Medicare Enrolled
Dr. Nicholas Andrade, M.D.
Neurological Surgery · Tyler, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Andrade 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. Andrade?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Andrade
Dr. Nicholas Andrade is a neurological surgery specialist in Tyler, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Andrade performed 764 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Andrade received a total of $8,052 from 31 pharmaceutical and/or device companies across 62 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Andrade is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years of NPI registration
▲ Top 16% volume in TX
$8,052 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗764
Medicare services
Top 16% in TX for neurological surgery
Not available
Unique patients (not deduplicated)
$190
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| 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. |
112 | $100 | $375 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
81 | $12 | $51 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
72 | $38 | $86 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
59 | $95 | $300 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
55 | $62 | $222 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
42 | $775 | $3,658 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
41 | $197 | $842 |
| 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. |
32 | $73 | $289 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
28 | $130 | $441 |
| Anterior lumbar interbody fusion with partial disc removal A surgical procedure to fuse the lower spine bones by accessing the area through the abdomen and partially removing a spinal disc. |
25 | $390 | $5,073 |
| 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. |
25 | $50 | $204 |
| Fusion of spine in lower back | 24 | $1,202 | $5,258 |
| New patient office visit, complex (60-74 min) | 24 | $129 | $496 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
22 | $580 | $2,481 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
22 | $60 | $159 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
21 | $61 | $251 |
| Intraoperative ultrasound guidance Use of ultrasound imaging during a surgical procedure to help guide the surgeon's actions. |
20 | $47 | $206 |
| 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. |
20 | $112 | $406 |
| Spinal fracture stabilization with imaging guidance A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment. |
15 | $370 | $2,292 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
13 | $354 | $2,134 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
11 | $299 | $1,277 |
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. These counts do not measure clinical quality or years of experience.
13.2% high complexity
15.2% medium
71.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,052
Total received (2018-2024)
Avg $1,150/year across 7 years
Top 34% in TX for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
62
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$221
2023
$1,037
2022
$91
2021
$1,873
2020
$3,987
2019
$385
2018
$457
Payments by company (2024)
Innovation Technologies Inc
$147
Stryker Corporation
$74
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Pylant Medical
$4,694
Globus Medical, Inc.
$966
Relievant Medsystems, Inc.
$363
Omniscient Neurotechnology America Ltd
$248
Medtronic, Inc.
$244
Nevro Corp.
$193
Innovation Technologies Inc
$147
Integra LifeSciences Corporation
$137
Surgalign Spine Technologies, Inc.
$127
Acacia Pharma Inc
$121
Boston Scientific Corporation
$119
Abbott Laboratories
$102
Camber Spine Technologies LLC
$84
Stryker Corporation
$74
Novocure Inc.
$60
Spinal Simplicity, LLC
$51
DePuy Synthes Sales Inc.
$31
Acorda Therapeutics, Inc
$29
Teva Pharmaceuticals USA, Inc.
$25
Lundbeck LLC
$25
AbbVie, Inc.
$24
Ethicon US, LLC
$24
Biogen, Inc.
$22
Medtronic USA, Inc.
$22
Olympus America Inc.
$20
Neurocrine Biosciences, Inc.
$20
NATUS MEDICAL INCORPORATED
$18
UCB, Inc.
$18
Radius Health, Inc.
$18
Avanir Pharmaceuticals, Inc.
$14
BOSTON SCIENTIFIC CORPORATION
$14
Top 3 companies account for 74.8% of all-time payments
Associated products mentioned in payments ›
10MM · AJOVY · BARHEMSYS · CD HORIZON · CODMAN CERTAS · COFLEX INTERLAMINAR TECHNOLOGY · CONDUIT · CREO · Duopa · EXCELSIUS GPS · Echelon Flex · Excelsius3D Imaging System · ExcelsiusGPS Robotic Navigation System · GENERAL DBS · HA MINUTEMAN G3-R · INBRIJA · INFINITY · INGREZZA · IRRISEPT · Intracept · KYPHON Balloon Kyphoplasty · NORTHERA · NUEDEXTA · Neupro · O-ARM · ORBEYE SURGICAL MICROSCOPE · Oncology · Quicktome · SPECTRA WAVEWRITER · SPINEJACK · Senza Spinal Cord Stimulation System · TECFIDERA · Tymlos · WaveWriter Alpha Prime 16
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Neurological surgerists in nearby ZIP areas
12
County median income
$71,923
Nearest hospital to ZIP centroid (approximate)
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Andrade is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX), with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Andrade experienced with new patient office visit (45-59 min)?
Based on Medicare claims data, Dr. Andrade performed 112 new patient office visit (45-59 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Andrade receive payments from pharmaceutical companies?
Yes. Dr. Andrade received a total of $8,052 from 31 companies across 62 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Andrade's costs compare to other neurological surgerists in Tyler?
Dr. Andrade's average Medicare payment per service is $190. 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. Andrade) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
Explore related providers
Same specialty & city
Neurological Surgerists in Tyler
Browse neurological surgerists in Tyler ranked by procedure volume and transparency data.
Highest volume
Top Neurological Surgerists in TX
Neurological surgerists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Neurological Surgerists in TX
Which TX neurological surgerists receive the most from drug and device companies.
By company
Pylant Medical Payments to Doctors
See all physicians who received payments from Pylant Medical.
By company
Globus Medical, Inc. Payments to Doctors
See all physicians who received payments from Globus Medical, Inc.
By company
Relievant Medsystems, Inc. Payments to Doctors
See all physicians who received payments from Relievant Medsystems, Inc.
About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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