Active NPI 1598734634 Individual Practitioner Male Practitioner

Dr. Walter John Murrell , MD

Ophthalmology • Amarillo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Walter Murrell, MD is a certified Ophthalmology practicing in Amarillo, TX. With approximately 45 years of clinical experience since graduating from Tufts University School Of Medicine in 1981, Dr. Murrell delivers high-quality medical care to the local community at 7411 WALLACE BLVD.

Dr. Murrell is affiliated with Panhandle Eye Group, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, established patient outpatient office visit, photography of content of eyes. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7411 Wallace Blvd

Amarillo, TX 791061835

Telephone 8063511177

Fax 8063551284

Associated Practice Facility / Clinic

🏢 Amarillo Cataract And Eye Surgery Center Ltd Facility NPI 1063501005

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Amarillo, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +15.2 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

17 Specialists

Practicing in Amarillo, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Murrell (45 Years) 45 Yrs

Amarillo Specialty Average (29.8 Years) 29.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,395	17	$15.00	$6.26
99213 Established patient office or other outpatient visit, typically 15 minutes	767	479	$200.00	$86.85
92285 Photography of content of eyes	583	442	$125.00	$21.48
83861 Microfluid analysis of tears	480	183	$60.00	$22.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	284	$300.00	$122.25
92136 Measurement of corneal curvature and depth of eye	229	118	$240.00	$36.72
92250 Photography of the retina	179	172	$185.00	$34.81
66984 Removal of cataract with insertion of lens	171	101	$2500.00	$512.72
92025 Ct scan of cornea	123	120	$250.00	$30.96
66821 Removal of recurring cataract in lens capsule using a laser	85	57	$1070.00	$294.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$260.00	$105.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$400.00	$160.29
92012 Established patient problem focused exam of visual system	58	57	$210.00	$84.63
92083 Exam of visual field with extended testing	56	55	$205.00	$59.35
67820 Removal of eyelashes using forceps	55	30	$252.27	$21.17
92133 Imaging of optic nerve	46	46	$160.00	$34.41
92134 Imaging of retina	43	43	$160.00	$35.17
67875 Temporary closure of eyelids by suture	36	34	$800.00	$45.14
64612 Injection of chemical for paralysis of nerve muscles on side of face	34	13	$549.26	$152.46
66982 Complex removal of cataract with insertion of prosthetic lens	28	19	$2600.00	$686.97
67917 Extensive repair of turning-outward eyelid defect	25	24	$1500.00	$421.80
92014 Established patient complete exam of visual system	25	25	$300.00	$115.37
67904 Repair of tendon of upper eyelid	24	23	$2413.33	$667.73
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	24	22	$325.00	$133.42
15823 Removal of excessive skin and fat of upper eyelid	18	18	$2250.00	$626.00
67800 Removal of eyelid growth	14	12	$320.00	$113.68
67840 Removal of eyelid growth	13	11	$675.00	$239.92
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	13	13	$405.00	$158.80
67923 Repair of turning-inward eyelid defect	12	11	$1500.00	$405.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,230	15	$15.00	$6.23
83861 Microfluid analysis of tears	851	292	$60.00	$21.97
99213 Established patient office or other outpatient visit, typically 15 minutes	845	489	$200.00	$87.65
92285 Photography of content of eyes	701	484	$125.00	$21.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	413	370	$300.00	$123.71
92136 Measurement of corneal curvature and depth of eye	249	128	$240.00	$36.60
92250 Photography of the retina	215	212	$185.00	$36.04
66984 Removal of cataract with insertion of lens	159	92	$2500.00	$524.89
92025 Ct scan of cornea	130	129	$250.00	$31.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$400.00	$162.13
66821 Removal of recurring cataract in lens capsule using a laser	92	70	$1070.00	$300.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$260.00	$109.01
92083 Exam of visual field with extended testing	61	60	$205.00	$59.73
92133 Imaging of optic nerve	52	51	$160.00	$35.43
67820 Removal of eyelashes using forceps	45	28	$234.33	$21.31
92134 Imaging of retina	38	37	$160.00	$36.57
64612 Injection of chemical for paralysis of nerve muscles on side of face	36	12	$622.50	$165.58
67875 Temporary closure of eyelids by suture	28	25	$800.00	$45.94
67904 Repair of tendon of upper eyelid	24	24	$2639.58	$705.49
15823 Removal of excessive skin and fat of upper eyelid	23	22	$2543.48	$722.04
66982 Complex removal of cataract with insertion of prosthetic lens	20	13	$2600.00	$718.76
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	20	18	$325.00	$133.11
67917 Extensive repair of turning-outward eyelid defect	19	17	$1500.00	$382.05
68841 Insertion of drug delivery implant into tear duct of eye	18	13	$115.00	$15.77
67800 Removal of eyelid growth	16	16	$320.00	$119.50
67840 Removal of eyelid growth	16	15	$675.00	$273.40
67923 Repair of turning-inward eyelid defect	15	14	$1500.00	$414.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	1,043	302	$60.00	$22.10
99213 Established patient office or other outpatient visit, typically 15 minutes	429	294	$200.00	$88.22
92012 Established patient problem focused exam of visual system	420	261	$210.00	$87.04
92285 Photography of content of eyes	303	249	$125.00	$21.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	262	$300.00	$124.65
92136 Measurement of corneal curvature and depth of eye	264	134	$240.00	$39.20
