Medicare Enrolled

Dr. Megan Followwell, PA-C

Physician Assistant · Tyler, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
5777 NEW COPELAND RD, Tyler, TX 75703
9035619255
In practice since 2007 (18 years)
NPI: 1053537274 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. Followwell 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. Followwell

Dr. Megan Followwell is a physician assistant in Tyler, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Followwell performed 11,703 Medicare services across 2,069 unique beneficiaries.

Between the years covered by Open Payments, Dr. Followwell received a total of $2,722 from 36 pharmaceutical and/or device companies across 132 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. 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. Followwell 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 0% volume in TX $2,722 industry payments

Medicare Practice Summary

Medicare Utilization ↗
11,703
Medicare services
Top 0% in TX for physician assistant
2,069
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~650 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
Abatacept infusion (Orencia) 3,900 $34 $95
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 3,120 $28 $120
Measurement of antibody for assessment of autoimmune disorder, any method 1,728 $17 $75
Office visit, established patient (30-39 min) 714 $82 $220
Analysis of substance using immunoassay technique, multiple step method 420 $11 $35
Measurement of dna antibody, native or double stranded 216 $13 $60
Measurement of dna antibody, single stranded 216 $12 $30
Measurement of antibody for rheumatoid arthritis assessment 210 $13 $55
Rheumatoid factor level 210 $6 $20
Administration of chemotherapy into vein, 1 hour or less 145 $84 $365
Injection, methylprednisolone acetate, 80 mg 145 $9 $25
Office visit, established patient (20-29 min) 140 $57 $160
Drug injection, under skin or into muscle 113 $9 $50
Administration of chemotherapy into vein, each additional hour 112 $18 $85
Dexamethasone injection (steroid) 100 $0 $5
Aspiration and/or injection of fluid large joint using ultrasound guidance 73 $73 $382
Injection, ketorolac tromethamine, per 15 mg 70 $0 $15
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 45 $41 $140
Injection, methylprednisolone acetate, 40 mg 26 $6 $15
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.
33.7% high complexity
33.4% medium
32.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,722
Total received (2021-2024)
Avg $680/year across 4 years
Top 18% in TX for physician assistant
36
Companies
132
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
$2,722 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$885
2023
$839
2022
$528
2021
$470

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$516
ABBVIE INC.
$461
AstraZeneca Pharmaceuticals LP
$223
Bioventus LLC
$128
GlaxoSmithKline, LLC.
$121
Novartis Pharmaceuticals Corporation
$117
Lilly USA, LLC
$109
Fresenius Kabi USA, LLC
$96
Boehringer Ingelheim Pharmaceuticals, Inc.
$90
Genentech USA, Inc.
$84
PFIZER INC.
$70
Currax Pharmaceuticals LLC
$68
Aurinia Pharma U.S., Inc.
$64
Mallinckrodt Hospital Products Inc.
$59
UCB, Inc.
$51
Organon LLC
$38
Sandoz Inc.
$38
Horizon Therapeutics plc
$37
Bayer HealthCare Pharmaceuticals Inc.
$34
Pacira Pharmaceuticals Incorporated
$31
AbbVie Inc.
$29
Janssen Biotech, Inc.
$27
Cardiovascular Systems Inc.
$24
SOBI, INC
$22
Kyowa Kirin, Inc.
$19
ANI Pharmaceuticals, Inc.
$17
Optinose US, Inc.
$17
Organon Llc
$16
Novo Nordisk Inc
$15
DePuy Synthes Sales Inc.
$15
Paratek Pharmaceuticals, Inc.
$15
Merck Sharp & Dohme Corporation
$15
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Janssen Pharmaceuticals, Inc
$14
LINUS HEALTH, INC.
$13
SANOFI PASTEUR INC.
$13
Top 3 companies account for 44.1% of total payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · Actemra · BELSOMRA · BENLYSTA · Bimzelx · CONTRAVE · CORE COGNITIVE EVALUATION · COSENTYX · Cimzia · Crysvita · DUROLANE · Diamondback Peripheral · Durolane · EVENITY · Enbrel · FARXIGA · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · HADLIMA · HYRIMOZ · IDACIO · Iovera · KINERET · KRYSTEXXA · Kerendia · LUPKYNIS · NUZYRA · ORTHOVISC · Ozempic · PREVNAR 13 · PURIFIED CORTROPHIN GEL · RENFLEXIS · RINVOQ · Rituxan · SAPHNELO · SKYRIZI · SPIRIVA · TALTZ · TAVNEOS · TRELEGY ELLIPTA · TREMFYA · TRULICITY · Tavneos · UBRELVY · XARELTO · XELJANZ · XIFAXAN · Xhance · Xofluza
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $23 per 100 Medicare services performed
Looking for a physician assistant in Tyler?
Compare physician assistants in the Tyler area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Physician assistants within 10 mi
98
Per 100K population
41.2
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
6.2 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. Followwell is a mixed practice specialist, with above-average Medicare volume (top 0% in TX), with low-engagement industry engagement in the top 18% 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. Followwell experienced with abatacept infusion (orencia)?
Based on Medicare claims data, Dr. Followwell performed 3,900 abatacept infusion (orencia) 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. Followwell receive payments from pharmaceutical companies?
Yes. Dr. Followwell received a total of $2,722 from 36 companies across 132 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. Followwell's costs compare to other physician assistants in Tyler?
Dr. Followwell's average Medicare payment per service is $30. 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. Followwell) 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 →