Medicare Enrolled

Dr. Adam Bruggeman, M.D.

Addiction Medicine (Preventive Medicine) Physician · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
3619 PAESANOS PKWY STE 302, San Antonio, TX 78231
2108024662
In practice since 2007 (18 years)
NPI: 1316160625 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. Bruggeman 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. Bruggeman

Dr. Adam Bruggeman is an addiction medicine (preventive medicine) physician in San Antonio, TX, with 18 years in practice. Based on federal Medicare data, Dr. Bruggeman performed 573 Medicare services across 444 unique beneficiaries.

Between the years covered by Open Payments, Dr. Bruggeman received a total of $140,986 from 38 pharmaceutical and/or device companies across 383 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in addiction medicine (preventive medicine) physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Bruggeman 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.

✓ 18 years in practice▲ 573 Medicare services$ $140,986 industry payments

Medicare Practice Summary

Medicare Utilization ↗
573
Medicare services
Bottom 40% in TX for addiction medicine (preventive medicine) physician
444
Unique beneficiaries
$164
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~32 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
Office visit, established patient (30-39 min)198$92$435
Office visit, established patient (20-29 min)112$55$351
New patient office visit (45-59 min)57$120$646
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment45$157$3,000
Office visit, established patient, complex (40-54 min)40$126$575
New patient office visit, complex (60-74 min)31$162$775
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment29$808$12,000
Insertion of cage or mesh device to spine bone and disc space during spine fusion22$186$3,000
Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming14$31$564
Fusion of spine in lower back13$1,197$17,500
Insertion of spinal neurostimulator generator or receiver12$195$5,000
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.
6.1% high complexity
0.0% medium
93.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$140,986
Total received (2018-2024)
Avg $20,141/year across 7 years
Top 20% in TX for addiction medicine (preventive medicine) physician
38
Companies
383
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$74,596 (52.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$44,792 (31.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$21,598 (15.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,156
2023
$1,381
2022
$1,658
2021
$2,749
2020
$25,000
2019
$28,308
2018
$79,735

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Titan Spine, LLC
$44,140
Stryker Corporation
$22,221
K2M, Inc.
$19,075
TITAN SPINE, LLC
$16,642
Medtronic USA, Inc.
$12,724
Prosidyan, Inc
$8,675
SI-BONE, Inc.
$6,659
Intrinsic Therapeutics
$2,176
BOSTON SCIENTIFIC CORPORATION
$1,563
Abbott Laboratories
$1,391
SI-BONE, INC.
$1,285
Centinel Spine, LLC
$936
Boston Scientific Corporation
$570
Alafair Biosciences, Inc.
$462
Curiteva, Inc.
$334
Zimmer Biomet Holdings, Inc.
$241
Medtronic, Inc.
$225
SPINEART USA INC
$157
Clariance, Inc.
$151
Cerapedics Inc.
$137
Neo Spine USA Inc
$119
Nexxt Spine LLC
$116
Integrity Implants Inc. dba Accelus
$110
Pacira Therapeutics, Inc.
$103
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$100
PAINTEQ LLC
$95
Smith+Nephew, Inc.
$88
Life Spine, Inc.
$83
Globus Medical, Inc.
$77
Pacira Pharmaceuticals Incorporated
$65
Orthofix Medical, Inc.
$62
Nevro Corp.
$56
DJO, LLC
$30
ETS Wound Care LLC
$29
DePuy Synthes Sales Inc.
$29
Biocomposites Inc
$23
Baxter Healthcare
$20
MEDACTA USA, INC.
$18
Top 3 companies account for 60.6% of total payments
Associated products mentioned in payments ›
ACTILIF M FLX · Axium INS DRG IPG · Axium Sheath Braided DRG · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · CAPRI Corpectomy Cage System · CASCADIA · CASCADIA INTERBODY SYSTEM · CMF SPINALOGIC · COVEREDGE · CREO 5.5 · Cervical-Stim · Clinical Trial Product · ETERNA · EVEREST MI · EVEREST Spinal System · EVEREST XT · Erisma-MIS · Exparel · FIBERGRAFT · FLOSEAL · GENERAL PAIN MANAGEMENT · GENERAL K2M PRODUCT DISCUSSION · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · General - Pain Management · General K2M Product Discussion · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · IFUSE IMPLANT · INTELLIS · INTELLIS ADAPTIVESTIM · Journey II BCS · LUCEMYRA · MECTALIF · MIDLINE II-Ti · MIRRAGEN ADVANCED WOUND MATRIX · MONTEREY AL · Mobi-C · NEW PRODUCT DEVELOPMENT · Neo Pedicle Screw System · OCTRODE · PAINTEQ · PENTA · PROCLAIM · PRODIGY · PRODISC C · PRODISC C VIVO · PRODISC L · Penta SCS Leads · Physio-Stim · Proclaim Family of SCS IPGs · Proclaim IPG · Proclaim Plus SCS with FlexBurst360 · Prodigy Family of SCS IPGs · RAVINE · RESTORE · SCARLET AL-T · SCS IPGs · SERRATO · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · Senza · Simpact · Spectra WaveWriter · Spinal-Stim · Stimulan · Swift-Lock SCS · TITAN ENDOSKELETON · Trauma-None · VersaWrap · WaveWriter Alpha Prime 16 · Zilretta · iFuse Implant · nanoLOCK · nanoLOCK-C · nanoLOCK-L · prodisc L
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 →

The majority of payments (53%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Equivalent to $24,605 per 100 Medicare services performed
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Geographic Context

Addiction Medicine (Preventive Medicine) Physicians within 10 mi
3
Per 100K population
0.1
County median income
$70,571
Nearest hospital
BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS
4.0 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. Bruggeman is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (consulting-driven, top 20%), 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. Bruggeman experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Bruggeman performed 198 office visit, established patient (30-39 min) 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. Bruggeman receive payments from pharmaceutical companies?
Yes. Dr. Bruggeman received a total of $140,986 from 38 companies across 383 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. Bruggeman's costs compare to other addiction medicine (preventive medicine) physicians in San Antonio?
Dr. Bruggeman's average Medicare payment per service is $164. 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. Bruggeman) 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 →