92014 Established patient complete exam of visual system	260	241	$300.00	$122.44
92250 Photography of the retina	253	247	$185.00	$36.10
66984 Removal of cataract with insertion of lens	202	122	$2500.00	$521.00
92025 Ct scan of cornea	137	134	$250.00	$31.80
66821 Removal of recurring cataract in lens capsule using a laser	99	75	$1070.00	$298.46
68841 Insertion of drug delivery implant into tear duct of eye	87	52	$115.00	$15.56
92004 New patient complete exam of visual system	80	80	$360.00	$147.38
92083 Exam of visual field with extended testing	72	71	$205.00	$53.52
92133 Imaging of optic nerve	55	55	$160.00	$35.70
92134 Imaging of retina	53	53	$160.00	$37.37
67820 Removal of eyelashes using forceps	48	29	$227.40	$20.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	40	$105.00	$54.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$260.00	$108.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$400.00	$161.76
66982 Complex removal of cataract with insertion of prosthetic lens	28	20	$2600.00	$718.91
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	26	26	$325.00	$141.42
67904 Repair of tendon of upper eyelid	21	21	$2585.71	$695.00
15823 Removal of excessive skin and fat of upper eyelid	18	18	$2666.67	$719.69
67875 Temporary closure of eyelids by suture	16	15	$800.00	$45.63
92002 New patient problem focused exam of visual system	14	14	$200.00	$84.60
65205 Removal of foreign body in external eye, conjunctiva	13	13	$225.00	$28.27
67800 Removal of eyelid growth	13	13	$320.00	$124.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,385	15	$15.00	$6.07
83861 Microfluid analysis of tears	1,290	410	$60.00	$22.42
92012 Established patient problem focused exam of visual system	815	447	$210.00	$88.35
92014 Established patient complete exam of visual system	618	554	$300.00	$124.92
92285 Photography of content of eyes	329	265	$125.00	$21.49
92136 Measurement of corneal curvature and depth of eye	292	146	$240.00	$42.33
92250 Photography of the retina	290	279	$185.00	$38.41
66984 Removal of cataract with insertion of lens	199	130	$2500.00	$529.25
92025 Ct scan of cornea	148	144	$250.00	$32.71
92004 New patient complete exam of visual system	133	133	$360.00	$147.60
66821 Removal of recurring cataract in lens capsule using a laser	103	71	$1070.00	$302.37
92083 Exam of visual field with extended testing	83	80	$205.00	$62.41
92134 Imaging of retina	72	71	$160.00	$37.71
99213 Established patient office or other outpatient visit, typically 15 minutes	72	64	$200.00	$89.92
92133 Imaging of optic nerve	63	63	$160.00	$36.27
67820 Removal of eyelashes using forceps	49	33	$203.88	$20.89
92002 New patient problem focused exam of visual system	47	47	$200.00	$85.23
64612 Injection of chemical for paralysis of nerve muscles on side of face	39	12	$574.62	$157.68
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	37	30	$325.00	$138.98
67904 Repair of tendon of upper eyelid	25	25	$2736.88	$734.11
68810 Insertion of probe into nasal tear duct	25	15	$648.00	$166.65
67917 Extensive repair of turning-outward eyelid defect	25	23	$1500.00	$410.26
67875 Temporary closure of eyelids by suture	24	23	$800.00	$45.53
66982 Complex removal of cataract with insertion of prosthetic lens	20	15	$2600.00	$731.03
15823 Removal of excessive skin and fat of upper eyelid	18	18	$2583.33	$722.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$260.00	$107.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$105.00	$55.33
67800 Removal of eyelid growth	14	14	$320.00	$122.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,750	18	$15.00	$6.07
92012 Established patient problem focused exam of visual system	866	526	$210.00	$86.67
83861 Microfluid analysis of tears	748	308	$60.00	$22.24
92014 Established patient complete exam of visual system	609	561	$300.00	$124.00
92285 Photography of content of eyes	422	334	$125.00	$20.60
92250 Photography of the retina	310	305	$185.00	$44.09
92136 Measurement of corneal curvature and depth of eye	232	118	$240.00	$46.15
66984 Removal of cataract with insertion of lens	165	104	$2500.00	$529.74
92025 Ct scan of cornea	118	115	$250.00	$32.41
92004 New patient complete exam of visual system	86	86	$360.00	$147.62
92083 Exam of visual field with extended testing	85	83	$205.00	$62.09
66821 Removal of recurring cataract in lens capsule using a laser	80	56	$1070.00	$300.02
92133 Imaging of optic nerve	63	62	$160.00	$36.53
92002 New patient problem focused exam of visual system	58	58	$200.00	$82.51
67820 Removal of eyelashes using forceps	54	39	$212.41	$28.00
64612 Injection of chemical for paralysis of nerve muscles on side of face	51	15	$585.88	$159.02
92134 Imaging of retina	50	48	$160.00	$38.13
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	32	27	$325.00	$135.56
67904 Repair of tendon of upper eyelid	27	26	$2547.41	$710.67
66982 Complex removal of cataract with insertion of prosthetic lens	24	19	$2600.00	$743.00
67800 Removal of eyelid growth	19	19	$320.00	$120.55
67875 Temporary closure of eyelids by suture	18	18	$800.00	$47.60
67917 Extensive repair of turning-outward eyelid defect	14	14	$1500.00	$371.78
67810 Biopsy of eyelid	13	13	$510.00	$171.05
15823 Removal of excessive skin and fat of upper eyelid	12	11	$2500.00	$702.32
0330T Tear film imaging of one or both eyes	11	11	$25.00	$21.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,270	21	$15.00	$6.03
92012 Established patient problem focused exam of visual system	1,037	635	$210.00	$85.28
83861 Microfluid analysis of tears	781	332	$60.00	$21.93
92014 Established patient complete exam of visual system	750	693	$300.00	$121.91
