Medicare Enrolled

Dr. Toby Silvertooth, FNP-C

Physician Assistant · Tyler, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
703 S FLEISHEL AVE, Tyler, TX 75701
9036067000
In practice since 2016 (9 years)
NPI: 1144771288 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. Silvertooth 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. Silvertooth? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Silvertooth

Dr. Toby Silvertooth is a physician assistant in Tyler, TX, with 9 years in practice. Based on federal Medicare data, Dr. Silvertooth performed 1,545 Medicare services across 1,309 unique beneficiaries.

Between the years covered by Open Payments, Dr. Silvertooth received a total of $1,551 from 17 pharmaceutical and/or device companies across 51 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. 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. Silvertooth 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.

✓ 9 years in practice▲ Top 7% volume in TX$ $1,551 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,545
Medicare services
Top 7% in TX for physician assistant
1,309
Unique beneficiaries
$47
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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)943$61$289
EKG interpretation and report288$5$19
Office visit, established patient (20-29 min)211$38$204
Office visit, established patient, complex (40-54 min)48$94$406
Blood draw (venipuncture)37$8$20
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days18$16$56
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 ↗
$1,551
Total received (2021-2024)
Avg $388/year across 4 years
Top 21% in TX for physician assistant
17
Companies
51
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
$1,551 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$710
2023
$705
2022
$115
2021
$22

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$313
Amgen Inc.
$222
Abbott Laboratories
$214
Merck Sharp & Dohme LLC
$142
HeartFlow, Inc.
$137
ABBVIE INC.
$124
Medtronic, Inc.
$119
E.R. Squibb & Sons, L.L.C.
$67
iRhythm Technologies, Inc.
$40
Boston Scientific Corporation
$38
Bayer HealthCare Pharmaceuticals Inc.
$28
SANOFI-AVENTIS U.S. LLC
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
CVRx, Inc.
$19
Janssen Pharmaceuticals, Inc
$17
Lexicon Pharmaceuticals, Inc.
$15
PFIZER INC.
$14
Top 3 companies account for 48.3% of total payments
Associated products mentioned in payments ›
Barostim Neo System · CAMZYOS · COREVALVE EVOLUT R · ELIQUIS · FFRct · JARDIANCE · Kerendia · LifeVest · MITRACLIP · MULTAQ · ONYX FRONTIER · Repatha · UBRELVY · VERQUVO · WATCHMAN Access System · XARELTO · ZIO Patch · Zio monitor
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $100 per 100 Medicare services performed
Looking for a physician assistant in Tyler?
Compare physician assistants in the Tyler area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Physician Assistants within 10 mi
168
Per 100K population
70.6
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. Silvertooth is a clinical cardiology specialist, with above-average Medicare volume (top 7% in TX), and low-engagement industry engagement.

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. Silvertooth experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Silvertooth performed 943 office visit, established patient (30-39 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. Silvertooth receive payments from pharmaceutical companies?
Yes. Dr. Silvertooth received a total of $1,551 from 17 companies across 51 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. Silvertooth's costs compare to other physician assistants in Tyler?
Dr. Silvertooth's average Medicare payment per service is $47. 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. Silvertooth) 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 →