Medicare Enrolled

Dr. Nilesh Goswami, M.D.

Cardiovascular Disease · Waco, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
50 HILLCREST MEDICAL BLVD STE 102, Waco, TX 76712
2542020480
In practice since 2006 (19 years)
NPI: 1467534701 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. Goswami 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. Goswami

Dr. Nilesh Goswami is a cardiovascular disease in Waco, TX, with 19 years in practice. Based on federal Medicare data, Dr. Goswami performed 513 Medicare services across 391 unique beneficiaries.

Between the years covered by Open Payments, Dr. Goswami received a total of $61,344 from 41 pharmaceutical and/or device companies across 512 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Goswami 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.

✓ 19 years in practice▲ 513 Medicare services$ $61,344 industry payments

Medicare Practice Summary

Medicare Utilization ↗
513
Medicare services
Bottom 17% in TX for cardiovascular disease
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
391
Unique beneficiaries
$84
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~27 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)192$93$209
New patient office visit (45-59 min)80$121$322
Echocardiogram, transthoracic74$70$483
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes49$10$86
Routine electrocardiogram (ecg) using at least 12 leads with tracing42$5$48
EKG interpretation and report42$4$41
Cardiac catheterization21$188$1,535
Coronary stent placement13$419$2,938
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.
21.1% high complexity
0.0% medium
78.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$61,344
Total received (2018-2024)
Avg $8,763/year across 7 years
Top 9% in TX for cardiovascular disease
41
Companies
512
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$36,663 (59.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,481 (22.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$11,200 (18.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,225
2023
$2,869
2022
$7,272
2021
$4,957
2020
$17,096
2019
$15,483
2018
$10,440

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$24,701
Medtronic Vascular, Inc.
$11,540
Medtronic, Inc.
$10,880
Abbott Laboratories
$2,684
Siemens Medical Solutions USA, Inc.
$2,161
Inari Medical, Inc.
$1,813
Edwards Lifesciences Corporation
$1,257
W. L. Gore & Associates, Inc.
$663
ABIOMED
$575
Endologix LLC
$474
Janssen Pharmaceuticals, Inc
$430
Penumbra, Inc.
$358
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$341
ShockWave Medical, Inc
$284
LivaNova USA, Inc.
$262
Amgen Inc.
$258
E.R. Squibb & Sons, L.L.C.
$254
Regeneron Healthcare Solutions, Inc.
$245
Shockwave Medical, Inc
$238
AstraZeneca Pharmaceuticals LP
$225
Novartis Pharmaceuticals Corporation
$185
BIOTRONIK INC.
$167
PFIZER INC.
$137
Philips North America LLC
$132
Novo Nordisk Inc
$120
Philips Electronics North America Corporation
$110
Merck Sharp & Dohme LLC
$110
AngioDynamics, Inc.
$109
BOSTON SCIENTIFIC CORPORATION
$101
Getinge USA Sales, LLC
$91
Boehringer Ingelheim Pharmaceuticals, Inc.
$70
Cardiovascular Systems Inc.
$57
Maquet Cardiovascular U.S. Sales, L.L.C.
$53
Welch Allyn
$42
Amarin Pharma Inc.
$41
SANOFI-AVENTIS U.S. LLC
$39
Teleflex LLC
$33
Cardinal Health 200, LLC
$31
Becton, Dickinson and Company
$27
Kiniksa Pharmaceuticals International, plc
$24
Ethicon US, LLC
$20
Top 3 companies account for 76.8% of total payments
Associated products mentioned in payments ›
(8306) Azurion 7 B20 · (8324) Azurion 7 M20 · (CJ7) Intact Vascular Undivided · 3F · ABRE · AMPLATZER · AMPLATZER Occluders · AMPLATZER TALISMAN · AMPLATZER Vascular Plugs · AMS · ANDEXXA · ANGIOJET · ASSURITY · AVEIR · AZURE XT DR MRI SURESCAN · Alto Abdominal Stent Graft System · AngioVac · Arcalyst · Artis zee · Astron; Pulsar; AstronPulsar · BRILINTA · Bioprosthetic Mitral Valve · CAMZYOS · CARDIOFORM Septal Occluder · CARDIOHELP · CARDIOMEMS · COREVALVE EVOLUT R · CT THROMBECTOMY SYSTEM KIT · CardioPerfect · Conformable TAG Thoracic Endoprosthesis · CoreValve Evolut · Corlanor · ELIQUIS · ENTRESTO · EPIC · ESPRIT · EXCLUDER AAA Endoprosthesis · EXCLUDER Conformable AAA Endoprosthesis with Active Control · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Endurant · FARXIGA · FLOWTRIEVER CATHETER · FlowTriever · GALLANT · GENERAL BALLOONS · GENERAL STRUCTURAL HEART · GENERAL VASCULAR INTERVENTION · GENERAL STRUCTURAL HEART · GENERAL THERAPIES · GENERAL VASCULAR INTERVENTION · GENERAL - STRUCTURAL HEART · GENERAL STRUCTURAL HEART · GENERAL THERAPIES · GENERAL VASCULAR INTERVENTION · GORE CARDIOFORM Septal Occluder · GORE VIABAHN Endoprosthesis · GORE VIABAHN VBX Balloon Expandable Endo · GUARDIAN · General - Therapies · INTERLOCK · Impella · Indigo · Indigo System · JARDIANCE · LEQVIO · LOTUS EDGE · LUX-Dx Insertable Cardiac Monitor · LifeSPARC · LifeVest · MANTA · MITRACLIP · MVP · Mitra Clip system · MitraClip System · Mo.Ma · Orsiro Mission · PK Papyrus · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PRO-Kinetic Energy · PROMUS · PROMUS ELEMENT · Peripheral Orbital Atherectomy System · PressureWire FFR · QT Vascular Chocolate PTA Balloon · Repatha · Resolute · RotarexS 6 F x 135 cm · Rybelsus · S · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SURGICEL NU-KNIT · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Solia · Spectra WaveWriter · TandemLife · Tryton Side Branch Stent · VERQUVO · VIABAHN VBX Balloon Expandable Endoprosthesis · Vascepa · Vascular Lithotripsy · Vasoview Hemopro 2 · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · Xience Alpine cornary stent system · Xience Sierra Coronary Stent 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 →

The majority of payments (60%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 9% for cardiovascular disease in TX.

Equivalent to $11,958 per 100 Medicare services performed
Looking for a cardiovascular disease in Waco?
Compare cardiovascular diseases in the Waco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiovascular Diseases 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 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. Goswami is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 9%), with 19 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. Goswami experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Goswami performed 192 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. Goswami receive payments from pharmaceutical companies?
Yes. Dr. Goswami received a total of $61,344 from 41 companies across 512 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. Goswami's costs compare to other cardiovascular diseases in Waco?
Dr. Goswami's average Medicare payment per service is $84. 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. Goswami) 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 →