92285 Photography of content of eyes	553	459	$125.00	$19.86
92250 Photography of the retina	393	383	$185.00	$48.37
92136 Measurement of corneal curvature and depth of eye	280	147	$240.00	$49.57
66984 Removal of cataract with insertion of lens	228	144	$2500.00	$614.63
92025 Ct scan of cornea	147	147	$250.00	$33.00
66821 Removal of recurring cataract in lens capsule using a laser	131	101	$1070.00	$300.43
92004 New patient complete exam of visual system	104	104	$360.00	$144.13
92083 Exam of visual field with extended testing	94	92	$205.00	$61.26
92134 Imaging of retina	93	93	$160.00	$36.92
92133 Imaging of optic nerve	78	77	$160.00	$35.73
92002 New patient problem focused exam of visual system	72	72	$200.00	$81.74
64612 Injection of chemical for paralysis of nerve muscles on side of face	67	18	$582.24	$158.09
67820 Removal of eyelashes using forceps	55	41	$228.73	$35.46
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	47	46	$325.00	$131.57
67875 Temporary closure of eyelids by suture	28	25	$800.00	$46.55
67904 Repair of tendon of upper eyelid	25	25	$2389.20	$681.23
15823 Removal of excessive skin and fat of upper eyelid	25	24	$2280.00	$674.28
67917 Extensive repair of turning-outward eyelid defect	18	16	$1500.00	$396.94
66982 Complex removal of cataract with insertion of prosthetic lens	15	13	$2600.00	$781.14
67923 Repair of turning-inward eyelid defect	14	13	$1500.00	$423.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,460	21	$15.00	$6.04
92012 Established patient problem focused exam of visual system	959	599	$210.00	$83.85
92014 Established patient complete exam of visual system	821	746	$300.00	$120.91
83861 Microfluid analysis of tears	743	337	$60.00	$22.03
92285 Photography of content of eyes	593	483	$125.00	$18.94
92250 Photography of the retina	500	445	$185.00	$54.11
92136 Measurement of corneal curvature and depth of eye	350	180	$240.00	$53.34
66984 Removal of cataract with insertion of lens	256	160	$2500.00	$609.32
92025 Ct scan of cornea	175	174	$250.00	$32.41
66821 Removal of recurring cataract in lens capsule using a laser	142	106	$1070.00	$295.10
92004 New patient complete exam of visual system	138	138	$360.00	$143.64
92134 Imaging of retina	124	118	$160.00	$36.79
92083 Exam of visual field with extended testing	95	92	$205.00	$61.04
92133 Imaging of optic nerve	77	77	$160.00	$36.12
92002 New patient problem focused exam of visual system	67	67	$200.00	$80.41
64612 Injection of chemical for paralysis of nerve muscles on side of face	64	20	$603.36	$156.44
67820 Removal of eyelashes using forceps	60	48	$215.83	$42.11
83516 Analysis of substance using immunoassay technique	44	21	$40.00	$13.96
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	44	38	$332.39	$125.56
67875 Temporary closure of eyelids by suture	30	30	$800.00	$47.39
67904 Repair of tendon of upper eyelid	26	23	$2297.31	$659.48
66982 Complex removal of cataract with insertion of prosthetic lens	25	19	$2600.00	$697.64
76514 Ultrasound scan of cornea to determine thickness	23	23	$60.00	$13.90
67917 Extensive repair of turning-outward eyelid defect	23	22	$1500.00	$406.27
68801 Dilation of tear drainage opening	19	16	$401.32	$98.93
67800 Removal of eyelid growth	16	14	$320.00	$123.54
15823 Removal of excessive skin and fat of upper eyelid	16	16	$2718.75	$683.53
67923 Repair of turning-inward eyelid defect	13	13	$1500.00	$402.48
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$88.00	$26.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,145	20	$15.00	$5.83
92012 Established patient problem focused exam of visual system	1,149	715	$210.00	$81.14
92014 Established patient complete exam of visual system	919	821	$300.00	$117.22
92285 Photography of content of eyes	686	582	$103.75	$18.89
92250 Photography of the retina	568	514	$185.00	$61.12
92136 Measurement of corneal curvature and depth of eye	366	186	$240.00	$57.63
83861 Microfluid analysis of tears	336	163	$59.38	$22.08
83516 Analysis of substance using immunoassay technique	328	162	$40.00	$15.50
66984 Removal of cataract with insertion of lens	258	162	$2500.00	$601.64
92134 Imaging of retina	222	215	$160.00	$36.26
92025 Ct scan of cornea	162	161	$250.00	$32.00
92004 New patient complete exam of visual system	156	156	$360.00	$141.11
66821 Removal of recurring cataract in lens capsule using a laser	143	107	$1070.00	$288.36
92083 Exam of visual field with extended testing	124	120	$205.00	$59.42
92133 Imaging of optic nerve	97	94	$160.00	$35.53
67820 Removal of eyelashes using forceps	86	58	$206.51	$50.18
92002 New patient problem focused exam of visual system	74	74	$200.00	$77.47
76514 Ultrasound scan of cornea to determine thickness	72	70	$60.00	$13.49
64612 Injection of chemical for paralysis of nerve muscles on side of face	70	20	$581.00	$146.32
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	44	44	$325.00	$127.29
66982 Complex removal of cataract with insertion of prosthetic lens	39	30	$2600.00	$764.06
67875 Temporary closure of eyelids by suture	34	33	$590.00	$46.90
67917 Extensive repair of turning-outward eyelid defect	29	27	$1500.00	$363.99
67904 Repair of tendon of upper eyelid	27	26	$2614.44	$680.06
68801 Dilation of tear drainage opening	25	24	$414.80	$99.04
15823 Removal of excessive skin and fat of upper eyelid	21	20	$2214.29	$645.89
67800 Removal of eyelid growth	18	18	$320.00	$116.23
67923 Repair of turning-inward eyelid defect	16	16	$1500.00	$412.99
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$88.00	$25.82
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	13	$2430.00	$818.80

