Medicare Enrolled

Dr. David Januszewski, DPM

Foot & Ankle Surgery Podiatrist · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4025 E SOUTHCROSS BLVD STE 7, San Antonio, TX 78222
2106500314
In practice since 2017 (8 years)
NPI: 1659892776 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. Januszewski 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. Januszewski? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Januszewski

Dr. David Januszewski is a foot & ankle surgery podiatrist in San Antonio, TX, with 8 years of NPI registration. Based on federal Medicare data, Dr. Januszewski performed 1,354 Medicare services across 729 unique beneficiaries.

Between the years covered by Open Payments, Dr. Januszewski received a total of $8,223 from 33 pharmaceutical and/or device companies across 134 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in foot & ankle surgery podiatrist. 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. Januszewski 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.

✓ 8 years in practice ▲ Top 36% volume in TX $8,223 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,354
Medicare services
Top 36% in TX for foot & ankle surgery podiatrist
729
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~169 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.

Procedure Volume Avg. paid Avg. submitted
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.
377 $63 $89
Toenail/fingernail removal, 6+ nails
Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session.
190 $30 $45
Skin and tissue removal, 20 sq cm or less
This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller.
173 $92 $127
Foot X-ray, 3+ views
An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints.
158 $23 $36
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.
79 $71 $109
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
54 $57 $73
Ankle X-ray, minimum 3 views
An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints.
43 $26 $40
Permanent removal fingernail or toenail 36 $96 $163
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
35 $126 $206
Injection, methylprednisolone acetate, 40 mg 33 $2 $3
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.
31 $79 $127
Wound tissue removal, 20 sq cm or less
This procedure involves the removal of tissue from a wound area measuring 20 square centimeters or less.
26 $73 $94
Removal of thickened skin growths, 2-4
This procedure involves the removal of two to four benign, thickened skin growths. It is a minor surgical intervention to eliminate non-cancerous skin lesions.
25 $58 $82
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.
21 $102 $164
X-ray of foot, 2 views
An X-ray imaging test of the foot using two different angles to create pictures of the bones and joints.
19 $20 $29
Simple separation of fingernail or toenail from nail bed, first nail
A procedure to separate the first fingernail or toenail from the underlying nail bed.
17 $80 $114
Destruction of skin growths (warts/lesions), 1-14
This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface.
13 $63 $111
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.
12 $56 $81
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 12 $62 $97
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 ↗
$8,223
Total received (2018-2024)
Avg $1,175/year across 7 years
Top 25% in TX for foot & ankle surgery podiatrist
33
Companies
134
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
$5,799 (70.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,168 (26.4%)
Other
Charitable contributions, space rental, and other categories
$255 (3.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,931
2023
$566
2022
$1,182
2021
$342
2020
$2,123
2019
$1,465
2018
$614

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medinc of Texas
$1,271
Medical Device Business Services, Inc.
$950
Stryker Corporation
$936
Mission Medical Distribution, LLC
$754
Integra LifeSciences Corporation
$715
TREACE MEDICAL CONCEPTS, INC.
$681
Wright Medical Technology, Inc.
$545
Arthrex, Inc.
$293
Paratek Pharmaceuticals, Inc.
$229
Organogenesis Inc.
$229
Sanara MedTech Inc.
$223
Melinta Therapeutics, LLC
$181
ABBVIE INC.
$173
Smith+Nephew, Inc.
$172
Trilliant Surgical LLC.
$168
Anika Therapeutics, Inc.
$110
DePuy Synthes Sales Inc.
$78
KCI USA, Inc.
$50
Zimmer Biomet Holdings, Inc.
$49
Flower Orthopedics Coporation
$46
Kerecis Limited
$42
IBSA Pharma Inc.
$42
Bioventus LLC
$38
Acera Surgical, Inc.
$34
Musculoskeletal Transplant Foundation Inc.
$34
Atland Pharmaceuticals, LLC
$30
ConvaTec Inc.
$30
Nabriva Therapeutics, plc
$26
HARTMANN USA, INC.
$23
Cardiovascular Systems Inc.
$21
Nevro Corp.
$18
GRT US Holding, Inc.
$17
Medtronic, Inc.
$15
Top 3 companies account for 38.4% of total payments
Associated products mentioned in payments ›
ACell · ANCHORAGE · ASNIS · ASPIRIN AND CAFFEINE · AccuFill · Arsenal · BILAYER WOUND MATRIX (BWM) · BIO4 · Bone Anchors with Arthroscopic Delivery System · CARTIVA · CHARLOTTE · COLLAGENASE SANTYL · CROSSCHECK · CellerateRx · DALVANCE · Exogen Ultrasound Bone Healing System · GRAFIX PL · INNOVAMATRIX AC · INTELLIS ADAPTIVESTIM · Kerecis Omega3 SurgiClose · Kimyrsa · LAPIPLASTY SYSTEM · LICART · MINIRAIL · MOTOBAND · N/A · NUZYRA · ORPHENADRINE CITRATE · ORTHOLOC · Omnia · Orbactiv · PREVENA RESTOR AXIO-FORM · PROLAYER · Puraply · Qutenza · Restrata Wound Matrix · SALTO TALARIS TOTAL ANKLE PROSTHESIS · SALVATION · SONICANCHOR · SONICPIN · SPY-PHI SYSTEM · Sivextro · TEFLARO · Tactoset · Tirosint · V.A.C. DERMATAC · VARIAX · VITOSS · Zetuvit Plus
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 (70%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $607 per 100 Medicare services performed
Looking for a foot & ankle surgery podiatrist in San Antonio?
Compare foot & ankle surgery podiatrists in the San Antonio area by procedure volume, costs, and industry payment transparency.
Browse foot & ankle surgery podiatrists nearby

Geographic Context

Foot & ankle surgery podiatrists within 10 mi
70
Per 100K population
3.4
County median income
$70,571
Nearest hospital
SAN ANTONIO STATE HOSP STATE SCHOOL
3.1 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/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. Januszewski is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

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. Januszewski experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Januszewski performed 377 office visit, established patient (20-29 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. Januszewski receive payments from pharmaceutical companies?
Yes. Dr. Januszewski received a total of $8,223 from 33 companies across 134 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. Januszewski's costs compare to other foot & ankle surgery podiatrists in San Antonio?
Dr. Januszewski's average Medicare payment per service is $58. 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. Januszewski) 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 →