Medicare Enrolled

Dr. Norma Cerna, M.D.

Family Medicine · San Angelo, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
220 E. HARRIS, San Angelo, TX 76903
3256581511
In practice since 2008 (17 years)
NPI: 1336307644 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. Cerna 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. Cerna

Dr. Norma Cerna is a family medicine in San Angelo, TX, with 17 years in practice. Based on federal Medicare data, Dr. Cerna performed 4,766 Medicare services across 1,298 unique beneficiaries.

Between the years covered by Open Payments, Dr. Cerna received a total of $2,642 from 30 pharmaceutical and/or device companies across 171 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. Cerna 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.

✓ 17 years in practice▲ Top 4% volume in TX$ $2,642 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,766
Medicare services
Top 4% in TX for family medicine
1,298
Unique beneficiaries
$32
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~280 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
Denosumab injection (Prolia/Xgeva)2,820$18$33
Blood draw (venipuncture)430$8$8
Office visit, established patient (30-39 min)418$77$217
Annual wellness visit, follow-up172$125$230
Hemoglobin A1c test (diabetes monitoring)168$9$58
Hospital follow-up visit, moderate complexity153$60$141
Drug injection, under skin or into muscle108$10$50
Flu vaccine administration79$17$17
Flu vaccine, high-dose74$62$63
Initial hospital admission, moderate complexity55$91$268
Hospital discharge management, 30+ min43$89$209
Office visit, established patient (20-29 min)42$51$165
Transitional care management services for problem of high complexity39$210$439
Adm sarscv2 bvl 30mcg/.3ml a26$39$55
COVID-19 vaccine administration20$39$55
COVID-19 vaccine (Pfizer bivalent)20$128$262
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg19$1$10
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and16$40$170
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza15$58$150
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit14$161$330
Comprehensive metabolic blood panel12$7$67
Lipid panel (cholesterol and triglycerides)12$9$81
Pneumonia vaccine administration11$30$50
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 ↗
$2,642
Total received (2018-2024)
Avg $377/year across 7 years
Top 22% in TX for family medicine
30
Companies
171
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
$2,642 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$261
2023
$131
2022
$277
2021
$654
2020
$142
2019
$530
2018
$647

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$337
Novo Nordisk Inc
$295
Janssen Pharmaceuticals, Inc
$274
AbbVie Inc.
$192
Astellas Pharma US Inc
$178
Boehringer Ingelheim Pharmaceuticals, Inc.
$163
GlaxoSmithKline, LLC.
$126
Lilly USA, LLC
$118
Allergan Inc.
$118
Merck Sharp & Dohme Corporation
$86
Novartis Pharmaceuticals Corporation
$75
Takeda Pharmaceuticals U.S.A., Inc.
$75
ABBVIE INC.
$74
PFIZER INC.
$67
Dynavax Technologies Corporation
$55
Exact Sciences Corporation
$47
Sanofi Pasteur Inc.
$46
SANOFI PASTEUR INC.
$44
Nevro Corp.
$43
Amarin Pharma Inc.
$40
Allergan, Inc.
$37
Inspire Medical Systems, Inc.
$23
Novavax Inc
$23
Dexcom, Inc.
$18
SANOFI-AVENTIS U.S. LLC
$17
Biohaven Pharmaceuticals, Inc.
$16
Mylan Specialty L.P.
$16
Merck Sharp & Dohme LLC
$14
ARBOR PHARMACEUTICALS, INC.
$13
AstraZeneca Pharmaceuticals LP
$11
Top 3 companies account for 34.3% of total payments
Associated products mentioned in payments ›
ADJUVANTED · Aimovig · BEXSERO · BYSTOLIC · CHANTIX · Cologuard Collection Kit · Dexcom G6 Transmitter · Dexilant · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · GARDASIL · GARDASIL 9 · Heplisav-B · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · LEQVIO · LINZESS · LYRICA · MENVEO · MOUNJARO · MYRBETRIQ · Myrbetriq · NOVAVAX COVID-19 VACCINE · NURTEC ODT · Omnia · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR 20 · Prolia · QULIPTA · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · Saxenda · TRULICITY · Tresiba · Trintellix · UBRELVY · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · Yupelri · ZEPBOUND
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 $55 per 100 Medicare services performed
Looking for a family medicine in San Angelo?
Compare family medicines in the San Angelo area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family Medicines within 10 mi
56
Per 100K population
46.9
County median income
$66,254
Nearest hospital
SHANNON MEDICAL CENTER
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. Cerna is a mixed practice specialist, with above-average Medicare volume (top 4% in TX), and low-engagement industry engagement, with 17 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. Cerna experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Cerna performed 2,820 denosumab injection (prolia/xgeva) 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. Cerna receive payments from pharmaceutical companies?
Yes. Dr. Cerna received a total of $2,642 from 30 companies across 171 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. Cerna's costs compare to other family medicines in San Angelo?
Dr. Cerna's average Medicare payment per service is $32. 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. Cerna) 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 →