Medicare Enrolled

Dr. Carl Dukes, MD

Optician · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
2011 E HOUSTON ST, San Antonio, TX 78202
2102271717
Registered in NPPES since 2006
NPI: 1154334464 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. Dukes 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. Dukes

Dr. Carl Dukes is an optician specialist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Dukes performed 805 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Dukes received a total of $273,074 from 47 pharmaceutical and/or device companies across 1003 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. Dukes 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 ▲ 805 Medicare services $273,074 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
805
Medicare services
Bottom 45% in TX for optician
Not available
Unique patients (not deduplicated)
$102
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 (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.
607 $67 $364
Dialysis services for patients 20 or older
Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month.
141 $266 $1,054
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.
31 $98 $474
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
26 $38 $380
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 ↗
$273,074
Total received (2018-2024)
Avg $39,011/year across 7 years
Top 2% in TX for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
1,003
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
$11,182
2023
$44,862
2022
$48,277
2021
$37,737
2020
$18,405
2019
$60,071
2018
$52,541

Payments by company (2024)

AstraZeneca Pharmaceuticals LP
$7,581
Travere Therapeutics, Inc.
$475
Amgen Inc.
$421
Bayer Healthcare Pharmaceuticals Inc.
$405
OPKO Pharmaceuticals, LLC
$342
Novo Nordisk Inc
$290
Lilly USA, LLC
$237
CorMedix Inc.
$216
Ardelyx, Inc.
$211
Vifor Pharma, Inc.
$174
Novartis Pharmaceuticals Corporation
$152
CALLIDITAS THERAPEUTICS US INC.
$145
Abbott Laboratories
$124
Otsuka America Pharmaceutical, Inc.
$101
Mannkind Corporation
$100
AKEBIA THERAPEUTICS INC
$87
Fresenius USA Marketing, Inc.
$41
ANI Pharmaceuticals, Inc.
$30
Boehringer Ingelheim Pharmaceuticals, Inc.
$26
Dexcom, Inc.
$22
Top 3 companies account for 75.8% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$202,281
Amgen Inc.
$44,121
Janssen Pharmaceuticals, Inc
$11,484
Novo Nordisk Inc
$2,549
Lilly USA, LLC
$1,137
OPKO Pharmaceuticals, LLC
$1,118
Horizon Therapeutics plc
$922
Otsuka America Pharmaceutical, Inc.
$919
Bayer Healthcare Pharmaceuticals Inc.
$919
Travere Therapeutics, Inc.
$876
Mallinckrodt Hospital Products Inc.
$706
Fresenius USA Marketing, Inc.
$459
Boehringer Ingelheim Pharmaceuticals, Inc.
$456
Mallinckrodt Enterprises LLC
$429
GlaxoSmithKline, LLC.
$379
CALLIDITAS THERAPEUTICS US INC.
$370
AKEBIA THERAPEUTICS INC
$328
Calliditas Therapeutics US Inc.
$328
Bayer HealthCare Pharmaceuticals Inc.
$327
Vifor Pharma, Inc.
$296
Abbott Laboratories
$288
SANOFI-AVENTIS U.S. LLC
$275
Novartis Pharmaceuticals Corporation
$243
Ardelyx, Inc.
$239
CorMedix Inc.
$216
Aurinia Pharma U.S., Inc.
$164
Esperion Therapeutics, Inc.
$155
Takeda Pharmaceuticals U.S.A., Inc.
$138
MannKind Corporation
$130
Mannkind Corporation
$121
Genentech, Inc.
$103
Exeltis, USA Inc.
$91
ANI Pharmaceuticals, Inc.
$91
Merck Sharp & Dohme Corporation
$60
ARBOR PHARMACEUTICALS, INC.
$45
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$44
Xeris Pharmaceuticals, Inc.
$37
Shield Therapeutics Inc
$37
Kowa Pharmaceuticals America, Inc.
$30
BAXTER HEALTHCARE
$28
Dexcom, Inc.
$22
Amicus Therapeutics, Inc.
$22
Horizon Pharma plc
$21
Relypsa, Inc.
$21
Allergan Inc.
$21
Alexion Pharmaceuticals, Inc.
$15
Acerus Pharmaceuticals Corporation
$13
Top 3 companies account for 94.4% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ACTHAR · AFREZZA · Auryxia · BENLYSTA · BRILINTA · BYSTOLIC · Bidil · DefenCath · Dexcom G6 Transmitter · ENTRESTO · Edarbyclor · FARXIGA · FREESTYLE LIBRE 3 · Fabhalta · FreeStyle Libre 2 · GALAFOLD · GATTEX · GVOKE PFS · IBSRELA · INVOKANA · JANUVIA · JARDIANCE · JYNARQUE · KRYSTEXXA · Kerendia · LEQVIO · LOKELMA · LUPKYNIS · Livalo · MOUNJARO · NEXLETOL · NEXLIZET · Natesto · Otezla · Ozempic · PURIFIED CORTROPHIN GEL · Parsabiv · RAYALDEE · RYBELSUS · Renal - Amia · Repatha · Rybelsus · SAMSCA · SOLIQUA · SOLIQUA 100/33 · SOLIRIS · TARPEYO · TAVNEOS · TOUJEO · TRULICITY · Tresiba · Uloric · Vafseo · Velphoro · Veltassa · Victoza · Wegovy · XARELTO · XIFAXAN · XPHOZAH 30 MG · Xofluza · Xultophy 100/3.6
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 →
Looking for an optician specialist in San Antonio?
Compare opticians in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Opticians in nearby ZIP areas
189
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
BAPTIST MEDICAL CENTER
1.6 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. Dukes is a clinical cardiology specialist, with moderate Medicare volume, 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. Dukes experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Dukes performed 607 office visit, established patient (30-39 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. Dukes receive payments from pharmaceutical companies?
Yes. Dr. Dukes received a total of $273,074 from 47 companies across 1,003 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. Dukes's costs compare to other opticians in San Antonio?
Dr. Dukes's average Medicare payment per service is $102. 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. Dukes) 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 →
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.

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →