Medicare Enrolled

Dr. Richard Tyer, M.D.

Neurology · Tyler, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
312 E 5TH ST, Tyler, TX 75701
9035956789
In practice since 2006 (19 years)
NPI: 1043238546 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. Tyer 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. Tyer? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Tyer

Dr. Richard Tyer is a neurology in Tyler, TX, with 19 years in practice. Based on federal Medicare data, Dr. Tyer performed 1,362 Medicare services across 916 unique beneficiaries.

Between the years covered by Open Payments, Dr. Tyer received a total of $912 from 13 pharmaceutical and/or device companies across 63 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Tyer 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 24% volume in TX$ $912 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,362
Medicare services
Top 24% in TX for neurology
916
Unique beneficiaries
$103
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~72 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)577$60$100
Needle measurement of electrical activity in arm or leg muscles, complete study281$74$175
Nerve conduction, 13 or more studies97$216$550
New patient office visit, complex (60-74 min)90$154$250
Measurement of brain wave activity (eeg), 61-119 minutes72$321$700
Measurement of brain wave activity (eeg), digital analysis72$209$450
New patient office visit (45-59 min)54$113$200
Office visit, established patient (30-39 min)36$95$150
Complete ultrasound of within the brain blood flow34$32$80
Ultrasound of both sides of head and neck blood flow30$27$75
Ultrasound of within the brain blood flow for blood clots19$39$100
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 ↗
$912
Total received (2018-2024)
Avg $152/year across 6 years
Bottom 38% in TX for neurology
13
Companies
63
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
$887 (97.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$25 (2.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$363
2023
$66
2022
$153
2020
$41
2019
$64
2018
$225

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Neurocrine Biosciences, Inc.
$598
Supernus Pharmaceuticals, Inc.
$122
KCI USA, Inc
$35
EMD Serono, Inc.
$34
UCB, Inc.
$26
Novartis Pharmaceuticals Corporation
$17
Teva Pharmaceuticals USA, Inc.
$13
Avanir Pharmaceuticals, Inc.
$13
Alexion Pharmaceuticals, Inc.
$11
Jazz Pharmaceuticals Inc.
$11
ASSERTIO THERAPEUTICS, Inc.
$11
JAZZ PHARMACEUTICALS INC.
$11
Lilly USA, LLC
$11
Top 3 companies account for 82.8% of total payments
Associated products mentioned in payments ›
AJOVY · Briviact · EMGALITY · INGREZZA · MAYZENT · Mavenclad · NUEDEXTA · OXTELLAR XR · Ongentys · Rebif · SOLIRIS · SUNOSI · TROKENDI XR · VAC VERAFLO · Vimpat · Xyrem · Zipsor
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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $67 per 100 Medicare services performed
Looking for a neurology in Tyler?
Compare neurologys in the Tyler area by procedure volume, costs, and industry payment transparency.
Browse neurologys nearby

Geographic Context

Neurologys within 10 mi
24
Per 100K population
10.1
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Tyer is a clinical cardiology specialist, with above-average Medicare volume (top 24% in TX), and low-engagement industry engagement, with 19 years of practice experience.

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. Tyer experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Tyer performed 577 office visit, established patient (20-29 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. Tyer receive payments from pharmaceutical companies?
Yes. Dr. Tyer received a total of $912 from 13 companies across 63 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. Tyer's costs compare to other neurologys in Tyler?
Dr. Tyer's average Medicare payment per service is $103. 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. Tyer) 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 →