Medicare Enrolled

Dr. Randy Gardell, MD

Neurology · Waco, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
205 WOODHEW DR STE 110, Waco, TX 76712
2543999291
In practice since 2006 (19 years)
NPI: 1659483873 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. 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 →
Are you Dr. Gardell? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Gardell

Dr. Randy Gardell is a neurology in Waco, TX, with 19 years in practice. Based on federal Medicare data, Dr. Gardell performed 9,487 Medicare services across 2,051 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gardell received a total of $25,758 from 75 pharmaceutical and/or device companies across 1581 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Gardell 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▲ Top 9% volume in TX$ $25,758 industry payments

Medicare Practice Summary

Medicare Utilization ↗
9,487
Medicare services
Top 9% in TX for neurology
2,051
Unique beneficiaries
$37
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~499 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
Botox injection, per unit6,500$5$25
Office visit, established patient (30-39 min)1,528$89$170
Needle measurement of electrical activity in arm or leg muscles, complete study460$73$329
New patient office visit, complex (60-74 min)271$158$310
Office visit, established patient, complex (40-54 min)190$111$220
Measurement of brain wave activity (eeg), 41-60 minutes122$257$835
Nerve conduction, 7-8 studies119$130$385
Nerve conduction, 5-6 studies88$98$305
Measurement of brain wave activity (eeg), awake and drowsy87$40$360
Nerve conduction, 11-12 studies53$183$515
Measurement of brain wave activity (eeg), 61-119 minutes33$330$835
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 and13$34$225
Nerve conduction, 9-10 studies12$129$435
Initial hospital admission, high complexity11$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. A higher procedure volume generally indicates more experience with that procedure.

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
75
Companies
1,581
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
$24,849 (96.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$910 (3.5%)

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)

Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $272 per 100 Medicare services performed
Looking for a neurology in Waco?
Compare neurologys in the Waco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurologys within 10 mi
7
Per 100K population
2.7
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. Gardell is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), and high industry engagement (low-engagement, top 14%), 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. Gardell experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Gardell performed 6,500 botox injection, per unit 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. Gardell receive payments from pharmaceutical companies?
Yes. Dr. Gardell received a total of $25,758 from 75 companies across 1,581 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. Gardell's costs compare to other neurologys 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 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 →