Medicare Enrolled

Dr. Ashfaq Tapia, MD

Internal Medicine · Paris, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1800 FARM ROAD 195, Paris, TX 75462
9037397920
In practice since 2008 (17 years)
NPI: 1295997930 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. Tapia 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. Tapia

Dr. Ashfaq Tapia is an internal medicine specialist in Paris, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Tapia performed 8,905 Medicare services across 2,368 unique beneficiaries.

Between the years covered by Open Payments, Dr. Tapia received a total of $5,637 from 36 pharmaceutical and/or device companies across 546 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Tapia 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 $5,637 industry payments

Medicare Practice Summary

Medicare Utilization ↗
8,905
Medicare services
Top 4% in TX for internal medicine
2,368
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~524 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
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 2,213 $30 $50
Office visit, established patient (30-39 min) 1,454 $87 $207
Remote patient monitoring management, 20 min/month 1,371 $37 $50
Remote patient monitoring device, 30 days 1,180 $36 $61
Chronic care management, first 20 min/month 1,006 $43 $75
Steroid injection (triamcinolone) 376 $1 $5
Annual wellness visit, follow-up 224 $126 $223
Advance care planning consultation, first 30 min 161 $76 $100
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a 146 $30 $117
Office visit, established patient (20-29 min) 119 $64 $140
Ultrasound study of arm and leg arteries 116 $61 $168
Drug injection, under skin or into muscle 113 $9 $45
New patient office visit (45-59 min) 47 $98 $318
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and 44 $38 $154
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 38 $14 $23
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 32 $157 $330
Annual depression screening 28 $18 $29
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 27 $50 $130
Transitional care management services for problem of high complexity 27 $209 $448
Detection test by nucleic acid for multiple types influenza virus 25 $94 $140
Injection, ketorolac tromethamine, per 15 mg 22 $0 $22
Administration of psychological or neuropsychological test by technician, each additional 30 minutes 19 $23 $55
Administration of psychological or neuropsychological test by technician, first 30 minutes 18 $25 $62
Retinal photography (fundus photo) 16 $27 $150
Smoking and tobacco use intensive counseling, 4-10 minutes 15 $14 $38
Transitional care management services for problem of at least moderate complexity 15 $159 $317
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 14 $162 $321
Urinalysis, manual 13 $3 $11
Electrocardiogram (EKG), 12-lead 13 $10 $58
Annual alcohol misuse screening, 5 to 15 minutes 13 $18 $29
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 ↗
$5,637
Total received (2018-2024)
Avg $805/year across 7 years
Top 15% in TX for internal medicine
36
Companies
546
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
$5,637 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$181
2023
$540
2022
$836
2021
$587
2020
$213
2019
$1,693
2018
$1,587

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$897
GlaxoSmithKline, LLC.
$855
AstraZeneca Pharmaceuticals LP
$571
Lilly USA, LLC
$522
SANOFI-AVENTIS U.S. LLC
$380
PFIZER INC.
$303
Merck Sharp & Dohme Corporation
$286
Amgen Inc.
$257
Allergan Inc.
$248
Mylan Specialty L.P.
$158
ABBVIE INC.
$148
Allergan, Inc.
$115
Janssen Pharmaceuticals, Inc
$111
Boehringer Ingelheim Pharmaceuticals, Inc.
$107
AbbVie Inc.
$103
Sunovion Pharmaceuticals Inc.
$77
Novartis Pharmaceuticals Corporation
$58
Astellas Pharma US Inc
$50
Radius Health, Inc.
$35
Takeda Pharmaceuticals U.S.A., Inc.
$34
Dexcom, Inc.
$33
IDORSIA PHARMACEUTICALS US INC
$31
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$30
Esperion Therapeutics, Inc.
$28
Currax Pharmaceuticals LLC
$27
Merck Sharp & Dohme LLC
$26
SCILEX PHARMACEUTICALS INC.
$20
Amarin Pharma Inc.
$17
Orexigen Therapeutics, Inc.
$17
Horizon Therapeutics plc
$16
Nalpropion Pharmaceuticals, Inc.
$15
Bayer Healthcare Pharmaceuticals Inc.
$14
Axonics, Inc.
$13
Nalpropion Pharmaceuticals LLC
$12
Synergy Pharmaceuticals Inc
$11
Supernus Pharmaceuticals, Inc.
$11
Top 3 companies account for 41.2% of total payments
Associated products mentioned in payments ›
ANORO · Aimovig · Amitiza · Axonics · BASAGLAR · BELSOMRA · BREO · BREZTRI · BYSTOLIC · CHANTIX · CONTRAVE · CREON · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FORTEO · GARDASIL · JANUMET · JANUMET XR · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LINZESS · LONHALA MAGNAIR · LYRICA · MOUNJARO · Myrbetriq · NAMZARIC · NEXLETOL · OFEV · Otezla · Ozempic · PREVNAR - 13 · Prolia · QULIPTA · QUVIVIQ · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TROKENDI XR · TRULICITY · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · VIBERZI · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Yupelri · ZTLido
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 $63 per 100 Medicare services performed
Looking for an internal medicine specialist in Paris?
Compare internal medicine physicians in the Paris area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
11
Per 100K population
21.8
County median income
$61,122
Nearest hospital
PARIS REGIONAL MEDICAL CENTER
7.0 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. Tapia is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with low-engagement industry engagement in the top 15% of TX peers, 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. Tapia experienced with management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes?
Based on Medicare claims data, Dr. Tapia performed 2,213 management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 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. Tapia receive payments from pharmaceutical companies?
Yes. Dr. Tapia received a total of $5,637 from 36 companies across 546 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. Tapia's costs compare to other internal medicine physicians in Paris?
Dr. Tapia's average Medicare payment per service is $47. 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. Tapia) 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 →