Dr. James Michaels, MD
What this data tells you about Dr. Michaels
Dr. James Michaels is a physical medicine & rehabilitation specialist in Tyler, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Michaels performed 4,563 Medicare services across 2,153 unique beneficiaries.
Between the years covered by Open Payments, Dr. Michaels received a total of $1,575 from 7 pharmaceutical and/or device companies across 16 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physical medicine & rehabilitation. 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. Michaels 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Chronic care management, first 20 min/month | 1,098 | $45 | $129 |
| Office visit, established patient (30-39 min) | 747 | $91 | $338 |
| Dexamethasone injection (steroid) | 726 | $0 | $10 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 429 | $98 | $1,034 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 187 | $39 | $331 |
| New patient office visit (45-59 min) | 127 | $123 | $510 |
| Needle measurement of electrical activity in arm or leg muscles, complete study | 126 | $74 | $304 |
| Chronic care management, additional 20 min/month | 93 | $36 | $65 |
| Joint injection, major joint | 89 | $58 | $300 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 80 | $90 | $953 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 78 | $52 | $492 |
| X-ray of lower and sacral spine, 2-3 views | 64 | $28 | $118 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 59 | $45 | $555 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 53 | $146 | $1,352 |
| Office visit, established patient (20-29 min) | 51 | $57 | $233 |
| Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 49 | $104 | $964 |
| Review by radiologist of hip joint image | 41 | $21 | $383 |
| Injection of contrast for imaging of hip under anesthesia | 37 | $65 | $996 |
| Nerve conduction, 7-8 studies | 35 | $128 | $599 |
| Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 32 | $135 | $1,560 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 29 | $81 | $701 |
| Knee X-ray, 3 views | 29 | $32 | $125 |
| X-ray of middle spine, 2 views | 27 | $7 | $98 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 26 | $45 | $335 |
| X-ray of upper spine, 2-3 views | 23 | $28 | $118 |
| New patient office visit (30-44 min) | 22 | $72 | $334 |
| Injection of trigger points, 1-2 muscles | 21 | $33 | $175 |
| X-ray of knee, 1-2 views | 21 | $6 | $104 |
| Injection of substance into middle or upper spine canal using imaging guidance | 20 | $77 | $813 |
| Nerve conduction, 13 or more studies | 19 | $209 | $950 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 18 | $70 | $679 |
| Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance | 18 | $68 | $1,028 |
| Nerve conduction, 5-6 studies | 18 | $99 | $455 |
| Nerve conduction, 9-10 studies | 17 | $162 | $717 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint | 15 | $49 | $589 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 14 | $140 | $1,317 |
| Hip X-ray, 2-3 views | 14 | $35 | $140 |
| Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 11 | $65 | $788 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 3 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. Michaels is a clinical cardiology specialist, with above-average Medicare volume (top 12% in TX), with low-engagement industry engagement, with 19 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. Michaels experienced with chronic care management, first 20 min/month?
Does Dr. Michaels receive payments from pharmaceutical companies?
How do Dr. Michaels's costs compare to other physical medicine & rehabilitations in Tyler?
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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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