Medicare Enrolled
Dr. William Armstrong, M.D.
Urology Physician · Tyler, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Armstrong 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. Armstrong?
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What this data tells you about Dr. Armstrong
Dr. William Armstrong is an urology physician in Tyler, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Armstrong performed 1,658 Medicare services across 1,273 unique beneficiaries.
Between the years covered by Open Payments, Dr. Armstrong received a total of $8,448 from 36 pharmaceutical and/or device companies across 217 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. 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. Armstrong 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.
✓ 15 years in practice
▲ 1,658 Medicare services
$8,448 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,658
Medicare services
Bottom 47% in TX for urology physician
1,273
Unique beneficiaries
$62
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~111 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 |
|---|---|---|---|
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
621 | $41 | $160 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
294 | $66 | $238 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
143 | $39 | $95 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
81 | $55 | $239 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
75 | $54 | $362 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
54 | $27 | $61 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
49 | $87 | $365 |
| Simple change of bladder tube | 47 | $38 | $157 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
27 | $38 | $103 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
23 | $100 | $308 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
18 | $93 | $395 |
| Voiding cystourethrogram An imaging procedure that uses X-rays to visualize the bladder and urethra while urine is being passed. |
16 | $17 | $140 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
16 | $79 | $394 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
16 | $3 | $120 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
16 | $14 | $184 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
16 | $30 | $186 |
| Endoscopic removal of foreign body, stone, or stent from urethra or bladder A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item. |
16 | $107 | $460 |
| Radiologist review of bladder and urethra images with contrast A radiologist reviews medical images of the urinary bladder and urethra taken with contrast dye, including images captured after the patient has urinated. |
16 | $12 | $62 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
15 | $312 | $1,312 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
15 | $23 | $116 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
14 | $7 | $59 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
13 | $117 | $578 |
| Endoscopic removal of pelvic lymph nodes, bilateral A surgical procedure to remove lymph nodes from both sides of the pelvis using an endoscope. This minimally invasive technique involves making small incisions to access and excise the tissue. |
12 | $251 | $1,988 |
| Surgical removal of prostate and lymph nodes This procedure involves the surgical removal of the prostate gland and surrounding lymph nodes using an endoscope. |
12 | $901 | $2,914 |
| Urethral dilation using endoscope A procedure to widen the urethra using a thin, lighted tube called an endoscope. This helps to open a narrowed urethral passage. |
11 | $106 | $460 |
| Transurethral prostate removal with electrocautery This procedure involves removing the prostate gland through the urethra using an endoscope and an electrocautery knife to control bleeding. |
11 | $552 | $1,870 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
11 | $25 | $149 |
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.
2.7% high complexity
2.7% medium
94.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,448
Total received (2018-2024)
Avg $1,207/year across 7 years
Top 23% in TX for urology physician
36
Companies
217
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
$6,881 (81.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,567 (18.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$670
2023
$1,380
2022
$1,173
2021
$322
2020
$216
2019
$1,416
2018
$3,271
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Intuitive Surgical, Inc.
$1,491
NeoTract Inc.
$1,160
PROCEPT BioRobotics Corporation
$887
Astellas Pharma US Inc
$467
BOSTON SCIENTIFIC CORPORATION
$447
Janssen Biotech, Inc.
$428
AbbVie Inc.
$386
ABBVIE INC.
$364
Axonics, Inc.
$323
Medtronic, Inc.
$322
Boston Scientific Corporation
$309
UROVANT SCIENCES INC
$256
PFIZER INC.
$209
Teleflex LLC
$204
Coloplast Corp
$162
Blue Earth Diagnostics Limited
$144
AbbVie, Inc.
$139
Sumitomo Pharma America, Inc.
$89
Medtronic USA, Inc.
$87
Ambu Inc.
$72
Myovant Sciences Inc.
$66
Bayer HealthCare Pharmaceuticals Inc.
$59
DENTSPLY IH Inc.
$53
Allergan, Inc.
$51
Innovation Technologies Inc
$49
Allergan Inc.
$44
HealthTronics Mobile Solutions, LLC
$37
Analogic Corporation
$29
Laborie Medical Technologies Corp.
$22
Dendreon Pharmaceuticals LLC
$16
UroGen Pharma, Inc.
$16
Retrophin, Inc.
$13
Olympus America Inc.
$13
Ferring Pharmaceuticals Inc.
$13
Cook Medical LLC
$12
Endo Pharmaceuticals Inc.
$12
Top 3 companies account for 41.9% of total payments
Associated products mentioned in payments ›
(815) Thiola · ADVANTAGE FIT · AMS · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · Androgel · Axonics · Axumin · BOTOX · BOTOX THERAPEUTIC · Bulkamid · CONTINENCE CARE · COOK MEDICAL DILATION/ACCESS · Da Vinci Surgical System · ERLEADA · Erleada · GEMTESA · GENERAL BPH · GENERAL - ERECTILE DYSFUNCTION · GENERAL BPH · GREENLIGHT · INTERSTIM · IRRISEPT · JELMYTO · LITHOVUE · LUPRON DEPOT · LoFric · Lupron · Lupron Depot · MYRBETRIQ · Mobile Cryoblation Services · Myrbetriq · NOCDURNA · Nubeqa · ORGOVYX · Olympus Cysto-Resection · POSLUMA · PROVENGE · REZUM · Rezum Generator · SPACEOAR · SUTENT · SpaceOAR VUE System - 10mL · TITAN · UROLIFT · UroLift · XIAFLEX · XTANDI · Xofigo · rezum Generator
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 (81%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $510 per 100 Medicare services performed
Geographic Context
Urology physicians within 10 mi
17
Per 100K population
7.1
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
0.0 mi
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. Armstrong is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 15 years of NPI registration.
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. Armstrong experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Armstrong performed 621 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. Armstrong receive payments from pharmaceutical companies?
Yes. Dr. Armstrong received a total of $8,448 from 36 companies across 217 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. Armstrong's costs compare to other urology physicians in Tyler?
Dr. Armstrong's average Medicare payment per service is $62. 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. Armstrong) 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 →
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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.
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