Medicare Enrolled
Dr. Leighton Carl, MD
Family Medicine · Waco, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Carl 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. Carl
Dr. Leighton Carl is a family medicine specialist in Waco, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Carl performed 1,787 Medicare services across 1,410 unique beneficiaries.
Between the years covered by Open Payments, Dr. Carl received a total of $7,254 from 49 pharmaceutical and/or device companies across 499 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. Carl 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 16% volume in TX
$7,254 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,787
Medicare services
Top 16% in TX for family medicine
1,410
Unique beneficiaries
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~89 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. |
270 | $76 | $184 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
196 | $8 | $21 |
| 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. |
185 | $55 | $131 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
128 | $10 | $90 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
113 | $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. |
110 | $8 | $42 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
108 | $124 | $142 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
87 | $10 | $47 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
80 | $16 | $68 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
68 | $1 | $9 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
53 | $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. |
50 | $72 | $120 |
| 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. |
48 | $6 | $41 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
48 | $5 | $27 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
32 | $2 | $16 |
| 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. |
25 | $36 | $357 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
24 | $3 | $20 |
| 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. |
23 | $17 | $112 |
| PSA test (prostate cancer screening) | 23 | $18 | $94 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
20 | $8 | $52 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
20 | $35 | $88 |
| 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. |
17 | $158 | $184 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
16 | $8 | $47 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
15 | $30 | $47 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
14 | $29 | $184 |
| 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. |
14 | $282 | $390 |
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 ↗$7,254
Total received (2018-2024)
Avg $1,036/year across 7 years
Top 8% in TX for family medicine
49
Companies
499
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
$7,254 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,252
2023
$1,377
2022
$942
2021
$1,245
2020
$956
2019
$815
2018
$669
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$836
AbbVie Inc.
$662
PFIZER INC.
$579
GlaxoSmithKline, LLC.
$482
Astellas Pharma US Inc
$409
ABBVIE INC.
$403
Lilly USA, LLC
$383
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$312
AstraZeneca Pharmaceuticals LP
$277
Amarin Pharma Inc.
$267
SANOFI-AVENTIS U.S. LLC
$226
Allergan, Inc.
$220
Amgen Inc.
$175
Boehringer Ingelheim Pharmaceuticals, Inc.
$175
Dexcom, Inc.
$144
Sunovion Pharmaceuticals Inc.
$137
Merck Sharp & Dohme LLC
$133
Kowa Pharmaceuticals America, Inc.
$125
Merck Sharp & Dohme Corporation
$122
Exact Sciences Corporation
$111
Abbott Laboratories
$108
Janssen Pharmaceuticals, Inc
$71
Otsuka America Pharmaceutical, Inc.
$60
Esperion Therapeutics, Inc.
$59
Bayer Healthcare Pharmaceuticals Inc.
$58
Takeda Pharmaceuticals U.S.A., Inc.
$54
SANOFI PASTEUR INC.
$50
Ironshore Pharmaceuticals Inc.
$47
Novartis Pharmaceuticals Corporation
$47
Radius Health, Inc.
$47
Eisai Inc.
$43
Clarus Therapeutics Inc.
$41
Allergan Inc.
$40
Sumitomo Pharma America, Inc.
$40
Tris Pharma Inc
$37
Sanofi Pasteur Inc.
$35
Corium, LLC
$34
SI-BONE, Inc.
$30
DEXCOM, INC.
$29
Genentech USA, Inc.
$24
Organon LLC
$20
Intuity Medical Inc
$15
IBSA Pharma Inc.
$14
Assertio Therapeutics, Inc.
$14
Shire North American Group Inc
$13
Biohaven Pharmaceuticals, Inc.
$12
Circassia Pharmaceuticals Inc
$12
Bausch Health US, LLC
$11
Bayer HealthCare Pharmaceuticals Inc.
$11
Top 3 companies account for 28.6% of total payments
Associated products mentioned in payments ›
AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Azstarys · BELSOMRA · BREO · BREZTRI · BROVANA · CHANTIX · COMBIVENT RESPIMAT · COMIRNATY · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL · GARDASIL 9 · GEMTESA · INVOKANA · JANUVIA · JARDIANCE · JATENZO · JORNAY PM · Kerendia · Kyleena · LINZESS · LONHALA MAGNAIR · LYRICA · Livalo · M-M-R II · MIGRANAL · MOUNJARO · MYRBETRIQ · Mirena · Myrbetriq · NEXLETOL · NEXPLANON · NURTEC ODT · Otezla · Ozempic · PENTACEL · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Pogo Automatic Blood Glucose Monitoring System · Proclaim Family of SCS IPGs · QULIPTA · REXULTI · ROTATEQ · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · STEGLATRO · SYMBICORT · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · TRUMENBA · TUDORZA PRESSAIR · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · Utibron · VIBERZI · VIIBRYD · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XIFAXAN · Xofluza · ZIPSOR · 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. Total industry engagement is in the top 8% for family medicine in TX.
Equivalent to $406 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
211
Per 100K population
80.0
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
4.0 mi
4.0 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. Carl is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX), with low-engagement industry engagement in the top 8% 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. Carl experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Carl performed 270 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. Carl receive payments from pharmaceutical companies?
Yes. Dr. Carl received a total of $7,254 from 49 companies across 499 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. Carl's costs compare to other family medicine physicians in Waco?
Dr. Carl's average Medicare payment per service is $38. 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. Carl) 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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