Medicare Enrolled

Dr. Rachel Cline

Family Medicine · Nacogdoches, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
3900 NE STALLINGS DR STE 101, Nacogdoches, TX 75965
9365598770
In practice since 2018 (7 years)
NPI: 1003308958 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. 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 →
Are you Dr. Cline? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Cline

Dr. Rachel Cline is a family medicine in Nacogdoches, TX, with 7 years in practice. Based on federal Medicare data, Dr. Cline performed 1,216 Medicare services across 404 unique beneficiaries.

Between the years covered by Open Payments, Dr. Cline received a total of $6,628 from 36 pharmaceutical and/or device companies across 375 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.

✓ 7 years in practice▲ Top 23% volume in TX$ $6,628 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,216
Medicare services
Top 23% in TX for family medicine
404
Unique beneficiaries
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~174 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
Office visit, established patient (30-39 min)403$82$175
Dexamethasone injection (steroid)355$0$4
Office visit, established patient, complex (40-54 min)125$119$235
Steroid injection (triamcinolone)80$1$10
Ceftriaxone antibiotic injection64$0$25
Drug injection, under skin or into muscle38$9$35
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free32$33$35
Flu vaccine administration32$30$35
Urinalysis, manual24$3$20
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)20$41$100
New patient office visit (45-59 min)17$103$270
Annual wellness visit, follow-up15$117$150
Electrocardiogram (EKG), 12-lead11$9$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 ↗
$6,628
Total received (2018-2024)
Avg $1,105/year across 6 years
Top 9% in TX for family medicine
36
Companies
375
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
$6,628 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,408
2023
$2,153
2022
$1,666
2021
$285
2020
$96
2018
$20

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$961
Novo Nordisk Inc
$623
Lilly USA, LLC
$599
ABBVIE INC.
$494
Amgen Inc.
$473
PFIZER INC.
$459
Astellas Pharma US Inc
$340
Merck Sharp & Dohme LLC
$324
Otsuka America Pharmaceutical, Inc.
$240
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$233
AbbVie Inc.
$224
Axsome Therapeutics, Inc.
$192
Dexcom, Inc.
$183
Bayer Healthcare Pharmaceuticals Inc.
$181
Boehringer Ingelheim Pharmaceuticals, Inc.
$143
Bayer HealthCare Pharmaceuticals Inc.
$141
ITI, Inc.
$120
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$96
Teva Pharmaceuticals USA, Inc.
$93
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$85
Merck Sharp & Dohme Corporation
$52
Novartis Pharmaceuticals Corporation
$39
Antares Pharma, Inc.
$34
Boston Scientific Corporation
$33
Abbott Laboratories
$32
GlaxoSmithKline, LLC.
$32
E.R. Squibb & Sons, L.L.C.
$28
SANOFI-AVENTIS U.S. LLC
$26
Corium, LLC
$22
JAZZ PHARMACEUTICALS INC.
$21
Xeris Pharmaceuticals, Inc.
$20
Paratek Pharmaceuticals, Inc.
$19
Takeda Pharmaceuticals U.S.A., Inc.
$18
Enterra Medical, Inc.
$17
Phathom Pharmaceuticals, Inc.
$15
IDORSIA PHARMACEUTICALS US INC
$14
Top 3 companies account for 32.9% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · AUSTEDO · Aimovig · AirDuo Digihaler · Austedo XR · Auvelity · Azstarys · BELSOMRA · BEVESPI AEROSPHERE · BREZTRI · CAPLYTA · CREON · Dexcom G6 Transmitter · ELIQUIS · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · GARDASIL · GARDASIL 9 · JARDIANCE · KEVEYIS · Kerendia · LEQVIO · LINZESS · LifeVest · MOUNJARO · Myrbetriq · NEXPLANON · NOCDURNA · NUZYRA · Otezla · Ozempic · PAXLOVID · PREMARIN · PREVNAR 13 · PREVNAR 20 · QULIPTA · QUVIVIQ · REXULTI · Repatha · Rybelsus · SOLIQUA 100/33 · STEGLATRO · SUNOSI · Sunosi · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · Veozah · WATCHMAN FLX · Wegovy · XIFAXAN
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 9% for family medicine in TX.

Equivalent to $545 per 100 Medicare services performed
Looking for a family medicine in Nacogdoches?
Compare family medicines in the Nacogdoches area by procedure volume, costs, and industry payment transparency.
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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

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. Cline is a clinical cardiology specialist, with above-average Medicare volume (top 23% in TX), and high industry engagement (low-engagement, top 9%).

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 office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Cline performed 403 office visit, established patient (30-39 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. Cline receive payments from pharmaceutical companies?
Yes. Dr. Cline received a total of $6,628 from 36 companies across 375 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 $45. 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 →
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 →