William Elias Mirabal , PA-C
Physician Assistant - Medical โข Tyler, TX
2608 Mcdonald Rd
Tyler, TX 757015934
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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William Mirabal is listed in NPPES under Physician Assistant - Medical.
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NPI assigned on November 7, 2016; this date does not establish years in practice.
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Published CMS data list 138 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99214 โ Established patient outpatient office visit: 50 service units.
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 48 service units.
- 99204 โ New patient outpatient office visit: 40 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 236 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Clopidogrel (Clopidogrel Bisulfate) โ 168 prescription fills, including refills.
- Brilinta (Ticagrelor) โ 35 prescription fills, including refills.
- Pantoprazole Sodium โ 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant - Medical in Texas (2024, 991 clinicians with data). Median for this group: 480. Middle half: 139 to 1,614.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 577 in 2018 to 138 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2022.
Practice Location & Contact Primary Location
2608 Mcdonald Rd
Tyler, TX 757015934
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Indian River Health Services Inc. 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
2019
What Public CMS Data Show
Physician Assistant - Medical: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $14,771 in 2022
The total amount Medicare approved for these services in 2022. 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 โ by Provider and Service, 2022.
Paid by Medicare
About $11,787 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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 โ by Provider and Service, 2022.
30-day fills
601 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
$18,564 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $638.46 across 20 records.
By nature of payment
- Food and Beverage: $638.46 across 20 records.
Reporting-company totals (3 largest of 6)
- Medtronic, Inc.: $210.81 across 5 records.
- Boston Scientific Corporation: $176.51 across 4 records.
- ABIOMED: $132.71 across 5 records.
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
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 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
2016
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, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
William Mirabal 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 William Mirabal 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 Tyler and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant - Medical in Texas (2024, 991 clinicians with data). Median for this group: 480. Middle half: 139 to 1,614.
Too few clinicians listed under Physician Assistant - Medical in Tyler have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant - Medical in Texas (2024, 991 clinicians with data). Median for this group: $30,174. Middle half: $1,827 to $197,810.
Too few clinicians listed under Physician Assistant - Medical in Tyler have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for William Mirabal are from 2022.
16 active clinicians are listed under Physician Assistant - Medical with a practice address in Tyler, TX (2,148 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tyler
12.5% of these 16 clinicians have the CMS telehealth indicator.
62.5% of these 16 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.
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Medicare Part B services
Medicare Part B services decreased 76% from 577 in 2018 to 138 in 2022.
- 2018: 577
- 2019: 431
- 2020: 248
- 2021: 90
- 2022: 138
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Medicare-allowed amount
Medicare-allowed amount decreased 43% from $25,875 in 2018 to $14,771 in 2022.
- 2018: $25,875
- 2019: $21,251
- 2020: $11,559
- 2021: $6,763
- 2022: $14,771
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Paid by Medicare
Paid by Medicare decreased 39% from $19,419 in 2018 to $11,787 in 2022.
- 2018: $19,419
- 2019: $15,141
- 2020: $8,471
- 2021: $4,330
- 2022: $11,787
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 14% from 274 in 2020 to 236 in 2024.
- 2020: 274
- 2021: 217
- 2022: 200
- 2023: 150
- 2024: 236
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30-day fills
30-day fills increased 16% from 517 in 2020 to 601 in 2024.
- 2020: 517
- 2021: 457
- 2022: 274
- 2023: 244
- 2024: 601
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Part D drug cost
Part D drug cost increased 42% from $13,029 in 2020 to $18,564 in 2024.
- 2020: $13,029
- 2021: $14,815
- 2022: $11,651
- 2023: $11,237
- 2024: $18,564
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 38% from $1,030.70 in 2021 to $638.46 in 2025.
- 2021: $1,030.70
- 2022: $439.86
- 2023: $1,894.15
- 2024: $741.67
- 2025: $638.46
Sources: CMS Medicare Physician & Other Practitioners (2022), 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 ยท 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 โ December 31, 2025): 20 records totaling $638.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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FARAPULSE | General | $108.63 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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COREVALVE EVOLUT R | General | $93.66 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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COREVALVE EVOLUT R | General | $47.57 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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COREVALVE EVOLUT R | General | $36.60 |
| ABIOMED |
Food and Beverage
In-kind items and services
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โ | General | $33.54 |
| ABIOMED |
Food and Beverage
In-kind items and services
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โ | General | $29.35 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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COREVALVE EVOLUT R | General | $28.27 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WATCHMAN FLX | General | $26.13 |
| ABIOMED |
Food and Beverage
In-kind items and services
|
โ | General | $25.08 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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ASSURITY | General | $22.88 |
| ABIOMED |
Food and Beverage
In-kind items and services
|
โ | General | $22.55 |
| ABIOMED |
Food and Beverage
In-kind items and services
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โ | General | $22.19 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WATCHMAN FLX | General | $21.94 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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CARDIOMEMS | General | $20.47 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
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LifeVest | General | $20.00 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WATCHMAN FLX | General | $19.81 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
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LifeVest | General | $19.09 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $18.05 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $17.94 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
COREVALVE EVOLUT R | General | $4.71 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2021 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 โ by Provider and Service data, 2017โ2022; 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 |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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50 | 49 | $378.76 | $86.05 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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48 | 47 | $319.31 | $119.07 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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40 | 40 | $479.75 | $118.82 |
Source: CMS Part B by Provider and Service, 2022; 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 |
|---|---|---|---|---|---|
| Clopidogrel | Clopidogrel Bisulfate | 168 | 14,541 | $2,704.72 | 165 |
| Brilinta | Ticagrelor | 35 | 1,050 | $15,396.47 | 29 |
| Pantoprazole Sodium | Pantoprazole Sodium | 21 | 1,350 | $364.64 | 18 |
| Atorvastatin Calcium | Atorvastatin Calcium | 12 | 1,080 | $98.24 | โ |
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
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20210310002896
FL
0840570024
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
Indian River Health Services Inc
1190 37th St, Vero Beach, FL 329606507
Phone: 7725674311
Indian River Health Services Inc
1000 36th St, Vero Beach, FL 329604862
Phone: 7725674311
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated November 07, 2016.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistant - Medicals in Tyler
- Dawn O'neal, PA-C
- Olivia Snodgrass, PA-C
- Scott Stegall, PA-C
- Elizabeth Roe, PA-C
- Jake Kreck, PA-C
- Crystal Rolleg, PA-C
Mailing Address
2608 Mcdonald Rd
Tyler, TX 757015934
Phone: 9035955514