Medicare Enrolled

Dr. Todd Smith, MD

Surgery · Tyler, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
619 S FLEISHEL AVE, Tyler, TX 75701
9035251400
In practice since 2006 (20 years)
NPI: 1215902598 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. Smith 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. Smith

Dr. Todd Smith is a surgery in Tyler, TX, with 20 years in practice. Based on federal Medicare data, Dr. Smith performed 1,605 Medicare services across 1,380 unique beneficiaries.

Between the years covered by Open Payments, Dr. Smith received a total of $9,943 from 18 pharmaceutical and/or device companies across 245 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in 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. Smith 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.

✓ 20 years in practice▲ Top 5% volume in TX$ $9,943 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,605
Medicare services
Top 5% in TX for surgery
1,380
Unique beneficiaries
$83
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~80 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)489$69$289
Ultrasound of both sides of head and neck blood flow230$27$172
Ultrasound study of arm and leg arteries209$9$186
New patient office visit (45-59 min)147$95$375
Initial hospital admission, moderate complexity70$99$300
Limited ultrasound scan behind abdominal cavity57$21$96
Ultrasound study of one arm or leg veins with compression and maneuvers56$16$195
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes53$10$173
Review by radiologist of abdominal aorta image39$52$229
Review by radiologist of both arms or legs arteries image33$72$316
Complete ultrasound scan behind abdominal cavity29$18$122
Creation of artery-vein connection using tube graft for hemodialysis25$495$2,190
Ultrasound study of arm or leg veins with compression and maneuvers25$25$304
Ultrasound of one leg arteries or artery grafts24$16$223
Removal of blood clot and portion of chest, neck, or brain artery21$854$3,697
Fusion of lower spine bone through abdomen with partial removal of disc17$738$5,073
Ultrasound of abdomen and pelvis artery and vein blood flow16$26$290
Revision of hemodialysis graft15$561$2,484
Relocation of arm vein with connection to arm artery for hemodialysis13$495$2,177
Ultrasound of hemodialysis access13$17$509
Insertion of abdominal cavity tube using an endoscope12$250$1,298
Ultrasound of leg arteries or artery grafts12$29$337
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.
1.1% high complexity
45.1% medium
53.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$9,943
Total received (2018-2024)
Avg $1,420/year across 7 years
Top 27% in TX for surgery
18
Companies
245
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
$9,943 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,578
2023
$1,930
2022
$1,782
2021
$1,308
2020
$1,471
2019
$541
2018
$1,332

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
W. L. Gore & Associates, Inc.
$4,721
Boston Scientific Corporation
$839
Inari Medical, Inc.
$823
Silk Road Medical, Inc.
$634
Bard Peripheral Vascular, Inc.
$587
ShockWave Medical, Inc
$426
Cardiovascular Systems Inc.
$417
Artivion, Inc.
$271
AngioDynamics, Inc.
$247
BOSTON SCIENTIFIC CORPORATION
$247
Medtronic, Inc.
$199
Johnson & Johnson Surgical Vision, Inc.
$146
Penumbra, Inc.
$140
Abbott Laboratories
$98
Allergan Inc.
$76
CARDIVA MEDICAL, INC.
$46
Avinger Inc.
$14
PFIZER INC.
$12
Top 3 companies account for 64.2% of total payments
Associated products mentioned in payments ›
ANGIOJET · AURYON LASER SYSTEM 100-120 VAC · AngioJet Ultra 5000A · C3 Delivery System · CAROTID WALLSTENT · CD HORIZON SPINAL SYSTEM · Conformable TAG Thoracic Endoprosthesis · Diamondback Peripheral · EKOSONIC · ELIQUIS · ELUVIA · EMBOLD Fibered · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · EXCLUDER AAA Endoprosthesis · EXCLUDER Conformable AAA Endoprosthesis with Active Control · EXCLUDER Iliac Branch Endoprosthesis · EkoSonic · FLOWTRIEVER CATHETER · GENERAL ULTRASOUND · GORE DRYSEAL FLEX Introducer Sheath · GORE EXCLUDER AAA Endoprosthesis · GORE EXCLUDER Iliac Branch Endoprosthesis · GORE TAG Conformable Thoracic Endoprosthesis · GORE TAG Conformable Thoracic Stent Graft · GORE TAG Thoracic Endoprosthesis · GORE VIABAHN Endoprosthesis · GORE VIABAHN VBX Balloon Expandable Endo · General - Thrombectomy · ICEfx Cryoablation System · INTERLOCK · JETI PERIPHERAL CATHETER · JETSTREAM · LC Bead 500-700 · LUTONIX · Lutonix Drug Coated Balloon · PANTHERIS · PIVOX OBLIQUE LATERAL SPINAL SYSTEM · Penumbra System · Peripheral Orbital Atherectomy System · S · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8 Peripher · TAG Thoracic Endoprosthesis · Tecnis IOL · Tecnis Simplicity · TheraSphere Y90 Glass Microspheres 10 GBq · VIABAHN VBX Balloon Expandable Endoprosthesis · VRAYLAR · Vascular · Vascular Closure Device · Venovo
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 $620 per 100 Medicare services performed
Looking for a surgery in Tyler?
Compare surgerys in the Tyler area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerys within 10 mi
30
Per 100K population
12.6
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. Smith is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX), and low-engagement industry engagement, with 20 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. Smith experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Smith performed 489 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. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $9,943 from 18 companies across 245 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. Smith's costs compare to other surgerys in Tyler?
Dr. Smith's average Medicare payment per service is $83. 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. Smith) 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 →