Medicare Enrolled

Dr. Angela Smith, M.D.

Internal Medicine · Tyler, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
820 E. FRONT, Tyler, TX 75702
9035960602
In practice since 2005 (20 years)
NPI: 1740287838 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. Smith 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. Smith

Dr. Angela Smith is an internal medicine specialist in Tyler, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 2,177 Medicare services across 1,556 unique beneficiaries.

Between the years covered by Open Payments, Dr. Smith received a total of $4,528 from 40 pharmaceutical and/or device companies across 256 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. Smith 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.

✓ 20 years in practice ▲ Top 16% volume in TX $4,528 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,177
Medicare services
Top 16% in TX for internal medicine
1,556
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~109 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
Dexamethasone injection (steroid) 370 $0 $2
Office visit, established patient (30-39 min) 241 $84 $150
Office visit, established patient, complex (40-54 min) 214 $113 $200
Advance care planning consultation, first 30 min 143 $56 $95
Annual alcohol misuse screening, 5 to 15 minutes 132 $18 $35
Annual depression screening 128 $18 $35
Electrocardiogram (EKG), 12-lead 126 $10 $35
Annual wellness visit, follow-up 125 $123 $140
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 124 $25 $45
Office visit, established patient (20-29 min) 123 $52 $110
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve 103 $61 $75
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 82 $22 $40
Flu vaccine administration 82 $29 $30
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or 72 $24 $45
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 allow 56 $80 $110
Office visit, established patient (10-19 min) 34 $42 $65
Drug injection, under skin or into muscle 22 $9 $45
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 ↗
$4,528
Total received (2018-2024)
Avg $647/year across 7 years
Top 18% in TX for internal medicine
40
Companies
256
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
$4,170 (92.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$358 (7.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$773
2023
$720
2022
$737
2021
$690
2020
$430
2019
$524
2018
$654

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$763
SANOFI-AVENTIS U.S. LLC
$567
Astellas Pharma US Inc
$392
Boehringer Ingelheim Pharmaceuticals, Inc.
$280
PFIZER INC.
$235
AstraZeneca Pharmaceuticals LP
$192
Bayer HealthCare Pharmaceuticals Inc.
$192
Nevro Corp.
$182
Exact Sciences Corporation
$160
Lilly USA, LLC
$150
Bayer Healthcare Pharmaceuticals Inc.
$139
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$135
Janssen Pharmaceuticals, Inc
$108
Novartis Pharmaceuticals Corporation
$103
Merck Sharp & Dohme Corporation
$90
Takeda Pharmaceuticals U.S.A., Inc.
$84
IDORSIA PHARMACEUTICALS US INC
$74
GlaxoSmithKline, LLC.
$65
Amgen Inc.
$54
Horizon Therapeutics plc
$51
Otsuka America Pharmaceutical, Inc.
$44
Teva Pharmaceuticals USA, Inc.
$42
Sunovion Pharmaceuticals Inc.
$40
ABIOMED
$40
Daiichi Sankyo Inc.
$38
Shield Therapeutics Inc
$38
Allergan Inc.
$34
GE HEALTHCARE
$31
Evoke Pharma, Inc.
$24
Phathom Pharmaceuticals, Inc.
$23
EVOKE PHARMA, INC.
$20
Biohaven Pharmaceutical Holding Company Ltd.
$19
Merck Sharp & Dohme LLC
$18
SCILEX PHARMACEUTICALS INC.
$17
Biogen, Inc.
$16
Allergan, Inc.
$16
Abbott Laboratories
$15
Kowa Pharmaceuticals America, Inc.
$14
ARBOR PHARMACEUTICALS, INC.
$13
SANOFI PASTEUR INC.
$12
Top 3 companies account for 38.0% of total payments
Associated products mentioned in payments ›
ACCRUFER · ADACEL · ADUHELM · ADVAIR · AIRSUPRA · AUSTEDO · Aimovig · AirDuo Digihaler · Amitiza · Architect i2000SR Analyser System · BREO · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · GEMTESA · GIMOTI · INJECTAFER · Impella · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · Kyprolis · LINZESS · LONHALA MAGNAIR · LYRICA · Livalo · MOTEGRITY · MOUNJARO · MYRBETRIQ · Motegrity · Myrbetriq · NURTEC ODT · Omnia · Ozempic · PAXLOVID · PENNSAID · PREMARIN · QUVIVIQ · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SYMBICORT · Saxenda · Senza · TOUJEO · TRULICITY · TZIELD · Tresiba · UBRELVY · Uloric · VOQUEZNA · Veozah · Victoza · WELIREG · Wegovy · XARELTO · XIFAXAN · Xultophy 100/3.6 · ZTLido
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 (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $208 per 100 Medicare services performed
Looking for an internal medicine specialist in Tyler?
Compare internal medicine physicians in the Tyler area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
170
Per 100K population
71.4
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
3.0 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. Smith is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX), with low-engagement industry engagement in the top 18% of TX peers, with 20 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. Smith experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Smith performed 370 dexamethasone injection (steroid) 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. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $4,528 from 40 companies across 256 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. Smith's costs compare to other internal medicine physicians in Tyler?
Dr. Smith's average Medicare payment per service is $47. 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. Smith) 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 →