from 34 companies across 328 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. McDonald's costs compare to other family medicine physicians in Lubbock?
Dr. McDonald's average Medicare payment per service is $49. 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. McDonald) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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