Medicare Enrolled

Dr. Carl Dukes, MD

Optician · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
2011 E HOUSTON ST, San Antonio, TX 78202
2102271717
In practice since 2006 (19 years)
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 →
Are you Dr. Dukes? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Dukes

Dr. Carl Dukes is an optician in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Dukes performed 805 Medicare services across 271 unique beneficiaries.

Between the years covered by Open Payments, Dr. Dukes received a total of $273,074 from 47 pharmaceutical and/or device companies across 1003 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. 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. 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▲ 805 Medicare services$ $273,074 industry payments

Medicare Practice Summary

Medicare Utilization ↗
805
Medicare services
Bottom 45% in TX for optician
271
Unique beneficiaries
$102
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~42 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)607$67$364
Dialysis services, 4 or more physician visits per month (20 years or older)141$266$1,054
New patient office visit (45-59 min)31$98$474
Telephone medical discussion with physician, 21-30 minutes26$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. A higher procedure volume generally indicates more experience with that procedure.

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
47
Companies
1,003
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$257,107 (94.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$15,592 (5.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$375 (0.1%)

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)

Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 (94%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in optician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for optician in TX.

Equivalent to $33,922 per 100 Medicare services performed
Looking for a optician 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 within 10 mi
189
Per 100K population
9.3
County median income
$70,571
Nearest hospital
BAPTIST MEDICAL CENTER
1.6 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. Dukes is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 2%), 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. 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. 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. Dukes receive payments from pharmaceutical companies?
Yes. Dr. Dukes received a total of $273,074 from 47 companies across 1,003 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. 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 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 →