Medicare Enrolled

Dr. James Myatt, MD

Cardiovascular Disease · Waco, TX
Practice pattern: Remote & Cardiac — Practice combining remote and cardiac services
Low-engagement
321 RICHLAND WEST CIR, Waco, TX 76712
2542359355
In practice since 2008 (18 years)
NPI: 1871778001 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. Myatt 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. Myatt? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Myatt

Dr. James Myatt is a cardiovascular disease specialist in Waco, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Myatt performed 9,613 Medicare services across 4,041 unique beneficiaries.

Between the years covered by Open Payments, Dr. Myatt received a total of $40,093 from 64 pharmaceutical and/or device companies across 962 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Myatt 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.

✓ 18 years in practice ▲ Top 3% volume in TX $40,093 industry payments

Medicare Practice Summary

Medicare Utilization ↗
9,613
Medicare services
Top 3% in TX for cardiovascular disease
4,041
Unique beneficiaries
$79
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~534 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
Contrast dye for imaging (iodine-based)
A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures.
2,780 $0 $2
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.
825 $92 $296
Regadenoson injection (Lexiscan) for heart stress test
An injection of regadenoson, a medication used to stress the heart during diagnostic testing.
684 $45 $68
Remote patient monitoring device, 30 days
Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period.
555 $38 $55
Remote patient monitoring management, 20 min/month
Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month.
485 $38 $55
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
437 $11 $52
Echocardiogram, transthoracic
An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function.
415 $139 $478
Remote cardiac rhythm monitor evaluation, up to 30 days
Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days.
258 $20 $64
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
239 $132 $416
Remote pacemaker monitoring, 90 days
Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart.
231 $21 $73
Remote vital sign monitoring management, each additional 20 minutes
This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period.
204 $31 $45
Remote monitoring of implantable heart device, up to 30 days
Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days.
184 $19 $63
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review.
182 $53 $169
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries 142 $647 $1,637
Remote physiologic monitoring setup and education
Initial setup of remote monitoring equipment and patient education on its use.
130 $14 $36
Nuclear stress test of heart muscle
A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress.
129 $1,075 $2,622
30-day continuous ECG with patient-triggered event transmission and review
This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report.
121 $647 $2,127
Continuous ECG monitoring, up to 30 days
Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results.
118 $19 $63
Remote monitoring of pulmonary artery pressure sensor
This procedure involves the remote tracking of pressure readings from a sensor in the pulmonary artery over a period of up to 30 days.
81 $38 $121
Remote evaluation of implantable defibrillator system
Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation.
81 $29 $89
New patient office visit, complex (60-74 min) 73 $165 $514
Ultrasound of leg arteries or grafts
An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present.
68 $178 $589
Remote monitoring of implantable heart rhythm device
Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days.
65 $27 $69
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
63 $93 $205
Remote pacemaker/defibrillator monitoring, 90 days
Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check.
56 $17 $57
Ultrasound guidance for blood vessel access
Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood.
54 $11 $31
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
53 $140 $466
Cardiac catheterization 50 $178 $590
Pacemaker system evaluation
Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems.
47 $43 $144
Additional blood vessel ultrasound evaluation
An ultrasound exam of a blood vessel that includes a radiologist's review. This code applies to each additional vessel evaluated beyond the initial one.
43 $130 $2,889
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.
42 $51 $194
Additional sedation, per 15 minutes
Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period.
41 $8 $147
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
40 $82 $304
2-day continuous ECG with review and report
A two-day continuous electrocardiogram recording that includes a professional review and written report of the results.
37 $52 $183
Technetium Tc-99m sestamibi diagnostic injection
A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies.
36 $302 $393
Ultrasound of arm or leg veins
An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers.
35 $142 $468
Nuclear stress test of heart muscle
A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera.
34 $333 $1,105
Pacemaker programming, dual lead system
Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings.
33 $61 $190
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
31 $136 $383
Midazolam injection, per 1 mg
Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments.
30 $0 $2
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
28 $57 $222
Ultrasound of arm and leg arteries
A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues.
25 $96 $307
Autonomic nervous system testing with heart rate response to deep breathing
This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing.
25 $63 $213
Autonomic nervous system function test
This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure.
25 $96 $302
EKG interpretation and report
A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report.
23 $6 $21
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.
23 $120 $378
Continuous external EKG monitoring, 48 hours to 7 days
This procedure involves recording, analyzing, and interpreting a continuous external electrocardiogram (EKG) over a period of more than 48 hours up to 7 days.
21 $192 $987
Cardiac rhythm monitor evaluation
Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity.
21 $39 $127
Coagulation time measurement, activated 19 $4 $60
Coronary stent placement
A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process.
18 $433 $1,170
Implantable defibrillator system check
A check of the implanted defibrillator device to ensure it is functioning correctly. This evaluation covers single, dual, or multiple lead systems.
17 $53 $184
Sedation by physician, initial 15 minutes
Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older.
16 $38 $703
Injection, fentanyl citrate, 0.1 mg 16 $1 $8
Pacemaker insertion with heart chamber electrodes
A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm.
15 $397 $1,030
Radiologist review of abdominal aorta and leg artery images
A radiologist reviews images of the abdominal aorta and the arteries in both legs. This process involves analyzing the visual data to assess the condition of these blood vessels.
15 $73 $190
Radiologist review of arm or leg artery images
A radiologist reviews images of the arteries in one or both arms or legs to assess blood flow and vessel health.
15 $72 $190
Coronary artery stent placement with balloon dilation
A procedure to remove plaque buildup from a single coronary artery or branch, followed by balloon dilation and insertion of a stent to keep the artery open.
15 $479 $1,310
Cardiac rhythm monitor programming
Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection.
15 $46 $138
Insertion of implantable heart rhythm monitor
A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit.
13 $67 $170
Basic blood chemical test (calcium, ionized)
A blood test that measures basic chemical levels, specifically including calcium and ionized calcium.
13 $13 $125
Ultrasound of blood vessel, initial vessel
An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel.
12 $726 $17,115
Nuclear stress test with CT scan
A nuclear medicine imaging test that evaluates blood flow in the heart muscle at rest and during stress, performed alongside a concurrent CT scan.
11 $1,841 $4,825
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.
10.2% high complexity
43.6% medium
46.2% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$40,093
Total received (2018-2024)
Avg $5,728/year across 7 years
Top 13% in TX for cardiovascular disease
64
Companies
962
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
$38,737 (96.6%)
Other
Charitable contributions, space rental, and other categories
$1,356 (3.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$8,645
2023
$7,975
2022
$6,466
2021
$4,223
2020
$3,802
2019
$3,769
2018
$5,214

