Not Medicare Enrolled
Dr. Brian Bull, MD
Family Medicine · Waco, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 3 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. Bull 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. Bull?
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What this data tells you about Dr. Bull
Dr. Brian Bull is a family medicine specialist in Waco, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Bull performed 2,413 Medicare services across 1,886 unique beneficiaries.
Between the years covered by Open Payments, Dr. Bull received a total of $3,265 from 31 pharmaceutical and/or device companies across 210 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Bull 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 10% volume in TX
$3,265 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,413
Medicare services
Top 10% in TX for family medicine
1,886
Unique beneficiaries
$33
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~121 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 (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. |
263 | $80 | $184 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
253 | $8 | $21 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
206 | $10 | $90 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
199 | $13 | $75 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
174 | $8 | $42 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
172 | $16 | $68 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
159 | $10 | $47 |
| 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. |
138 | $57 | $131 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
131 | $3 | $26 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
106 | $124 | $142 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
74 | $5 | $27 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
71 | $30 | $47 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
70 | $72 | $119 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
45 | $14 | $61 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
41 | $19 | $32 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
38 | $6 | $26 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
37 | $29 | $184 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
36 | $6 | $41 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
26 | $25 | $112 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
25 | $8 | $52 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
24 | $25 | $47 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
23 | $282 | $390 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
23 | $30 | $47 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
15 | $156 | $266 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
14 | $4 | $26 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
14 | $4 | $74 |
| Stool test for hidden blood (FIT) A laboratory test that analyzes a stool sample to detect hidden blood using an immunoassay method. |
13 | $16 | $74 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
12 | $158 | $184 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
11 | $36 | $357 |
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 ↗$3,265
Total received (2018-2024)
Avg $466/year across 7 years
Top 19% in TX for family medicine
31
Companies
210
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
$3,265 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$63
2023
$279
2022
$416
2021
$455
2020
$456
2019
$822
2018
$774
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$380
AstraZeneca Pharmaceuticals LP
$371
Novo Nordisk Inc
$312
Lilly USA, LLC
$255
PFIZER INC.
$241
Janssen Pharmaceuticals, Inc
$222
Sunovion Pharmaceuticals Inc.
$210
Merck Sharp & Dohme Corporation
$145
Abbott Laboratories
$132
Boehringer Ingelheim Pharmaceuticals, Inc.
$116
Allergan, Inc.
$93
AbbVie Inc.
$92
SANOFI-AVENTIS U.S. LLC
$88
Amarin Pharma Inc.
$86
Medtronic, Inc.
$85
Kowa Pharmaceuticals America, Inc.
$73
Astellas Pharma US Inc
$69
Amgen Inc.
$58
Allergan Inc.
$35
Novartis Pharmaceuticals Corporation
$29
SANOFI PASTEUR INC.
$21
Esperion Therapeutics, Inc.
$18
Merck Sharp & Dohme LLC
$18
Exact Sciences Corporation
$16
DEXCOM, INC.
$15
Genentech USA, Inc.
$15
SI-BONE, Inc.
$15
ABBVIE INC.
$14
E.R. Squibb & Sons, L.L.C.
$13
Takeda Pharmaceuticals U.S.A., Inc.
$13
Sanofi Pasteur Inc.
$13
Top 3 companies account for 32.6% of total payments
Associated products mentioned in payments ›
ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BELSOMRA · BEXSERO · BREO · BREZTRI · BROVANA · BYSTOLIC · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · ClosureFast · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GEMTESA · INVOKANA · JANUVIA · JARDIANCE · LONHALA MAGNAIR · Livalo · MOUNJARO · MYRBETRIQ · NEXLETOL · Ozempic · PREVNAR 13 · PREVNAR 20 · Prolia · Rybelsus · SOLIQUA 100/33 · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TRUMENBA · Trintellix · UBRELVY · VIIBRYD · VRAYLAR · Vascepa · Victoza · Wegovy · XARELTO · Xofluza · ZEPBOUND · iFuse Implant
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 $135 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
210
Per 100K population
79.7
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
12.5 mi
12.5 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 3 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. Bull is a clinical cardiology specialist, with above-average Medicare volume (top 10% in TX), with low-engagement industry engagement in the top 19% of TX peers, with 20 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. Bull experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Bull performed 263 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. Bull receive payments from pharmaceutical companies?
Yes. Dr. Bull received a total of $3,265 from 31 companies across 210 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. Bull's costs compare to other family medicine physicians in Waco?
Dr. Bull's average Medicare payment per service is $33. 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. Bull) 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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