Medicare Enrolled
Dr. Nicholas Iagulli, MD
Orthopedic Surgery · N Richlnd Hls, 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. 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 17 years of NPI registration. Based on federal Medicare data, Dr. Iagulli performed 8,114 Medicare services across 2,262 unique beneficiaries.
Between the years covered by Open Payments, Dr. Iagulli received a total of $1,313 from 6 pharmaceutical and/or device companies across 15 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Iagulli 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.
✓ 17 years in practice
▲ Top 4% volume in TX
$1,313 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,114
Medicare services
Top 4% in TX for orthopedic surgery
2,262
Unique beneficiaries
$37
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~477 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 |
|---|---|---|---|
| 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. |
380 | $82 | $351 |
| 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. |
313 | $41 | $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. A higher procedure volume generally indicates more experience with that procedure.
0.2% high complexity
17.7% medium
82.1% 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
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
$1,313 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$847
2023
$92
2021
$215
2019
$159
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
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 total payments
Associated products mentioned in payments ›
CERAMENTBONE VOID FILLER · INHANCE · MAKO · Physio-Stim · Regeneten · VA-LCP · VA-LCP PLATES & SCREWS
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $16 per 100 Medicare services performed
Geographic Context
Orthopedic surgeons within 10 mi
228
Per 100K population
10.7
County median income
$81,905
Nearest hospital
MEDICAL CITY NORTH HILLS
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. Iagulli is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with low-engagement industry engagement, with 17 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. 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. 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. Iagulli receive payments from pharmaceutical companies?
Yes. Dr. Iagulli received a total of $1,313 from 6 companies across 15 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. 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 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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