Medicare Enrolled
Dr. Randy Gardell, MD
Neurology · Waco, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Gardell 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. Gardell
Dr. Randy Gardell is a neurology specialist in Waco, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gardell performed 9,487 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Gardell received a total of $25,758 from 75 pharmaceutical and/or device companies across 1581 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gardell is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 9% volume in TX
$25,758 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗9,487
Medicare services
Top 9% in TX for neurology
Not available
Unique patients (not deduplicated)
$37
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
6,500 | $5 | $25 |
| 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. |
1,528 | $89 | $170 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
460 | $73 | $329 |
| New patient office visit, complex (60-74 min) | 271 | $158 | $310 |
| 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. |
190 | $111 | $220 |
| EEG brain wave monitoring, 41-60 minutes This procedure involves monitoring and recording electrical activity in the brain using electrodes placed on the scalp for a duration of 41 to 60 minutes. |
122 | $257 | $835 |
| Nerve conduction studies, 7-8 tests A series of 7 to 8 nerve conduction tests to evaluate how well nerves are sending signals to muscles. |
119 | $130 | $385 |
| Nerve conduction studies, 5-6 tests A series of 5 to 6 tests that measure how well nerves send electrical signals. The procedure evaluates nerve function and helps identify damage or dysfunction. |
88 | $98 | $305 |
| Awake and drowsy EEG A test that records electrical activity in the brain while the patient is awake and drowsy. |
87 | $40 | $360 |
| Nerve conduction studies, 11-12 A diagnostic test that measures how well nerves send electrical signals. It involves performing 11 to 12 separate nerve conduction studies. |
53 | $183 | $515 |
| EEG brain wave test, 61-119 minutes This procedure measures electrical activity in the brain using electrodes placed on the scalp. It records brain wave patterns for a duration between 61 and 119 minutes. |
33 | $330 | $835 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
13 | $34 | $225 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
12 | $129 | $435 |
| 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. |
11 | $119 | $385 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$25,758
Total received (2018-2024)
Avg $3,680/year across 7 years
Top 14% in TX for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
75
Companies
1,581
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,480
2023
$4,104
2022
$4,252
2021
$3,835
2020
$3,275
2019
$2,812
2018
$3,001
Payments by company (2024)
ARGENX US, INC.
$436
ABBVIE INC.
$434
EMD Serono, Inc.
$385
Biogen, Inc.
$357
PFIZER INC.
$303
Lilly USA, LLC
$262
Amneal Pharmaceuticals LLC
$233
Novartis Pharmaceuticals Corporation
$221
Otsuka America Pharmaceutical, Inc.
$209
Genentech USA, Inc.
$169
Lundbeck LLC
$165
SK Life Science, Inc.
$164
UCB, Inc.
$139
TG Therapeutics, Inc.
$128
Mallinckrodt Hospital Products Inc.
$125
Takeda Pharmaceuticals U.S.A., Inc.
$99
Neurocrine Biosciences, Inc.
$85
Eisai Inc.
$80
Alexion Pharmaceuticals, Inc.
$76
Octapharma USA, Inc.
$59
ACADIA Pharmaceuticals Inc
$59
HOSPIRA, INC.
$47
Cycle Pharmaceuticals Inc
$39
MDD US Operations, LLC
$36
Alnylam Pharmaceuticals Inc.
$36
Teva Pharmaceuticals USA, Inc.
$27
CATALYST PHARMACEUTICALS, INC.
$20
GE HEALTHCARE
$19
Vanda Pharmaceuticals Inc.
$18
Grifols USA, LLC
$18
Tactile Systems Technology Inc
$15
Sumitomo Pharma America, Inc.
$15
Top 3 companies account for 28.0% of 2024 payments
All-time payments by company (2018-2024) ›
EMD Serono, Inc.
$2,525
Teva Pharmaceuticals USA, Inc.
$2,107
Biogen, Inc.
$1,732
ABBVIE INC.
$1,628
Novartis Pharmaceuticals Corporation
$1,211
Supernus Pharmaceuticals, Inc.
$1,057
UCB, Inc.
$1,002
Sunovion Pharmaceuticals Inc.
$973
GENZYME CORPORATION
$759
ARGENX US, INC.
$711
Allergan, Inc.
$669
Amgen Inc.
$652
SK Life Science, Inc.
$625
PFIZER INC.
$623
ACADIA Pharmaceuticals Inc
$610
Lundbeck LLC
$585
Genentech USA, Inc.
$566
Lilly USA, LLC
$528
Neurocrine Biosciences, Inc.
$473
Acorda Therapeutics, Inc
$429
Amneal Pharmaceuticals LLC
$392
Alexion Pharmaceuticals, Inc.
$369
Mallinckrodt Hospital Products Inc.
$360
Biohaven Pharmaceutical Holding Company Ltd.
