Medicare Enrolled
Dr. Preston Smith, M.D.
Vascular & Interventional Radiology Physician · Austin, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Smith 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. Smith
Dr. Preston Smith is a vascular & interventional radiology physician in Austin, TX, with 14 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 3,176 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Smith received a total of $16,648 from 46 pharmaceutical and/or device companies across 323 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. Smith 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.
✓ 14 years of NPI registration
▲ Top 20% volume in TX
$16,648 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,176
Medicare services
Top 20% in TX for vascular & interventional radiology physician
Not available
Unique patients (not deduplicated)
$75
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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
1,475 | $0 | $10 |
| Injection, propofol, 10 mg | 1,303 | $0 | $10 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
90 | $8 | $34 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
71 | $22 | $97 |
| Arterial catheter insertion, initial third order branch Insertion of a tube into an abdominal, pelvic, or leg artery, specifically targeting the initial third order branch. |
55 | $554 | $4,619 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
47 | $24 | $85 |
| 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. |
46 | $94 | $327 |
| 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. |
34 | $69 | $222 |
| Vessel or growth occlusion with radiologist review A procedure to block blood flow to growths or obstructed vessels, including review by a radiologist. |
29 | $6,745 | $29,981 |
| Fluoroscopic guidance for central vein access device Use of live X-ray imaging to guide the placement or removal of a central vein access device. |
13 | $14 | $79 |
| Injection, fentanyl citrate, 0.1 mg | 13 | $1 | $100 |
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.
1.7% high complexity
89.4% medium
8.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$16,648
Total received (2018-2024)
Avg $2,378/year across 7 years
Top 14% in TX for vascular & interventional radiology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
323
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
$4,031
2023
$2,188
2022
$769
2021
$594
2020
$373
2019
$4,143
2018
$4,550
Payments by company (2024)
Siemens Medical Solutions USA, Inc.
$2,571
Sirtex Medical Inc
$336
Abbott Laboratories
$163
Terumo Medical Corporation
$158
Teleflex LLC
$144
Penumbra, Inc.
$118
180 Medical, Inc.
$96
Agiliti Surgical, Inc.
$80
Antares Pharma, Inc.
$68
PROCEPT BioRobotics Corporation
$50
Medtronic, Inc.
$49
Novo Nordisk Inc
$44
Olympus America Inc.
$38
Boston Scientific Corporation
$32
Endo Pharmaceuticals Inc.
$31
Tolmar, Inc.
$20
Endo USA, Inc.
$17
Nevro Corp.
$17
Top 3 companies account for 76.2% of 2024 payments
All-time payments by company (2018-2024) ›
Siemens Medical Solutions USA, Inc.
$2,778
Boston Scientific Corporation
$2,583
Sirtex Medical Inc
$2,078
Cook Medical LLC
$1,791
Stryker Corporation
$1,027
Medtronic USA, Inc.
$993
Cook Incorporated
$835
Genesys Orthopedics Systems, L.L.C.
$273
DAVOL INC.
$270
Cardiovascular Systems Inc.
$265
Penumbra, Inc.
$261
GUERBET LLC
$261
Terumo Medical Corporation
$220
BOSTON SCIENTIFIC CORPORATION
$215
ARGON MEDICAL DEVICES, INC.
$214
Inari Medical, Inc.
$202
PROCEPT BioRobotics Corporation
$197
AngioDynamics, Inc.
$191
Abbott Laboratories
$175
Teleflex LLC
$144
180 Medical, Inc.
$143
Ipsen Biopharmaceuticals, Inc
$124
HeartFlow, Inc.
$116
KCI USA, Inc
$111
ShockWave Medical, Inc
$108
W. L. Gore & Associates, Inc.
$100
Medtronic, Inc.
$98
Axonics, Inc.
$97
Janssen Pharmaceuticals, Inc
$92
Allergan Inc.
$87
Agiliti Surgical, Inc.
$80
Endo Pharmaceuticals Inc.
$79
Antares Pharma, Inc.
$68
Covidien LP
$46
Novo Nordisk Inc
$44
Shockwave Medical, Inc
$42
Olympus America Inc.
