Medicare Enrolled

Dr. Misty Trevino, MSN, RN, FNP-C

Nurse Practitioner - Family · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
11212 HIGHWAY 151, San Antonio, TX 78251
2104509920
In practice since 2014 (11 years)
NPI: 1881096709 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. Trevino 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. Trevino

Dr. Misty Trevino is a nurse practitioner - family in San Antonio, TX, with 11 years of NPI registration. Based on federal Medicare data, Dr. Trevino performed 182 Medicare services across 121 unique beneficiaries.

Between the years covered by Open Payments, Dr. Trevino received a total of $1,472 from 29 pharmaceutical and/or device companies across 66 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Trevino 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.

✓ 11 years in practice ▲ 182 Medicare services $1,472 industry payments

Medicare Practice Summary

Medicare Utilization ↗
182
Medicare services
Bottom 45% in TX for nurse practitioner - family
121
Unique beneficiaries
$39
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~17 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 (30-39 min) 96 $69 $266
Drug injection, under skin or into muscle 35 $8 $41
Blood glucose (sugar) test performed by hand-held instrument 30 $3 $8
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 21 $1 $5
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 ↗
$1,472
Total received (2021-2024)
Avg $368/year across 4 years
Top 21% in TX for nurse practitioner - family
29
Companies
66
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
$1,325 (90.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$147 (10.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$299
2023
$456
2022
$472
2021
$246

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$183
Astellas Pharma US Inc
$147
AIMMUNE THERAPEUTICS, INC.
$133
EMD Serono, Inc.
$126
TG THERAPEUTICS, INC.
$120
ABBVIE INC.
$118
SANOFI-AVENTIS U.S. LLC
$64
Lilly USA, LLC
$47
Abbott Laboratories
$47
Bayer Healthcare Pharmaceuticals Inc.
$40
Amgen Inc.
$40
Dynavax Technologies Corporation
$39
Sumitomo Pharma America, Inc.
$37
Sunovion Pharmaceuticals Inc.
$33
Biohaven Pharmaceutical Holding Company Ltd.
$32
Alexion Pharmaceuticals, Inc.
$31
Genentech USA, Inc.
$25
Exact Sciences Corporation
$25
AbbVie Inc.
$24
GENZYME CORPORATION
$23
Ultragenyx Pharmaceutical Inc.
$19
Bayer HealthCare Pharmaceuticals Inc.
$18
Teva Pharmaceuticals USA, Inc.
$17
Nestle HealthCare Nutrition Inc.
$17
GlaxoSmithKline, LLC.
$15
Merck Sharp & Dohme LLC
$14
CSL Behring
$13
Otsuka America Pharmaceutical, Inc.
$13
Boehringer Ingelheim Pharmaceuticals, Inc.
$13
Top 3 companies account for 31.4% of total payments
Associated products mentioned in payments ›
APTIOM · AUBAGIO · Austedo XR · BRIUMVI · Cologuard Collection Kit · Crysvita · EMGALITY · Enbrel · FREESTYLE LIBRE 3 · GARDASIL 9 · GEMTESA · Heplisav-B · Hizentra · JYNARQUE · KYNMOBI · Kerendia · MOUNJARO · NURTEC ODT · OCREVUS · OFEV · Otezla · Ozempic · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SOLIRIS · TOUJEO · UBRELVY · VRAYLAR · ZENPEP
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 (90%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $809 per 100 Medicare services performed
Looking for a nurse practitioner - family in San Antonio?
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Geographic Context

Family nurse practitioners within 10 mi
1,470
Per 100K population
72.2
County median income
$70,571
Nearest hospital
WESTOVER HILLS BAPTIST HOSPITAL
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. Trevino 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. Trevino experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Trevino performed 96 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. Trevino receive payments from pharmaceutical companies?
Yes. Dr. Trevino received a total of $1,472 from 29 companies across 66 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. Trevino's costs compare to other family nurse practitioners in San Antonio?
Dr. Trevino's average Medicare payment per service is $39. 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. Trevino) 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 →