Medicare Enrolled

Dr. Jose Najera-Flores, M.D.

Internal Medicine · Waco, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
301 RICHLAND WEST CIR, Waco, TX 76712
2545376200
In practice since 2009 (17 years)
NPI: 1346488368 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. Najera-Flores 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. Najera-Flores

Dr. Jose Najera-Flores is an internal medicine specialist in Waco, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Najera-Flores performed 1,498 Medicare services across 1,296 unique beneficiaries.

Between the years covered by Open Payments, Dr. Najera-Flores received a total of $6,259 from 35 pharmaceutical and/or device companies across 333 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Najera-Flores 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.

✓ 17 years in practice ▲ Top 24% volume in TX $6,259 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,498
Medicare services
Top 24% in TX for internal medicine
1,296
Unique beneficiaries
$75
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~88 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
Annual wellness visit, follow-up 258 $125 $338
Advance care planning consultation, first 30 min 239 $79 $252
Office visit, established patient (30-39 min) 234 $80 $313
Office visit, established patient (20-29 min) 185 $57 $213
Flu vaccine administration 93 $30 $69
Flu vaccine, high-dose 91 $72 $177
Bone density scan (DEXA) 71 $36 $117
Drug injection, under skin or into muscle 64 $8 $73
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a 43 $30 $120
Chest X-ray, 2 views 36 $22 $80
Office visit, established patient, complex (40-54 min) 33 $131 $422
Pneumonia vaccine administration 31 $29 $69
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 28 $271 $794
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and 25 $39 $157
Office visit, established patient (10-19 min) 24 $39 $126
X-ray of lower and sacral spine, 2-3 views 18 $31 $100
Transitional care management services for problem of at least moderate complexity 14 $159 $476
Electrocardiogram (EKG), 12-lead 11 $7 $49
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 ↗
$6,259
Total received (2018-2024)
Avg $894/year across 7 years
Top 13% in TX for internal medicine
35
Companies
333
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
$6,259 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,156
2023
$411
2022
$344
2021
$283
2020
$98
2019
$1,568
2018
$2,398

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$1,913
AstraZeneca Pharmaceuticals LP
$633
GlaxoSmithKline, LLC.
$400
PFIZER INC.
$347
Merck Sharp & Dohme Corporation
$329
Amgen Inc.
$291
SANOFI-AVENTIS U.S. LLC
$286
Astellas Pharma US Inc
$269
Lilly USA, LLC
$233
Janssen Pharmaceuticals, Inc
$194
Dexcom, Inc.
$190
Boehringer Ingelheim Pharmaceuticals, Inc.
$149
ZOLL Respicardia, Inc.
$108
Sunovion Pharmaceuticals Inc.
$101
Amarin Pharma Inc.
$100
Novartis Pharmaceuticals Corporation
$84
Vital Connect, Inc
$79
AbbVie, Inc.
$72
SHIELD THERAPEUTICS INC
$66
Radius Health, Inc.
$63
E.R. Squibb & Sons, L.L.C.
$48
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$42
Exact Sciences Corporation
$37
Bayer Healthcare Pharmaceuticals Inc.
$32
Vanda Pharmaceuticals Inc.
$26
ARBOR PHARMACEUTICALS, INC.
$24
Shield Therapeutics Inc
$19
ABBVIE INC.
$19
Allergan Inc.
$19
SI-BONE, Inc.
$16
Merck Sharp & Dohme LLC
$16
Intuitive Surgical, Inc.
$16
Abbott Laboratories
$15
SANOFI PASTEUR INC.
$14
Kowa Pharmaceuticals America, Inc.
$12
Top 3 companies account for 47.1% of total payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · ANORO · AREXVY · Aimovig · BREO · BREZTRI · BROVANA · BYSTOLIC · CAPVAXIVE · CHANTIX · COMIRNATY · Cologuard Collection Kit · Creon · DEXCOM G7 GSS (161) · Da Vinci Surgical System · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · Edarbi · FANAPT · FARXIGA · FLUZONE QUADRIVALENT · FORTEO · FREESTYLE LIBRE 2 · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LONHALA MAGNAIR · LYRICA · Livalo · MYRBETRIQ · OPDIVO · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR 20 · Prolia · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SIVEXTRO · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · SYMBICORT · Saxenda · Synthroid · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · Tymlos · Utibron · VITALPATCH RTM · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xultophy 100/3.6 · iFuse Implant · 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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $418 per 100 Medicare services performed
Looking for an internal medicine specialist in Waco?
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Geographic Context

Internal medicine physicians within 10 mi
61
Per 100K population
23.1
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. Najera-Flores is a clinical cardiology specialist, with above-average Medicare volume (top 24% in TX), with low-engagement industry engagement in the top 13% of TX peers, with 17 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. Najera-Flores experienced with annual wellness visit, follow-up?
Based on Medicare claims data, Dr. Najera-Flores performed 258 annual wellness visit, follow-up 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. Najera-Flores receive payments from pharmaceutical companies?
Yes. Dr. Najera-Flores received a total of $6,259 from 35 companies across 333 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. Najera-Flores's costs compare to other internal medicine physicians in Waco?
Dr. Najera-Flores's average Medicare payment per service is $75. 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. Najera-Flores) 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 →