$344
AbbVie Inc.
$334
Kyowa Kirin, Inc.
$304
CSL Behring
$299
Adamas Pharmaceuticals, Inc.
$280
Eisai Inc.
$249
Allergan Inc.
$211
Biohaven Pharmaceuticals, Inc.
$210
Otsuka America Pharmaceutical, Inc.
$209
SANOFI-AVENTIS U.S. LLC
$194
UPSHER-SMITH LABORATORIES LLC
$184
US WorldMeds, LLC
$155
Promius Pharma LLC
$144
TG Therapeutics, Inc.
$128
Alnylam Pharmaceuticals Inc.
$116
Octapharma USA, Inc.
$115
Mallinckrodt Enterprises LLC
$111
Sumitomo Pharma America, Inc.
$104
Corium, LLC
$103
Takeda Pharmaceuticals U.S.A., Inc.
$99
Janssen Pharmaceuticals, Inc
$91
ARBOR PHARMACEUTICALS, INC.
$78
Avanir Pharmaceuticals, Inc.
$78
MDD US Operations, LLC
$73
Avion Pharmaceuticals
$69
MITSUBISHI TANABE PHARMA AMERICA, INC.
$57
Grifols USA, LLC
$54
JAZZ PHARMACEUTICALS INC.
$53
GE HEALTHCARE
$52
HOSPIRA, INC.
$47
Neurelis, Inc.
$47
AbbVie, Inc.
$46
Averitas Pharma Inc.
$43
Xeris Pharmaceuticals, Inc.
$40
Vertical Pharmaceuticals, LLC
$40
CATALYST PHARMACEUTICALS, INC.
$40
Cycle Pharmaceuticals Inc
$39
Bayer HealthCare Pharmaceuticals Inc.
$38
Arbor Pharmaceuticals, Inc.
$38
Assertio Therapeutics, Inc.
$37
GE HealthCare
$32
Upsher-Smith Laboratories LLC
$29
Merz North America, Inc.
$25
ASSERTIO THERAPEUTICS, Inc.
$20
Vanda Pharmaceuticals Inc.
$18
BANNER LIFE SCIENCES, LLC
$16
Alfasigma USA, Inc.
$16
Tactile Systems Technology Inc
$15
GRT US Holding, Inc.
$15
TerSera Therapeutics LLC
$12
Bausch Health US, LLC
$12
Life Molecular Imaging Ltd
$9
Top 3 companies account for 24.7% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ADUHELM · AFINITOR · AIMOVIG · AJOVY · AMPYRA · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · AVONEX · Adlarity · Aimovig · Austedo XR · BAFIERTAM · BOTOX · BOTOX THERAPEUTIC · BRIUMVI · Betaseron · Briviact · CHANTIX · COPAXONE · CREXONT · Cambia · DUOPA · Dhivy · Duopa · EMGALITY · ERGOMAR · Enspryng · Eprontia · FIRDAPSE · Flexitouch Plus · GILENYA · GOCOVRI · Gamunex-C · Gocovri · HYQVIA · Hizentra · Horizant · INBRIJA · INGREZZA · KESIMPTA · KEVEYIS · KISUNLA · KYNMOBI · LEMTRADA · LYRICA · Leqembi · MAVENCLAD · MAYZENT · MIGRANAL · MYOBLOC · Mavenclad · NAMZARIC · NEURACEQ · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Neupro · Nourianz · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONFI · ONGENTYS · ONGENTYS 50MG CAPSULES 30 · ONPATTRO · OSMOLEX ER · OXTELLAR XR · Ocrevus · Ocrevus Zunovo · Ongentys · PANZYGA · PONVORY · Ponvory · QULIPTA · QUTENZA · Qutenza · RADICAVA · REXULTI · RYTARY · Rebif · Rystiggo · SKYCLARYS · SOLIRIS · SPINRAZA · Skyclarys · Soliris · TECFIDERA · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · TYSABRI · Tascenso ODT · UBRELVY · ULTOMIRIS · VALTOCO · VRAYLAR · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · Vimpat · XCOPRI · XEOMIN · XYWAV · Xadago · ZAVZPRET · ZEMBRACE SYMTOUCH · ZIPSOR · ZOMIG · Zembrace · Zipsor
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Neurologists in nearby ZIP areas
7
County median income
$63,888
Nearest hospital to ZIP centroid (approximate)
ASCENSION PROVIDENCE
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Gardell is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gardell experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Gardell performed 6,500 botox injection, per unit services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Gardell receive payments from pharmaceutical companies?
Yes. Dr. Gardell received a total of $25,758 from 75 companies across 1,581 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Gardell's costs compare to other neurologists in Waco?
Dr. Gardell's average Medicare payment per service is $37. 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. Gardell) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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