Medicare Enrolled
Dr. Carl Israel, MD
Interventional Cardiology · Tyler, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Israel 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. Israel
Dr. Carl Israel is an interventional cardiology specialist in Tyler, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Israel performed 2,141 Medicare services across 1,824 unique beneficiaries.
Between the years covered by Open Payments, Dr. Israel received a total of $22,795 from 41 pharmaceutical and/or device companies across 493 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Israel 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
▲ 2,141 Medicare services
$22,795 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,141
Medicare services
Bottom 49% in TX for interventional cardiology
1,824
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~107 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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
505 | $6 | $19 |
| 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. |
417 | $72 | $326 |
| 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. |
302 | $9 | $55 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
116 | $25 | $137 |
| 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. |
98 | $110 | $427 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
75 | $16 | $91 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
67 | $560 | $4,561 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
59 | $37 | $196 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
56 | $55 | $675 |
| 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. |
50 | $52 | $221 |
| 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. |
47 | $112 | $421 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress. |
44 | $65 | $296 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
36 | $75 | $379 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
27 | $11 | $34 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
23 | $20 | $70 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
23 | $2 | $28 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
22 | $16 | $50 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
22 | $82 | $801 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
22 | $14 | $146 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
22 | $10 | $173 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
21 | $8 | $19 |
| Evaluation of implantable heart and blood vessel monitoring system This procedure involves checking the function and data of an implanted device used to monitor heart and blood vessel activity. |
19 | $21 | $120 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
15 | $45 | $214 |
| New patient office visit, complex (60-74 min) | 15 | $135 | $522 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
14 | $75 | $564 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
13 | $4 | $35 |
| Cardiac catheterization | 11 | $204 | $3,045 |
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.
7.6% high complexity
17.0% medium
75.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$22,795
Total received (2018-2024)
Avg $3,256/year across 7 years
Top 21% in TX for interventional cardiology
41
Companies
493
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$15,692 (68.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,102 (31.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,165
2023
$1,121
2022
$1,170
2021
$1,154
2020
$608
2019
$5,720
2018
$11,857
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic Vascular, Inc.
$15,533
Novartis Pharmaceuticals Corporation
$1,484
Abbott Laboratories
$830
Janssen Pharmaceuticals, Inc
$636
Amgen Inc.
$471
E.R. Squibb & Sons, L.L.C.
$412
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$404
PFIZER INC.
$312
Boehringer Ingelheim Pharmaceuticals, Inc.
$284
Astellas Pharma US Inc
$284
Merck Sharp & Dohme LLC
$267
Gilead Sciences, Inc.
$248
SANOFI-AVENTIS U.S. LLC
$225
Medtronic, Inc.
$185
AstraZeneca Pharmaceuticals LP
$146
Merck Sharp & Dohme Corporation
$139
Lundbeck LLC
$137
Novo Nordisk Inc
$118
Regeneron Healthcare Solutions, Inc.
$73
Esperion Therapeutics, Inc.
$57
CVRx, Inc.
$55
Lexicon Pharmaceuticals, Inc.
$45
Amarin Pharma Inc.
$44
iRhythm Technologies, Inc.
$38
Philips Electronics North America Corporation
$35
Tactile Systems Technology Inc
$34
HEARTFLOW, INC.
$32
Kiniksa Pharmaceuticals International, plc
$29
Siemens Medical Solutions USA, Inc.
$28
AtriCure, Inc.
$25
ABIOMED
$24
United Therapeutics Corporation
$24
Alnylam Pharmaceuticals Inc.
$21
Janssen Scientific Affairs, LLC
$18
JAZZ PHARMACEUTICALS INC.
$17
Takeda Pharmaceuticals U.S.A., Inc.
$16
Jazz Pharmaceuticals Inc.
$16
CMP Pharma, Inc.
$13
Bayer HealthCare Pharmaceuticals Inc.
$13
Otsuka America Pharmaceutical, Inc.
$12
Biocompatibles, Inc.
$12
Top 3 companies account for 78.3% of total payments
Associated products mentioned in payments ›
(5044) MCOT · (6554) Peripheral Vascular Undivided · ARTIS icono biplane · Arcalyst · Artis icono floor · Asahi Fielder XT cornary guide wire · Asahi Fielder coronary guide wire · Assurity Pacemaker · BRILINTA · Barostim Neo System · CAMZYOS · CHANTIX · CONFIRM RX · Carospir · ClosureFast · Confirm Rx · Corlanor · Dexilant · ELIQUIS · ENTRESTO · Ellipse ICD · FARXIGA · FFRct · FLEXITOUCH · FORTIFY ASSURA · Fortify Assura · GALLANT · ICDs · Impella · Inpefa · JARDIANCE · Kerendia · LEQVIO · LEXISCAN · LifeVest · MITRACLIP · MULTAQ · Merlin Connectivity and Remote · Mini Trek catheters · NC TREK coronary catheters · NEXLETOL · NORTHERA · ONPATTRO · ONYX FRONTIER · ORENITRAM · Occluders · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Repatha · Rybelsus · SAMSCA · SYMPLICITY G3 · SYNERGY ABLATION SYSTEM · Tendril Pacing Lead · VARITHENA · VERQUVO · Vascepa · XARELTO · XYREM · Xience Alpine cornary stent system · Xyrem · Zio monitor
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 →
The majority of payments (69%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in interventional cardiology and does not inherently indicate bias, but patients may wish to be aware.
Equivalent to $1,065 per 100 Medicare services performed
Geographic Context
Interventional cardiologists within 10 mi
5
Per 100K population
2.1
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
0.0 mi
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. Israel is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement, 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. Israel experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Israel performed 505 ekg interpretation and report 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. Israel receive payments from pharmaceutical companies?
Yes. Dr. Israel received a total of $22,795 from 41 companies across 493 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. Israel's costs compare to other interventional cardiologists in Tyler?
Dr. Israel's average Medicare payment per service is $55. 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. Israel) 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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