Medicare Enrolled

Dr. Roberto Pineda, MD

Ophthalmology · Boston, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
243 CHARLES ST, Boston, MA 02114
6175733529
In practice since 2005 (20 years)
NPI: 1508856055 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. Pineda 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. Pineda

Dr. Roberto Pineda is an ophthalmology specialist in Boston, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Pineda performed 1,424 Medicare services across 1,024 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pineda received a total of $25,292 from 15 pharmaceutical and/or device companies across 72 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Pineda 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 ▲ 1,424 Medicare services $25,292 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,424
Medicare services
Bottom 45% in MA for ophthalmology
1,024
Unique beneficiaries
$109
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 (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.
506 $51 $275
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
294 $58 $319
Tear duct plug insertion
A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface.
179 $75 $510
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.
91 $456 $2,653
CT scan of cornea
A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye.
60 $15 $81
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
51 $65 $395
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
45 $263 $1,338
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
45 $20 $113
Slit lamp examination of the eye
This procedure uses a specialized microscope to examine the front portion of the eye.
35 $18 $106
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.
21 $83 $408
Imaging of front third of eye
Imaging of the front third of the eye.
18 $14 $68
Prosthetic lens exchange
Surgical removal of an existing artificial lens and replacement with a new one.
17 $760 $3,822
Eye photography
Photographic imaging of the interior structures of the eye.
17 $2 $33
Corneal transplant, outer layer
Surgical procedure to replace the outer layer of the cornea with donor tissue.
15 $965 $4,952
Complex cataract removal with lens implant
A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision.
15 $644 $3,167
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
15 $23 $105
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.
7.4% high complexity
8.6% medium
83.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$25,292
Total received (2018-2024)
Avg $3,613/year across 7 years
Top 8% in MA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
72
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$19,652 (77.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,639 (22.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,736
2023
$637
2022
$6,587
2021
$5,007
2020
$4,762
2019
$1,192
2018
$5,370

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Bausch & Lomb Americas Inc.
$1,270
Glaukos Corporation
$208
LEICA MICROSYSTEMS INC.
$97
Alcon Vision LLC
$95
Johnson & Johnson Surgical Vision, Inc.
$67
Top 3 companies account for 90.7% of 2024 payments
All-time payments by company (2018-2024) ›
SANOFI US SERVICES INC.
$12,936
SANOFI-AVENTIS U.S. LLC
$3,319
Alcon Vision LLC
$2,360
Alcon Research LLC
$1,750
Alcon Laboratories Inc
$1,648
Bausch & Lomb Americas Inc.
$1,270
Johnson & Johnson Surgical Vision, Inc.
$827
Alcon Research Ltd
$212
Glaukos Corporation
$208
Carl Zeiss Meditec, Inc.
$205
GLAUKOS CORPORATION
$149
Carl Zeiss Meditec USA, Inc.
$149
TissueTech, Inc.
$136
LEICA MICROSYSTEMS INC.
$97
Dompe US, Inc.
$27
Top 3 companies account for 73.6% of all-time payments
Associated products mentioned in payments ›
ARGOS · AcrySof · AcrySof IQ VIVITY IOL · Centurion · Clareon · GZ402671 · ISTENT INJECT W · OPMI Lumera · ORA · OXERVATE · Photrexa · Prokera · ReSTOR · Surgical Microscopes · Tecnis 1-piece IOL · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Simplicity · VERITAS Vision System · VisuMax · Wavelight · Wavelight Refractive Suite · enVista Aspire IOL
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 →

The majority of payments (78%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 8% for ophthalmology in MA.

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

Geographic Context

Ophthalmologists within 10 mi
518
Per 100K population
66.2
County median income
$92,859
Nearest hospital
MASSACHUSETTS GENERAL 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. Pineda is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 8% of MA peers, 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. Pineda experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Pineda performed 506 office visit, established patient (20-29 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. Pineda receive payments from pharmaceutical companies?
Yes. Dr. Pineda received a total of $25,292 from 15 companies across 72 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. Pineda's costs compare to other ophthalmologists in Boston?
Dr. Pineda's average Medicare payment per service is $109. 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. Pineda) 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 →