Medicare Enrolled

Dr. Elias Fanous, MD

Gastroenterology · Tyler, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
700 OLYMPIC PLAZA CIR, Tyler, TX 75701
9035263030
In practice since 2005 (20 years)
NPI: 1760478689 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. Fanous 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 →
Are you Dr. Fanous? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Fanous

Dr. Elias Fanous is a gastroenterology in Tyler, TX, with 20 years in practice. Based on federal Medicare data, Dr. Fanous performed 568 Medicare services across 509 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fanous received a total of $4,994 from 17 pharmaceutical and/or device companies across 79 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Fanous 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▲ 568 Medicare services$ $4,994 industry payments

Medicare Practice Summary

Medicare Utilization ↗
568
Medicare services
Bottom 45% in TX for gastroenterology
509
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~28 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.

ProcedureVolumeAvg. paidAvg. submitted
Upper GI endoscopy with biopsy142$59$780
Removal of polyps or growths of large bowel using an endoscope with mechanical snare102$186$1,320
Hospital follow-up visit, moderate complexity50$61$138
Colonoscopy with biopsy47$65$1,080
Hospital follow-up visit, high complexity45$82$180
Initial hospital admission, high complexity43$123$420
Single contrast x-ray of upper digestive tract33$29$360
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope29$170$1,680
Office visit, established patient (30-39 min)26$84$200
Insertion of guide wire with dilation of esophagus using a flexible endoscope20$82$960
Colorectal cancer screening; colonoscopy on individual at high risk16$174$900
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare15$129$984
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 ↗
$4,994
Total received (2018-2024)
Avg $713/year across 7 years
Top 39% in TX for gastroenterology
17
Companies
79
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
$3,219 (64.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,776 (35.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$724
2023
$181
2022
$101
2021
$122
2020
$1,706
2019
$68
2018
$2,093

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
BOSTON SCIENTIFIC CORPORATION
$1,899
CapsoVision, Inc.
$1,621
Takeda Pharmaceuticals U.S.A., Inc.
$231
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$230
ABBVIE INC.
$228
Medtronic, Inc.
$208
Janssen Biotech, Inc.
$124
Regeneron Healthcare Solutions, Inc.
$95
Janssen Scientific Affairs, LLC
$85
GENZYME CORPORATION
$71
PFIZER INC.
$35
AbbVie Inc.
$34
Nestle HealthCare Nutrition Inc.
$31
Synergy Pharmaceuticals Inc
$31
AbbVie, Inc.
$26
Braintree Laboratories, Inc.
$24
Ardelyx, Inc.
$20
Top 3 companies account for 75.1% of total payments
Associated products mentioned in payments ›
ACQUIRE · Amitiza · CREON · Creon · DUPIXENT · Dexilant · ENDOFLIP · EXPECT · EndoFlip · GENERAL BILIARY DEVICES · GENERAL HEMOSTASIS · HUMIRA · IBSRELA · LINZESS · MANOSCAN · MOTEGRITY · Motegrity · RINVOQ · SKYRIZI · STELARA · SUPREP · SUPREP BOWEL PREP · TREMFYA · TRULANCE · Trulance · VIBERZI · XELJANZ · XIFAXAN · ZENPEP
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 (64%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $879 per 100 Medicare services performed
Looking for a gastroenterology in Tyler?
Compare gastroenterologys in the Tyler area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys 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

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Fanous is a mixed practice specialist, with moderate Medicare volume, and low-engagement industry engagement, with 20 years of practice experience.

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. Fanous experienced with upper gi endoscopy with biopsy?
Based on Medicare claims data, Dr. Fanous performed 142 upper gi endoscopy with biopsy 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. Fanous receive payments from pharmaceutical companies?
Yes. Dr. Fanous received a total of $4,994 from 17 companies across 79 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. Fanous's costs compare to other gastroenterologys in Tyler?
Dr. Fanous's average Medicare payment per service is $100. 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. Fanous) 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 →