Medicare Enrolled

Dr. Benjamin Zertuche, M.D.

Family Medicine · Pleasanton, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
1746 W GOODWIN ST, Pleasanton, TX 78064
8302685040
In practice since 2005 (20 years)
NPI: 1992788087 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. Zertuche 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. Zertuche

Dr. Benjamin Zertuche is a family medicine in Pleasanton, TX, with 20 years in practice. Based on federal Medicare data, Dr. Zertuche performed 10,356 Medicare services across 1,566 unique beneficiaries.

Between the years covered by Open Payments, Dr. Zertuche received a total of $1,173 from 22 pharmaceutical and/or device companies across 66 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. Zertuche 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 1% volume in TX$ $1,173 industry payments

Medicare Practice Summary

Medicare Utilization ↗
10,356
Medicare services
Top 1% in TX for family medicine
1,566
Unique beneficiaries
$62
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~518 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
Nursing facility visit, low complexity6,305$54$100
Nursing facility visit, moderate complexity2,353$80$132
Advance care planning consultation, first 30 min476$54$124
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes265$136$239
Office visit, established patient (30-39 min)243$85$188
Dexamethasone injection (steroid)196$0$4
Chronic care management, first 20 min/month128$43$93
Nursing facility discharge day management, 30 minutes or less100$61$105
Drug injection, under skin or into muscle88$10$21
Office visit, established patient (20-29 min)45$56$133
Office visit, established patient, complex (40-54 min)26$120$265
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg23$1$30
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow22$79$154
Urinalysis, manual21$3$6
Administration of vaccine15$15$24
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes14$109$194
Transitional care management services for problem of high complexity14$211$408
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free11$18$55
New patient office visit (45-59 min)11$111$244
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 ↗
$1,173
Total received (2018-2024)
Avg $168/year across 7 years
Top 35% in TX for family medicine
22
Companies
66
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
$1,173 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$39
2023
$63
2022
$230
2021
$261
2020
$46
2019
$131
2018
$403

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
UROVANT SCIENCES INC
$194
Teva Pharmaceuticals USA, Inc.
$141
Novartis Pharmaceuticals Corporation
$127
Janssen Pharmaceuticals, Inc
$106
Sunovion Pharmaceuticals Inc.
$88
Avanir Pharmaceuticals, Inc.
$84
PFIZER INC.
$74
Lilly USA, LLC
$60
Allergan Inc.
$31
Astellas Pharma US Inc
$30
Amgen Inc.
$29
ALK-Abello, Inc
$25
Novo Nordisk Inc
$24
Sumitomo Pharma America, Inc.
$24
Abbott Laboratories
$23
ABBVIE INC.
$22
Sun Pharmaceutical Industries Inc.
$20
Neurocrine Biosciences, Inc.
$17
AbbVie Inc.
$16
ACADIA Pharmaceuticals Inc
$15
SUN PHARMACEUTICAL INDUSTRIES INC.
$12
Purdue Pharma L.P.
$11
Top 3 companies account for 39.4% of total payments
Associated products mentioned in payments ›
APTIOM · AUSTEDO · BAQSIMI · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · DALVANCE · ENTRESTO · GEMTESA · Grastek · INGREZZA · KAPSPARGO · Kapspargo Sprinkle (metoprolol succinate) · LEQVIO · MYRBETRIQ · NUEDEXTA · NUPLAZID · Nuedexta · Otezla · Ozempic · PREMARIN · PROCLAIM · SYMPROIC · TRULICITY · UBRELVY · VRAYLAR · XARELTO
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 $11 per 100 Medicare services performed
Looking for a family medicine in Pleasanton?
Compare family medicines in the Pleasanton area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family Medicines within 10 mi
26
Per 100K population
51.9
County median income
$69,413
Nearest hospital
METHODIST HOSPITAL ATASCOSA
14.6 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. Zertuche is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), and low-engagement industry engagement, 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. Zertuche experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. Zertuche performed 6,305 nursing facility visit, low complexity 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. Zertuche receive payments from pharmaceutical companies?
Yes. Dr. Zertuche received a total of $1,173 from 22 companies across 66 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. Zertuche's costs compare to other family medicines in Pleasanton?
Dr. Zertuche's average Medicare payment per service is $62. 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. Zertuche) 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 →