Medicare Enrolled

Dr. Michael Lepeska, M.D.

Radiation Oncology · San Antonio, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
8401 DATAPOINT DR STE 600, San Antonio, TX 78229
2106167700
In practice since 2007 (19 years)
NPI: 1043348386 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. Lepeska 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. Lepeska

Dr. Michael Lepeska is a radiation oncology specialist in San Antonio, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lepeska performed 4,766 Medicare services across 4,604 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lepeska received a total of $28 from 1 pharmaceutical and/or device company across 1 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. 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. Lepeska 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 18% volume in TX $28 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,766
Medicare services
Top 18% in TX for radiation oncology
4,604
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~251 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
Chest X-ray, 1 view 1,095 $6 $35
CT scan of abdomen and pelvis with contrast 590 $65 $353
CT scan of head/brain, without contrast 554 $30 $164
Ct scan of abdomen and pelvis without contrast 470 $63 $337
Ct scan of blood vessels of chest with contrast 267 $65 $352
CT scan of chest, without contrast 207 $38 $226
X-ray of abdomen, 1 view 162 $7 $35
Ct scan of upper spine without contrast 160 $36 $206
Ct scan of blood vessels of head with contrast 123 $62 $338
Ct scan of blood vessels of neck with contrast 119 $59 $338
Ct scan of chest with contrast 100 $41 $240
Mri scan of brain without contrast 83 $52 $288
Ct scan of blood vessels of abdomen and pelvis with contrast 67 $79 $421
Chest X-ray, 2 views 63 $7 $42
Hip X-ray, 2-3 views 54 $8 $43
Ct scan of blood vessels and grafts of heart with contrast 50 $86 $456
Ct scan of lower spine without contrast 43 $35 $194
Foot X-ray, 3+ views 41 $6 $33
Ct scan of pelvis without contrast 36 $39 $211
Shoulder X-ray, 2+ views 34 $6 $37
X-ray of knee, 1-2 views 33 $5 $33
X-ray of ankle, minimum of 3 views 31 $6 $34
Ct scan of face without contrast 26 $30 $166
X-ray of pelvis, 1-2 views 25 $6 $34
Knee X-ray, 3 views 25 $7 $37
Ct scan of leg without contrast 25 $36 $194
Imaging for evaluation of swallowing function 24 $20 $103
X-ray of thigh bone, minimum 2 views 23 $6 $37
X-ray of wrist, minimum of 3 views 22 $6 $34
Limited ultrasound scan of abdomen 22 $22 $114
Ct scan of middle spine without contrast 20 $34 $194
X-ray of lower leg, 2 views 18 $6 $33
Limited ultrasound scan behind abdominal cavity 18 $20 $111
Ultrasound study of one arm or leg veins with compression and maneuvers 17 $16 $87
X-ray of lower and sacral spine, 2-3 views 15 $8 $43
X-ray of hand, minimum of 3 views 15 $6 $34
Mri scan of abdomen without contrast 14 $54 $283
Ultrasound study of arm or leg veins with compression and maneuvers 14 $25 $133
Mri scan of brain before and after contrast 13 $84 $441
X-ray of upper arm, minimum of 2 views 13 $5 $33
3d radiographic procedure 13 $7 $38
Mri scan of lower spinal canal without contrast 11 $53 $288
X-ray of both hips, 3-4 views 11 $10 $58
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 2022 ↗
$28
Total received (2022-2022)
Bottom 15% in TX for radiation oncology
1
Company
1
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
$28 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2022
$28

Payments by company (2022)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$28
Top 3 companies account for 100.0% of total payments
Associated products mentioned in payments ›
PERCLOSE PROGLIDE
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.

Equivalent to $1 per 100 Medicare services performed
Looking for a radiation oncology specialist in San Antonio?
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Geographic Context

Radiation oncologists within 10 mi
245
Per 100K population
12.0
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 2022
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. Lepeska is a mixed practice specialist, with above-average Medicare volume (top 18% in TX), with low-engagement industry engagement, with 19 years of NPI registration.

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. Lepeska experienced with chest x-ray, 1 view?
Based on Medicare claims data, Dr. Lepeska performed 1,095 chest x-ray, 1 view 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. Lepeska receive payments from pharmaceutical companies?
Yes. Dr. Lepeska received a total of $28 from 1 company across 1 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. Lepeska's costs compare to other radiation oncologists in San Antonio?
Dr. Lepeska's average Medicare payment per service is $35. 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. Lepeska) 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 →

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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 →