Medicare Enrolled

Dr. Leighton Carl, MD

Family Medicine · Waco, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
7300 BOSQUE BLVD, Waco, TX 76710
2542022600
In practice since 2006 (20 years)
NPI: 1922075225 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. 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 →
Are you Dr. Carl? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Carl

Dr. Leighton Carl is a family medicine in Waco, TX, with 20 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)270$76$184
Blood draw (venipuncture)196$8$21
Office visit, established patient (20-29 min)185$55$131
Comprehensive metabolic blood panel128$10$90
Lipid panel (cholesterol and triglycerides)113$13$75
Complete blood count (CBC) with differential110$8$42
Annual wellness visit, follow-up108$124$142
Hemoglobin A1c test (diabetes monitoring)87$10$47
Thyroid stimulating hormone (TSH) test80$16$68
Steroid injection (triamcinolone)68$1$9
Flu vaccine administration53$30$47
Flu vaccine, high-dose50$72$120
Urine microalbumin test (kidney screening)48$6$41
Creatinine test (kidney function)48$5$27
Automated urinalysis32$2$16
Bone density scan (DEXA)25$36$357
Assessment of emotional or behavioral problems24$3$20
Chest X-ray, 2 views23$17$112
PSA test (prostate cancer screening)23$18$94
Basic metabolic blood panel20$8$52
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus20$35$88
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit17$158$184
Drug injection, under skin or into muscle16$8$47
Pneumonia vaccine administration15$30$47
Vitamin D level test14$29$184
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use14$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
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Geographic Context

Family Medicines within 10 mi
211
Per 100K population
80.0
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
4.0 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. Carl is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX), and high industry engagement (low-engagement, top 8%), with 20 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. 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 medicines 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 →
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 →