Dr. Afua S Agyarko , MD
Internal Medicine • Spring, TX
4701 Fm 2920 Rd Ste A2
Spring, TX 773883111
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Afua Agyarko is listed in NPPES under Internal Medicine.
-
NPI assigned on May 30, 2007; this date does not establish years in practice.
-
Published CMS data list 626 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 209 service units.
- 99490 — Chronic care management services: 100 service units.
- 99215 — Established patient outpatient office visit: 73 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 1,658 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Mounjaro (Tirzepatide) — 129 prescription fills, including refills.
- Levothyroxine Sodium — 124 prescription fills, including refills.
- Atorvastatin Calcium — 104 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 55 records in the table · Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 85% of clinicians listed under Internal Medicine in Spring, TX (2024, 22 clinicians with data). Median for this group: 987. Middle half: 797 to 1,785.
Close to the middle for Medicare Part B services among clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: 645. Middle half: 277 to 1,322.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 937 in 2020 to 626 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4701 Fm 2920 Rd Ste A2
Spring, TX 773883111
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Spring, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Mighty Health Medical Services Pa; New Wave Physicians Group, Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Texas Southwestern Medical School At Dallas
2005
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
93 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $61,075 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $46,685 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
3,944 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$418,335 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $119.86 across 6 records.
By nature of payment
- Food and Beverage: $119.86 across 6 records.
Reporting-company totals (3 largest of 6)
- Inspire Medical Systems, Inc.: $24.08 across 1 record.
- Novo Nordisk Inc: $22.61 across 1 record.
- TOLMAR, INC.: $20.86 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Agyarko has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Agyarko as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Spring and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under Internal Medicine in Spring, TX (2024, 22 clinicians with data). Median for this group: 987. Middle half: 797 to 1,785.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: 645. Middle half: 277 to 1,322.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Internal Medicine in Spring, TX (2024, 22 clinicians with data). Median for this group: $75,761. Middle half: $60,874 to $156,063.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: $61,221. Middle half: $27,420 to $115,826.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Internal Medicine in Spring, TX (2024, 22 clinicians with data). Median for this group: $58,696. Middle half: $46,764 to $121,243.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: $47,501. Middle half: $20,446 to $90,051.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Spring, TX (2024, 27 clinicians with data). Median for this group: 2,370. Middle half: 213 to 3,975.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,674 clinicians with data). Median for this group: 828. Middle half: 121 to 4,824.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Internal Medicine in Spring, TX (2024, 27 clinicians with data). Median for this group: $152,755. Middle half: $11,941 to $422,836.
A higher Part D drug cost than 70% of clinicians listed under Internal Medicine in Texas (2024, 5,674 clinicians with data). Median for this group: $64,859. Middle half: $4,211 to $436,775.
36 active clinicians are listed under Internal Medicine with a practice address in Spring, TX (9,191 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spring
36.1% of these 36 clinicians have the CMS telehealth indicator.
66.7% of these 36 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 33% from 937 in 2020 to 626 in 2024.
- 2020: 937
- 2021: 316
- 2022: 557
- 2023: 472
- 2024: 626
-
Medicare-allowed amount
Medicare-allowed amount increased 50% from $40,628 in 2020 to $61,075 in 2024.
- 2020: $40,628
- 2021: $37,428
- 2022: $55,188
- 2023: $51,296
- 2024: $61,075
-
Paid by Medicare
Paid by Medicare increased 56% from $29,954 in 2020 to $46,685 in 2024.
- 2020: $29,954
- 2021: $27,888
- 2022: $43,205
- 2023: $39,150
- 2024: $46,685
-
Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 1,711 in 2020 and 1,658 in 2024.
- 2020: 1,711
- 2021: 1,261
- 2022: 1,471
- 2023: 1,496
- 2024: 1,658
-
30-day fills
30-day fills stayed about the same: 4,103 in 2020 and 3,944 in 2024.
- 2020: 4,103
- 2021: 3,290
- 2022: 3,762
- 2023: 3,491
- 2024: 3,944
-
Part D drug cost
Part D drug cost increased 47% from $284,930 in 2020 to $418,335 in 2024.
- 2020: $284,930
- 2021: $211,932
- 2022: $272,335
- 2023: $358,771
- 2024: $418,335
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $84.71 in 2021 to $119.86 in 2025.
