Medicare Enrolled

Dr. James Brasher, O.D.

Optometrist · San Angelo, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1721 KNICKERBOCKER RD, San Angelo, TX 76904
3259448531
In practice since 2006 (19 years)
NPI: 1114028883 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. Brasher 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. Brasher

Dr. James Brasher is an optometrist in San Angelo, TX, with 19 years in practice. Based on federal Medicare data, Dr. Brasher performed 951 Medicare services across 840 unique beneficiaries.

Between the years covered by Open Payments, Dr. Brasher received a total of $881 from 7 pharmaceutical and/or device companies across 41 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optometrist. 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. Brasher 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 11% volume in TX$ $881 industry payments

Medicare Practice Summary

Medicare Utilization ↗
951
Medicare services
Top 11% in TX for optometrist
840
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~50 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
Comprehensive eye exam, established patient356$74$123
Retinal imaging (OCT scan)112$24$40
Visual field test, extended100$40$61
Office visit, established patient (20-29 min)96$60$88
Office visit, established patient (30-39 min)92$81$124
Optic nerve imaging (OCT scan)81$21$37
Comprehensive eye exam, new patient44$80$146
Cataract surgery with lens implant35$77$150
Imaging of front third of eye using a special microscope35$21$38
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.
3.7% high complexity
24.0% medium
72.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$881
Total received (2018-2024)
Avg $126/year across 7 years
Top 50% in TX for optometrist
7
Companies
41
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
$881 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$183
2023
$201
2022
$118
2021
$84
2020
$49
2019
$91
2018
$155

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alcon Vision LLC
$549
Alcon Laboratories Inc
$110
Johnson & Johnson Vision Care, Inc.
$67
Optos, Inc.
$66
OPTOS, INC.
$45
CooperVision Inc.
$28
Shire North American Group Inc
$17
Top 3 companies account for 82.3% of total payments
Associated products mentioned in payments ›
AIR OPTIX · Acuvue · Clariti Contact Lens · DAILIES · Monaco · Multiple Brands Contact Lens · NFC-700 · P200DTx · Precision 1 · TOTAL30 · XIIDRA
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 $93 per 100 Medicare services performed
Looking for a optometrist in San Angelo?
Compare optometrists in the San Angelo area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Optometrists within 10 mi
17
Per 100K population
14.2
County median income
$66,254
Nearest hospital
RIVER CREST HOSP
0.0 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. Brasher is a clinical cardiology specialist, with above-average Medicare volume (top 11% in TX), and low-engagement industry engagement, with 19 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. Brasher experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Brasher performed 356 comprehensive eye exam, established patient 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. Brasher receive payments from pharmaceutical companies?
Yes. Dr. Brasher received a total of $881 from 7 companies across 41 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. Brasher's costs compare to other optometrists in San Angelo?
Dr. Brasher's average Medicare payment per service is $58. 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. Brasher) 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 →