https://doctransparency.com/doctor/tx/san-antonio/ellen-duncan-1972535508
Medicare Enrolled

Dr. Ellen Duncan, M.D.

Anesthesiology · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
300 E SONTERRA BLVD STE 340, San Antonio, TX 78258
2108022522
In practice since 2006 (19 years)
NPI: 1972535508 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. Duncan 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. Duncan? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Duncan

Dr. Ellen Duncan is an anesthesiology in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Duncan performed 7,001 Medicare services across 2,254 unique beneficiaries.

Between the years covered by Open Payments, Dr. Duncan received a total of $6,085 from 35 pharmaceutical and/or device companies across 384 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. 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. Duncan 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▲ Top 1% volume in TX$ $6,085 industry payments

Medicare Practice Summary

Medicare Utilization ↗
7,001
Medicare services
Top 1% in TX for anesthesiology
2,254
Unique beneficiaries
$78
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~368 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)3,015$91$262
Contrast dye for imaging (iodine-based)1,343$0$1
Injection, methylprednisolone acetate, 40 mg427$6$18
Office visit, established patient (20-29 min)393$64$201
Injection, propofol, 10 mg242$0$1
Injection, midazolam hydrochloride, per 1 mg219$0$3
Injection, ketorolac tromethamine, per 15 mg157$0$19
Injection of substance into lower spine canal using imaging guidance149$191$406
Injection, methylprednisolone acetate, 20 mg125$4$11
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level115$215$480
New patient office visit (45-59 min)109$112$273
Drug injection, under skin or into muscle87$11$44
Insertion of spinal neurostimulator electrode array through skin84$1,322$3,277
Injection of substance into middle or upper spine canal using imaging guidance81$196$431
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes62$38$81
Injection of trigger points, 3 or more muscles58$42$165
Joint injection, major joint58$52$175
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level52$91$174
Injection of lower or sacral spine facet joint using imaging guidance, single level43$164$410
Fluoroscopic guidance for needle placement43$85$167
Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming36$43$255
Injection of lower or sacral spine facet joint using imaging guidance, second level27$80$207
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint26$461$1,050
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint18$253$487
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance17$137$576
Injection of upper or middle spine facet joint using imaging guidance, single level15$181$440
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 ↗
$6,085
Total received (2018-2024)
Avg $869/year across 7 years
Top 6% in TX for anesthesiology
35
Companies
384
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
$6,085 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$734
2023
$982
2022
$1,034
2021
$740
2020
$843
2019
$1,007
2018
$745

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$3,320
Boston Scientific Corporation
$609
BOSTON SCIENTIFIC CORPORATION
$304
Medtronic, Inc.
$174
Teva Pharmaceuticals USA, Inc.
$159
Nuvectra Corporation
$148
Medtronic USA, Inc.
$143
Collegium Pharmaceutical, Inc.
$141
Relievant Medsystems, Inc.
$115
Amgen Inc.
$111
Stimwave Technologies Incorporated
$99
SI-BONE, INC.
$95
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$89
Scilex Pharmaceuticals Inc.
$69
Saluda Medical Americas, Inc.
$57
ARBOR PHARMACEUTICALS, INC.
$53
SI-BONE, Inc.
$50
INSYS Therapeutics Inc
$38
Daiichi Sankyo Inc.
$35
Egalet US Inc
$31
Allergan, Inc.
$25
Horizon Pharma plc
$24
Horizon Therapeutics plc
$23
Kaleo, Inc.
$21
Averitas Pharma Inc.
$17
Abbott Laboratories
$17
Takeda Pharmaceuticals U.S.A., Inc.
$16
RedHill Biopharma Inc.
$15
Zyla Life Sciences, Inc.
$14
DePuy Synthes Sales Inc.
$14
Shionogi Inc
$12
BioDelivery Sciences International, Inc.
$12
Lilly USA, LLC
$12
Purdue Pharma L.P.
$11
PFIZER INC.
$11
Top 3 companies account for 69.6% of total payments
Associated products mentioned in payments ›
AJOVY · Aimovig · Algovita · Amitiza · BELBUCA · Belbuca · DUEXIS · EMGALITY · Evoke · Evzio · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · Horizant · IFUSE IMPLANT · INTELLIS · Intracept · LYRICA · MONOVISC · Movantik · Omnia · QUTENZA · RAYOS · RELISTOR · SCS IPGs · SPECTRA WAVEWRITER · SPRIX · SUBSYS · SYMPROIC · Senza · Senza Spinal Cord Stimulation System · Symproic · UBRELVY · XTAMPZA · Xtampza ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · iFuse Implant
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for anesthesiology in TX.

Equivalent to $87 per 100 Medicare services performed
Looking for a anesthesiology in San Antonio?
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Geographic Context

Anesthesiologys within 10 mi
470
Per 100K population
23.1
County median income
$70,571
Nearest hospital
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
0.0 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. Duncan is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), and high industry engagement (low-engagement, top 6%), 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. Duncan experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Duncan performed 3,015 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. Duncan receive payments from pharmaceutical companies?
Yes. Dr. Duncan received a total of $6,085 from 35 companies across 384 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. Duncan's costs compare to other anesthesiologys in San Antonio?
Dr. Duncan's average Medicare payment per service is $78. 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. Duncan) 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 →