Medicare Enrolled

Dr. Douglas Bree, M.D.

Cardiovascular Disease · Houston, TX
Practice pattern: Cardiac Imaging — Practice with significant diagnostic imaging and stress testing
Consulting-driven
18220 STATE HIGHWAY 249 STE 400, Houston, TX 77070
7134419909
In practice since 2007 (18 years)
NPI: 1568666485 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. Bree 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. Bree? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Bree

Dr. Douglas Bree is a cardiovascular disease specialist in Houston, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Bree performed 2,927 Medicare services across 2,326 unique beneficiaries.

Between the years covered by Open Payments, Dr. Bree received a total of $53,115 from 63 pharmaceutical and/or device companies across 744 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Bree 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.

✓ 18 years in practice ▲ Top 36% volume in TX $53,115 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,927
Medicare services
Top 36% in TX for cardiovascular disease
2,326
Unique beneficiaries
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~163 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 (30-39 min) 446 $87 $314
Regadenoson injection (Lexiscan) for heart stress test 328 $45 $212
Electrocardiogram (EKG), 12-lead 312 $11 $126
Echocardiogram, transthoracic 277 $140 $1,461
Technetium tc-99m tetrofosmin, diagnostic, per study dose 253 $25 $35
EKG interpretation and report 244 $6 $50
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 132 $49 $406
Nuclear medicine studies of heart muscle at rest and with stress and spect 131 $341 $3,509
Office visit, established patient (20-29 min) 129 $59 $212
Hospital follow-up visit, moderate complexity 99 $63 $211
Initial hospital admission, moderate complexity 97 $104 $401
Evaluation of cardiac rhythm monitor system, remote up to 30 days 82 $21 $120
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 59 $10 $63
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 59 $19 $102
New patient office visit (45-59 min) 43 $113 $483
Evaluation of single, dual, multiple lead or leadless pacemaker system 34 $43 $175
Evaluation of cardiac rhythm monitor system 28 $37 $168
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 24 $10 $64
Ultrasound of heart, follow-up 22 $20 $119
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 21 $67 $296
Remote pacemaker monitoring, 90 days 20 $23 $149
Ultrasound of heart with color-depicted blood flow, rate and valve function 20 $2 $252
Ultrasound of heart with probe in esophagus, with report 19 $80 $516
Hospital follow-up visit, high complexity 18 $96 $302
Cardiac catheterization 17 $212 $1,310
Initial hospital admission, high complexity 13 $140 $588
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.
12.6% high complexity
21.6% medium
65.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$53,115
Total received (2018-2024)
Avg $7,588/year across 7 years
Top 10% in TX for cardiovascular disease
63
Companies
744
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
$22,847 (43.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$21,794 (41.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$8,473 (16.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,782
2023
$3,141
2022
$4,747
2021
$1,991
2020
$1,667
2019
$16,068
2018
$22,720

