Dr. Stephen Nalbach, MD
What this data tells you about Dr. Nalbach
Dr. Stephen Nalbach is a neurological surgery in Tyler, TX, with 18 years in practice. Based on federal Medicare data, Dr. Nalbach performed 454 Medicare services across 376 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nalbach received a total of $722 from 6 pharmaceutical and/or device companies across 8 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. 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. Nalbach 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.
Medicare Practice Summary
Medicare Utilization ↗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 (20-29 min) | 94 | $60 | $240 |
| Office visit, established patient (30-39 min) | 59 | $92 | $340 |
| New patient office visit (45-59 min) | 43 | $117 | $495 |
| Insertion of cage or mesh device to spine bone and disc space during spine fusion | 38 | $195 | $822 |
| Initial hospital admission, moderate complexity | 30 | $100 | $350 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 27 | $64 | $260 |
| Fusion of additional segment of spine | 24 | $295 | $1,720 |
| Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 24 | $142 | $1,612 |
| Critical care, first 30-74 min | 20 | $165 | $428 |
| Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 19 | $1,293 | $5,530 |
| Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 17 | $524 | $4,518 |
| Office visit, established patient (10-19 min) | 17 | $43 | $144 |
| New patient office visit (30-44 min) | 15 | $86 | $344 |
| Placement of stabilizing device to back, 3-6 spine bone segments | 14 | $576 | $4,121 |
| Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | 13 | $299 | $1,290 |
Industry Payment Transparency
Open Payments through 2022 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2022)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
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 2022 |
| 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. Nalbach is a clinical cardiology specialist, with above-average Medicare volume (top 30% in TX), and low-engagement industry engagement, with 18 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. Nalbach experienced with office visit, established patient (20-29 min)?
Does Dr. Nalbach receive payments from pharmaceutical companies?
How do Dr. Nalbach's costs compare to other neurological surgerys in Tyler?
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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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