Medicare Enrolled
Dr. David Kuban, D.O.
Internal Medicine · Granbury, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Kuban 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. Kuban
Dr. David Kuban is an internal medicine specialist in Granbury, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kuban performed 7,538 Medicare services across 5,298 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kuban received a total of $8,778 from 55 pharmaceutical and/or device companies across 519 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Kuban 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.
✓ 19 years in practice
▲ Top 4% volume in TX
$8,778 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,538
Medicare services
Top 4% in TX for internal medicine
5,298
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~397 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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,042 | $8 | $21 |
| 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. |
921 | $81 | $283 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
840 | $10 | $40 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
669 | $13 | $102 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
537 | $8 | $34 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
452 | $16 | $68 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
450 | $9 | $38 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
380 | $2 | $36 |
| 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. |
258 | $47 | $192 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
252 | $10 | $62 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
225 | $6 | $20 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
210 | $55 | $237 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
179 | $3 | $13 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
178 | $126 | $299 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
136 | $38 | $131 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
123 | $19 | $70 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
65 | $9 | $36 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
65 | $37 | $130 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
50 | $8 | $48 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
47 | $162 | $449 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
44 | $9 | $102 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
37 | $141 | $504 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
29 | $13 | $56 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
27 | $16 | $49 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
25 | $29 | $110 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
24 | $14 | $51 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
21 | $15 | $62 |
| Iron level test | 21 | $6 | $26 |
| Annual alcohol misuse screening, 5 to 15 minutes | 21 | $18 | $47 |
| Annual depression screening | 19 | $18 | $47 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
18 | $25 | $103 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
18 | $41 | $130 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
17 | $7 | $30 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
17 | $4 | $20 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
16 | $8 | $34 |
| 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. |
16 | $93 | $438 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
15 | $17 | $62 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
14 | $14 | $60 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
13 | $17 | $68 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
13 | $129 | $381 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
12 | $51 | $271 |
| PSA test (prostate cancer screening) | 11 | $18 | $73 |
| New patient office visit, complex (60-74 min) | 11 | $168 | $548 |
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 ↗$8,778
Total received (2018-2024)
Avg $1,254/year across 7 years
Top 10% in TX for internal medicine
55
Companies
519
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
$8,668 (98.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$110 (1.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$554
2023
$1,128
2022
$1,199
2021
$1,256
2020
$1,036
2019
$1,893
2018
$1,712
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$871
Amarin Pharma Inc.
$708
Boehringer Ingelheim Pharmaceuticals, Inc.
$537
Lilly USA, LLC
$494
AstraZeneca Pharmaceuticals LP
$444
Merck Sharp & Dohme Corporation
$429
Astellas Pharma US Inc
$424
PFIZER INC.
$350
AbbVie Inc.
$348
Novartis Pharmaceuticals Corporation
$322
SANOFI-AVENTIS U.S. LLC
$314
Abbott Laboratories
$296
GlaxoSmithKline, LLC.
$294
Janssen Pharmaceuticals, Inc
$285
ABBVIE INC.
$257
E.R. Squibb & Sons, L.L.C.
$224
Avanir Pharmaceuticals, Inc.
$167
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$159
Allergan, Inc.
$159
Amgen Inc.
$143
Dexcom, Inc.
$130
Esperion Therapeutics, Inc.
$125
Merck Sharp & Dohme LLC
$117
Takeda Pharmaceuticals U.S.A., Inc.
$104
Mylan Specialty L.P.
$93
Radius Health, Inc.
$90
Ethicon US, LLC
$87
Sunovion Pharmaceuticals Inc.
$66
Otsuka America Pharmaceutical, Inc.
$56
Allergan Inc.
$55
Eisai Inc.
$54
Biogen, Inc.
$45
Alfasigma USA, Inc.
$39
Biohaven Pharmaceutical Holding Company Ltd.
$36
Nevro Corp.
$35
Kowa Pharmaceuticals America, Inc.
$35
Bayer HealthCare Pharmaceuticals Inc.
$34
AbbVie, Inc.
$34
UCB, Inc.
$34
Shield Therapeutics Inc
$24
EISAI INC.
$24
Teva Pharmaceuticals USA, Inc.
$23
Corium, LLC
$22
BOSTON SCIENTIFIC CORPORATION
$21
Bayer Healthcare Pharmaceuticals Inc.
$20
IDORSIA PHARMACEUTICALS US INC
$18
ITI, Inc.
$17
Exact Sciences Corporation
$17
Paratek Pharmaceuticals, Inc.
$17
Nestle HealthCare Nutrition Inc.
$15
IBSA Pharma Inc.
$14
VistaPharm, Inc.
$14
Aytu BioScience, Inc
$13
Biohaven Pharmaceuticals, Inc.
$13
Genentech USA, Inc.
$12
Top 3 companies account for 24.1% of total payments
Associated products mentioned in payments ›
ACCRUFER · ADLARITY · ADUHELM · ANORO · ANORO ELLIPTA · AREXVY · Aduhelm · Aimovig · Austedo XR · BELSOMRA · BROVANA · BYSTOLIC · BYVALSON · Briviact · CAPLYTA · CHANTIX · Cologuard Collection Kit · DIFICID · Dayvigo · Dexcom G6 Transmitter · Dymista · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · GEMTESA · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINX Reflux Management System · LINZESS · LONHALA MAGNAIR · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXLETOL · NUEDEXTA · NURTEC ODT · NUZYRA · Natesto · Nuedexta · OFEV · Omnia · Otezla · Ozempic · PREMARIN · PREVNAR - 13 · PREVNAR 20 · PROCLAIM · Prolia · QULIPTA · QUVIVIQ · RELISTOR · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Senza · Synthroid · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Thyquidity · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · Utibron · VESICARE · VRAYLAR · Vascepa · Victoza · WATCHMAN · XARELTO · XIFAXAN · Xofluza · YUPELRI · ZENPEP · Zelnorm
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for internal medicine in TX.
Equivalent to $116 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
47
Per 100K population
73.2
County median income
$86,802
Nearest hospital
LAKE GRANBURY MEDICAL CENTER
0.0 mi
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Kuban is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with low-engagement industry engagement in the top 10% of TX peers, with 19 years of NPI registration.
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. Kuban experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Kuban performed 1,042 blood draw (venipuncture) 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. Kuban receive payments from pharmaceutical companies?
Yes. Dr. Kuban received a total of $8,778 from 55 companies across 519 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. Kuban's costs compare to other internal medicine physicians in Granbury?
Dr. Kuban's average Medicare payment per service is $27. 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. Kuban) 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 →
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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.
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