Medicare Enrolled

Dr. Roberto Nieto, M.D.

Neurology · Mansfield, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
2800 E BROAD ST, Mansfield, TX 76063
8172250410
In practice since 2007 (19 years)
NPI: 1750430419 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. Nieto 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 →
Are you Dr. Nieto? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Nieto

Dr. Roberto Nieto is a neurology in Mansfield, TX, with 19 years in practice. Based on federal Medicare data, Dr. Nieto performed 7,748 Medicare services across 467 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nieto received a total of $264,721 from 85 pharmaceutical and/or device companies across 1468 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Nieto 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 11% volume in TX$ $264,721 industry payments

Medicare Practice Summary

Medicare Utilization ↗
7,748
Medicare services
Top 11% in TX for neurology
467
Unique beneficiaries
$11
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~408 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.

ProcedureVolumeAvg. paidAvg. submitted
Botox injection, per unit7,130$5$7
Office visit, established patient (30-39 min)331$83$330
Office visit, established patient (20-29 min)70$56$233
New patient office visit (45-59 min)52$115$426
Needle measurement of electrical activity in arm or leg muscles, limited study48$48$174
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face40$116$379
Office visit, established patient, complex (40-54 min)35$125$460
Needle measurement of electrical activity in arm or leg muscles, complete study23$75$266
Nerve conduction, 5-6 studies19$100$372
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 ↗
$264,721
Total received (2018-2024)
Avg $37,817/year across 7 years
Top 3% in TX for neurology
85
Companies
1,468
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$239,405 (90.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,886 (5.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$10,430 (3.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,029
2023
$18,320
2022
$34,237
2021
$44,327
2020
$46,594
2019
$73,831
2018
$44,382

