Medicare Enrolled

Dr. Sherry Spacek-Llanas, 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 2013 (12 years)
NPI: 1568801629 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. 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 →
Are you Dr. Spacek-Llanas? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Spacek-Llanas

Dr. Sherry Spacek-Llanas is a family medicine in Waco, TX, with 12 years in practice. Based on federal Medicare data, Dr. Spacek-Llanas performed 1,855 Medicare services across 1,491 unique beneficiaries.

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 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. Spacek-Llanas 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.

✓ 12 years in practice▲ Top 15% volume in TX$ $9,675 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,855
Medicare services
Top 15% in TX for family medicine
1,491
Unique beneficiaries
$33
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~155 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 (20-29 min)326$54$131
Blood draw (venipuncture)227$8$21
Comprehensive metabolic blood panel162$10$90
Annual wellness visit, follow-up129$124$142
Lipid panel (cholesterol and triglycerides)117$13$75
Hemoglobin A1c test (diabetes monitoring)93$9$47
Thyroid stimulating hormone (TSH) test79$16$68
Urine microalbumin test (kidney screening)69$6$41
Creatinine test (kidney function)69$5$27
Vitamin D level test65$29$184
Complete blood count (CBC) with differential48$7$42
Free thyroxine (T4) test44$8$63
Automated urinalysis41$2$16
Office visit, established patient (30-39 min)39$79$184
Flu vaccine, high-dose38$72$116
Flu vaccine administration38$30$47
Bone density scan (DEXA)31$36$357
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus23$35$88
Office visit, established patient (10-19 min)23$33$78
Ferritin level test (iron stores)22$13$57
Iron level test22$6$29
Iron binding capacity test22$8$36
Chest X-ray, 2 views19$22$112
Drug injection, under skin or into muscle18$9$47
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use16$282$390
Pneumonia vaccine administration15$30$47
Vitamin B-12 level test13$15$67
X-ray of lower and sacral spine, 2-3 views12$23$103
Hip X-ray, 2-3 views12$23$166
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)12$16$34
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza11$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. A higher procedure volume generally indicates more experience with that procedure.

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
58
Companies
656
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
$9,675 (100.0%)

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)

Consulting
Speaking
Meals & Travel
Research
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 total payments
Associated products mentioned in payments ›
ABILIFY ASIMTUFII · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · AZSTARYS · Aimovig · Auvelity · Azstarys · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · BROVANA · Balcoltra · CHANTIX · COMBIVENT RESPIMAT · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL · GARDASIL 9 · GEMTESA · GLASSIA · Heplisav-B · INVOKANA · JANUVIA · JARDIANCE · JATENZO · JORNAY PM · Kerendia · Korlym · Kyleena · LEQVIO · LINZESS · LONHALA MAGNAIR · Linzess · Livalo · M-M-R II · MIGRANAL · MOUNJARO · MYRBETRIQ · Mirena · Myrbetriq · NEXLETOL · NEXPLANON · NURTEC ODT · Octrode SCS Leads · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · Pogo Automatic Blood Glucose Monitoring System · Prolia · QUADRACEL · QULIPTA · Quillivant · REXULTI · ROTATEQ · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRULANCE · TRULICITY · TRUMENBA · TUDORZA PRESSAIR · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · Utibron · VIBERZI · VIIBRYD · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza · ZOSTAVAX · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · 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 5% for family medicine in TX.

Equivalent to $522 per 100 Medicare services performed
Looking for a family medicine in Waco?
Compare family medicines in the Waco area by procedure volume, costs, and industry payment transparency.
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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. Spacek-Llanas is a clinical cardiology specialist, with above-average Medicare volume (top 15% in TX), and high industry engagement (low-engagement, top 5%).

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. 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. 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. Spacek-Llanas receive payments from pharmaceutical companies?
Yes. Dr. Spacek-Llanas received a total of $9,675 from 58 companies across 656 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. Spacek-Llanas's costs compare to other family medicines 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 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 →