Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Randy Gardell

Neurology Waco, TX Medical Doctor

NPI 1659483873 CMS profile 30272

205 Woodhew Dr Ste 110, Waco, TX 76712

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General payments

$27,649

1,658 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Randy Gardell of Waco, TX is reported in the CMS Open Payments database as having received $27,649 across 1,658 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 86th percentile of Neurology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $4,892 252
2024 General $4,480 256
2023 General $4,104 231
2022 General $4,252 256
2021 General $3,835 244
2020 General $3,275 220
2019 General $2,812 199

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Randy Gardell
  • Neurology median
  • Middle half of Neurology
  • National median

In program year 2025, general payments to Randy Gardell were reported at $4,892. Among 11,022 Neurology profiles paid that year, the median was $457 and the middle half received between $118 and $2,344.

Show as a table
Year Randy Gardell Neurology median Middle half National median
2019 $2,812 $474 $118–$2,177 $163
2020 $3,275 $367 $82–$2,309 $114
2021 $3,835 $438 $104–$2,547 $132
2022 $4,252 $442 $103–$2,388 $149
2023 $4,104 $464 $119–$2,312 $160
2024 $4,480 $468 $119–$2,323 $164
2025 $4,892 $457 $118–$2,344 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. EMD Serono, Inc. $2,857 174 payments
  2. AbbVie, Inc. $2,758 200 payments
  3. Biogen, Inc. $1,841 106 payments
  4. Teva Pharmaceuticals USA, Inc. $1,586 127 payments
  5. Novartis Pharmaceuticals Corporation $1,466 91 payments
  6. Pfizer Inc. $1,006 88 payments
  7. UCB, Inc. $924 43 payments
  8. Supernus Pharmaceuticals, Inc. $820 62 payments
  9. SK Life Science, Inc. $812 34 payments
  10. Lundbeck LLC $779 62 payments
  11. Other $12,801 671 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $27,265 1,645 payments
  2. Education $201 4 payments
  3. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $183 9 payments
Products named General payments · program years 2019–2025
  1. QULIPTA $1,142 102 payments
  2. UBRELVY $1,107 86 payments
  3. TYSABRI $902 52 payments
  4. NURTEC ODT $888 81 payments
  5. KESIMPTA $853 52 payments
  6. TROKENDI XR $789 60 payments
  7. ZAVZPRET $712 65 payments
  8. AJOVY $707 66 payments
  9. MAVENCLAD $683 28 payments
  10. BOTOX $606 33 payments
  11. Other $19,839 1,134 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 103 drugs

Part D claims

9,412

Median for Neurology: 833

Drug cost

$3,962,983

Median for Neurology: $202,670

Branded share of claims

26.5%

Median for Neurology: 25.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Vumerity Diroximel Fumarate Brand 112 $1,059,295
Octagam Immun Globg(Igg)/Malt/Iga Ov50 Brand 16 $349,506
Nuplazid Pimavanserin Tartrate Brand 63 $320,557
Ingrezza Valbenazine Tosylate Brand 33 $263,219
Privigen Immun Glob G(Igg)/Pro/Iga 0-50 Brand 28 $259,135
Ubrelvy Ubrogepant Brand 129 $231,183
Kesimpta Pen Ofatumumab Brand 22 $210,659
Gammagard Liquid Immun Glob G(Igg)/Gly/Iga Ov50 Brand 11 $127,360
Qulipta Atogepant Brand 93 $117,258
Copaxone Glatiramer Acetate Brand 12 $87,313

The 10 drugs with the highest cost, of 103 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 13,695 Part D prescribers listed as Neurology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 18 billing codes

Paid by Medicare

$291,964

Medicare's payments for the services billed

Medicare patients

997

Average age 75

Services billed

4,280

549 women, 448 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 55%
Diabetes 35%
Depression 33%
Ischemic heart disease 31%
Alzheimer's or dementia 23%
Atrial fibrillation 21%
Chronic kidney disease 21%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 44 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
VYVGART Hytrulo
$326 — —
REXULTI
$257 36 —
KESIMPTA
$221 22 —
VUMERITY
$178 112 —
RYTARY
$164 34 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See more in the dashboard: 25 with a free account, all 44 with Patron

Records

1,658 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Neurology in Texas

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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