Medicare Enrolled
Dr. Mark Cline, M.D.
Family Medicine · Nacogdoches, 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. Cline 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. Cline
Dr. Mark Cline is a family medicine specialist in Nacogdoches, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Cline performed 26,435 Medicare services across 6,086 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cline received a total of $10,078 from 53 pharmaceutical and/or device companies across 631 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Cline 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 0% volume in TX
$10,078 industry payments
Medicare Practice Summary
Medicare Utilization ↗26,435
Medicare services
Top 0% in TX for family medicine
6,086
Unique beneficiaries
$24
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,391 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
8,975 | $0 | $3 |
| 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. |
4,518 | $75 | $175 |
| Allergy immunotherapy preparation A professional service involving the preparation and administration of one or more antigens. |
2,572 | $10 | $25 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
2,337 | $0 | $25 |
| 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. |
1,592 | $9 | $35 |
| Allergy skin test A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens. |
1,064 | $3 | $12 |
| 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. |
829 | $111 | $235 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
768 | $1 | $10 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
368 | $33 | $35 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
349 | $29 | $35 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
346 | $0 | $15 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
319 | $3 | $20 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
280 | $16 | $40 |
| 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. |
272 | $45 | $115 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
257 | $117 | $150 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
247 | $39 | $100 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
144 | $50 | $150 |
| 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. |
110 | $9 | $85 |
| Influenza virus nucleic acid detection test A laboratory test that uses nucleic acid technology to detect multiple types of influenza virus. |
106 | $93 | $125 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
83 | $33 | $140 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
82 | $22 | $100 |
| Annual alcohol misuse screening, 5 to 15 minutes | 72 | $16 | $45 |
| Annual depression screening | 70 | $16 | $45 |
| 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. |
61 | $189 | $360 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
57 | $72 | $270 |
| Respiratory virus test for SARS-CoV-2, influenza A/B, and RSV A laboratory test that detects the presence of SARS-CoV-2 (COVID-19), influenza A, influenza B, and respiratory syncytial virus (RSV) in an upper respiratory specimen. |
51 | $134 | $291 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
50 | $1 | $25 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
41 | $11 | $115 |
| 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. |
38 | $23 | $125 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
35 | $11 | $45 |
| 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. |
33 | $58 | $175 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
29 | $38 | $120 |
| 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. |
28 | $138 | $255 |
| 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. |
27 | $24 | $82 |
| Respiratory virus test for SARS-CoV-2, influenza A and B A laboratory test that detects the presence of SARS-CoV-2 (COVID-19), influenza A, and influenza B viruses in an upper respiratory specimen. The results indicate whether each virus is detected or not detected. |
22 | $140 | $291 |
| Neurobehavioral status exam, first hour A clinical assessment of neurobehavioral status lasting one hour. This evaluation examines mental and behavioral functions. |
22 | $57 | $150 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
19 | $34 | $65 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
19 | $19 | $90 |
| X-ray of hand, 2 views An X-ray imaging test of the hand using two different angles to visualize the bones and joints. |
18 | $20 | $71 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
16 | $18 | $50 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
16 | $3 | $45 |
| New patient office visit, complex (60-74 min) | 15 | $106 | $340 |
| 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. |
14 | $23 | $85 |
| X-ray of foot, 2 views An X-ray imaging test of the foot using two different angles to create pictures of the bones and joints. |
14 | $19 | $75 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
14 | $150 | $250 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
13 | $24 | $125 |
| Simple drainage of skin abscess A minor procedure to drain a localized collection of pus from the skin. The abscess is opened to allow the fluid to escape and promote healing. |
12 | $80 | $175 |
| Wrist X-ray, 2 views An X-ray imaging test of the wrist using two different angles to visualize the bones and joints. |
11 | $25 | $85 |
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 ↗$10,078
Total received (2018-2024)
Avg $1,440/year across 7 years
Top 5% in TX for family medicine
53
Companies
631
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
$10,053 (99.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$25 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,128
2023
$1,142
2022
$1,028
2021
$1,747
2020
$1,197
2019
$1,896
2018
$1,941
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$2,109
PFIZER INC.
$942
AbbVie Inc.
$870
Novo Nordisk Inc
$732
ABBVIE INC.
