Medicare Enrolled
Dr. William Grabski, MD
MOHS-Micrographic Surgery Physician · Tyler, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Grabski 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. Grabski?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Grabski
Dr. William Grabski is a mohs-micrographic surgery physician in Tyler, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Grabski performed 2,425 Medicare services across 2,090 unique beneficiaries.
Between the years covered by Open Payments, Dr. Grabski received a total of $6,017 from 26 pharmaceutical and/or device companies across 269 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in mohs-micrographic surgery 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. Grabski 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
▲ 2,425 Medicare services
$6,017 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,425
Medicare services
Bottom 48% in TX for mohs-micrographic surgery physician
2,090
Unique beneficiaries
$369
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~128 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 |
|---|---|---|---|
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
1,109 | $486 | $2,249 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 443 | $320 | $1,366 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
158 | $388 | $2,543 |
| Complex repair of eyelid, nose, ear, or lip wound, 2.6-7.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 2.6 and 7.5 centimeters. |
88 | $173 | $1,653 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
85 | $98 | $594 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
71 | $136 | $1,415 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
39 | $251 | $1,568 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
36 | $42 | $338 |
| Skin graft repair, 10.1-30 sq cm A surgical procedure to repair wounds on the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin. The graft covers an area between 10.1 and 30.0 square centimeters. |
36 | $551 | $3,053 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
35 | $42 | $186 |
| Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm | 34 | $111 | $627 |
| Intermediate wound repair, 2.6-7.5 cm A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing. |
29 | $189 | $1,011 |
| Skin graft repair of eyelid, nose, ear, or lip, 10.1-30 sq cm This procedure involves repairing a wound on the eyelid, nose, ear, or lip by transferring skin from another area. The graft size covered is between 10.1 and 30.0 square centimeters. |
27 | $624 | $3,290 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
26 | $430 | $2,112 |
| Complex repair of eyelid, nose, ear, or lip wound, 1.1-2.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 1.1 and 2.5 centimeters. |
25 | $134 | $1,409 |
| Skin graft repair, 10 sq cm or less A surgical procedure to repair a wound by transferring a small piece of skin to the affected area. The graft covers wounds on the face, neck, hands, feet, or other specified body parts. |
25 | $349 | $2,516 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
22 | $27 | $223 |
| Additional tissue block examination Microscopic examination of an additional tissue block beyond the initial five. This step is performed to analyze extra samples from the same growth. |
22 | $62 | $262 |
| Surgical removal of skin cancer, 2.1-3.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue measures between 2.1 and 3.0 centimeters. |
20 | $104 | $927 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for repairing a complex wound in specified body areas when the repair extends beyond the initial measurement. It applies to each incremental 5.0 cm or less added to the primary repair length. |
19 | $94 | $557 |
| 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. |
19 | $70 | $297 |
| Skin graft for scalp, arm, or leg wound, 10.1-30 sq cm This procedure involves repairing a wound on the scalp, arms, or legs by transferring skin from another area to cover the defect. The graft size is between 10.1 and 30.0 square centimeters. |
17 | $547 | $2,869 |
| Skin graft repair, 30.1-60.0 sq cm A surgical procedure to repair a wound by transferring skin from one area to another. This code applies to grafts covering an area between 30.1 and 60.0 square centimeters. |
15 | $675 | $3,593 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
14 | $657 | $3,303 |
| Destruction of cancerous skin growth, 2.1-3.0 cm This procedure involves the removal or destruction of a cancerous skin lesion measuring between 2.1 and 3.0 centimeters located on the trunk, arms, or legs. |
11 | $89 | $641 |
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 ↗$6,017
Total received (2018-2024)
Avg $860/year across 7 years
Top 33% in TX for mohs-micrographic surgery physician
26
Companies
269
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
$5,760 (95.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$257 (4.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,092
2023
$1,150
2022
$1,032
2021
$710
2020
$233
2019
$867
2018
$935
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,480
AbbVie, Inc.
$691
GENZYME CORPORATION
$514
AbbVie Inc.
$484
Janssen Biotech, Inc.
$371
Lilly USA, LLC
$318
Regeneron Healthcare Solutions, Inc.
$258
LEO Pharma Inc.
$241
Genentech USA, Inc.
$229
UCB, Inc.
$179
Novartis Pharmaceuticals Corporation
$178
E.R. Squibb & Sons, L.L.C.
$148
Janssen Scientific Affairs, LLC
$144
Medtronic, Inc.
$144
Arcutis Biotherapeutics, Inc.
$122
Merck Sharp & Dohme Corporation
$109
PFIZER INC.
$102
Boston Scientific Corporation
$90
Galderma Laboratories, L.P.
$57
Sun Pharmaceutical Industries Inc.
$43
Boehringer Ingelheim Pharmaceuticals, Inc.
$27
Almirall LLC
$23
MAYNE PHARMA INC.
$22
Mylan Pharmaceuticals Inc.
$14
Celgene Corporation
$14
SUN PHARMACEUTICAL INDUSTRIES INC.
$13
Top 3 companies account for 44.6% of total payments
Associated products mentioned in payments ›
ADBRY · BLU-U · CIBINQO · COSENTYX · Cimzia · Clindamycin Phosphate and Benzoyl Peroxide · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · ENSTILAR · EPIDUO FORTE · EPSOLAY · Erivedge · HUMIRA · Humira · ILUMYA · KEYTRUDA · LIBTAYO · LIBTAYO CEMIPLIMAB-RWLC INJECTION · MEKINIST · OLUMIANT · OPDIVO · ORACEA · Otezla · PICATO · REMICADE · RINVOQ · SKYRIZI · SPECTRA WAVEWRITER · SPEVIGO · SURGIPRO LL · Seysara · Skyrizi · Sotyktu · TALTZ · TREMFYA · Tremfya · Xolair
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 (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $248 per 100 Medicare services performed
Geographic Context
Mohs-micrographic surgery physicians within 10 mi
3
Per 100K population
1.3
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
6.2 mi
6.2 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. Grabski is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 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. Grabski experienced with skin growth removal and lab exam, 1-5 blocks?
Based on Medicare claims data, Dr. Grabski performed 1,109 skin growth removal and lab exam, 1-5 blocks 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. Grabski receive payments from pharmaceutical companies?
Yes. Dr. Grabski received a total of $6,017 from 26 companies across 269 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. Grabski's costs compare to other mohs-micrographic surgery physicians in Tyler?
Dr. Grabski's average Medicare payment per service is $369. 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. Grabski) 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 →
Explore related providers
Same specialty & city
Mohs-Micrographic Surgery Physicians in Tyler
Browse mohs-micrographic surgery physicians in Tyler ranked by procedure volume and transparency data.
Highest volume
Top Mohs-Micrographic Surgery Physicians in TX
Mohs-micrographic surgery physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Mohs-Micrographic Surgery Physicians in TX
Which TX mohs-micrographic surgery physicians receive the most from drug and device companies.
By company
ABBVIE INC. Payments to Doctors
See all physicians who received payments from ABBVIE INC.
By company
AbbVie, Inc. Payments to Doctors
See all physicians who received payments from AbbVie, Inc.
By company
GENZYME CORPORATION Payments to Doctors
See all physicians who received payments from GENZYME CORPORATION.
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