Medicare Enrolled
Dr. Darren Silvester, DPM
Primary Podiatric Medicine Podiatrist · Pleasanton, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Silvester 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. Silvester
Dr. Darren Silvester is a primary podiatric medicine podiatrist in Pleasanton, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Silvester performed 1,938 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Silvester received a total of $5,059 from 24 pharmaceutical and/or device companies across 82 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. Silvester 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.
✓ 18 years of NPI registration
▲ Top 11% volume in TX
$5,059 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,938
Medicare services
Top 11% in TX for primary podiatric medicine podiatrist
Not available
Unique patients (not deduplicated)
$38
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 |
|---|---|---|---|
| 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. |
389 | $62 | $90 |
| 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. |
224 | $24 | $54 |
| Electrical stimulation therapy, per 15 minutes Application of electrical stimulation to the body with a therapist present. The service is billed for each 15-minute increment of treatment. |
186 | $10 | $74 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
160 | $0 | $3 |
| Electrical stimulation therapy Application of electrical stimulation to one or more body areas as part of a therapy plan. This procedure is used for indications other than wound care. |
158 | $6 | $26 |
| Injection, methylprednisolone acetate, 40 mg | 132 | $5 | $7 |
| 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. |
125 | $83 | $174 |
| Functional capacity test, per 15 minutes A test or measurement to assess functional capacity. The service is billed for each 15-minute increment. |
114 | $23 | $86 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding 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) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
51 | $66 | $135 |
| 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. |
40 | $59 | $126 |
| Repair of multiple toe tendons Surgical repair of several tendons in the toes. This procedure restores the function of the tendons that move the toes. |
38 | $160 | $474 |
| Permanent removal fingernail or toenail | 24 | $87 | $403 |
| 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. |
23 | $93 | $235 |
| Simple separation of fingernail or toenail from nail bed, first nail A procedure to separate the first fingernail or toenail from the underlying nail bed. |
16 | $77 | $142 |
| Tendon injection at attachment site A procedure involving the injection of medication into a tendon where it attaches to bone or muscle. |
16 | $35 | $88 |
| 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. |
16 | $25 | $54 |
| Ultrasound-guided joint aspiration or injection Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement. |
15 | $62 | $114 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
15 | $81 | $275 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
14 | $37 | $68 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
14 | $36 | $86 |
| Foot nerve injection with anesthetic and/or steroid An injection of an anesthetic and/or steroid medication into a nerve in the foot. |
13 | $26 | $70 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
13 | $36 | $170 |
| Toenail/fingernail removal, 6+ nails Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session. |
12 | $31 | $64 |
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 ↗$5,059
Total received (2018-2024)
Avg $723/year across 7 years
Top 22% in TX for primary podiatric medicine podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
82
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
$289
2023
$1,395
2022
$276
2021
$216
2020
$167
2019
$1,634
2018
$1,082
Payments by company (2024)
TREACE MEDICAL CONCEPTS, INC.
$118
Stryker Corporation
$113
Paragon 28, Inc.
$32
Smith+Nephew, Inc.
$24
SPR Therapeutics, Inc
$2
Top 3 companies account for 91.2% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$1,511
WRIGHT MEDICAL TECHNOLOGY, INC.
$961
Integra LifeSciences Corporation
$780
Medinc of Texas
$651
AXOGEN
$130
Kerecis Limited
$118
TREACE MEDICAL CONCEPTS, INC.
$118
Nevro Corp.
$117
Smith+Nephew, Inc.
$99
Anika Therapeutics, Inc.
$85
Smith & Nephew, Inc.
$84
Wright Medical Technology, Inc.
$58
ORGANOGENESIS INC.
$56
Medical Device Business Services, Inc.
$44
Organogenesis Inc.
$39
DePuy Synthes Sales Inc.
$35
Paragon 28, Inc.
$32
SPR Therapeutics, Inc
$30
Horizon Therapeutics plc
$30
Orthofix Medical, Inc.
$24
MEDLINE INDUSTRIES LP
$16
GRT US Holding, Inc.
$15
Paratek Pharmaceuticals, Inc.
$13
Tactile Systems Technology Inc
$12
Top 3 companies account for 64.3% of all-time payments
Associated products mentioned in payments ›
ALLOWRAP · ANCHORAGE · ASNIS · AUGMENT INJECTABLE · Apligraf · Avance Nerve Graft · AxoGuard Nerve Protector · BILAYER WOUND MATRIX (BWM) · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · COLLAGENASE SANTYL · EASY CLIP · Flexitouch Plus · Foot and Ankle · GII · GRAFIX PL · INBONE · INC. · INFINITY · KRYSTEXXA · Kerecis Omega3 SurgiClose · Kerecis Omega3 Wound · LAPIPLASTY SYSTEM · MEDLINE INDUSTRIES · MICA · N/A · NUZYRA · Parcus Anchors · Physio-Stim Osteogenesis Stimulator · Portfolio · Puraply · Qutenza · SALTO TALARIS TOTAL ANKLE PROSTHESIS · SALVATION · SONICANCHOR · SPRINT PNS System · Santyl · Senza · Tactoset · Toe Motion · VARIAX · VLP Foot · ViviGen
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
Primary podiatric medicine podiatrists in nearby ZIP areas
1
County median income
$69,413
Nearest hospital to ZIP centroid (approximate)
METHODIST HOSPITAL ATASCOSA
14.6 mi
14.6 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. Silvester is a clinical cardiology specialist, with above-average Medicare volume (top 11% in TX), with 18 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. Silvester experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Silvester performed 389 office visit, established patient (20-29 min) 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. Silvester receive payments from pharmaceutical companies?
Yes. Dr. Silvester received a total of $5,059 from 24 companies across 82 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. Silvester's costs compare to other primary podiatric medicine podiatrists in Pleasanton?
Dr. Silvester's average Medicare payment per service is $38. 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. Silvester) 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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