Medicare Enrolled
Dr. Sherry Spacek-Llanas, MD
Family Medicine · 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. Spacek-Llanas 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. Spacek-Llanas
Dr. Sherry Spacek-Llanas is a family medicine specialist in Waco, TX, with 13 years of NPI registration. Based on federal Medicare data, Dr. Spacek-Llanas performed 1,855 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Spacek-Llanas received a total of $9,675 from 58 pharmaceutical and/or device companies across 656 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. Spacek-Llanas 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.
✓ 13 years of NPI registration
▲ Top 15% volume in TX
$9,675 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,855
Medicare services
Top 15% in TX for family medicine
Not available
Unique patients (not deduplicated)
$33
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 |
|---|---|---|---|
| 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. |
326 | $54 | $131 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
227 | $8 | $21 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
162 | $10 | $90 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
129 | $124 | $142 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
117 | $13 | $75 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
93 | $9 | $47 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
79 | $16 | $68 |
| 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. |
69 | $6 | $41 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
69 | $5 | $27 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
65 | $29 | $184 |
| 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. |
48 | $7 | $42 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
44 | $8 | $63 |
| 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. |
41 | $2 | $16 |
| 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. |
39 | $79 | $184 |
| 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. |
38 | $72 | $116 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
38 | $30 | $47 |
| 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. |
31 | $36 | $357 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
23 | $35 | $88 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
23 | $33 | $78 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
22 | $13 | $57 |
| Iron level test | 22 | $6 | $29 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
22 | $8 | $36 |
| 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. |
19 | $22 | $112 |
| 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. |
18 | $9 | $47 |
| 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. |
16 | $282 | $390 |
| 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 B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
13 | $15 | $67 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
12 | $23 | $103 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
12 | $23 | $166 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
12 | $16 | $34 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
11 | $45 | $100 |
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 ↗$9,675
Total received (2018-2024)
Avg $1,382/year across 7 years
Top 5% in TX for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
58
Companies
656
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
$1,820
2023
$1,508
2022
$1,341
2021
$1,766
2020
$1,254
2019
$1,183
2018
$803
Payments by company (2024)
PFIZER INC.
$224
Lilly USA, LLC
$200
ABBVIE INC.
$196
Novo Nordisk Inc
$147
AstraZeneca Pharmaceuticals LP
$119
Astellas Pharma US Inc
$109
Sumitomo Pharma America, Inc.
$98
Exact Sciences Corporation
$96
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$85
GlaxoSmithKline, LLC.
$71
Boehringer Ingelheim Pharmaceuticals, Inc.
$66
Dexcom, Inc.
$55
Merck Sharp & Dohme LLC
$54
Radius Health, Inc.
$47
Bayer Healthcare Pharmaceuticals Inc.
$47
Abbott Laboratories
$44
Corium, LLC
$43
IRONSHORE PHARMACEUTICALS INC.
$36
Amgen Inc.
$32
Axsome Therapeutics, Inc.
$19
Otsuka America Pharmaceutical, Inc.
$16
IBSA Pharma Inc.
$15
Top 3 companies account for 34.1% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,043
GlaxoSmithKline, LLC.
$657
AbbVie Inc.
$550
AstraZeneca Pharmaceuticals LP
$534
PFIZER INC.
$525
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$489
Lilly USA, LLC
$387
Amgen Inc.
$381
SANOFI-AVENTIS U.S. LLC
$376
Boehringer Ingelheim Pharmaceuticals, Inc.
$374
Astellas Pharma US Inc
$348
ABBVIE INC.
$346
Merck Sharp & Dohme Corporation
$325
Amarin Pharma Inc.
$289
Allergan, Inc.
$226
Exact Sciences Corporation
$220
Abbott Laboratories
$217
Merck Sharp & Dohme LLC
$190
Sunovion Pharmaceuticals Inc.
$164
Kowa Pharmaceuticals America, Inc.
$154
Janssen Pharmaceuticals, Inc
$146
Dexcom, Inc.
$144
Sumitomo Pharma America, Inc.
$98
Corium, LLC
$98
Radius Health, Inc.
$94
Novartis Pharmaceuticals Corporation
$79
Tris Pharma Inc
$78
Otsuka America Pharmaceutical, Inc.
$77
Eisai Inc.
$75
Allergan Inc.
$67
Ironshore Pharmaceuticals Inc.
$66
Bayer Healthcare Pharmaceuticals Inc.
$61
Esperion Therapeutics, Inc.
$60
Biohaven Pharmaceutical Holding Company Ltd.
$55
Takeda Pharmaceuticals U.S.A., Inc.
$55
SANOFI PASTEUR INC.
$51
Genentech USA, Inc.
$50
Shire North American Group Inc
$39
Biohaven Pharmaceuticals, Inc.
$37
IRONSHORE PHARMACEUTICALS INC.
$36
AbbVie, Inc.
$31
Dynavax Technologies Corporation
$31
SI-BONE, Inc.
$30
Teva Pharmaceuticals USA, Inc.
$29
DEXCOM, INC.
$29
IBSA Pharma Inc.
$29
Corcept Therapeutics
$29
Clarus Therapeutics Inc.
$29
Bayer HealthCare Pharmaceuticals Inc.
$25
Sanofi Pasteur Inc.
$24
Organon LLC
$20
Axsome Therapeutics, Inc.
$19
Ironwood Pharmaceuticals, Inc
$18
Intuity Medical Inc
$15
Scilex Pharmaceuticals Inc.
$13
Avion Pharmaceuticals
$13
Circassia Pharmaceuticals Inc
$12
Bausch Health US, LLC
$11
Top 3 companies account for 23.3% of all-time payments
Associated products mentioned in payments ›
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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
Family medicine physicians in nearby ZIP areas
211
County median income
$63,888
Nearest hospital to ZIP centroid (approximate)
ASCENSION PROVIDENCE
4.0 mi
4.0 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. Spacek-Llanas is a clinical cardiology specialist, with above-average Medicare volume (top 15% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Spacek-Llanas experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Spacek-Llanas performed 326 office visit, established patient (20-29 min) 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. Spacek-Llanas receive payments from pharmaceutical companies?
Yes. Dr. Spacek-Llanas received a total of $9,675 from 58 companies across 656 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. Spacek-Llanas's costs compare to other family medicine physicians in Waco?
Dr. Spacek-Llanas's average Medicare payment per service is $33. 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. Spacek-Llanas) 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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