$38
Analogic Corporation
$38
Tolmar, Inc.
$34
EKOS Corporation
$33
Supernus Pharmaceuticals, Inc.
$24
Endo USA, Inc.
$17
Nevro Corp.
$17
Cardinal Health 200 LLC
$13
Philips Electronics North America Corporation
$12
Tactile Systems Technology Inc
$12
Top 3 companies account for 44.7% of all-time payments
Associated products mentioned in payments ›
(6577) Visions 014 · ABRE · ADAPTIVESTIM · ALLODERM · ANGIODYNAMICS · ANGIOJET · APDL · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · AZUR CX DETACHABLE · Artis icono floor · Artis pheno · Axonics · Azur CX Detachable · BEAD BLOCK · BIOFLO · Bead Block 900-1200 · CONTOUR · COOK MEDICAL ANGIOPLASTY · COOK MEDICAL CATHETERS · COOK MEDICAL FILTERS · COOK MEDICAL IAA · COOK MEDICAL NOT APPLICABLE · COOK MEDICAL PERIPHERAL INTERVENTION · COOK MEDICAL STENTS · COOK MEDICAL ZILVER PTX · Chameleon · Cook Medical Angioplasty · Cook Medical Catheters · Cook Medical Celect Platinum · Cook Medical Embolization · Cook Medical Filters · Cook Medical Introducers · Cook Medical Lead Management · Cook Medical Micropuncture · Cook Medical Peripheral Intervention · Cook Medical Stents · Cook Medical Zilver · Cook Medical Zilver PTX · DIREXION · Diamondback Peripheral · EKOSONIC · ELUVIA · EMBOZENE · FATHOM · FFRct · FLOWTRIEVER CATHETER · Flexitouch Plus · FlowTriever · GENERAL EMBOLICS · GENERAL METALLIC STENTS · GENERAL THROMBECTOMY · GENERAL VASCULAR INTERVENTION · GENERAL - CRYOPLASTY · GENERAL - EMBOLICS · GENERAL - NON-VASCULAR INTERVENTION · GENERAL METALLIC STENTS · GENERAL NONVASCULAR INTERVENTION · GENERAL THROMBECTOMY · GENERAL VASCULAR INTERVENTION · General - Embolics · General - Therapies · General - Vascular Intervention · HAWKONE · INNOVA · INTELLIS · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Indigo System · JATENZO · JETSTREAM · LAVA LES (Liquid Embolic System) · Lipiodol · Lunderquist · NANOKNIFE · ONIVYDE · OSTEOCOOL RF ABLATION · PHASIX · PROCLAIM · Peripheral Orbital Atherectomy System · ROTALINK · Renegade · Rezum Generator · Rivfloza · S · SACROILIAC JOINT FUSION SYSTEM · SIR-Spheres Microspheres · SKATER DRAINAGE CATHETERS · SNAP · SPINEJACK · SYNCHROMED · Senza · Solyx SIS System · Sonablate HIFU · Supera peripheral stent system · TIGRIS Stent · TIPS · TLANDO · UROLIFT · VIABAHN Endoprosthesis with Heparin Bioactive Surface · VIABAHN VBX Balloon Expandable Endoprosthesis · Varian CRYOCARE TOUCH System · Vascular Lithotripsy · XARELTO · XIAFLEX · XYOSTED · iTIND System
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 →
Geographic Context
Vascular & interventional radiology physicians in nearby ZIP areas
19
County median income
$97,169
Nearest hospital to ZIP centroid (approximate)
ASCENSION SETON NORTHWEST
3.1 mi
3.1 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. Smith is a mixed practice specialist, with above-average Medicare volume (top 20% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Smith experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Smith performed 1,475 contrast dye for imaging (iodine-based) 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. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $16,648 from 46 companies across 323 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. Smith's costs compare to other vascular & interventional radiology physicians in Austin?
Dr. Smith's average Medicare payment per service is $75. 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. Smith) 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 →
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Which TX vascular & interventional radiology physicians receive the most from drug and device companies.
By company
Siemens Medical Solutions USA, Inc. Payments to Doctors
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By company
Boston Scientific Corporation Payments to Doctors
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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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