Medicare Enrolled

Dr. Alfredo Ermac, M.D.

Family Medicine · Cypress, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
10720 BARKER CYPRESS RD, Cypress, TX 77433
2813454800
In practice since 2005 (20 years)
NPI: 1649268384 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. Ermac 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. Ermac? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ermac

Dr. Alfredo Ermac is a family medicine in Cypress, TX, with 20 years in practice. Based on federal Medicare data, Dr. Ermac performed 788 Medicare services across 706 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ermac received a total of $10,373 from 57 pharmaceutical and/or device companies across 570 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Ermac is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ Top 35% volume in TX$ $10,373 industry payments

Medicare Practice Summary

Medicare Utilization ↗
788
Medicare services
Top 35% in TX for family medicine
706
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~39 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)213$91$292
Office visit, established patient (20-29 min)83$67$206
Annual wellness visit, follow-up77$131$298
Lipid panel (cholesterol and triglycerides)50$13$40
Comprehensive metabolic blood panel49$10$31
Complete blood count (CBC) with differential43$8$20
Advance care planning consultation, first 30 min43$77$188
Hemoglobin A1c test (diabetes monitoring)24$9$25
Thyroid stimulating hormone (TSH) test24$16$50
Automated urinalysis20$2$5
Flu vaccine administration20$31$50
Pneumonia vaccine administration19$31$50
Annual depression screening19$19$43
Flu vaccine, high-dose18$72$122
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use18$283$450
Assessment of emotional or behavioral problems16$3$12
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza14$45$131
Office visit, established patient (10-19 min)13$46$128
Annual alcohol misuse screening, 5 to 15 minutes13$19$43
Prostate cancer screening; prostate specific antigen test (psa)12$19$40
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 ↗
$10,373
Total received (2018-2024)
Avg $1,482/year across 7 years
Top 5% in TX for family medicine
57
Companies
570
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
$10,373 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,331
2023
$1,964
2022
$1,649
2021
$1,230
2020
$808
2019
$1,362
2018
$2,029

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$2,488
ABBVIE INC.
$991
AstraZeneca Pharmaceuticals LP
$750
Boehringer Ingelheim Pharmaceuticals, Inc.
$702
PFIZER INC.
$415
Amgen Inc.
$339
Merck Sharp & Dohme Corporation
$330
Lilly USA, LLC
$326
Corium, LLC
$270
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$221
Biohaven Pharmaceuticals, Inc.
$208
Takeda Pharmaceuticals U.S.A., Inc.
$205
Abbott Laboratories
$192
Allergan, Inc.
$173
Medtronic Vascular, Inc.
$163
AbbVie, Inc.
$151
Bayer HealthCare Pharmaceuticals Inc.
$139
GlaxoSmithKline, LLC.
$134
Ethicon US, LLC
$134
Amarin Pharma Inc.
$134
Corcept Therapeutics
$132
AbbVie Inc.
$126
Inspire Medical Systems, Inc.
$115
Astellas Pharma US Inc
$107
Antares Pharma, Inc.
$102
Shire North American Group Inc
$101
Biohaven Pharmaceutical Holding Company Ltd.
$99
Allergan Inc.
$81
Bayer Healthcare Pharmaceuticals Inc.
$77
Genentech USA, Inc.
$72
Exact Sciences Corporation
$63
VIVUS, Inc.
$58
Endo Pharmaceuticals Inc.
$57
Cook Medical LLC
$56
Eisai Inc.
$55
VIVUS LLC
$55
Janssen Pharmaceuticals, Inc
$51
IDORSIA PHARMACEUTICALS US INC
$45
SANOFI-AVENTIS U.S. LLC
$43
Synergy Pharmaceuticals Inc
$38
Avanir Pharmaceuticals, Inc.
$37
Edwards Lifesciences Corporation
$34
Supernus Pharmaceuticals, Inc.
$32
Currax Pharmaceuticals LLC
$26
ARBOR PHARMACEUTICALS, INC.
$25
IBSA Pharma Inc.
$24
Neos Therapeutics, LP
$24
Teva Pharmaceuticals USA, Inc.
$24
Medtronic, Inc.
$23
Ironshore Pharmaceuticals Inc.
$20
Merck Sharp & Dohme LLC
$18
DERMIRA, INC.
$17
Nestle HealthCare Nutrition Inc.
$17
Gilead Sciences, Inc.
$15
Dexcom, Inc.
$15
Sunovion Pharmaceuticals Inc.
$14
Clarus Therapeutics Inc.
$11
Top 3 companies account for 40.8% of total payments
Associated products mentioned in payments ›
ABRYSVO · AIRSUPRA · AJOVY · AZSTARYS · Adzenys XR-ODT · Aimovig · Androgel · Azstarys · BELSOMRA · BEVESPI AEROSPHERE · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · Belviq · CHANTIX · CLOSUREFAST · COMIRNATY · CONTRAVE · ClosureFast · Cologuard Collection Kit · Dayvigo · Descovy · Dexcom G6 Transmitter · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · EMGALITY · EVENITY · Edarbi · FARXIGA · FREESTYLE LIBRE 3 · FreeStyle Libre blood glucose Flash Monitoring System · GEMTESA · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Jornay PM 20mg capsules (Bottle of 100) · Kerendia · Korlym · LINX Reflux Management System · LINZESS · MOUNJARO · MYDAYIS · MYRBETRIQ · NASCOBAL · NOCDURNA · NUEDEXTA · NURTEC ODT · Otezla · Otrexup · Ozempic · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · Pancreaze · Prolia · QBREXZA · QELBREE · QSYMIA · QULIPTA · QUVIVIQ · Qsymia · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · Saxenda · Synthroid · TLANDO · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · TZIELD · Tirosint · Tresiba · Trulance · UBRELVY · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xofluza · ZENPEP · ZILVER PTX
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. Total industry engagement is in the top 5% for family medicine in TX.

Equivalent to $1,316 per 100 Medicare services performed
Looking for a family medicine in Cypress?
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Geographic Context

Family Medicines within 10 mi
1,145
Per 100K population
24.1
County median income
$73,104
Nearest hospital
LONE STAR BEHAVIORAL HEALTH CYPRESS
5.7 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Ermac is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 5%), with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Ermac experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Ermac performed 213 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. Ermac receive payments from pharmaceutical companies?
Yes. Dr. Ermac received a total of $10,373 from 57 companies across 570 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. Ermac's costs compare to other family medicines in Cypress?
Dr. Ermac's average Medicare payment per service is $64. 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. Ermac) 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. The Transparency Score measures 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 →