Medicare Enrolled
Dr. Natalie Johnson, 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. Johnson 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. Johnson
Dr. Natalie Johnson is an internal medicine specialist in Tyler, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Johnson performed 3,266 Medicare services across 1,794 unique beneficiaries.
Between the years covered by Open Payments, Dr. Johnson received a total of $10,712 from 45 pharmaceutical and/or device companies across 665 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. Johnson 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.
✓ 19 years in practice
▲ Top 11% volume in TX
$10,712 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,266
Medicare services
Top 11% in TX for internal medicine
1,794
Unique beneficiaries
$60
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~172 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 |
|---|---|---|---|
| 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. |
810 | $46 | $125 |
| 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. |
405 | $77 | $238 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
393 | $124 | $154 |
| 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. |
303 | $35 | $93 |
| 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. |
222 | $53 | $160 |
| Wound tissue removal, 20 sq cm or less This procedure involves the removal of tissue from a wound area measuring 20 square centimeters or less. |
198 | $26 | $175 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
136 | $0 | $12 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
117 | $24 | $25 |
| 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. |
108 | $69 | $70 |
| 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. |
90 | $31 | $100 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
89 | $26 | $96 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
64 | $54 | $135 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
63 | $24 | $25 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
43 | $283 | $795 |
| Oxygen chamber therapy management This code covers the professional management and oversight of a patient undergoing oxygen chamber therapy. It involves monitoring the patient's response and adjusting the treatment plan as needed. |
41 | $79 | $414 |
| 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. |
39 | $39 | $130 |
| 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. |
37 | $9 | $41 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
37 | $100 | $268 |
| 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. |
25 | $156 | $282 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
20 | $131 | $185 |
| 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. |
14 | $206 | $400 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
12 | $159 | $231 |
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 ↗$10,712
Total received (2018-2024)
Avg $1,530/year across 7 years
Top 8% in TX for internal medicine
45
Companies
665
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
$10,478 (97.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$234 (2.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,941
2023
$2,958
2022
$2,310
2021
$1,102
2020
$634
2019
$480
2018
$288
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,081
Novo Nordisk Inc
$975
Next Science LLC
$903
Misonix Inc
$783
GlaxoSmithKline, LLC.
$764
Lilly USA, LLC
$653
AstraZeneca Pharmaceuticals LP
$608
PFIZER INC.
$580
Astellas Pharma US Inc
$573
Novartis Pharmaceuticals Corporation
$565
Bayer HealthCare Pharmaceuticals Inc.
$372
Bayer Healthcare Pharmaceuticals Inc.
$230
Amgen Inc.
$220
Sumitomo Pharma America, Inc.
$207
Phathom Pharmaceuticals, Inc.
$198
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$187
Abbott Laboratories
$178
Otsuka America Pharmaceutical, Inc.
$171
IDORSIA PHARMACEUTICALS US INC
$148
Merck Sharp & Dohme Corporation
$136
Boehringer Ingelheim Pharmaceuticals, Inc.
$120
Janssen Pharmaceuticals, Inc
$91
TEI Medical Inc.
$87
Exact Sciences Corporation
$85
Teva Pharmaceuticals USA, Inc.
$79
Dexcom, Inc.
$75
AbbVie Inc.
$71
Solventum Corporation
$66
Biohaven Pharmaceutical Holding Company Ltd.
$65
Smith+Nephew, Inc.
$56
Supernus Pharmaceuticals, Inc.
$55
Mylan Specialty L.P.
$49
Corium, LLC
$34
Merck Sharp & Dohme LLC
$33
Synergy Pharmaceuticals Inc
$27
ConvaTec Inc.
$26
Horizon Therapeutics plc
$25
ITI, Inc.
$22
Lundbeck LLC
$22
Xeris Pharmaceuticals, Inc.
$19
BSN Medical Inc
$17
Organogenesis Inc.
$17
Kowa Pharmaceuticals America, Inc.
$16
Medline Industries, Inc.
$13
ORGANOGENESIS INC.
$11
Top 3 companies account for 27.6% of total payments
Associated products mentioned in payments ›
3M ESPE Filtek Supreme Ultra Universal Restorative · ACTIV.A.C. · AIRSUPRA · AJOVY · ANORO · AQUACEL AG · Aimovig · Apligraf · Austedo XR · Azstarys · BASAGLAR · BELSOMRA · BREZTRI · CAPLYTA · CHANTIX · COLLAGENASE SANTYL · CREON · CUTIMED · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · GEMTESA · GVOKE HYPOPEN · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LYRICA · MOUNJARO · Myrbetriq · NURTEC ODT · OFEV · Otezla · Ozempic · PENNSAID · PREMARIN · PREVNAR 20 · PRIMATRIX · Puraply · QULIPTA · QUVIVIQ · Qelbree · REGRANEX · REXULTI · RYBELSUS · Remedy Phytoplex Zguard Pastes · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SURGX · Santyl · Saxenda · SurgX · TRELEGY ELLIPTA · TROKENDI XR · TRULICITY · TheraSkin · Trulance · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · Veozah · Wegovy · XARELTO · XIFAXAN · YUPELRI · Yupelri · ZEPBOUND
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 (98%) 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 $328 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. Johnson is a clinical cardiology specialist, with above-average Medicare volume (top 11% in TX), with low-engagement industry engagement in the top 8% of TX peers, 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. Johnson experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Johnson performed 810 chronic care management, first 20 min/month 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. Johnson receive payments from pharmaceutical companies?
Yes. Dr. Johnson received a total of $10,712 from 45 companies across 665 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. Johnson's costs compare to other internal medicine physicians in Tyler?
Dr. Johnson's average Medicare payment per service is $60. 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. Johnson) 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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