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$26,261
Novartis Pharmaceuticals Corporation
$8,929
ABIOMED
$3,867
Medtronic Vascular, Inc.
$2,681
Boston Scientific Corporation
$1,200
CVRx, Inc.
$1,060
Amgen Inc.
$944
ATRICURE, INC.
$666
Janssen Pharmaceuticals, Inc
$536
Merck Sharp & Dohme LLC
$467
AtriCure, Inc.
$436
Actelion Pharmaceuticals US, Inc.
$426
E.R. Squibb & Sons, L.L.C.
$420
BIOTRONIK INC.
$378
Biosense Webster, Inc.
$348
HeartFlow, Inc.
$318
PFIZER INC.
$263
Esperion Therapeutics, Inc.
$262
Amarin Pharma Inc.
$245
Boehringer Ingelheim Pharmaceuticals, Inc.
$232
Impulse Dynamics (USA) Inc.
$226
Baxter Healthcare
$198
SANOFI-AVENTIS U.S. LLC
$192
iRhythm Technologies, Inc.
$183
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$171
AstraZeneca Pharmaceuticals LP
$169
Vital Connect, Inc
$159
Medtronic, Inc.
$137
Tactile Systems Technology Inc
$129
Cardinal Health 200, LLC
$119
Novo Nordisk Inc
$118
Bard Peripheral Vascular, Inc.
$109
CardioFocus, Inc.
$98
Merck Sharp & Dohme Corporation
$95
ARBOR PHARMACEUTICALS, INC.
$87
AltaThera Pharmaceuticals LLC
$73
Chiesi USA, Inc.
$67
BARD PERIPHERAL VASCULAR, INC.
$65
Gilead Sciences, Inc.
$65
Cook Medical LLC
$63
Cardiovascular Systems Inc.
$57
Inari Medical, Inc.
$53
GE HEALTHCARE
$49
Kowa Pharmaceuticals America, Inc.
$47
Regeneron Healthcare Solutions, Inc.
$46
Kiniksa Pharmaceuticals, Ltd.
$38
Lexicon Pharmaceuticals, Inc.
$37
Azurity Pharmaceuticals, Inc.
$35
BOSTON SCIENTIFIC CORPORATION
$35
Alnylam Pharmaceuticals Inc.
$28
Bardy Diagnostics, Inc.
$25
Althera Pharmaceuticals LLC
$22
ARALEZ PHARMACEUTICALS US INC.
$22
SCPHARMACEUTICALS INC.
$22
Aziyo Biologics, Inc.
$19
Lundbeck LLC
$19
AngioDynamics, Inc.
$19
Preventice Services, LLC
$16
HEARTFLOW, INC.
$16
Kiniksa Pharmaceuticals International, plc
$16
Dilon Technologies, Inc.
$13
Allergan Inc.
$11
Itamar Medical Inc
$10
Top 3 companies account for 73.5% of total payments
Associated products mentioned in payments ›
ADROIT Guiding Catheter · ADVANCE · ANGIOJET · ATRICLIP LAA EXCLUSION SYSTEM · AVEIR · Accent Pacemaker · Allure CRT Pacemaker · Allure Quadra RF CRT Pacemaker · Arcalyst · Assurity Pacemaker · Astron; Pulsar; AstronPulsar · BIOMONITOR · BRILINTA · BYSTOLIC · Barostim Neo System · BodyGuardian · CAMZYOS · CARDIOMEMS · CARTO 3 · CHANTIX · CONFIRM RX · COOK CELECT · Cardiac Mapping System · CardioMEMS HF System · Carnation Ambulatory Monitor · Circulatory Support · Confirm Rx · Connectivity and Remote care · CoreValve Evolut · Corlanor · Durata Defibrillation ICD Lead · ECM · EDARBI · ELIQUIS · ENSITE PRECISION · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edarbi · Edarbyclor · EnSite Precision Cardiac Mapping System · Ensite Cardiac Mapping System · FARXIGA · FFRct · FLOWTRIEVER CATHETER · FUROSCIX · Flexitouch Plus · GALLANT · General - Therapies · Hillrom - Cardiac Ambulatory Monitor · Hillrom - Carnation Ambulatory Monitor · IN.PACT Admiral · Impella · Inpefa · JARDIANCE · JOT DX · KENGREAL · LATITUDE Communicator Power Supply · LEQVIO · LIFESTENT · LINQ II · LUTONIX · LUX DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livalo · MERLIN@HOME · MRI Ready Leads · MULTAQ · Merlin Connectivity and Remote · NEXLETOL · NEXLIZET · NORTHERA · ONPATTRO · ONYX FRONTIER · OPSUMIT · OPSUMIT MACITENTAN · OPTIMIZER · Optimizer · Optis Coronary Imaging System · Orsiro · Ozempic · PRALUENT · PRESSUREWIRE · Pacemakers · Pacing Leads · RESOLUTE ONYX · RESONATE EL ICD VR · Repatha · Resolute · Reveal LINQ · Roszet · S · SEEQ · SYNERGY · Saxenda · Sotalol Hydrochloride · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · TRUEVIEW · ULTRASCORE · UPTRAVI · VERQUVO · VYNDAQEL · Vascepa · Visia AF · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · WatchPAT · XARELTO · XIENCE V · Xience Sierra Coronary Stent System · ZILVER PTX · ZIO XT Patch · ZONTIVITY · Zio monitor
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 (43%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 10% for cardiovascular disease in TX.

Equivalent to $1,815 per 100 Medicare services performed
Looking for a cardiovascular disease specialist in Houston?
Compare cardiologists in the Houston area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiologists within 10 mi
382
Per 100K population
8.0
County median income
$73,104
Nearest hospital
HOUSTON METHODIST WILLOWBROOK 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 measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Bree is a cardiac imaging specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 10% of TX peers, with 18 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. Bree experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Bree performed 446 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. Bree receive payments from pharmaceutical companies?
Yes. Dr. Bree received a total of $53,115 from 63 companies across 744 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. Bree's costs compare to other cardiologists in Houston?
Dr. Bree's average Medicare payment per service is $69. 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. Bree) 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 →