Medicare Enrolled
Dr. Chad McNeil, MD
Physical Medicine & Rehabilitation · Tyler, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. McNeil 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. McNeil
Dr. Chad McNeil is a physical medicine & rehabilitation specialist in Tyler, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. McNeil performed 49,738 Medicare services across 2,836 unique beneficiaries.
Between the years covered by Open Payments, Dr. McNeil received a total of $67,018 from 23 pharmaceutical and/or device companies across 468 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physical medicine & rehabilitation. 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. McNeil 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.
✓ 18 years in practice
▲ Top 1% volume in TX
$67,018 industry payments
Medicare Practice Summary
Medicare Utilization ↗49,738
Medicare services
Top 1% in TX for physical medicine & rehabilitation
2,836
Unique beneficiaries
$11
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~2,763 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
44,150 | $5 | $15 |
| 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. |
1,077 | $44 | $129 |
| 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. |
942 | $93 | $338 |
| 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. |
459 | $8 | $118 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
450 | $0 | $10 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
236 | $97 | $986 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
225 | $0 | $20 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
135 | $39 | $329 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
120 | $8 | $118 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
111 | $36 | $65 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
84 | $38 | $150 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
82 | $38 | $175 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
82 | $225 | $5,979 |
| Chemical nerve block for neck muscles Injection of a chemical agent to paralyze specific muscles on the side of the neck, excluding the voice box. |
76 | $112 | $1,149 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
75 | $74 | $304 |
| 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. |
72 | $121 | $510 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
69 | $52 | $277 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
66 | $93 | $1,039 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
65 | $80 | $813 |
| Destruction of peripheral nerve or branch | 65 | $74 | $970 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
64 | $6 | $107 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
61 | $55 | $551 |
| Radiologist review of hip joint image A radiologist examines and interprets an image of the hip joint to assess its condition. |
60 | $21 | $383 |
| Chemical nerve block injection, 1-4 muscles An injection of a chemical agent to paralyze specific muscles in an arm or leg. This procedure targets one to four muscles in the first extremity treated. |
59 | $102 | $460 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
59 | $8 | $98 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
58 | $66 | $1,043 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
55 | $72 | $804 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
55 | $210 | $2,529 |
| 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. |
55 | $65 | $233 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
51 | $75 | $770 |
| 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. |
43 | $134 | $454 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
38 | $38 | $200 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
38 | $103 | $472 |
| Destruction of nerve branches of knee using imaging guidance | 35 | $123 | $1,569 |
| Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity | 34 | $68 | $291 |
| X-ray of entire middle and lower spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the entire middle and lower spine to visualize the bones and structures in these areas. |
32 | $52 | $210 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
32 | $7 | $102 |
| Spinal nerve root injection with imaging guidance An injection of anesthetic or steroid medication into a single nerve root in the upper or middle spine. The procedure uses imaging guidance to ensure accurate placement. |
30 | $103 | $934 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
29 | $67 | $759 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
28 | $107 | $1,046 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
27 | $62 | $522 |
| Nerve conduction studies, 5-6 tests A series of 5 to 6 tests that measure how well nerves send electrical signals. The procedure evaluates nerve function and helps identify damage or dysfunction. |
27 | $100 | $455 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
24 | $166 | $1,118 |
| X-ray of upper spine, 6 or more views An X-ray imaging test of the upper spine using six or more separate views to capture detailed images of the bones and structures in that area. |
23 | $47 | $184 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 21 | $24 | $286 |
| Additional spine nerve root injection with imaging An anesthetic and/or steroid medication is injected into an additional nerve root in the upper or middle spine. The procedure uses imaging guidance to ensure accurate placement. |
20 | $47 | $418 |
| 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. |
16 | $85 | $334 |
| Nerve destruction for spine-pelvis joint pain A procedure that destroys the nerves supplying the joint between the spine and pelvis to relieve pain. Imaging guidance is used to ensure accurate placement. |
12 | $187 | $2,600 |
| Nerve conduction studies, 7-8 tests A series of 7 to 8 nerve conduction tests to evaluate how well nerves are sending signals to muscles. |
11 | $122 | $599 |
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 ↗$67,018
Total received (2018-2024)
Avg $9,574/year across 7 years
Top 2% in TX for physical medicine & rehabilitation
23
Companies
468
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
$61,617 (91.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,402 (8.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$9,856
2023
$12,419
2022
$14,364
2021
$12,826
2020
$6,450
2019
$4,404
2018
$6,699
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$29,284
Allergan, Inc.
$21,867
Allergan Inc.
$10,466
Abbott Laboratories
$2,900
Boston Scientific Corporation
$1,716
Nevro Corp.
$113
Merz Pharmaceuticals, LLC
$83
Biohaven Pharmaceutical Holding Company Ltd.
$76
Amneal Pharmaceuticals LLC
$69
Bioventus LLC
$56
PFIZER INC.
$54
Merz North America, Inc.
$45
Amgen Inc.
$36
Vertos Medical, Inc.
$34
AbbVie Inc.
$33
Piramal Critical Care
$32
Medtronic USA, Inc.
$32
Ferring Pharmaceuticals Inc.
$32
Nalu Medical, Inc.
$23
Horizon Therapeutics plc
$23
Relievant Medsystems, Inc.
$20
Supernus Pharmaceuticals, Inc.
$13
Stimwave Technologies Incorporated
$11
Top 3 companies account for 91.9% of total payments
Associated products mentioned in payments ›
Aimovig · BOTOX · BOTOX - NEUROLOGY · BOTOX THERAPEUTIC · CFNS StimQ Peripheral Nerve StimulatorSystem · DUROLANE · Durolane · ETERNA · EUFLEXXA · Entrada · GABLOFEN · General - Therapies · INTELLIS · Infinion 16 · Intracept · IonicRF Generator · LYVISPAH · NURTEC ODT · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OCTRODE · Octrode SCS Leads · Omnia · PROCLAIM · Patient Trial Kit · Proclaim Family of SCS IPGs · Proclaim IPG · Proclaim Plus SCS with FlexBurst360 · Prodigy Family of SCS IPGs · QULIPTA · REYVOW · SYNCHROMED · Senza Spinal Cord Stimulation System · Superion Indirect Decompression System · TROKENDI XR · UBRELVY · WaveWriter Alpha Prime 16 · XEOMIN · Xeomin · mild Device Kit
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 (92%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in physical medicine & rehabilitation and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for physical medicine & rehabilitation in TX.
Equivalent to $135 per 100 Medicare services performed
Geographic Context
Physical medicine & rehabilitations within 10 mi
21
Per 100K population
8.8
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. McNeil is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), with speaking/promotional industry engagement in the top 2% of TX peers, with 18 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. McNeil experienced with botox injection, per unit?
Based on Medicare claims data, Dr. McNeil performed 44,150 botox injection, per unit 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. McNeil receive payments from pharmaceutical companies?
Yes. Dr. McNeil received a total of $67,018 from 23 companies across 468 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. McNeil's costs compare to other physical medicine & rehabilitations in Tyler?
Dr. McNeil's average Medicare payment per service is $11. 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. McNeil) 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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