Medicare Enrolled
Dr. Boulos Toursarkissian, MD
Surgery · San Antonio, 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. Toursarkissian 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. Toursarkissian
Dr. Boulos Toursarkissian is a surgery specialist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Toursarkissian performed 2,250 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Toursarkissian received a total of $7,465 from 28 pharmaceutical and/or device companies across 176 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. Toursarkissian 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.
✓ 20 years of NPI registration
▲ Top 4% volume in TX
$7,465 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,250
Medicare services
Top 4% in TX for surgery
Not available
Unique patients (not deduplicated)
$94
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 |
|---|---|---|---|
| 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. |
440 | $39 | $198 |
| 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. |
213 | $61 | $259 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
203 | $103 | $445 |
| 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. |
184 | $41 | $164 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
140 | $83 | $343 |
| 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. |
140 | $74 | $306 |
| 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. |
123 | $93 | $372 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
90 | $72 | $300 |
| Ultrasound of hemodialysis access An ultrasound imaging test used to evaluate the blood flow and structure of a hemodialysis access site. |
78 | $89 | $368 |
| Ultrasound of aorta, vena cava, groin vessels or bypass grafts This procedure uses sound waves to create images of the aorta, vena cava, groin vessels, or bypass grafts. It allows for the visualization of these blood vessels and any surgical grafts. |
76 | $69 | $333 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
58 | $51 | $204 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
48 | $99 | $381 |
| Strapping, unna boot | 47 | $52 | $214 |
| 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. |
47 | $118 | $486 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
40 | $162 | $684 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
39 | $129 | $548 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
38 | $110 | $526 |
| Relocation of upper arm vein to artery for hemodialysis A surgical procedure to move a vein from the upper arm and connect it to an artery to create access for hemodialysis. |
33 | $532 | $2,081 |
| Arm vein relocation with artery connection for hemodialysis A surgical procedure to move a vein in the arm and connect it to an artery to create access for hemodialysis. |
32 | $464 | $1,875 |
| Revision of hemodialysis graft A procedure to repair or restore the function of a surgically created blood vessel connection used for hemodialysis. |
29 | $536 | $2,143 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
22 | $137 | $523 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
21 | $60 | $244 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
18 | $13 | $43 |
| Arterial thrombectomy, chest, neck, or brain A procedure to remove a blood clot and part of an artery in the chest, neck, or brain. |
16 | $797 | $3,193 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
16 | $36 | $145 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
13 | $63 | $236 |
| New patient office visit, complex (60-74 min) | 13 | $156 | $641 |
| Radiologist review of abdominal aorta image A radiologist reviews images of the abdominal aorta to evaluate the blood vessel. |
11 | $51 | $192 |
| Pre-operative ultrasound for hemodialysis access A complete ultrasound assessment of artery and vein blood flow performed before surgery to evaluate hemodialysis access. |
11 | $65 | $377 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
11 | $9 | $36 |
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.
5.1% high complexity
50.4% medium
44.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,465
Total received (2018-2024)
Avg $1,066/year across 7 years
Top 33% in TX for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
176
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
$651
2023
$2,017
2022
$1,794
2021
$790
2020
$416
2019
$701
2018
$1,097
Payments by company (2024)
Inari Medical, Inc.
$176
Janssen Pharmaceuticals, Inc
$158
BIOTRONIK INC.
$97
LeMaitre Vascular, Inc.
$71
W. L. Gore & Associates, Inc.
$50
Boston Scientific Corporation
$32
Medtronic, Inc.
$27
Abbott Laboratories
$26
Teleflex LLC
$15
Top 3 companies account for 66.1% of 2024 payments
All-time payments by company (2018-2024) ›
W. L. Gore & Associates, Inc.
$1,231
Medtronic Vascular, Inc.
$1,124
Silk Road Medical, Inc.
$923
AngioDynamics, Inc.
$768
Janssen Pharmaceuticals, Inc
$689
Endologix LLC
$545
Inari Medical, Inc.
$410
Endologix, Inc.
$321
Tactile Systems Technology Inc
$229
LeMaitre Vascular, Inc.
$201
Bolton Medical Inc
$161
CARDIVA MEDICAL, INC.
$144
Shockwave Medical, Inc
$125
Philips Electronics North America Corporation
$124
BIOTRONIK INC.
$97
Baxter Healthcare
$95
Medtronic, Inc.
$73
Boston Scientific Corporation
$32
Cook Medical LLC
$31
Abbott Laboratories
$26
Bard Peripheral Vascular, Inc.
$18
Davol Inc.
$16
Teleflex LLC
$15
ConvaTec Inc.
$15
PFIZER INC.
$13
Amgen Inc.
$13
Kerecis Limited
$13
Smith+Nephew, Inc.
$11
Top 3 companies account for 43.9% of all-time payments
Associated products mentioned in payments ›
(6582) Visions 035 · (8306) Azurion 7 B20 · (8334) IGT D Peripheral · AFX2 Bifurcated Endograft System · ARROW · ARTEGRAFT VASCULAR GRAFT · AURYON LASER SYSTEM 100-120 VAC · Alto Abdominal Stent Graft System · Avitene Ultrafoam · C3 Delivery System · CARDIVA VASCADE 6/7F VCS · COLLAGENASE SANTYL · COOK · COVERA · ELIQUIS · ELLIPSYS VASCULAR ACCESS SYSTEM · ENHANCE Transcarotid Peripheral Access Kit · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · ESPRIT · EXCLUDER Conformable AAA Endoprosthesis with Active Control · Endurant · EverCross · EverFlex · FLEXITOUCH · FLOWTRIEVER CATHETER · Flexitouch Plus · Fortrex · GORE EXCLUDER AAA Endoprosthesis · GORE TAG Thoracic Branch Endoprosthesis · GORE VIABAHN VBX Balloon Expandable Endo · Grafts · HawkOne · IN.PACT ADMIRAL · IN.PACT Admiral · INNOVAMATRIX PD · INTELLIS ADAPTIVESTIM · Kerecis Omega3 Wound · Orsiro Mission · Ovation · PREVELEAK · Protege GPS · QT Vascular Chocolate PTA Balloon · RESTOREFLOW · ReCross · Relay Grafts · Relay Plus · Repatha · S · SilverHawk · SpiderFX · TrailBlazer · TurboHawk · Vascular Lithotripsy · Viance · XARELTO
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
Surgerists in nearby ZIP areas
276
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL
0.0 mi
0.0 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. Toursarkissian is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with 20 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. Toursarkissian experienced with ultrasound of arm and leg arteries?
Based on Medicare claims data, Dr. Toursarkissian performed 440 ultrasound of arm and leg arteries 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. Toursarkissian receive payments from pharmaceutical companies?
Yes. Dr. Toursarkissian received a total of $7,465 from 28 companies across 176 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. Toursarkissian's costs compare to other surgerists in San Antonio?
Dr. Toursarkissian's average Medicare payment per service is $94. 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. Toursarkissian) 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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