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$6,605
Penumbra, Inc.
$5,794
Abbott Laboratories
$5,487
BIOTRONIK INC.
$4,550
Medtronic Vascular, Inc.
$3,913
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$1,702
LANTHEUS MEDICAL IMAGING, INC.
$1,356
Novartis Pharmaceuticals Corporation
$1,131
Janssen Pharmaceuticals, Inc
$718
Edwards Lifesciences Corporation
$702
PFIZER INC.
$618
ABIOMED
$616
AstraZeneca Pharmaceuticals LP
$556
Inari Medical, Inc.
$506
E.R. Squibb & Sons, L.L.C.
$471
Novo Nordisk Inc
$461
Boehringer Ingelheim Pharmaceuticals, Inc.
$442
Boston Scientific Corporation
$438
Amgen Inc.
$413
Philips Electronics North America Corporation
$318
Amarin Pharma Inc.
$298
Tactile Systems Technology Inc
$270
Merck Sharp & Dohme LLC
$249
Impulse Dynamics (USA) Inc.
$222
ZOLL Respicardia, Inc.
$216
Gilead Sciences, Inc.
$161
Pfizer Inc.
$130
Kowa Pharmaceuticals America, Inc.
$130
ACIST MEDICAL SYSTEMS, INC.
$114
AngioDynamics, Inc.
$112
Merck Sharp & Dohme Corporation
$105
Vifor Pharma, Inc.
$95
Kiniksa Pharmaceuticals, Ltd.
$85
Alnylam Pharmaceuticals Inc.
$85
Esperion Therapeutics, Inc.
$82
Vital Connect, Inc
$79
SANOFI-AVENTIS U.S. LLC
$78
Pacira Pharmaceuticals Incorporated
$67
BOSTON SCIENTIFIC CORPORATION
$50
ARBOR PHARMACEUTICALS, INC.
$49
Actelion Pharmaceuticals US, Inc.
$46
Avinger Inc.
$45
Otsuka America Pharmaceutical, Inc.
$41
Kiniksa Pharmaceuticals International, plc
$39
Bayer HealthCare Pharmaceuticals Inc.
$38
ATRICURE, INC.
$37
Itamar Medical Inc
$35
Relypsa, Inc.
$34
Bard Peripheral Vascular, Inc.
$29
ConvaTec Inc.
$26
Digirad Corporation
$21
Nevro Corp.
$21
Regeneron Healthcare Solutions, Inc.
$21
Smith & Nephew, Inc.
$21
Acist Medical Systems, Inc.
$19
Lilly USA, LLC
$19
Philips North America LLC
$19
ShockWave Medical, Inc
$18
Corcept Therapeutics
$18
Astellas Pharma US Inc
$15
HEARTFLOW, INC.
$14
IDORSIA PHARMACEUTICALS US INC
$14
Cardiovascular Systems Inc.
$13
Lexicon Pharmaceuticals, Inc.
$13
Top 3 companies account for 44.6% of total payments
Associated products mentioned in payments ›
(4067) Tack Endovascular Systems BTK · (5027) Intact Vascular Und · (5050) Extended Holter · (6554) Peripheral Vascular Undivided · (6585) Omniwire · (AZ7) Lasers · ABRE · AMPLATZER TALISMAN · AMVIA EDGE · ANDEXXA · ASSURITY · ATRICLIP LAA EXCLUSION SYSTEM · AURYON LASER SYSTEM 100-120 VAC · AVEIR · AZURE XT DR MRI SURESCAN · Abre · Accent Pacemaker · Acticor · Acticor 7 VR-T DX · Arcalyst · Assurity Pacemaker · Azure · BELSOMRA · BIOMONITOR · BRILINTA · Benchmark · Bidil · BioMonitor · CAMZYOS · CARDIOMEMS · CHANTIX · CHOCOLATE PTA BALLOON CATHETER · CLOSUREFAST · COREVALVE EVOLUT R · Cardius 3m · Chocolate PTA Balloon · ClosureFast · Cobalt · Confirm Rx · CoreValve Evolut · Corlanor · DEFINITY · ELIQUIS · ENSITE · ENTRESTO · Edora · Edora 8 DR-T · Edwards SAPIEN 3 Transcatheter Heart Valve · Ellipse ICD · EverFlex · Exparel · FARXIGA · FFRct · FLEXITOUCH · FLOWTRIEVER CATHETER · Flexitouch Plus · Fortify Assura · General - Therapies · General - Vascular Intervention · HAWKONE · HD-IVUS · HawkOne · IN.PACT ADMIRAL · IN.PACT Admiral · INNOVAMATRIX AC · Image Guided Therapy Devices _ Peripheral · Impella · Indigo · Indigo System · Inpefa · JARDIANCE · JOT DX · Korlym · LATITUDE · LEQVIO · LEXISCAN · LINQ II · LifeVest · Livalo · MICRA · MULTAQ · Micra · NEXLETOL · ONPATTRO · ONYX FRONTIER · OPSUMIT · Optimizer · Optimizer Smart System · Optis Coronary Imaging System · Ozempic · PANTHERIS · PCI Optimization · PICO · PRADAXA · PRALUENT · Pacemakers · Penumbra Coil 400 · Penumbra System · Peripheral Orbital Atherectomy System · PressureWire FFR · QT Vascular Chocolate PTA Balloon · QUVIVIQ · RESOLUTE ONYX · RESONATE · RXi Systems · ReCross · Repatha · Resolute · Reveal LINQ · Rivacor · Rivacor 7 DR-T · RotarexS 6 F x 135 cm · Rybelsus · S · SAMSCA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SQ RX PULSE GENERATOR · SQ-RX PULSE GENERATOR · SYNERGY · Saxenda · Senza · Solia · SpiderFX · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · UPTRAVI · VERQUVO · VIGILANT · VITALPATCH RTM · Varithena Administration Pack · Vascepa · Veltassa · VenaSeal · Verquvo · WINREVAIR · WatchPAT · XARELTO · Xience Sierra Coronary Stent · remede System
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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $417 per 100 Medicare services performed
Looking for a cardiovascular disease specialist in Waco?
Compare cardiologists in the Waco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiologists within 10 mi
18
Per 100K population
6.8
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
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. Myatt is a remote & cardiac specialist, with above-average Medicare volume (top 3% in TX), with low-engagement industry engagement in the top 13% of TX peers, with 18 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. Myatt experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Myatt performed 2,780 contrast dye for imaging (iodine-based) 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. Myatt receive payments from pharmaceutical companies?
Yes. Dr. Myatt received a total of $40,093 from 64 companies across 962 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. Myatt's costs compare to other cardiologists in Waco?
Dr. Myatt's average Medicare payment per service is $79. 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. Myatt) 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 →