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
EMD Serono, Inc.
$94,652
Amgen Inc.
$39,301
Supernus Pharmaceuticals, Inc.
$35,898
Teva Pharmaceuticals USA, Inc.
$26,006
Allergan, Inc.
$25,463
IMPEL PHARMACEUTICALS INC.
$9,267
AbbVie Inc.
$7,824
Assertio Therapeutics, Inc.
$4,979
Biohaven Pharmaceuticals, Inc.
$3,412
ABBVIE INC.
$2,465
UCB, Inc.
$1,567
Kyowa Kirin, Inc.
$1,506
UPSHER-SMITH LABORATORIES LLC
$1,463
Biogen, Inc.
$1,338
Neurocrine Biosciences, Inc.
$624
Sunovion Pharmaceuticals Inc.
$451
GENZYME CORPORATION
$433
Lilly USA, LLC
$415
PFIZER INC.
$414
JAZZ PHARMACEUTICALS INC.
$376
Lundbeck LLC
$373
Avanir Pharmaceuticals, Inc.
$343
Allergan Inc.
$312
Eisai Inc.
$285
Novartis Pharmaceuticals Corporation
$275
Amneal Pharmaceuticals LLC
$270
IDORSIA PHARMACEUTICALS US INC
$255
Currax Pharmaceuticals LLC
$250
Biohaven Pharmaceutical Holding Company Ltd.
$243
Acorda Therapeutics, Inc
$227
Harmony Biosciences LLC
$186
ARBOR PHARMACEUTICALS, INC.
$176
EISAI INC.
$167
Genentech USA, Inc.
$166
Otsuka America Pharmaceutical, Inc.
$163
Almatica Pharma LLC
$161
ACADIA Pharmaceuticals Inc
$156
Merck Sharp & Dohme Corporation
$148
Jazz Pharmaceuticals Inc.
$146
Takeda Pharmaceuticals U.S.A., Inc.
$144
SK Life Science, Inc.
$132
Alexion Pharmaceuticals, Inc.
$123
Upsher-Smith Laboratories LLC
$114
Promius Pharma LLC
$113
Ipsen Biopharmaceuticals, Inc
$108
Adamas Pharmaceuticals, Inc.
$102
TG Therapeutics, Inc.
$90
Validus Pharmaceuticals LLC
$87
Merck Sharp & Dohme LLC
$86
Arbor Pharmaceuticals, Inc.
$85
AstraZeneca Pharmaceuticals LP
$81
ARGENX US, INC.
$80
Corium, LLC
$79
Abbott Laboratories
$66
Janssen Pharmaceuticals, Inc
$64
MITSUBISHI TANABE PHARMA AMERICA, INC.
$57
AbbVie, Inc.
$57
Aucta Pharmaceuticals, Inc.
$55
Celgene Corporation
$53
Banner Life Sciences, LLC
$51
CATALYST PHARMACEUTICALS, INC.
$50
Neurelis, Inc.
$49
Axsome Therapeutics, Inc.
$48
Impax Laboratories, Inc.
$47
Zyla Life Sciences, Inc.
$45
Mallinckrodt Enterprises LLC
$42
HARMONY BIOSCIENCES LLC
$37
Grifols USA, LLC
$36
Vanda Pharmaceuticals Inc.
$35
BANNER LIFE SCIENCES, LLC
$34
MDD US Operations, LLC
$33
Vertical Pharmaceuticals, LLC
$33
SpringWorks Therapeutics, Inc.
$28
Avadel CNS Pharmaceuticals, LLC
$23
Merz Pharmaceuticals, LLC
$22
SCILEX PHARMACEUTICALS INC.
$21
Mitsubishi Tanabe Pharma America, Inc.
$21
Medtronic, Inc.
$20
Harmony Biosciences Llc
$19
Medtronic USA, Inc.
$17
GE HEALTHCARE
$17
Azurity Pharmaceuticals, Inc.
$15
Horizon Therapeutics plc
$15
OWP Pharmaceuticals, Inc.
$13
ASSERTIO THERAPEUTICS, Inc.
$12
Top 3 companies account for 64.2% of total payments
Associated products mentioned in payments ›
ACTHAR · ADLARITY · ADUHELM · AIMOVIG · AJOVY · AMPYRA · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · AVONEX · Actemra · Adlarity · Aimovig · Austedo XR · BAFIERTAM · BELSOMRA · BOTOX · BOTOX COSMETIC · BOTOX THERAPEUTIC · BRILINTA · BRIUMVI · BYSTOLIC · Briviact · CAMBIA · COLOGUARD · CONTRAVE · COPAXONE · CREXONT · Cambia · DYSPORT · Dayvigo · Duopa · EMGALITY · EPIDIOLEX · EUCRISA · Edarbi · Enspryng · Equetro · FYCOMPA · Fintepla · Fycompa · GILENYA · GOCOVRI · GRALISE · Gamunex-C · Gralise · Horizant · INBRIJA · INFINITY · INGREZZA · KESIMPTA · KISUNLA · KYNMOBI · LEADPOINT · LEMTRADA · LEQEMBI · LINZESS · LUMRYZ · LYRICA · Lamotrigine Starter Kit · Leqembi · MAVENCLAD · MAYZENT · Mavenclad · Motpoly XR · NAMZARIC · NAPRELAN · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Neupro · Nourianz · Nuedexta · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONFI · ONGENTYS 50MG CAPSULES 30 · ONZETRA XSAIL · OSMOLEX ER · OXTELLAR XR · Ongentys · PERCEPT PC BRAINSENSE · PLEGRIDY · PONVORY · Ponvory · QULIPTA · QUVIVIQ · RADICAVA · REXULTI · RYTARY · Radicava · Rebif · Rystiggo · SKYCLARYS · SOLIRIS · SPRIX · SUNOSI · Sunosi · TECFIDERA · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TRINTELLIX · TROKENDI XR · TYSABRI · Trintellix · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VIIBRYD · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · Vimpat · Vumerity · WAKIX · Wakix · XCOPRI · XYREM · XYWAV · Xeomin · Xyrem · ZEMBRACE SYMTOUCH · ZEPOSIA · ZTLido · Zembrace · Zinbryta · Zipsor
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 (90%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neurology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for neurology in TX.

Equivalent to $3,417 per 100 Medicare services performed
Looking for a neurology in Mansfield?
Compare neurologys in the Mansfield area by procedure volume, costs, and industry payment transparency.
Browse neurologys nearby

Geographic Context

Neurologys within 10 mi
144
Per 100K population
6.7
County median income
$81,905
Nearest hospital
METHODIST MANSFIELD MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Nieto is a mixed practice specialist, with above-average Medicare volume (top 11% in TX), and high industry engagement (speaking/promotional, top 3%), with 19 years of practice experience.

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. Nieto experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Nieto performed 7,130 botox injection, per unit 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. Nieto receive payments from pharmaceutical companies?
Yes. Dr. Nieto received a total of $264,721 from 85 companies across 1,468 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. Nieto's costs compare to other neurologys in Mansfield?
Dr. Nieto's average Medicare payment per service is $11. 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. Nieto) 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 →