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
1367 DOMINION PLAZA, Tyler, TX 75703
9035346200
In practice since 2006 (19 years)
NPI: 1780614271 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. 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 →
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What this data tells you about Dr. Grabski

Dr. William Grabski is a mohs-micrographic surgery physician in Tyler, TX, with 19 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks1,109$486$2,249
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks443$320$1,366
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less158$388$2,543
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm88$173$1,653
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm85$98$594
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm71$136$1,415
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm39$251$1,568
Skin biopsy, tangential36$42$338
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm36$551$3,053
Office visit, established patient (10-19 min)35$42$186
Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm34$111$627
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm29$189$1,011
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm27$624$3,290
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks26$430$2,112
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm25$134$1,409
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less25$349$2,516
Destruction of precancerous skin growth, 122$27$223
Removal and microscopic exam of growth, each additional block after 5 tissue blocks22$62$262
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm20$104$927
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less19$94$557
Office visit, established patient (20-29 min)19$70$297
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm17$547$2,869
Repair of wound by transferring skin, 30.1-60.0 sq cm15$675$3,593
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less14$657$3,303
Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm11$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
Looking for a mohs-micrographic surgery physician in Tyler?
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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

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. Grabski is a mixed practice specialist, with moderate Medicare volume, and low-engagement industry engagement, with 19 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. Grabski experienced with removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks?
Based on Medicare claims data, Dr. Grabski performed 1,109 removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue 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 →
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 →