Mr. Gary James Gostnell, PA-C

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Vibra Hospital of Lake Travis LLC Inpatient rehabilitation facility · Lakeway, TX
• Baylor Scott & White Medical Center - Marble Falls Hospital · Marble Falls, TX
• Baylor Scott & White Medical Center - Round Rock Hospital · Round Rock, TX
• Hamilton General Hospital Hospital · Hamilton, TX
• Accentcare Home Health Of Marble Falls Home health agency · Marble Falls, TX

Colleagues at Scott and White Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2429 clinicians in the practice; 12 are shown here.

• Olaedo E. Abana, MD Critical Care Medicine (Internal Medicine) Physician · Waco, TX
• Dr. Ken-'Ja M Copper, CRNA Certified Registered Nurse Anesthetist · Temple, TX
• Abigail Clarose D'Souza, MS, CAA Anesthesiology Physician · Round Rock, TX
• John Elias, PHD Clinical Neuropsychologist · Round Rock, TX
• Brandi Gusme Family Medicine Physician · Taylor, TX
• Michael Leung Anesthesiologist Assistant · Round Rock, TX
• Stephen Mulkey, MD Student in an Organized Health Care Education/Training Program · Burnet, TX
• Christopher Prause Diagnostic Radiology Physician · College Station, TX
• Surraya Haley Rabbe, PA-C Physician Assistant · Temple, TX
• Sushmita Duwal Shrestha, MBBS Pulmonary Disease Physician · Temple, TX
• Courtney Alyson Walthall Anesthesiologist Assistant · Round Rock, TX
• Nicholas David Webster, MD Plastic Surgery Physician · Temple, TX