Medicare Enrolled
Dr. Gary Tigges, MD
Internal Medicine · Plano, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Tigges 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. Tigges
Dr. Gary Tigges is an internal medicine specialist in Plano, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Tigges performed 8,554 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Tigges received a total of $15,818 from 53 pharmaceutical and/or device companies across 806 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Tigges is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 4% volume in TX
$15,818 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗8,554
Medicare services
Top 4% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 2,520 | $18 | $27 |
| 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. |
1,523 | $80 | $300 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
914 | $8 | $15 |
| Annual depression screening | 554 | $18 | $20 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
537 | $124 | $170 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
411 | $114 | $225 |
| 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. |
306 | $8 | $80 |
| 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. |
242 | $10 | $75 |
| 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. |
235 | $64 | $175 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
222 | $29 | $37 |
| 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. |
165 | $71 | $91 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
140 | $0 | $1 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
136 | $128 | $228 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
106 | $1 | $20 |
| Additional vaccine administration This code covers the administration of each additional vaccine given during the same encounter. It is billed alongside the primary vaccine administration code. |
75 | $11 | $35 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 66 | $20 | $35 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
59 | $15 | $36 |
| Adm sarscv2 bvl 50mcg/.5ml a | 52 | $39 | $100 |
| 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. |
39 | $146 | $201 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
36 | $16 | $30 |
| SARS-CoV-2 vaccine, 30 mcg/0.3 mL Administration of the SARS-CoV-2 (COVID-19) vaccine containing 30 micrograms of antigen in a 0.3 milliliter dose. |
25 | $39 | $100 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
24 | $16 | $35 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
23 | $30 | $48 |
| 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. |
22 | $281 | $325 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
21 | $39 | $87 |
| New patient office visit, complex (60-74 min) | 21 | $148 | $519 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
19 | $109 | $395 |
| 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. |
19 | $40 | $60 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
15 | $36 | $120 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
14 | $35 | $100 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
13 | $7 | $28 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$15,818
Total received (2018-2024)
Avg $2,260/year across 7 years
Top 6% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
53
Companies
806
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,435
2023
$2,546
2022
$1,965
2021
$2,424
2020
$2,049
2019
$2,815
2018
$1,585
Payments by company (2024)
ViiV Healthcare Company
$732
Merck Sharp & Dohme LLC
$260
Gilead Sciences, Inc.
$246
Novo Nordisk Inc
$226
Lilly USA, LLC
$193
Abbott Laboratories
$173
Phathom Pharmaceuticals, Inc.
$166
Boehringer Ingelheim Pharmaceuticals, Inc.
$160
Verity Pharmaceuticals Inc.
$62
Inari Medical, Inc.
$50
AstraZeneca Pharmaceuticals LP
$42
PFIZER INC.
$39
Dexcom, Inc.
$27
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Janssen Pharmaceuticals, Inc
$14
Kowa Pharmaceuticals America, Inc.
$14
Amgen Inc.
$13
Top 3 companies account for 50.9% of 2024 payments
All-time payments by company (2018-2024) ›
ViiV Healthcare Company
$3,193
Gilead Sciences, Inc.
$2,179
AstraZeneca Pharmaceuticals LP
$1,623
Novo Nordisk Inc
$1,263
Boehringer Ingelheim Pharmaceuticals, Inc.
$753
Merck Sharp & Dohme LLC
$691
Lilly USA, LLC
$616
Merck Sharp & Dohme Corporation
$479
SANOFI-AVENTIS U.S. LLC
$477
GlaxoSmithKline, LLC.
$448
Amarin Pharma Inc.
$355
Amgen Inc.
$332
PFIZER INC.
$297
Janssen Biotech, Inc.
$255
Abbott Laboratories
$247
Janssen Pharmaceuticals, Inc
$235
Phathom Pharmaceuticals, Inc.
$166
Eisai Inc.
$160
Genentech USA, Inc.
$151
Bayer Healthcare Pharmaceuticals Inc.
$139
Esperion Therapeutics, Inc.
$137
Bardy Diagnostics, Inc.
$134
Kowa Pharmaceuticals America, Inc.
$133
Aytu Bioscience, Inc
$132
Janssen Products, LP
$125
AbbVie, Inc.
$110
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$95
AbbVie Inc.
$87
Novartis Pharmaceuticals Corporation
$78
GENZYME CORPORATION
$70
Daiichi Sankyo Inc.
$68
Verity Pharmaceuticals Inc.
$62
Currax Pharmaceuticals LLC
$57
Inari Medical, Inc.
$50
Althera Pharmaceuticals LLC
$48
Medtronic USA, Inc.
$31
ABBVIE INC.
$30
Allergan, Inc.
$30
Dexcom, Inc.
$27
ARBOR PHARMACEUTICALS, INC.
$26
Biogen, Inc.
$25
Clarus Therapeutics Inc.
$24
DERMIRA, INC.
$21
Exact Sciences Corporation
$21
Shire North American Group Inc
$18
Boston Scientific Corporation
$17
Biohaven Pharmaceuticals, Inc.
$17
LINUS HEALTH, INC.
$16
IDORSIA PHARMACEUTICALS US INC
$16
Dynavax Technologies Corporation
$16
Nalpropion Pharmaceuticals LLC
$14
EISAI INC.
$13
Bayer HealthCare Pharmaceuticals Inc.
$13
Top 3 companies account for 44.2% of all-time payments
Associated products mentioned in payments ›
ADUHELM · ADVAIR · APRETUDE · AREXVY · Aciphex · Aimovig · Androgel · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · CABENUVA · CHANTIX · CONTRAVE · CORE COGNITIVE EVALUATION · CYCLOSET · Carnation Ambulatory Monitor · Cologuard Collection Kit · DELSTRIGO · DOVATO · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EPANOVA · EVENITY · Edarbi · FARXIGA · FLOWTRIEVER CATHETER · FREESTYLE LIBRE 3 · GARDASIL 9 · Heplisav-B · ID NOW INSTRUMENT · INJECTAFER · INTELLIS · INTERSTIM · JANUVIA · JARDIANCE · JATENZO · JULUCA · Kerendia · Livalo · MAVYRET · MOUNJARO · MYDAYIS · NEXLETOL · NO PRODUCT DISCUSSED · NURTEC ODT · OCTRODE · Otezla · Ozempic · PIFELTRO · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Proclaim Family of SCS IPGs · Prolia · QULIPTA · QUVIVIQ · RUKOBIA · Repatha · Roszet · Rybelsus · S · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPECTRA WAVEWRITER · SPRAVATO · STEGLATRO · SYMBICORT · SYMTUZA · SYNTHROID · Saxenda · Symtuza · Synthroid · TOUJEO · TRADJENTA · TRIUMEQ · TRULICITY · Tlando · Tresiba · UBRELVY · VOQUEZNA · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza · ZORYVE
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
2,127
County median income
$117,588
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Tigges is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Tigges experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Tigges performed 2,520 denosumab injection (prolia/xgeva) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Tigges receive payments from pharmaceutical companies?
Yes. Dr. Tigges received a total of $15,818 from 53 companies across 806 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Tigges's costs compare to other internal medicine physicians in Plano?
Dr. Tigges'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. Tigges) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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