Dr. Darren Silvester, DPM
What this data tells you about Dr. Silvester
Dr. Darren Silvester is a primary podiatric medicine podiatrist in Pleasanton, TX, with 18 years in practice. Based on federal Medicare data, Dr. Silvester performed 1,938 Medicare services across 1,032 unique beneficiaries.
Between the years covered by Open Payments, Dr. Silvester received a total of $5,059 from 24 pharmaceutical and/or device companies across 82 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in primary podiatric medicine podiatrist. 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. Silvester 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.
Medicare Practice Summary
Medicare Utilization ↗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 (20-29 min) | 389 | $62 | $90 |
| Foot X-ray, 3+ views | 224 | $24 | $54 |
| Application of electrical stimulation with therapist present, each 15 minutes | 186 | $10 | $74 |
| Dexamethasone injection (steroid) | 160 | $0 | $3 |
| Electrical stimulation therapy | 158 | $6 | $26 |
| Injection, methylprednisolone acetate, 40 mg | 132 | $5 | $7 |
| Office visit, established patient (30-39 min) | 125 | $83 | $174 |
| Test or measurement for functional capacity, each 15 minutes | 114 | $23 | $86 |
| Limited ultrasound scan of joint or other extremity structure except blood vessels | 68 | $31 | $75 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 62 | $54 | $123 |
| New patient office visit (30-44 min) | 51 | $66 | $135 |
| Ultrasound study of arm and leg arteries | 40 | $59 | $126 |
| Repair of multiple toe tendons | 38 | $160 | $474 |
| Permanent removal fingernail or toenail | 24 | $87 | $403 |
| New patient office visit (45-59 min) | 23 | $93 | $235 |
| Simple separation of fingernail or toenail from nail bed, first nail | 16 | $77 | $142 |
| Injection into tendon at attachment to bone or muscle | 16 | $35 | $88 |
| X-ray of ankle, minimum of 3 views | 16 | $25 | $54 |
| Aspiration and/or injection of fluid from medium joint using ultrasound guidance | 15 | $62 | $114 |
| Testing of autonomic (sympathetic) nervous system function | 15 | $81 | $275 |
| Aspiration and/or injection of fluid from small joint | 14 | $37 | $68 |
| Office visit, established patient (10-19 min) | 14 | $36 | $86 |
| Injection of anesthetic and/or steroid drug into foot nerve | 13 | $26 | $70 |
| Ultrasonic guidance for needle placement | 13 | $36 | $170 |
| Toenail/fingernail removal, 6+ nails | 12 | $31 | $64 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (87%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
14.6 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. Silvester is a clinical cardiology specialist, with above-average Medicare volume (top 11% in TX), and low-engagement industry engagement, with 18 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. Silvester experienced with office visit, established patient (20-29 min)?
Does Dr. Silvester receive payments from pharmaceutical companies?
How do Dr. Silvester's costs compare to other primary podiatric medicine podiatrists in Pleasanton?
What does Data Coverage mean?
Is this data up to date?
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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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