Medicare Enrolled

Dr. James Kalpaxis, MD

Ophthalmology · Austen, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
4005 SPICEWOOD SPRINGS RD, Austen, TX 78759
5123466421
Registered in NPPES since 2006
NPI: 1063594281 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. Kalpaxis 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. Kalpaxis

Dr. James Kalpaxis is an ophthalmology specialist in Austen, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kalpaxis performed 86 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Kalpaxis received a total of $3,040 from 21 pharmaceutical and/or device companies across 27 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kalpaxis 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.

✓ 19 years of NPI registration ▲ 86 Medicare services $3,040 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
86
Medicare services
Bottom 4% in TX for ophthalmology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$71
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
49 $81 $140
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.
37 $57 $98
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$3,040
Total received (2018-2024)
Avg $434/year across 7 years
Top 36% in TX for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
27
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$354
2023
$378
2022
$858
2021
$405
2020
$75
2019
$494
2018
$475

Payments by company (2024)

Glaukos Corporation
$166
Amgen Inc.
$108
RxSight Inc
$81
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Johnson & Johnson Surgical Vision, Inc.
$391
Regeneron Pharmaceuticals, Inc.
$285
TissueTech, Inc.
$205
Heidelberg Engineering, Inc.
$184
Carl Zeiss Meditec, Inc.
$178
Glaukos Corporation
$166
Genentech USA, Inc.
$141
Alcon Laboratories Inc
$126
Allergan Inc.
$125
Omeros Corporation
$125
Bausch & Lomb Americas Inc.
$125
Horizon Therapeutics plc
$124
BioTissue Holdings, Inc.
$123
Regeneron Healthcare Solutions, Inc.
$118
AbbVie, Inc.
$110
Amgen Inc.
$108
ABBVIE INC.
$106
OPTOVUE, INC.
$100
Optos, Inc.
$99
RxSight Inc
$81
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$20
Top 3 companies account for 29.0% of all-time payments
Associated products mentioned in payments ›
CyPass · EYLEA · EYLEA HD · Humira · OMIDRIA · OPMI Lumera · OZURDEX · One Series Ultra IOL Delivery System · PANORAMIC OPHTHALMOSCOPE · PROKERA · Prokera · RXSIGHT CONTACT LENS · Spectralis · TEPEZZA · Tecnis IOL · Tecnis Simplicity · VABYSMO · VYZULTA · VisuMax · XIFAXAN · XR
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an ophthalmology specialist in Austen?
Compare ophthalmologists in the Austen area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists in nearby ZIP areas
133
County median income
$97,169
Nearest hospital to ZIP centroid (approximate)
ASCENSION SETON NORTHWEST
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Kalpaxis is a clinical cardiology specialist, with moderate Medicare volume, with 19 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. Kalpaxis experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Kalpaxis performed 49 comprehensive eye exam, established patient services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Kalpaxis receive payments from pharmaceutical companies?
Yes. Dr. Kalpaxis received a total of $3,040 from 21 companies across 27 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Kalpaxis's costs compare to other ophthalmologists in Austen?
Dr. Kalpaxis's average Medicare payment per service is $71. 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. Kalpaxis) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.

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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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →