Medicare Enrolled
Dr. Nicholas Iagulli, MD
Orthopedic Surgery · N Richlnd Hls, 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. Iagulli 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. Iagulli
Dr. Nicholas Iagulli is an orthopedic surgery specialist in N Richlnd Hls, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Iagulli performed 8,187 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Iagulli received a total of $1,313 from 6 pharmaceutical and/or device companies across 15 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. Iagulli 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.
✓ 18 years of NPI registration
▲ Top 4% volume in TX
$1,313 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗8,187
Medicare services
Top 4% in TX for orthopedic surgery
Not available
Unique patients (not deduplicated)
$37
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 |
|---|---|---|---|
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
3,345 | $19 | $97 |
| Manual therapy (hands-on treatment), per 15 min | 977 | $17 | $90 |
| Injection, methylprednisolone acetate, 40 mg | 557 | $6 | $20 |
| 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. |
485 | $67 | $225 |
| 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. |
445 | $90 | $327 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
416 | $78 | $354 |
| Complete ultrasound scan of joint An ultrasound exam that uses sound waves to create detailed images of a joint. This procedure allows for the visualization of the joint's internal structures. |
350 | $40 | $345 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
305 | $23 | $101 |
| 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. |
141 | $74 | $323 |
| Ultrasound therapy, each 15 minutes Application of ultrasound waves to tissue for therapeutic purposes. The procedure is billed in 15-minute increments. |
140 | $9 | $42 |
| Evaluation for physical therapy, typically 20 minutes | 135 | $76 | $240 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
118 | $35 | $164 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
96 | $28 | $105 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
78 | $23 | $139 |
| Electrical stimulation therapy, per 15 minutes Application of electrical stimulation to the body with a therapist present. The service is billed for each 15-minute increment of treatment. |
53 | $9 | $60 |
| Hip X-ray, 1 view An X-ray image of the hip joint taken from a single angle to visualize the bones and surrounding structures. |
51 | $23 | $150 |
| 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. |
48 | $40 | $137 |
| Hip joint manipulation under general anesthesia A procedure to manually move or adjust the hip joint while the patient is under general anesthesia. |
47 | $71 | $554 |
| Self soft tissue graft A surgical procedure where healthy tissue is taken from one part of the patient's body and transplanted to another area to repair or reconstruct damaged tissue. |
39 | $339 | $1,459 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
33 | $25 | $119 |
| Re-evaluation for physical therapy, typically 20 minutes | 33 | $53 | $165 |
| Ultrasound-guided joint aspiration or injection Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement. |
28 | $51 | $256 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
22 | $25 | $121 |
| Ultrasound-guided small joint aspiration or injection This procedure involves removing fluid from or injecting medication into a small joint while using ultrasound imaging to guide the needle placement. |
20 | $61 | $254 |
| Knee arthroscopy with synovectomy A minimally invasive procedure using a small camera to remove the inflamed lining of the knee joint. |
19 | $189 | $1,990 |
| Knee arthroscopy with drilling or scraping A minimally invasive procedure using a small camera to examine the knee joint. The surgeon uses instruments to drill or scrape tissue inside the joint. |
19 | $475 | $2,005 |
| Removal of both knee cartilages using an endoscope | 18 | $120 | $1,675 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
16 | $25 | $116 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
14 | $23 | $147 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
14 | $27 | $126 |
| Arthroscopic removal of loose body from shoulder A minimally invasive procedure using a small camera to locate and remove a loose or foreign object from the shoulder joint. |
13 | $91 | $1,770 |
| Arthroscopic shoulder debridement A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions. |
13 | $96 | $1,900 |
| Partial collarbone removal via endoscope This procedure involves the surgical removal of a portion of the collarbone (clavicle) using an endoscope, a small camera inserted through a tiny incision to guide the surgeon. |
13 | $161 | $2,043 |
| Shoulder scar tissue removal using endoscope A minimally invasive procedure to remove scar tissue from the shoulder joint using a small camera and surgical instruments inserted through tiny incisions. |
13 | $91 | $1,740 |
| Arthroscopic shoulder surgery for bone shaving and ligament repair A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament. |
13 | $132 | $535 |
| Arthroscopic rotator cuff repair A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions. |
13 | $827 | $3,238 |
| Elbow X-ray, 2 views An X-ray imaging test of the elbow joint using two different angles to visualize the bones and surrounding structures. |
13 | $23 | $105 |
| Shoulder joint manipulation under anesthesia A procedure where a healthcare provider moves the shoulder joint while the patient is under anesthesia to restore mobility. |
12 | $76 | $591 |
| Endoscopic release of biceps tendon A minimally invasive procedure using an endoscope to release the tendon that connects the biceps muscle to the shoulder. |
11 | $343 | $2,779 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
11 | $29 | $124 |
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.
0.2% high complexity
18.5% medium
81.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,313
Total received (2019-2024)
Avg $328/year across 4 years
Bottom 26% in TX for orthopedic surgery
6
Companies
15
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
$847
2023
$92
2021
$215
2019
$159
Payments by company (2024)
Stryker Corporation
$847
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2019-2024) ›
Stryker Corporation
$884
Bone Support Inc.
$183
Smith+Nephew, Inc.
$124
DePuy Synthes Sales Inc.
$67
Medical Device Business Services, Inc.
$31
Orthofix Medical, Inc.
$24
Top 3 companies account for 90.7% of all-time payments
Associated products mentioned in payments ›
CERAMENTBONE VOID FILLER · INHANCE · MAKO · Physio-Stim · Regeneten · VA-LCP · VA-LCP PLATES & SCREWS
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
Orthopedic surgeons in nearby ZIP areas
228
County median income
$81,905
Nearest hospital to ZIP centroid (approximate)
MEDICAL CITY NORTH HILLS
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. Iagulli is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with 18 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. Iagulli experienced with physical therapy exercise, per 15 min?
Based on Medicare claims data, Dr. Iagulli performed 3,345 physical therapy exercise, per 15 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. Iagulli receive payments from pharmaceutical companies?
Yes. Dr. Iagulli received a total of $1,313 from 6 companies across 15 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. Iagulli's costs compare to other orthopedic surgeons in N Richlnd Hls?
Dr. Iagulli's average Medicare payment per service is $37. 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. Iagulli) 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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