$578
Merck Sharp & Dohme Corporation
$537
Amgen Inc.
$485
Boehringer Ingelheim Pharmaceuticals, Inc.
$371
Lilly USA, LLC
$317
Allergan Inc.
$218
Astellas Pharma US Inc
$215
SANOFI-AVENTIS U.S. LLC
$187
Dexcom, Inc.
$183
Takeda Pharmaceuticals U.S.A., Inc.
$183
GlaxoSmithKline, LLC.
$176
Otsuka America Pharmaceutical, Inc.
$161
Merck Sharp & Dohme LLC
$157
ARBOR PHARMACEUTICALS, INC.
$145
Novartis Pharmaceuticals Corporation
$140
Allergan, Inc.
$136
Horizon Therapeutics plc
$100
Teva Pharmaceuticals USA, Inc.
$93
Genentech USA, Inc.
$78
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$77
Janssen Pharmaceuticals, Inc
$75
Bayer Healthcare Pharmaceuticals Inc.
$70
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$57
Axsome Therapeutics, Inc.
$52
Sunovion Pharmaceuticals Inc.
$47
JAZZ PHARMACEUTICALS INC.
$42
Amarin Pharma Inc.
$41
Kowa Pharmaceuticals America, Inc.
$36
Biohaven Pharmaceuticals, Inc.
$35
Ironwood Pharmaceuticals, Inc
$35
Boston Scientific Corporation
$33
Abbott Laboratories
$32
Bayer HealthCare Pharmaceuticals Inc.
$29
ITI, Inc.
$27
Mylan Specialty L.P.
$26
Currax Pharmaceuticals LLC
$25
E.R. Squibb & Sons, L.L.C.
$24
Ironshore Pharmaceuticals Inc.
$24
Sumitomo Pharma America, Inc.
$21
Paratek Pharmaceuticals, Inc.
$19
Medtronic MiniMed, Inc.
$18
Tris Pharma Inc
$18
Antares Pharma, Inc.
$18
Phathom Pharmaceuticals, Inc.
$15
Galderma Laboratories, L.P.
$15
IDORSIA PHARMACEUTICALS US INC
$14
Arbor Pharmaceuticals, Inc.
$14
Vital Connect, Inc
$13
Shire North American Group Inc
$12
Top 3 companies account for 38.9% of total payments
Associated products mentioned in payments ›
AIMOVIG · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · ArmonAir Digihaler · Austedo XR · BELSOMRA · BEVESPI AEROSPHERE · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · CAPLYTA · CHANTIX · COLOGUARD · CREON · DUEXIS · DYSPORT · Dexcom G6 Transmitter · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · Edarbi · Evekeo · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · GEMTESA · HUMIRA · JANUVIA · JARDIANCE · JORNAY PM · Jornay PM 20mg capsules (Bottle of 100) · Kerendia · LEQVIO · LINZESS · LONHALA MAGNAIR · LYRICA · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Minimed 670G System · Myrbetriq · NEXLETOL · NOCDURNA · NURTEC ODT · NUZYRA · OFEV · Otezla · Otovel · Ozempic · PENNSAID · PRALUENT · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · ProAir Digihaler · Prolia · QULIPTA · QUVIVIQ · REXULTI · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · STEGLUJAN · SUNOSI · SYMBICORT · Saxenda · Sunosi · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Trintellix · UBRELVY · Utibron · VIBERZI · VITALPATCH RTM · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · Xofluza · YUPELRI · Yupelri
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. Total industry engagement is in the top 5% for family medicine in TX.
Equivalent to $38 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
30
Per 100K population
46.2
County median income
$51,528
Nearest hospital
NACOGDOCHES 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. Cline is a clinical cardiology specialist, with above-average Medicare volume (top 0% in TX), with low-engagement industry engagement in the top 5% of TX peers, with 19 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. Cline experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Cline performed 8,975 dexamethasone injection (steroid) 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. Cline receive payments from pharmaceutical companies?
Yes. Dr. Cline received a total of $10,078 from 53 companies across 631 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. Cline's costs compare to other family medicine physicians in Nacogdoches?
Dr. Cline's average Medicare payment per service is $24. 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. Cline) 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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