Medicare Enrolled

Dr. Paula Gaston, NP-C

Nurse Practitioner - Family · Paris, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
635 STONE AVE, Paris, TX 75460
9037065071
In practice since 2011 (14 years)
NPI: 1720363344 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. Gaston 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. Gaston? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Gaston

Dr. Paula Gaston is a nurse practitioner - family in Paris, TX, with 14 years in practice. Based on federal Medicare data, Dr. Gaston performed 2,063 Medicare services across 759 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gaston received a total of $1,601 from 15 pharmaceutical and/or device companies across 70 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Gaston 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.

✓ 14 years in practice▲ Top 6% volume in TX$ $1,601 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,063
Medicare services
Top 6% in TX for nurse practitioner - family
759
Unique beneficiaries
$25
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~147 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
Steroid injection (triamcinolone)474$1$10
Office visit, established patient (20-29 min)227$39$223
Office visit, established patient (30-39 min)208$71$316
Drug injection, under skin or into muscle182$7$34
Ceftriaxone antibiotic injection181$0$37
Injection, ketorolac tromethamine, per 15 mg132$0$8
Blood draw (venipuncture)111$8$15
Chronic care management, first 20 min/month94$40$197
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow89$67$257
Chronic care management, additional 20 min/month80$31$149
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 a55$25$96
Annual alcohol misuse screening, 5 to 15 minutes36$15$45
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes35$21$65
Annual depression screening33$15$45
Annual wellness visit, follow-up30$105$322
Emergency department visit, high complexity26$116$1,717
Office visit, established patient (10-19 min)16$27$137
Emergency department visit, moderate complexity15$80$1,178
Flu vaccine administration15$30$60
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage13$22$81
New patient office visit (45-59 min)11$108$408
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 ↗
$1,601
Total received (2021-2024)
Avg $400/year across 4 years
Top 19% in TX for nurse practitioner - family
15
Companies
70
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
$1,601 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$249
2023
$484
2022
$529
2021
$340

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$368
IDORSIA PHARMACEUTICALS US INC
$322
Lilly USA, LLC
$256
ABBVIE INC.
$190
Otsuka America Pharmaceutical, Inc.
$135
AbbVie Inc.
$78
Novo Nordisk Inc
$68
AstraZeneca Pharmaceuticals LP
$65
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$27
Eisai Inc.
$20
PFIZER INC.
$20
Mylan Specialty L.P.
$20
Axsome Therapeutics, Inc.
$15
Almatica Pharma LLC
$13
Genentech USA, Inc.
$4
Top 3 companies account for 59.1% of total payments
Associated products mentioned in payments ›
AREXVY · Auvelity · BREZTRI · Dayvigo · EMGALITY · FARXIGA · JARDIANCE · LINZESS · LOREEV XR · MOUNJARO · Ozempic · PREMARIN · QUVIVIQ · REXULTI · Saxenda · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VRAYLAR · Wegovy · XIFAXAN · Xofluza · YUPELRI · ZEPBOUND
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 $78 per 100 Medicare services performed
Looking for a nurse practitioner - family in Paris?
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Geographic Context

Nurse Practitioner - Familys within 10 mi
58
Per 100K population
115.0
County median income
$61,122
Nearest hospital
PARIS REGIONAL 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. Gaston is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), and high industry engagement (low-engagement, top 19%).

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. Gaston experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Gaston performed 474 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. Gaston receive payments from pharmaceutical companies?
Yes. Dr. Gaston received a total of $1,601 from 15 companies across 70 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. Gaston's costs compare to other nurse practitioner - familys in Paris?
Dr. Gaston's average Medicare payment per service is $25. 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. Gaston) 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 →