Medicare Enrolled

Dr. Thomas Nettleton, OD

Optometrist · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
9725 DATAPOINT DR STE 106, San Antonio, TX 78229
2105852020
Registered in NPPES since 2016
NPI: 1497108435 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. Nettleton 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. Nettleton

Dr. Thomas Nettleton is an optometrist in San Antonio, TX, with 10 years of NPI registration. Based on federal Medicare data, Dr. Nettleton performed 552 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Nettleton received a total of $9,563 from 34 pharmaceutical and/or device companies across 139 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Nettleton is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 10 years of NPI registration ▲ Top 21% volume in TX $9,563 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
552
Medicare services
Top 21% in TX for optometrist
Not available
Unique patients (not deduplicated)
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
313 $17 $305
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.
143 $105 $200
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.
41 $85 $295
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
29 $26 $100
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.
14 $42 $150
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
12 $21 $100
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$9,563
Total received (2018-2024)
Avg $1,366/year across 7 years
Top 3% in TX for optometrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
139
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$890
2023
$954
2022
$3,954
2021
$2,480
2020
$351
2019
$504
2018
$429

Payments by company (2024)

BIOTISSUE HOLDINGS INC.
$159
SUN PHARMACEUTICAL INDUSTRIES INC.
$158
ABBVIE INC.
$137
Amgen Inc.
$125
RxSight Inc
$59
Johnson & Johnson Surgical Vision, Inc.
$51
Bausch & Lomb Americas Inc.
$41
Harrow Eye, LLC
$37
ANI Pharmaceuticals, Inc.
$34
Oyster Point Pharma, Inc.
$26
Thea Pharma Inc.
$26
Ocular Therapeutix, Inc.
$21
Dompe US, Inc.
$15
Top 3 companies account for 51.0% of 2024 payments
All-time payments by company (2018-2024) ›
GLAUKOS CORPORATION
$3,254
Glaukos Corporation
$2,289
Johnson & Johnson Surgical Vision, Inc.
$534
BIOTISSUE HOLDINGS, INC.
$326
Sun Pharmaceutical Industries Inc.
$296
ABBVIE INC.
$245
Quidel Corporation
$210
TissueTech, Inc.
$204
SUN PHARMACEUTICAL INDUSTRIES INC.
$201
Shire North American Group Inc
$181
RxSight Inc
$177
Novartis Pharmaceuticals Corporation
$163
BIOTISSUE HOLDINGS INC.
$159
Bausch & Lomb, a division of Bausch Health US, LLC
$140
Horizon Therapeutics plc
$140
Amgen Inc.
$125
Oyster Point Pharma, Inc.
$109
BioTissue Holdings, Inc.
$94
Allergan Inc.
$87
Bausch & Lomb Americas Inc.
$82
OPTOVUE, INC.
$70
Dompe US, Inc.
$69
Sight Sciences, Inc.
$66
Alcon Vision LLC
$50
Thea Pharma Inc.
$48
TISSUETECH, INC.
$46
Optos, Inc.
$42
Harrow Eye, LLC
$37
ANI Pharmaceuticals, Inc.
$34
Ocular Therapeutix, Inc.
$21
Allergan, Inc.
$20
Oasis Medical, Inc.
$16
TearLab Corp
$14
STAAR SURGICAL COMPANY
$13
Top 3 companies account for 63.6% of all-time payments
Associated products mentioned in payments ›
AMO PHACO NEEDLE · Catalys Laser System · Cequa · DEXTENZA · DURYSTA · Eye Health · IACCESS · IHEEZO · IOL · ISTENT INJECT W · KXL System · KXL system (not refurbished) · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LOTEMAX · LOTEMAX SM · LUMIGAN · MIEBO · NFC-700 · OASIS TEARS · OMNI · OXERVATE · OZURDEX · One Series Ultra · One Series Ultra IOL Delivery System · PROKERA · PURIFIED CORTROPHIN GEL · Phacofragmentation Accessories · Prokera · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · RXSIGHT INJECTOR HANDPIECE · TEARLAB OSMOLARITY SYSTEM · TECNIS IOL · TEPEZZA · TYRVAYA · TearCare · TearScience Lipiview System · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Simplicity · VUITY · VYZULTA · Wavelight Refractive Suite · XIIDRA · XR · ZYLET · iStent infinite Trabecular Micro-Bypass System Model iS3 · iStent inject Trabecular Micro-Bypass System Model G2-M-IS
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an optometrist in San Antonio?
Compare optometrists in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Optometrists in nearby ZIP areas
436
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
UNIVERSITY HEALTH SYSTEM
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Nettleton is a clinical cardiology specialist, with above-average Medicare volume (top 21% in TX).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Nettleton experienced with corneal topography and eye depth measurement?
Based on Medicare claims data, Dr. Nettleton performed 313 corneal topography and eye depth measurement services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Nettleton receive payments from pharmaceutical companies?
Yes. Dr. Nettleton received a total of $9,563 from 34 companies across 139 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Nettleton's costs compare to other optometrists in San Antonio?
Dr. Nettleton's average Medicare payment per service is $46. 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. Nettleton) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →