Medicare Enrolled
Dr. Shibu Oommen, MD
Gastroenterology · Plano, 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. Oommen 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. Oommen
Dr. Shibu Oommen is a gastroenterology specialist in Plano, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Oommen performed 2,354 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Oommen received a total of $7,849 from 38 pharmaceutical and/or device companies across 513 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. Oommen 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.
✓ 20 years of NPI registration
▲ Top 5% volume in TX
$7,849 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,354
Medicare services
Top 5% in TX for gastroenterology
Not available
Unique patients (not deduplicated)
$47
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. |
1,400 | $0 | $4 |
| 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. |
231 | $87 | $238 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
227 | $201 | $1,555 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
143 | $76 | $1,308 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
58 | $174 | $528 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
54 | $61 | $186 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
45 | $57 | $1,495 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
43 | $8 | $17 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
35 | $136 | $517 |
| 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. |
30 | $108 | $310 |
| Dilation of esophagus | 20 | $31 | $410 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
19 | $174 | $563 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
14 | $134 | $1,159 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
12 | $175 | $839 |
| 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 | $119 | $335 |
| Upper endoscopy (EGD) A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope. |
11 | $88 | $505 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$7,849
Total received (2018-2024)
Avg $1,121/year across 7 years
Top 25% in TX for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
513
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
$927
2023
$810
2022
$1,291
2021
$1,696
2020
$819
2019
$1,193
2018
$1,113
Payments by company (2024)
ABBVIE INC.
$407
Lilly USA, LLC
$140
Phathom Pharmaceuticals, Inc.
$68
Janssen Biotech, Inc.
$59
AIMMUNE THERAPEUTICS, INC.
$52
Takeda Pharmaceuticals U.S.A., Inc.
$35
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$30
Celltrion USA Inc.
$28
Ardelyx, Inc.
$25
Celgene Corporation
$19
Gilead Sciences, Inc.
$18
Merck Sharp & Dohme LLC
$18
VIVUS LLC
$14
Ferring Pharmaceuticals Inc.
$13
Top 3 companies account for 66.4% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie Inc.
$1,304
ABBVIE INC.
$1,258
AbbVie, Inc.
$937
Takeda Pharmaceuticals U.S.A., Inc.
$795
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$385
Gilead Sciences, Inc.
$344
Merck Sharp & Dohme LLC
$264
Ferring Pharmaceuticals Inc.
$244
Braintree Laboratories, Inc.
$221
Ironwood Pharmaceuticals, Inc
$209
UCB, Inc.
$174
Janssen Biotech, Inc.
$168
Nestle HealthCare Nutrition Inc.
$159
Lilly USA, LLC
$140
Daiichi Sankyo Inc.
$133
Merck Sharp & Dohme Corporation
$126
Celgene Corporation
$123
Boston Scientific Corporation
$98
RedHill Biopharma Inc.
$75
PFIZER INC.
$68
Phathom Pharmaceuticals, Inc.
$68
Amgen Inc.
$63
Intercept Pharmaceuticals, Inc.
$57
Ardelyx, Inc.
$53
AIMMUNE THERAPEUTICS, INC.
$52
VIVUS LLC
$52
Boehringer Ingelheim Pharmaceuticals, Inc.
$39
Ethicon US, LLC
$35
Allergan Inc.
$29
Celltrion USA Inc.
$28
Organon LLC
$26
Otsuka America Pharmaceutical, Inc.
$24
Shire North American Group Inc
$22
QOL Medical, LLC
$18
BOSTON SCIENTIFIC CORPORATION
$17
Evoke Pharma, Inc.
$13
Cook Medical LLC
$13
Dynavax Technologies Corporation
$12
Top 3 companies account for 44.6% of all-time payments
Associated products mentioned in payments ›
AMJEVITA · AVSOLA · Amitiza · BREATHTEK · CIMZIA · CLENPIQ · CREON · CYLTEZO · Cimzia · Cook Medical GI Products · Creon · DIFICID · Dexilant · ENTYVIO · EOHILIA · Entyvio · GATTEX · GENERAL THERAPIES · GIMOTI · HUMIRA · Heplisav-B · Humira · IBSRELA · INFLECTRA · INJECTAFER · LINX Reflux Management System · LINZESS · Linzess · MAVYRET · MOTEGRITY · Motegrity · Movantik · NEXPLANON · OCALIVA · OMVOH · PREPOPIK · QSYMIA · Qsymia · REBYOTA · REMICADE · RENFLEXIS · RESOLUTION CLIP · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUFLAVE · SUPREP · SUPREP BOWEL PREP · SUTAB · TREMFYA · TRULANCE · Talicia · Trintellix · UCERIS TABLETS · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA · ZYMFENTRA
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
Gastroenterologists in nearby ZIP areas
238
County median income
$117,588
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
0.0 mi
0.0 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. Oommen is a mixed practice specialist, with above-average Medicare volume (top 5% in TX), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Oommen experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Oommen performed 1,400 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. Oommen receive payments from pharmaceutical companies?
Yes. Dr. Oommen received a total of $7,849 from 38 companies across 513 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. Oommen's costs compare to other gastroenterologists in Plano?
Dr. Oommen's average Medicare payment per service is $47. 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. Oommen) 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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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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