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 in Nacogdoches, TX, with 19 years in practice. 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) | 8,975 | $0 | $3 |
| Office visit, established patient (30-39 min) | 4,518 | $75 | $175 |
| Allergy immunotherapy preparation | 2,572 | $10 | $25 |
| Ceftriaxone antibiotic injection | 2,337 | $0 | $25 |
| Drug injection, under skin or into muscle | 1,592 | $9 | $35 |
| Allergy skin test | 1,064 | $3 | $12 |
| Office visit, established patient, complex (40-54 min) | 829 | $111 | $235 |
| Steroid injection (triamcinolone) | 768 | $1 | $10 |
| Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 368 | $33 | $35 |
| Flu vaccine administration | 349 | $29 | $35 |
| Injection, ketorolac tromethamine, per 15 mg | 346 | $0 | $15 |
| Urinalysis, manual | 319 | $3 | $20 |
| Detection test by immunoassay with direct visual observation for influenza virus | 280 | $16 | $40 |
| Office visit, established patient (20-29 min) | 272 | $45 | $115 |
| Annual wellness visit, follow-up | 257 | $117 | $150 |
| Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 247 | $39 | $100 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 144 | $50 | $150 |
| Electrocardiogram (EKG), 12-lead | 110 | $9 | $85 |
| Detection test by nucleic acid for multiple types influenza virus | 106 | $93 | $125 |
| Injection of trigger points, 1-2 muscles | 83 | $33 | $140 |
| Chest X-ray, 2 views | 82 | $22 | $100 |
| Annual alcohol misuse screening, 5 to 15 minutes | 72 | $16 | $45 |
| Annual depression screening | 70 | $16 | $45 |
| Transitional care management services for problem of high complexity | 61 | $189 | $360 |
| New patient office visit (45-59 min) | 57 | $72 | $270 |
| Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 51 | $134 | $291 |
| Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 50 | $1 | $25 |
| Removal of impacted ear wax by washing | 41 | $11 | $115 |
| X-ray of lower and sacral spine, 2-3 views | 38 | $23 | $125 |
| Administration of vaccine | 35 | $11 | $45 |
| New patient office visit (30-44 min) | 33 | $58 | $175 |
| Joint injection, major joint | 29 | $38 | $120 |
| Transitional care management services for problem of at least moderate complexity | 28 | $138 | $255 |
| X-ray of knee, 1-2 views | 27 | $24 | $82 |
| Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid-19), influenza a, and influenza b) in upper respiratory specimen, each reported as detected or not detected | 22 | $140 | $291 |
| Exam of neurobehavioral status, first hour | 22 | $57 | $150 |
| Hip X-ray, 2-3 views | 19 | $34 | $65 |
| X-ray of abdomen, 1 view | 19 | $19 | $90 |
| X-ray of hand, 2 views | 18 | $20 | $71 |
| Test to measure expiratory airflow and volume | 16 | $18 | $50 |
| Assessment of emotional or behavioral problems | 16 | $3 | $45 |
| New patient office visit, complex (60-74 min) | 15 | $106 | $340 |
| Shoulder X-ray, 2+ views | 14 | $23 | $85 |
| X-ray of foot, 2 views | 14 | $19 | $75 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 14 | $150 | $250 |
| X-ray of upper spine, 2-3 views | 13 | $24 | $125 |
| Simple or single drainage of skin abscess | 12 | $80 | $175 |
| X-ray of wrist, 2 views | 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 Medicines 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), and high industry engagement (low-engagement, top 5%), 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. 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 medicines 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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