Medicare Enrolled
Dr. Laura Durling, MD
Internal Medicine · Shenandoah, 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. Durling 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. Durling
Dr. Laura Durling is an internal medicine specialist in Shenandoah, TX, with 14 years of NPI registration. Based on federal Medicare data, Dr. Durling performed 6,564 Medicare services across 4,199 unique beneficiaries.
Between the years covered by Open Payments, Dr. Durling received a total of $4,479 from 46 pharmaceutical and/or device companies across 236 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. Durling 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 5% volume in TX
$4,479 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,564
Medicare services
Top 5% in TX for internal medicine
4,199
Unique beneficiaries
$31
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~469 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 |
|---|---|---|---|
| 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. |
761 | $84 | $894 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
608 | $10 | $94 |
| 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. |
559 | $8 | $69 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
516 | $10 | $86 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
490 | $13 | $119 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
444 | $16 | $149 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
442 | $9 | $80 |
| 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. |
431 | $41 | $525 |
| 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. |
392 | $53 | $610 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
261 | $124 | $958 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
196 | $29 | $263 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
175 | $37 | $418 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
159 | $30 | $325 |
| 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. |
110 | $6 | $51 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
109 | $5 | $46 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
86 | $37 | $519 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
75 | $15 | $134 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
69 | $18 | $164 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
59 | $3 | $28 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
52 | $15 | $169 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
49 | $13 | $121 |
| Iron level test | 49 | $6 | $58 |
| Transferrin level test A blood test that measures the amount of transferrin, a protein that binds to and transports iron in the body. |
49 | $12 | $113 |
| PSA test (prostate cancer screening) | 41 | $18 | $164 |
| 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. |
40 | $8 | $137 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
38 | $29 | $250 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
33 | $14 | $131 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
26 | $14 | $157 |
| 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. |
23 | $10 | $140 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
23 | $3 | $56 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
21 | $16 | $207 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
20 | $8 | $75 |
| 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. |
19 | $4 | $40 |
| Influenza B virus detection test A laboratory test that uses immunofluorescent techniques to detect the presence of the influenza B virus in a sample. |
18 | $12 | $107 |
| Influenza A virus detection test A laboratory test that uses immunofluorescent techniques to detect the presence of the influenza A virus in a sample. |
18 | $16 | $129 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
16 | $7 | $60 |
| 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. |
16 | $158 | $1,371 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
15 | $35 | $800 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
15 | $16 | $132 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
15 | $68 | $890 |
| Influenza virus nucleic acid detection test A laboratory test that uses nucleic acid technology to detect multiple types of influenza virus. |
13 | $94 | $766 |
| COVID-19 viral test, high throughput A laboratory test to detect the SARS-CoV-2 virus using high-throughput technology. This test identifies multiple types or subtypes of the virus and is performed by non-CDC laboratories. |
13 | $68 | $800 |
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 ↗$4,479
Total received (2018-2024)
Avg $640/year across 7 years
Top 18% in TX for internal medicine
46
Companies
236
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
$4,479 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,077
2023
$535
2022
$730
2021
$332
2020
$313
2019
$652
2018
$839
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$975
AstraZeneca Pharmaceuticals LP
$651
Lilly USA, LLC
$589
Amgen Inc.
$287
ABBVIE INC.
$168
Tosoh Bioscience, Inc.
$160
GlaxoSmithKline, LLC.
$147
Dexcom, Inc.
$142
UCB, Inc.
$125
AbbVie Inc.
$117
Abbott Laboratories
$112
Bayer HealthCare Pharmaceuticals Inc.
$86
Janssen Pharmaceuticals, Inc
$83
Astellas Pharma US Inc
$73
Bayer Healthcare Pharmaceuticals Inc.
$63
Mauna Kea Technologies, Inc.
$52
PFIZER INC.
$50
SpringWorks Therapeutics, Inc.
$38
Boehringer Ingelheim Pharmaceuticals, Inc.
$35
Radius Health, Inc.
$31
Janssen Biotech, Inc.
$29
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$28
PhotoniCare Inc
$27
Horizon Therapeutics plc
$26
Boston Scientific Corporation
$24
Pharmacosmos Therapeutics Inc.
$24
OptiNose US, Inc.
$23
Servier Pharmaceuticals LLC
$22
Allergan Inc.
$21
Endo USA, Inc.
$21
Edwards Lifesciences Corporation
$20
Smith & Nephew, Inc.
$19
Regeneron Healthcare Solutions, Inc.
$18
Nevro Corp.
$18
180 Medical, Inc.
$17
Medtronic, Inc.
$17
Novartis Pharmaceuticals Corporation
$16
Biohaven Pharmaceutical Holding Company Ltd.
$16
IBSA Pharma Inc.
$15
IDORSIA PHARMACEUTICALS US INC
$14
Exact Sciences Corporation
$14
Sunovion Pharmaceuticals Inc.
$14
Endo Pharmaceuticals Inc.
$13
AbbVie, Inc.
$13
SANOFI-AVENTIS U.S. LLC
$13
Amarin Pharma Inc.
$13
Top 3 companies account for 49.4% of total payments
Associated products mentioned in payments ›
AIRSUPRA · BASAGLAR · BEVESPI AEROSPHERE · BREZTRI · BYSTOLIC · CAPLYTA · CHANTIX · CLOSUREFAST · CREON · Cologuard Collection Kit · DEXCOM G7 GSS (161) · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ENTRESTO · EVENITY · FARXIGA · FORTEO · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · G8 Column · GENTLECATH · JARDIANCE · KRYSTEXXA · Kerendia · LIBTAYO · LONHALA MAGNAIR · MONOFERRIC · MOUNJARO · MYRBETRIQ · NASCOBAL · NURTEC ODT · OGSIVEO · OtoSight Middle Ear Scope · Ozempic · PICO · PREVNAR - 13 · PREVNAR 20 · Proclaim IPG · Prolia · QULIPTA · QUVIVIQ · REMICADE · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SUPERION · SYMBICORT · SYNTHROID · Senza · Synthroid · TIBSOVO · TOUJEO · TRULICITY · Tirosint · Tresiba · Tymlos · UBRELVY · VRAYLAR · Vascepa · Victoza · Wegovy · XARELTO · XIAFLEX · Xhance · 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 $68 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
711
Per 100K population
108.6
County median income
$97,266
Nearest hospital
HOUSTON METHODIST THE WOODLANDS HOSPITAL
4.2 mi
4.2 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. Durling is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX), with low-engagement industry engagement in the top 18% of TX peers.
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. Durling experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Durling performed 761 office visit, established patient (30-39 min) 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. Durling receive payments from pharmaceutical companies?
Yes. Dr. Durling received a total of $4,479 from 46 companies across 236 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. Durling's costs compare to other internal medicine physicians in Shenandoah?
Dr. Durling's average Medicare payment per service is $31. 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. Durling) 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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