Medicare Enrolled

Dr. James Alaly, MD

Radiation Oncology · San Angelo, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
120 E BEAUREGARD AVE, San Angelo, TX 76903
3257471511
In practice since 2009 (16 years)
NPI: 1669616421 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. Alaly 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. Alaly

Dr. James Alaly is a radiation oncology specialist in San Angelo, TX, with 16 years of NPI registration. Based on federal Medicare data, Dr. Alaly performed 2,784 Medicare services across 2,665 unique beneficiaries.

Between the years covered by Open Payments, Dr. Alaly received a total of $657 from 6 pharmaceutical and/or device companies across 9 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. 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. Alaly 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.

✓ 16 years in practice ▲ Top 37% volume in TX $657 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,784
Medicare services
Top 37% in TX for radiation oncology
2,665
Unique beneficiaries
$32
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.

Procedure Volume Avg. paid Avg. submitted
Chest X-ray, 1 view 353 $6 $37
Bone density scan (DEXA) 256 $9 $44
3D screening mammography (tomosynthesis) 218 $28 $50
Screening mammography 218 $35 $146
CT scan of abdomen and pelvis with contrast 123 $64 $365
Chest X-ray, 2 views 116 $21 $117
CT scan of chest, without contrast 114 $36 $284
CT scan of head/brain, without contrast 108 $28 $210
Ct scan of abdomen and pelvis without contrast 70 $61 $353
Ct scan of blood vessels of chest with contrast 63 $65 $368
X-ray of knee, 4 or more views 56 $25 $135
Ct scan of upper spine without contrast 47 $34 $284
Shoulder X-ray, 2+ views 45 $20 $135
Ct scan of chest with contrast 39 $36 $304
Mri scan of brain before and after contrast 37 $78 $485
Nuclear medicine study from skull base to mid-thigh with ct scan 35 $87 $400
Hip X-ray, 2-3 views 34 $29 $152
Ct scan of blood vessels of head with contrast 32 $63 $304
X-ray of hand, minimum of 3 views 32 $23 $101
X-ray of wrist, minimum of 3 views 30 $27 $101
Ct scan of blood vessels of neck with contrast 29 $59 $287
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 28 $17 $50
Foot X-ray, 3+ views 27 $24 $107
Ct scan of soft tissue of neck with contrast 26 $48 $338
Ct scan of lower spine without contrast 26 $33 $284
X-ray of lower and sacral spine, 2-3 views 24 $30 $126
Limited ultrasound scan of abdomen 24 $20 $129
Ct scan of blood vessels of abdomen and pelvis with contrast 23 $79 $409
Ct scan of middle spine without contrast 20 $30 $284
Complete ultrasound scan behind abdominal cavity 20 $27 $165
Injection of lower or sacral spine facet joint using imaging guidance, single level 19 $84 $939
X-ray of abdomen, 1 view 19 $21 $105
Ct scan of abdomen and pelvis before and after contrast 19 $71 $420
Limited ultrasound scan of 1 breast 19 $20 $142
Injection of lower or sacral spine facet joint using imaging guidance, second level 18 $48 $479
Ultrasound study of one arm or leg veins with compression and maneuvers 18 $17 $114
Ultrasound scan of head and neck soft tissue 17 $52 $316
Mri scan of brain without contrast 16 $45 $381
X-ray of upper spine, 2-3 views 16 $24 $139
Mri scan of upper spinal canal without contrast 16 $51 $381
X-ray of knee, 1-2 views 16 $14 $102
Review by radiologist of ct guidance for needle placement 16 $55 $157
Injection of substance into lower spine canal using imaging guidance 15 $69 $704
Mri scan of lower spinal canal without contrast 15 $55 $381
X-ray of pelvis, 1-2 views 15 $6 $46
Knee X-ray, 3 views 15 $19 $119
Diagnostic mammography of both breasts 15 $22 $193
Fine needle aspiration biopsy using ultrasound guidance, first growth 14 $55 $372
Aspiration of fluid from chest cavity using imaging guidance 13 $68 $1,805
Ct scan of pelvis without contrast 13 $38 $266
X-ray of elbow, minimum of 3 views 13 $23 $112
Mri scan of abdomen before and after contrast 13 $79 $457
Diagnostic mammography of 1 breast 13 $28 $155
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 12 $100 $1,041
X-ray of lower and sacral spine, minimum of 4 views 12 $30 $184
Ct scan of abdomen before and after contrast 12 $47 $344
Complete ultrasound scan of 1 breast 12 $37 $280
Dxa bone density measurement of forearm, finger, hand, or foot 12 $10 $35
Ct scan of cranial cavity without contrast 11 $47 $316
X-ray of ribs on side of body, 2 views 11 $22 $134
X-ray of thigh bone, minimum 2 views 11 $6 $38
X-ray of ankle, minimum of 3 views 11 $23 $107
Imaging for evaluation of swallowing function 11 $20 $118
Ct scan of abdominal aorta and both leg arteries with contrast 11 $84 $788
Fluoroscopic guidance for needle placement 11 $15 $106
Ultrasound study of arm or leg veins with compression and maneuvers 11 $25 $162
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 ↗
$657
Total received (2018-2024)
Avg $164/year across 4 years
Top 32% in TX for radiation oncology
6
Companies
9
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
$657 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$549
2023
$20
2022
$58
2018
$29

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
INTUITIVE SURGICAL, INC.
$514
Siemens Medical Solutions USA, Inc.
$39
FUJIFILM Healthcare Americas Corporation
$35
Cook Medical LLC
$30
AngioDynamics, Inc.
$20
Cardinal Health 414, LLC
$18
Top 3 companies account for 89.6% of total payments
Associated products mentioned in payments ›
ANGIODYNAMICS · COOK CELECT · Da Vinci Surgical System · FUJIFILM · GUNTHER TULIP · Luminos Agile Max · Lymphoseek · SOMATOM X.cite
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 $24 per 100 Medicare services performed
Looking for a radiation oncology specialist in San Angelo?
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Geographic Context

Radiation oncologists within 10 mi
13
Per 100K population
10.9
County median income
$66,254
Nearest hospital
SHANNON MEDICAL CENTER
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. Alaly is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement, with 16 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. Alaly experienced with chest x-ray, 1 view?
Based on Medicare claims data, Dr. Alaly performed 353 chest x-ray, 1 view 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. Alaly receive payments from pharmaceutical companies?
Yes. Dr. Alaly received a total of $657 from 6 companies across 9 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. Alaly's costs compare to other radiation oncologists in San Angelo?
Dr. Alaly's average Medicare payment per service is $32. 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. Alaly) 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 →