Medicare Enrolled

Dr. Gregory Brunin, M.D.

Ophthalmology · San Antonio, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
5430 FREDERICKSBURG RD STE 100, San Antonio, TX 78229
2103401212
In practice since 2012 (13 years)
NPI: 1043579733 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. Brunin 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. Brunin? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Brunin

Dr. Gregory Brunin is an ophthalmology specialist in San Antonio, TX, with 13 years of NPI registration. Based on federal Medicare data, Dr. Brunin performed 4,727 Medicare services across 3,954 unique beneficiaries.

Between the years covered by Open Payments, Dr. Brunin received a total of $2,141 from 29 pharmaceutical and/or device companies across 77 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Brunin 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.

✓ 13 years in practice ▲ Top 18% volume in TX $2,141 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,727
Medicare services
Top 18% in TX for ophthalmology
3,954
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~364 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
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
1,305 $80 $145
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
707 $60 $100
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
515 $28 $80
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
311 $29 $150
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
229 $22 $80
CT scan of cornea
A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye.
228 $23 $100
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.
220 $88 $145
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
200 $39 $110
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
174 $25 $115
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
164 $250 $800
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
125 $92 $195
Ultrasound scan of cornea to determine thickness
An ultrasound procedure used to measure the thickness of the cornea.
74 $7 $35
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.
58 $120 $200
Complex cataract removal with lens implant
A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision.
54 $561 $2,000
Microfluid analysis of tears
A laboratory test that analyzes tear fluid using microfluidic technology to measure specific biomarkers. This procedure helps evaluate the composition of tears for diagnostic purposes.
50 $22 $35
Eyelash removal with forceps
This procedure involves the manual removal of eyelashes using forceps. It is a mechanical extraction method performed on the eyelid area.
47 $14 $138
Tear duct plug insertion
A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface.
44 $149 $505
Release of arm or leg nerve
A surgical procedure to relieve pressure on a nerve in the arm or leg. This is done to reduce pain or restore function.
36 $196 $750
Release of nerve using operating microscope 36 $139 $500
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.
36 $39 $150
Injection, moxifloxacin, 100 mg 36 $8 $50
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
35 $420 $1,800
New patient eye exam, problem focused
A focused examination of the visual system performed during a new patient visit.
25 $52 $110
Eye drainage system examination
An examination of the internal drainage system of the eye to assess how fluid flows and drains from the eye.
18 $18 $60
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.
0.7% high complexity
22.9% medium
76.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,141
Total received (2018-2024)
Avg $306/year across 7 years
Top 45% in TX for ophthalmology
29
Companies
77
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
$2,098 (98.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$43 (2.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$651
2023
$434
2022
$411
2021
$135
2020
$133
2019
$105
2018
$271

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
RxSight Inc
$351
Novartis Pharmaceuticals Corporation
$192
Bausch & Lomb Americas Inc.
$177
AbbVie Inc.
$144
Alcon Laboratories Inc
$144
Carl Zeiss Meditec USA, Inc.
$121
TissueTech, Inc.
$116
ABBVIE INC.
$83
Oyster Point Pharma, Inc.
$79
BIOTISSUE HOLDINGS INC.
$75
Johnson & Johnson Surgical Vision, Inc.
$71
Kala Pharmaceuticals, Inc.
$66
BIOTISSUE HOLDINGS, INC.
$55
Astellas Pharma US Inc
$49
Sun Pharmaceutical Industries Inc.
$48
Bausch Health US, LLC
$43
Shire North American Group Inc
$39
Dompe US, Inc.
$34
Alcon Vision LLC
$33
TearLab Corp
$31
Omeros Corporation
$28
Harrow Eye, LLC
$25
Amgen Inc.
$25
TISSUETECH, INC.
$22
Allergan Inc.
$20
Ocular Therapeutix, Inc.
$19
Glaukos Corporation
$19
Horizon Therapeutics plc
$16
Halozyme Inc
$16
Top 3 companies account for 33.6% of total payments
Associated products mentioned in payments ›
ARTEVO 800 · AcrySof · AcrySof IQ PanOptix · CE-marked KXLA system · CVISC50 · Cequa · DEXTENZA · DUREZOL · DURYSTA · HYLENEX RECOMBINANT · INVELTYS · Izervay · LOTEMAX SM · LUMIGAN · LenSx · MIEBO · OXERVATE · Omidria · PROKERA · PROLENSA · Prokera · RXSIGHT CONTACT LENS · RXSIGHT INJECTOR HANDPIECE · ScoutPro Osmolarity System · TEARLAB OSMOLARITY SYSTEM · TEPEZZA · TYRVAYA · Tecnis IOL · Tecnis Simplicity · VERITAS Vision System · VEVYE · VUITY · VYZULTA · XIIDRA
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $45 per 100 Medicare services performed
Looking for an ophthalmology specialist in San Antonio?
Compare ophthalmologists in the San Antonio area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
164
Per 100K population
8.0
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
0.0 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. Brunin is a mixed practice specialist, with above-average Medicare volume (top 18% in TX), 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. Brunin experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Brunin performed 1,305 comprehensive eye exam, established patient 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. Brunin receive payments from pharmaceutical companies?
Yes. Dr. Brunin received a total of $2,141 from 29 companies across 77 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. Brunin's costs compare to other ophthalmologists in San Antonio?
Dr. Brunin's average Medicare payment per service is $72. 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. Brunin) 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 →