Medicare Enrolled
Dr. Michael Gorby, M.D.
Internal Medicine · Tyler, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Gorby 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. Gorby
Dr. Michael Gorby is an internal medicine specialist in Tyler, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gorby performed 3,866 Medicare services across 1,947 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gorby received a total of $10,621 from 50 pharmaceutical and/or device companies across 586 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Gorby 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
▲ Top 9% volume in TX
$10,621 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,866
Medicare services
Top 9% in TX for internal medicine
1,947
Unique beneficiaries
$59
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~193 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 |
|---|---|---|---|
| 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. |
930 | $86 | $213 |
| 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. |
868 | $46 | $82 |
| 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. |
394 | $57 | $145 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
382 | $1 | $8 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
186 | $126 | $228 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
154 | $72 | $75 |
| 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. |
131 | $37 | $50 |
| 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. |
116 | $125 | $286 |
| 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. |
111 | $9 | $33 |
| Annual depression screening | 102 | $18 | $36 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
74 | $20 | $61 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
60 | $51 | $120 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
46 | $76 | $181 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
43 | $9 | $45 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
43 | $30 | $40 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
38 | $32 | $81 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
28 | $37 | $100 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
22 | $50 | $136 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
21 | $153 | $600 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
20 | $151 | $321 |
| 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. |
18 | $98 | $322 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
17 | $3 | $20 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
17 | $93 | $206 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
17 | $38 | $104 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
15 | $216 | $453 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
13 | $39 | $170 |
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.
0.5% high complexity
11.3% medium
88.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$10,621
Total received (2018-2024)
Avg $1,517/year across 7 years
Top 8% in TX for internal medicine
50
Companies
586
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
$10,621 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$282
2023
$1,251
2022
$1,486
2021
$2,189
2020
$1,734
2019
$1,821
2018
$1,859
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$1,341
Novo Nordisk Inc
$1,155
AstraZeneca Pharmaceuticals LP
$1,095
Lilly USA, LLC
$903
PFIZER INC.
$811
Boehringer Ingelheim Pharmaceuticals, Inc.
$761
Janssen Pharmaceuticals, Inc
$549
Amarin Pharma Inc.
$433
Merck Sharp & Dohme Corporation
$316
Otsuka America Pharmaceutical, Inc.
$311
Mylan Specialty L.P.
$298
GlaxoSmithKline, LLC.
$285
Novartis Pharmaceuticals Corporation
$276
Dexcom, Inc.
$204
SANOFI-AVENTIS U.S. LLC
$140
Astellas Pharma US Inc
$122
ARBOR PHARMACEUTICALS, INC.
$106
Ultragenyx Pharmaceutical Inc.
$105
Biohaven Pharmaceuticals, Inc.
$86
Bayer HealthCare Pharmaceuticals Inc.
$82
ABBVIE INC.
$81
Medtronic Vascular, Inc.
$78
AbbVie Inc.
$78
Duchesnay USA Incorporated
$77
E.R. Squibb & Sons, L.L.C.
$74
Eisai Inc.
$73
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$71
Abbott Laboratories
$62
Allergan, Inc.
$57
Allergan Inc.
$54
Medtronic, Inc.
$51
Takeda Pharmaceuticals U.S.A., Inc.
$46
Teva Pharmaceuticals USA, Inc.
$41
Exact Sciences Corporation
$36
Merck Sharp & Dohme LLC
$32
Biohaven Pharmaceutical Holding Company Ltd.
$32
Celgene Corporation
$28
Arbor Pharmaceuticals, Inc.
$28
Horizon Therapeutics plc
$28
iRhythm Technologies, Inc.
$27
Gilead Sciences, Inc.
$26
Corcept Therapeutics
$22
Sunovion Pharmaceuticals Inc.
$20
DEXCOM, INC.
$19
JAZZ PHARMACEUTICALS INC.
$19
Boston Scientific Corporation
$19
Nestle HealthCare Nutrition Inc.
$18
IRONWOOD PHARMACEUTICALS, INC
$18
Orexigen Therapeutics, Inc.
$16
Ironwood Pharmaceuticals, Inc
$13
Top 3 companies account for 33.8% of total payments
Associated products mentioned in payments ›
AJOVY · ANORO · AUSTEDO · Aimovig · BASAGLAR · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · BYVALSON · CHANTIX · COMIRNATY · CONTRAVE · Cologuard Collection Kit · Crysvita · Cryvista · DEXCOM G6 TRANSMITTER · DEXCOM G7 GSS (161) · DUEXIS · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · Edarbyclor · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · General - Therapies · Horizant · INPEN SMART INSULIN DELIVERY SYSTEM · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LONHALA MAGNAIR · LYRICA · Leqembi · Linzess · MOUNJARO · MYRBETRIQ · NURTEC ODT · Osphena · Otezla · Ozempic · PRALUENT · PREVNAR 13 · Prolia · QULIPTA · REXULTI · REYVOW · RYBELSUS · Repatha · Resolute · Rybelsus · SHINGRIX · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · UBRELVY · VRAYLAR · VYNDAQEL · Vascepa · Veklury · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xultophy 100/3.6 · YUPELRI · Yupelri · ZENPEP · 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 8% for internal medicine in TX.
Equivalent to $275 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
172
Per 100K population
72.3
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. Gorby is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), with low-engagement industry engagement in the top 8% of TX peers, 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. Gorby experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gorby performed 930 office visit, established patient (30-39 min) 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. Gorby receive payments from pharmaceutical companies?
Yes. Dr. Gorby received a total of $10,621 from 50 companies across 586 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. Gorby's costs compare to other internal medicine physicians in Tyler?
Dr. Gorby's average Medicare payment per service is $59. 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. Gorby) 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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