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX G2561

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

114451103 (TX)

Commercial Insurance / Payer ID Bcbs

88620J (TX)

Hospital & Practice Group Affiliations

Panhandle Eye Group, Llp

7411 Wallace Blvd, Amarillo, TX 791061835

Phone: 8063511870

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Dr. Robert Gerald , MD

Ophthalmology

NPI 1154384253

Doctor of Medicine (M.D.)

Dr. Thomas Baker , OD

Optometrist

NPI 1174591291

Doctor of Optometry

Dr. Bruce Weinberger , MD

Ophthalmology

NPI 1336118736

Doctor of Medicine (M.D.)

Dr. Christopher Mccarty , MD

Ophthalmology

NPI 1356310726

Doctor of Medicine (M.D.)

Dr. Jason Ysasaga , MD

Ophthalmology

NPI 1356310734

Doctor of Medicine (M.D.)

David Mitchell , CRNA

Nurse Anesthetist, Certified Registered

NPI 1487638128

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2013

Registered at 7411 WALLACE BLVD, AMARILLO, TX 791061835 (Tel: 8063511177)

📍

Updated Business Mailing Address August 06, 2013

Registered at PO BOX 50720, AMARILLO, TX 791590720 (Tel: 8064670459)

👤

Provider Name / Credentials Updated August 06, 2013

Recorded as WALTER MURRELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Ophthalmology (License #G2561 in TX)

🟢

Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1598734634

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 14, 2006

Last Update: August 06, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 50720

Amarillo, TX 791590720

Phone: 8064670459

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.