Medicare Enrolled

Dr. Roberto Tongson, M.D.

Optician · King City, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
212 BASSETT ST, King City, CA 93930
8313869542
In practice since 2005 (20 years)
NPI: 1467450676 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Tongson from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Tongson? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Tongson

Dr. Roberto Tongson is an optician specialist in King City, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Tongson performed 1,418 Medicare services across 710 unique beneficiaries.

Between the years covered by Open Payments, Dr. Tongson received a total of $5,479 from 27 pharmaceutical and/or device companies across 366 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Tongson is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 46% volume in CA $5,479 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,418
Medicare services
Top 46% in CA for optician
710
Unique beneficiaries
$86
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~71 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
835 $91 $220
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
120 $64 $150
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
107 $134 $235
Annual wellness visit, initial visit
A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment.
65 $165 $250
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
58 $20 $20
Quadrivalent influenza vaccine, cell-culture derived
A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics.
57 $33 $38
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
56 $11 $60
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
35 $3 $25
Transitional care management, high complexity
Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem.
29 $225 $500
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
29 $43 $115
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
15 $56 $101
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
12 $117 $360
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,479
Total received (2018-2024)
Avg $783/year across 7 years
Top 22% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
366
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,479 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$581
2023
$729
2022
$1,007
2021
$970
2020
$591
2019
$684
2018
$918

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$216
Boehringer Ingelheim Pharmaceuticals, Inc.
$167
AstraZeneca Pharmaceuticals LP
$90
Novo Nordisk Inc
$49
ABBVIE INC.
$38
Kiniksa Pharmaceuticals International, plc
$21
Top 3 companies account for 81.4% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,103
AstraZeneca Pharmaceuticals LP
$849
Merck Sharp & Dohme Corporation
$376
SANOFI-AVENTIS U.S. LLC
$345
AbbVie Inc.
$331
Amgen Inc.
$312
GlaxoSmithKline, LLC.
$267
Allergan Inc.
$264
ABBVIE INC.
$244
Novo Nordisk Inc
$228
PFIZER INC.
$201
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$173
Janssen Pharmaceuticals, Inc
$128
Lilly USA, LLC
$110
Mylan Specialty L.P.
$96
E.R. Squibb & Sons, L.L.C.
$92
Abbott Laboratories
$74
Philips Electronics North America Corporation
$44
Merck Sharp & Dohme LLC
$44
Radius Health, Inc.
$43
Takeda Pharmaceuticals U.S.A., Inc.
$42
Exact Sciences Corporation
$25
Bayer Healthcare Pharmaceuticals Inc.
$22
Kiniksa Pharmaceuticals International, plc
$21
Dexcom, Inc.
$18
Allergan, Inc.
$16
Otsuka America Pharmaceutical, Inc.
$12
Top 3 companies account for 42.5% of all-time payments
Associated products mentioned in payments ›
(9369) Reusable Vest · ADVAIR · ANORO · ANORO ELLIPTA · Arcalyst · BELSOMRA · BREZTRI · BYSTOLIC · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · FARXIGA · FASENRA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · JANUVIA · JARDIANCE · Kerendia · LINZESS · LYRICA · Otezla · Ozempic · PRADAXA · REXULTI · Repatha · Reusable Vest · Rybelsus · SOLIQUA 100/33 · SPIRIVA · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Trintellix · Tymlos · UBRELVY · VIBERZI · VIIBRYD · VRAYLAR · XARELTO · XIFAXAN · YUPELRI · Yupelri
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an optician specialist in King City?
Compare opticians in the King City area by procedure volume, costs, and industry payment transparency.
Browse opticians nearby

Geographic Context

Opticians within 10 mi
3
Per 100K population
0.7
County median income
$94,486
Nearest hospital
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Tongson is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Tongson experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Tongson performed 835 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Tongson receive payments from pharmaceutical companies?
Yes. Dr. Tongson received a total of $5,479 from 27 companies across 366 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Tongson's costs compare to other opticians in King City?
Dr. Tongson's average Medicare payment per service is $86. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Tongson) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →