Medicare Enrolled

Dr. Preetham Muskula, MD

Internal Medicine · Tyler, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Research-focused
2608 MCDONALD RD, Tyler, TX 75701
9035955514
In practice since 2011 (14 years)
NPI: 1003104605 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. Muskula 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. Muskula

Dr. Preetham Muskula is an internal medicine specialist in Tyler, TX, with 14 years of NPI registration. Based on federal Medicare data, Dr. Muskula performed 2,322 Medicare services across 1,913 unique beneficiaries.

Between the years covered by Open Payments, Dr. Muskula received a total of $89,186 from 28 pharmaceutical and/or device companies across 167 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are classified as research and scientific activities (grants and research funding). Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Muskula 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.

✓ 14 years in practice ▲ Top 15% volume in TX $89,186 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,322
Medicare services
Top 15% in TX for internal medicine
1,913
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~166 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
EKG interpretation and report 303 $6 $50
Hospital follow-up visit, moderate complexity 289 $61 $163
Electrocardiogram (EKG), 12-lead 255 $11 $100
Office visit, established patient (30-39 min) 226 $85 $239
Initial hospital admission, high complexity 161 $134 $457
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 134 $10 $45
Cardiac catheterization 82 $185 $934
Office visit, established patient (20-29 min) 78 $69 $161
Ultrasound of heart with color-depicted blood flow, rate and valve function 73 $2 $41
Echocardiogram, transthoracic 72 $52 $306
Ultrasound of heart with probe in esophagus, with report 67 $81 $362
Coronary stent placement 48 $394 $1,771
New patient office visit (45-59 min) 47 $100 $364
Ultrasound of heart blood flow, valves and chambers 46 $14 $116
Chronic care management, first 20 min/month 45 $44 $125
Ultrasound of heart, follow-up 41 $19 $132
Hospital discharge management, 30+ min 41 $90 $232
Ultrasound of heart blood flow, valves and chambers, follow-up 36 $5 $51
Ultrasound of both sides of head and neck blood flow 35 $30 $122
Nuclear medicine studies of heart muscle at rest and with stress and spect 26 $57 $394
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 26 $11 $167
Initial hospital admission, moderate complexity 25 $86 $308
Hospital follow-up visit, high complexity 23 $93 $234
Blood draw (venipuncture) 17 $8 $20
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 17 $17 $167
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 15 $72 $264
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 15 $61 $228
Replacement of aortic valve through the skin and femoral artery 14 $573 $4,077
Prothrombin time test (blood clotting) 14 $4 $35
Heart muscle strain imaging 14 $9 $111
Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist 13 $195 $1,196
Anticoagulant management of patient taking warfarin 13 $7 $35
Insertion of tube in coronary artery for diagnosis with review by radiologist 11 $148 $766
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.
16.5% high complexity
10.4% medium
73.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$89,186
Total received (2018-2024)
Avg $12,741/year across 7 years
Top 2% in TX for internal medicine
28
Companies
167
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.

Scientific / Research
Research funding and grants
$82,265 (92.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,921 (7.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,808
2023
$788
2022
$22,666
2021
$61,018
2020
$209
2019
$1,071
2018
$625

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Bard Peripheral Vascular, Inc.
$45,000
Medtronic, Inc.
$22,534
BOSTON SCIENTIFIC CORPORATION
$15,000
Edwards Lifesciences Corporation
$1,718
Inari Medical, Inc.
$997
Abbott Laboratories
$942
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$538
ABIOMED
$416
Merck Sharp & Dohme LLC
$311
AstraZeneca Pharmaceuticals LP
$204
LivaNova USA, Inc.
$198
PFIZER INC.
$195
Amgen Inc.
$158
Cardiovascular Systems Inc.
$154
Boston Scientific Corporation
$125
Lundbeck LLC
$113
Janssen Pharmaceuticals, Inc
$112
E.R. Squibb & Sons, L.L.C.
$92
Novo Nordisk Inc
$76
Glaukos Corporation
$69
Boehringer Ingelheim Pharmaceuticals, Inc.
$57
iRhythm Technologies, Inc.
$47
Lantheus Medical Imaging, Inc.
$38
Avinger Inc.
$23
Kiniksa Pharmaceuticals International, plc
$20
MEDICOMP INC
$17
Teleflex LLC
$17
Lexicon Pharmaceuticals, Inc.
$15
Top 3 companies account for 92.5% of total payments
Associated products mentioned in payments ›
ACUTHERM Catheter · AVVIGO Guidance System · Arcalyst · Assurity Pacemaker · BRILINTA · CAMZYOS · COREVALVE EVOLUT R · CoreValve Evolut · Coronary Orbital Atherectomy System · DEFINITY · Definity · Diamondback Coronary · ELIQUIS · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Ellipse ICD · Ensite Cardiac Mapping System · FARXIGA · FLOWTRIEVER CATHETER · Fortify Assura · GENERAL STRUCTURAL HEART · Impella · JARDIANCE · LifeVest · Merlin Connectivity and Remote · NORTHERA · No Associated Product · ONYX FRONTIER · Ozempic · PANTHERIS · PROTEKDUO · Perclose ProGlide suture mediated closure system · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Repatha · Resolute · Rybelsus · S · SAPIEN 3 Ultra RESILIA · SUPERCROSS · TELEPATCH CARDIAC MONITOR · TandemLife · VERQUVO · WATCHMAN Access System · XARELTO · ZIO XT Patch · Zio monitor · iStent Trabecular Micro-Bypass System Model iS3
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 →

The majority of payments (92%) are classified as scientific/research, suggesting involvement in clinical studies, grants, or innovation-related work. Total industry engagement is in the top 2% for internal medicine in TX.

Equivalent to $3,841 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. Muskula is a clinical cardiology specialist, with above-average Medicare volume (top 15% in TX), with research-focused industry engagement in the top 2% of TX peers.

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. Muskula experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Muskula performed 303 ekg interpretation and report 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. Muskula receive payments from pharmaceutical companies?
Yes. Dr. Muskula received a total of $89,186 from 28 companies across 167 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. Muskula's costs compare to other internal medicine physicians in Tyler?
Dr. Muskula's average Medicare payment per service is $63. 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. Muskula) 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 →