Medicare Enrolled

Dr. Laura Durling, MD

Internal Medicine · Shenandoah, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
8845 SIX PINES DR STE 200, Shenandoah, TX 77380
2814405300
In practice since 2011 (14 years)
NPI: 1689968133 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. 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) 761 $84 $894
Comprehensive metabolic blood panel 608 $10 $94
Complete blood count (CBC) with differential 559 $8 $69
Hemoglobin A1c test (diabetes monitoring) 516 $10 $86
Lipid panel (cholesterol and triglycerides) 490 $13 $119
Thyroid stimulating hormone (TSH) test 444 $16 $149
Free thyroxine (T4) test 442 $9 $80
Chronic care management, first 20 min/month 431 $41 $525
Office visit, established patient (20-29 min) 392 $53 $610
Annual wellness visit, follow-up 261 $124 $958
Vitamin D level test 196 $29 $263
Remote patient monitoring management, 20 min/month 175 $37 $418
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 159 $30 $325
Urine microalbumin test (kidney screening) 110 $6 $51
Creatinine test (kidney function) 109 $5 $46
Remote patient monitoring device, 30 days 86 $37 $519
Vitamin B-12 level test 75 $15 $134
Psa (prostate specific antigen) measurement, free 69 $18 $164
Urinalysis with microscopic exam 59 $3 $28
Chest X-ray, 2 views 52 $15 $169
Ferritin level test (iron stores) 49 $13 $121
Iron level test 49 $6 $58
Transferrin (iron binding protein) level 49 $12 $113
PSA test (prostate cancer screening) 41 $18 $164
Drug injection, under skin or into muscle 40 $8 $137
Bone density scan (DEXA) 38 $29 $250
Folic acid level test 33 $14 $131
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 26 $14 $157
Electrocardiogram (EKG), 12-lead 23 $10 $140
Injection, methylprednisolone sodium succinate, up to 125 mg 23 $3 $56
X-ray of lower and sacral spine, 2-3 views 21 $16 $207
Basic metabolic blood panel 20 $8 $75
Uric acid level test 19 $4 $40
Detection test by immunofluorescent technique for influenza b virus 18 $12 $107
Detection test by immunofluorescent technique for influenza a virus 18 $16 $129
Magnesium level test 16 $7 $60
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 16 $158 $1,371
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 15 $35 $800
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 15 $16 $132
New patient office visit (30-44 min) 15 $68 $890
Detection test by nucleic acid for multiple types influenza virus 13 $94 $766
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 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
Looking for an internal medicine specialist in Shenandoah?
Compare internal medicine physicians in the Shenandoah area by procedure volume, costs, and industry payment transparency.
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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

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 →
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 →