- 2021: $84.71
- 2022: $63.08
- 2023: $81.41
- 2024: $195.31
- 2025: $119.86
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $119.86.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $24.08 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $22.61 |
| TOLMAR, INC. |
Food and Beverage
In-kind items and services
|
JATENZO | General | $20.86 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MINIMED 780G | General | $19.29 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $17.01 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $16.01 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
209 | 82 | $199.80 | $128.89 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
100 | 50 | $98.50 | $62.93 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
73 | 48 | $281.60 | $181.67 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
71 | 44 | $24.06 | $16.47 |
|
99497
Advance care planning, first 30 minutes
|
43 | 42 | $131.50 | $82.16 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
40 | 40 | $204.13 | $129.97 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
37 | 28 | $141.62 | $91.50 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
34 | 34 | $32.26 | $18.80 |
|
95251
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
|
19 | 13 | $54.33 | $34.54 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Mounjaro | Tirzepatide | 129 | 5,012 | $178,413.44 | 25 |
| Levothyroxine Sodium | Levothyroxine Sodium | 124 | 10,500 | $2,041.00 | 37 |
| Atorvastatin Calcium | Atorvastatin Calcium | 104 | 9,410 | $1,115.48 | 30 |
| Ozempic | Semaglutide | 91 | 3,485 | $111,355.63 | 20 |
| Losartan Potassium | Losartan Potassium | 69 | 5,595 | $1,053.85 | 23 |
| Metformin Hcl | Metformin Hcl | 68 | 5,070 | $722.96 | 20 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 66 | 5,520 | $842.71 | 22 |
| Amlodipine Besylate | Amlodipine Besylate | 55 | 4,890 | $425.76 | 19 |
| Montelukast Sodium | Montelukast Sodium | 49 | 3,390 | $604.51 | 18 |
| Simvastatin | Simvastatin | 41 | 3,730 | $502.48 | 12 |
| Bupropion Xl | Bupropion Hcl | 39 | 2,850 | $943.51 | — |
| Jardiance | Empagliflozin | 39 | 2,550 | $45,784.19 | — |
| Omeprazole | Omeprazole | 38 | 3,340 | $728.71 | 12 |
| Synthroid | Levothyroxine Sodium | 37 | 3,151 | $1,342.79 | — |
| Metformin Hcl Er | Metformin Hcl | 35 | 3,150 | $608.86 | 13 |
| Gabapentin | Gabapentin | 31 | 2,170 | $1,361.75 | 13 |
| Escitalopram Oxalate | Escitalopram Oxalate | 31 | 1,770 | $476.47 | — |
| Lisinopril | Lisinopril | 28 | 2,190 | $291.96 | — |
| Metoprolol Succinate | Metoprolol Succinate | 24 | 2,040 | $739.64 | — |
| Zolpidem Tartrate | Zolpidem Tartrate | 23 | 1,830 | $478.34 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 22 | 1,560 | $258.52 | — |
| Trazodone Hcl | Trazodone Hcl | 22 | 1,980 | $199.30 | — |
| Alprazolam | Alprazolam | 21 | 810 | $276.34 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 21 | 1,710 | $61.57 | — |
| Glimepiride | Glimepiride | 20 | 1,800 | $215.75 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-05-10NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 207RB0002X
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20090622000415
TX
6204987829
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Mighty Health Medical Services Pa
1201 Fannin St, Houston, TX 770026943
Phone: 7148736202
New Wave Physicians Group, Pllc
5220 Fm 2920 Rd, Spring, TX 773883003
New Wave Physicians Group, Pllc
5220 Fm 2920 Rd, Spring, TX 773883003
Phone: 7134290881
Secondary Practice Locations
2255 E Mossy Oaks Rd Ste 500
Spring, TX 773891813
Phone: 2814405300
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4701 FM 2920 RD STE A2, SPRING, TX 773883111 (Tel: 2817296481)
Registered at 4701 FM 2920 RD STE A2, SPRING, TX 773883111 (Tel: 2817296481)
Internal Medicine (license number reported to NPPES: TX M9779)
NPI status registered as active in NPPES database
Registered at 2255 E MOSSY OAKS RD STE 500, SPRING, TX 773891813 (Tel: (281) 440-5300)
Registered at 2255 E MOSSY OAKS RD STE 500, SPRING, TX 773891813 (Tel: (281) 440-5300)
Recorded as AFUA AGYARKO, MD
Internal Medicine (license number reported to NPPES: TX M9779)
NPI status registered as active in NPPES database
Registered at 1140 CYPRESS STATION DR, SUITE 200, HOUSTON, TX 770903045 (Tel: 2814405300)
Registered at 1140 CYPRESS STATION DR, SUITE 200, HOUSTON, TX 770903045 (Tel: 2814405300)
Recorded as AFUA AGYARKO, MD
Internal Medicine (license number reported to NPPES: TX M9779)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Spring
- Dr. Bindu Sudhakaran, MD
- Dr. Nazia Ansari, MD
- Dr. John Thomas, MD
- Sumbul Tahir
- Dr. Amie Sun-Wright, MD
- Melinda Guerry, PA
More public profiles in Texas
Directory navigation, in NPI number order.
- Carol Coglianese, MD Specialist · Conroe
- Stephanie Michel, MD Obstetrics & Gynecology · Round Rock
- Elaine Whittaker, MD Internal Medicine · Dallas
- Carl Chakmakjian, DO Internal Medicine - Medical Oncology · Waco
- Jeffrey Alvarado, DDS Dentist - General Practice · Edinburg
- Tony Nguyen, MD Internal Medicine · Shenandoah
- Joanne Blum, MD Internal Medicine - Medical Oncology · Dallas
- Michael Spivey, MD Internal Medicine - Medical Oncology · Denton
- James Martindale, MD Hospitalist · Amarillo
- Rena Salyer, DO Emergency Medicine · Killeen
- Vikas Bhushan, MD Internal Medicine - Hematology & Oncology · Dallas
- Maitreyee Lund, MD Psychiatry & Neurology - Psychiatry · Round Rock
Mailing Address
4701 Fm 2920 Rd Ste A2
Spring, TX 773883111
Phone: 2817296481