Medicare Enrolled
Dr. David Sprouse, M.D.
Family Medicine · Kerrville, 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. Sprouse 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. Sprouse
Dr. David Sprouse is a family medicine specialist in Kerrville, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Sprouse performed 3,516 Medicare services across 2,745 unique beneficiaries.
Between the years covered by Open Payments, Dr. Sprouse received a total of $2,651 from 32 pharmaceutical and/or device companies across 161 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. Sprouse 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 6% volume in TX
$2,651 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,516
Medicare services
Top 6% in TX for family medicine
2,745
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~185 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 |
|---|---|---|---|
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
481 | $25 | $133 |
| 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. |
429 | $83 | $127 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
397 | $87 | $350 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
192 | $0 | $9 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
155 | $14 | $215 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
155 | $4 | $4 |
| 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. |
153 | $55 | $89 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
138 | $124 | $128 |
| Annual depression screening | 136 | $18 | $18 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
125 | $9 | $11 |
| 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. |
108 | $9 | $15 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
96 | $58 | $85 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
72 | $16 | $17 |
| 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. |
71 | $10 | $14 |
| Complete breast ultrasound, 1 breast A complete ultrasound examination of one breast to visualize internal structures. |
68 | $55 | $345 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
61 | $28 | $29 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
60 | $48 | $49 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
55 | $16 | $188 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
42 | $150 | $357 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
37 | $22 | $135 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
34 | $17 | $135 |
| 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. |
33 | $6 | $7 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
31 | $15 | $140 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
29 | $49 | $327 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
27 | $93 | $1,112 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
26 | $18 | $150 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
26 | $267 | $284 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
26 | $24 | $25 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
24 | $19 | $149 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
24 | $16 | $68 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
22 | $16 | $170 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
19 | $18 | $140 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
19 | $176 | $243 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
19 | $7 | $41 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
18 | $111 | $310 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
17 | $49 | $270 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
15 | $14 | $135 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
14 | $12 | $130 |
| Rib X-ray, minimum 3 views An X-ray imaging test of the ribs on one side of the body. The procedure includes a minimum of three different views to capture detailed images. |
13 | $19 | $169 |
| Abdominal X-ray, 2 views An X-ray imaging test of the abdomen using two different angles to visualize internal structures. |
13 | $15 | $188 |
| Diagnostic mammography of 1 breast An X-ray examination of one breast to evaluate specific breast symptoms or abnormalities. |
12 | $51 | $185 |
| 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. |
12 | $109 | $206 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
12 | $18 | $33 |
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.
0.8% high complexity
15.7% medium
83.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$2,651
Total received (2018-2024)
Avg $379/year across 7 years
Top 22% in TX for family medicine
32
Companies
161
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
$2,651 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$624
2023
$723
2022
$340
2021
$224
2020
$181
2019
$180
2018
$379
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$385
AbbVie Inc.
$262
Astellas Pharma US Inc
$235
GlaxoSmithKline, LLC.
$221
Novo Nordisk Inc
$219
AstraZeneca Pharmaceuticals LP
$216
ABBVIE INC.
$141
Amgen Inc.
$104
Abbott Laboratories
$93
Janssen Pharmaceuticals, Inc
$88
Merck Sharp & Dohme LLC
$83
Merck Sharp & Dohme Corporation
$72
Amarin Pharma Inc.
$54
Biohaven Pharmaceutical Holding Company Ltd.
$47
Exact Sciences Corporation
$45
Takeda Pharmaceuticals U.S.A., Inc.
$44
Nevro Corp.
$40
Ultragenyx Pharmaceutical Inc.
$35
PFIZER INC.
$33
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
Biohaven Pharmaceuticals, Inc.
$24
Novartis Pharmaceuticals Corporation
$23
SANOFI PASTEUR INC.
$22
Ironshore Pharmaceuticals Inc.
$21
Bayer HealthCare Pharmaceuticals Inc.
$17
Supernus Pharmaceuticals, Inc.
$16
Almatica Pharma LLC
$15
Sanofi Pasteur Inc.
$14
Shire North American Group Inc
$13
Medtronic MiniMed, Inc.
$13
Genentech USA, Inc.
$12
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$11
Top 3 companies account for 33.3% of total payments
Associated products mentioned in payments ›
AIRSUPRA · Aimovig · BASAGLAR · BREZTRI · BREZTRI AEROSPHERE · Cologuard Collection Kit · EMGALITY · ENTRESTO · Ensite Cardiac Mapping System · FARXIGA · FLUZONE HIGH-DOSE · FORTEO · GARDASIL · GARDASIL 9 · GRALISE · INVOKANA · JANUVIA · JARDIANCE · Jornay PM 20mg capsules (Bottle of 100) · Kerendia · MOUNJARO · MYRBETRIQ · Myrbetriq · NURTEC ODT · Neuromodulation Dspsbls and Accs · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · Proclaim Family of SCS IPGs · QELBREE · QULIPTA · ROTATEQ · Repatha · Rybelsus · SHINGRIX · SPRAVATO · SYMBICORT · Saxenda · Senza · TRULICITY · Tresiba · Trintellix · UBRELVY · VAXELIS · VRAYLAR · VYVANSE · Vascepa · Veozah · XIFAXAN · Xofluza · iPro2
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.
Equivalent to $75 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
51
Per 100K population
95.9
County median income
$67,927
Nearest hospital
PETERSON REGIONAL 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. Sprouse is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement, 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. Sprouse experienced with bone density scan (dexa)?
Based on Medicare claims data, Dr. Sprouse performed 481 bone density scan (dexa) 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. Sprouse receive payments from pharmaceutical companies?
Yes. Dr. Sprouse received a total of $2,651 from 32 companies across 161 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. Sprouse's costs compare to other family medicine physicians in Kerrville?
Dr. Sprouse's average Medicare payment per service is $46. 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. Sprouse) 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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