Medicare Enrolled

Dr. Christos Theophanous, M.D.

Ophthalmology · Palo Alto, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
795 EL CAMINO REAL, Palo Alto, CA 94301
6508532974
In practice since 2016 (10 years)
NPI: 1134582356 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. Theophanous 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 →
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What this data tells you about Dr. Theophanous

Dr. Christos Theophanous is an ophthalmology specialist in Palo Alto, CA, with 10 years of NPI registration. Based on federal Medicare data, Dr. Theophanous performed 1,660 Medicare services across 1,325 unique beneficiaries.

Between the years covered by Open Payments, Dr. Theophanous received a total of $1,157 from 5 pharmaceutical and/or device companies across 15 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Theophanous 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.

✓ 10 years in practice ▲ 1,660 Medicare services $1,157 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,660
Medicare services
Bottom 47% in CA for ophthalmology
1,325
Unique beneficiaries
$133
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~166 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.
484 $106 $364
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
198 $504 $2,966
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.
196 $67 $247
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
177 $32 $218
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
164 $56 $327
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
139 $36 $365
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.
99 $130 $554
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
68 $88 $365
Ultrasound scan of cornea to determine thickness
An ultrasound procedure used to measure the thickness of the cornea.
56 $10 $63
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
25 $38 $220
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
23 $341 $1,449
Laser eye fluid drainage tract creation
A laser procedure used to create drainage tracts in the iris to help fluid flow out of the eye.
19 $291 $1,803
Laser repair to improve eye fluid flow
A laser procedure used to enhance the drainage of fluid within the eye.
12 $274 $1,878
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.
11.9% high complexity
15.5% medium
72.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,157
Total received (2018-2024)
Avg $231/year across 5 years
Bottom 46% in CA for ophthalmology
5
Companies
15
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
$1,063 (91.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$94 (8.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$75
2022
$45
2021
$312
2019
$484
2018
$241

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Sight Sciences, Inc.
$75
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Sight Sciences, Inc.
$298
Alcon Vision LLC
$272
Allergan Inc.
$268
Regeneron Healthcare Solutions, Inc.
$210
NEW WORLD MEDICAL,INC.
$109
Top 3 companies account for 72.4% of all-time payments
Associated products mentioned in payments ›
AcrySof · Ahmed Glaucoma Valve · EYLEA · EYLEA AFLIBERCEPT INJECTION · NGENUITY · OMNI SURGICAL SYSTEM · OMNI(R) SURGICAL SYSTEM (US) · OZURDEX
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 (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an ophthalmology specialist in Palo Alto?
Compare ophthalmologists in the Palo Alto area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
364
Per 100K population
19.1
County median income
$159,674
Nearest hospital
STANFORD HEALTH CARE
2.1 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. Theophanous is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

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

Frequently Asked Questions

Is Dr. Theophanous experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Theophanous performed 484 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. Theophanous receive payments from pharmaceutical companies?
Yes. Dr. Theophanous received a total of $1,157 from 5 companies across 15 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. Theophanous's costs compare to other ophthalmologists in Palo Alto?
Dr. Theophanous's average Medicare payment per service is $133. 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. Theophanous) 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 →