Medicare Enrolled
Dr. Chad Trammell, MD
Family Medicine · Paris, 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. Trammell 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. Trammell
Dr. Chad Trammell is a family medicine specialist in Paris, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Trammell performed 13,333 Medicare services across 7,293 unique beneficiaries.
Between the years covered by Open Payments, Dr. Trammell received a total of $11,002 from 47 pharmaceutical and/or device companies across 846 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. Trammell 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 1% volume in TX
$11,002 industry payments
Medicare Practice Summary
Medicare Utilization ↗13,333
Medicare services
Top 1% in TX for family medicine
7,293
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~702 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 |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
2,139 | $1 | $3 |
| 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. |
1,567 | $56 | $135 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,075 | $8 | $11 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
863 | $8 | $28 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
738 | $10 | $61 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
635 | $13 | $63 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
603 | $16 | $61 |
| 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. |
487 | $80 | $185 |
| 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. |
459 | $9 | $46 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
447 | $123 | $132 |
| Annual depression screening | 364 | $18 | $20 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
344 | $9 | $40 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
341 | $29 | $45 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
322 | $16 | $26 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
272 | $29 | $32 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
251 | $72 | $75 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
197 | $4 | $19 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
183 | $34 | $75 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
181 | $9 | $30 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
180 | $17 | $50 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
179 | $2 | $35 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
141 | $8 | $46 |
| 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. |
136 | $0 | $26 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
131 | $48 | $62 |
| 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. |
113 | $149 | $255 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
109 | $28 | $60 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
100 | $19 | $64 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
99 | $1 | $10 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
79 | $38 | $55 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
66 | $36 | $47 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
64 | $0 | $10 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
57 | $46 | $65 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
43 | $15 | $30 |
| PSA test (prostate cancer screening) | 34 | $17 | $64 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
34 | $16 | $45 |
| 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. |
33 | $10 | $79 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
29 | $45 | $188 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
28 | $5 | $35 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
28 | $5 | $23 |
| 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. |
22 | $158 | $175 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
21 | $21 | $29 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
20 | $29 | $30 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
19 | $25 | $50 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
18 | $4 | $17 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
16 | $4 | $19 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
14 | $282 | $300 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
13 | $22 | $100 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
13 | $7 | $15 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
13 | $34 | $110 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
13 | $158 | $170 |
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 ↗$11,002
Total received (2018-2024)
Avg $1,572/year across 7 years
Top 4% in TX for family medicine
47
Companies
846
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
$10,831 (98.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$171 (1.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,974
2023
$1,597
2022
$1,362
2021
$1,208
2020
$1,459
2019
$1,592
2018
$1,809
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$1,945
GlaxoSmithKline, LLC.
$1,245
Novo Nordisk Inc
$1,179
Lilly USA, LLC
$829
PFIZER INC.
$569
Amgen Inc.
$481
AbbVie Inc.
$471
Merck Sharp & Dohme Corporation
$468
Janssen Pharmaceuticals, Inc
$456
ABBVIE INC.
$450
SANOFI-AVENTIS U.S. LLC
$437
Boehringer Ingelheim Pharmaceuticals, Inc.
$368
Astellas Pharma US Inc
$310
Exact Sciences Corporation
$247
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$245
Takeda Pharmaceuticals U.S.A., Inc.
$197
Stryker Corporation
$108
Eisai Inc.
$101
Amarin Pharma Inc.
$100
Allergan, Inc.
$89
IDORSIA PHARMACEUTICALS US INC
$58
Abbott Laboratories
$49
Dexcom, Inc.
$49
Biohaven Pharmaceutical Holding Company Ltd.
$49
Genentech USA, Inc.
$40
Sunovion Pharmaceuticals Inc.
$37
Synergy Pharmaceuticals Inc
$36
Bayer HealthCare Pharmaceuticals Inc.
$32
ASSERTIO THERAPEUTICS, Inc.
$30
Axsome Therapeutics, Inc.
$28
Boston Scientific Corporation
$28
VIVUS LLC
$23
Corcept Therapeutics
$23
Novartis Pharmaceuticals Corporation
$21
Allergan Inc.
$19
NeoTract Inc.
$19
Merck Sharp & Dohme LLC
$18
Phathom Pharmaceuticals, Inc.
$18
Radius Health, Inc.
$17
Almatica Pharma LLC
$17
AIMMUNE THERAPEUTICS, INC.
$17
Avanir Pharmaceuticals, Inc.
$16
Mylan Specialty L.P.
$15
LINUS HEALTH, INC.
$14
Scilex Pharmaceuticals Inc.
$12
Teva Pharmaceuticals USA, Inc.
$11
Nestle HealthCare Nutrition Inc.
$11
Top 3 companies account for 39.7% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Amitiza · Auvelity · BASAGLAR · BELSOMRA · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · CHANTIX · COLOGUARD · COMIRNATY · CORE COGNITIVE EVALUATION · CREON · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · GRALISE · Gralise · INVOKANA · JANUMET · JANUMET XR · JANUVIA · JARDIANCE · Kerendia · Korlym · LINZESS · LONHALA MAGNAIR · LYRICA · MAKO · MOUNJARO · MYRBETRIQ · Myrbetriq · NUEDEXTA · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PREVNAR - 13 · Prolia · QSYMIA · QULIPTA · QUVIVIQ · RYBELSUS · Repatha · Rybelsus · SEEBRI · SHINGRIX · SIVEXTRO · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TZIELD · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · UroLift · Utibron · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · WATCHMAN Access System · Wegovy · XARELTO · XIFAXAN · Xofluza · Yupelri · ZENPEP · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for family medicine in TX.
Equivalent to $83 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
18
Per 100K population
35.7
County median income
$61,122
Nearest hospital
PARIS REGIONAL 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. Trammell is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), with low-engagement industry engagement in the top 4% 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. Trammell experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Trammell performed 2,139 steroid injection (triamcinolone) 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. Trammell receive payments from pharmaceutical companies?
Yes. Dr. Trammell received a total of $11,002 from 47 companies across 846 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. Trammell's costs compare to other family medicine physicians in Paris?
Dr. Trammell's average Medicare payment per service is $26. 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. Trammell) 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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