Medicare Enrolled

Dr. Michael Gorby, M.D.

Internal Medicine · Tyler, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
800 E DAWSON ST, Tyler, TX 75701
9036064129
In practice since 2005 (20 years)
NPI: 1366446049 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. 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 →
Are you Dr. Gorby? Request a correction or review of any data shown here. Provider portal →

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) 930 $86 $213
Chronic care management, first 20 min/month 868 $46 $82
Office visit, established patient (20-29 min) 394 $57 $145
Steroid injection (triamcinolone) 382 $1 $8
Annual wellness visit, follow-up 186 $126 $228
Flu vaccine, high-dose 154 $72 $75
Chronic care management, additional 20 min/month 131 $37 $50
Office visit, established patient, complex (40-54 min) 116 $125 $286
Electrocardiogram (EKG), 12-lead 111 $9 $33
Annual depression screening 102 $18 $36
Chest X-ray, 2 views 74 $20 $61
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 60 $51 $120
Nursing facility visit, moderate complexity 46 $76 $181
Drug injection, under skin or into muscle 43 $9 $45
Flu vaccine administration 43 $30 $40
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a 38 $32 $81
Bone density scan (DEXA) 28 $37 $100
Nursing facility visit, low complexity 22 $50 $136
Echocardiogram, transthoracic 21 $153 $600
Transitional care management services for problem of at least moderate complexity 20 $151 $321
New patient office visit (45-59 min) 18 $98 $322
Urinalysis, manual 17 $3 $20
Hospital follow-up visit, high complexity 17 $93 $206
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and 17 $38 $104
Transitional care management services for problem of high complexity 15 $216 $453
Limited ultrasound scan behind abdominal cavity 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
Looking for an internal medicine specialist in Tyler?
Compare internal medicine physicians in the Tyler area by procedure volume, costs, and industry payment transparency.
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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

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 →
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 →