Medicare Enrolled

Dr. Thomas Nettleton, OD

Optometrist · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Mixed engagement
9725 DATAPOINT DR STE 106, San Antonio, TX 78229
2105852020
In practice since 2016 (9 years)
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 →
Are you Dr. Nettleton? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Nettleton

Dr. Thomas Nettleton is an optometrist in San Antonio, TX, with 9 years of NPI registration. Based on federal Medicare data, Dr. Nettleton performed 552 Medicare services across 395 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nettleton received a total of $9,563 from 34 pharmaceutical and/or device companies across 139 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optometrist. 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. Nettleton 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.

✓ 9 years in practice ▲ Top 21% volume in TX $9,563 industry payments

Medicare Practice Summary

Medicare Utilization ↗
552
Medicare services
Top 21% in TX for optometrist
395
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~61 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
Corneal topography and eye depth measurement 313 $17 $305
New patient office visit (45-59 min) 143 $105 $200
Office visit, established patient (30-39 min) 41 $85 $295
Retinal imaging (OCT scan) 29 $26 $100
Visual field test, extended 14 $42 $150
Optic nerve imaging (OCT scan) 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. A higher procedure volume generally indicates more experience with that procedure.

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
34
Companies
139
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
$4,078 (42.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$3,254 (34.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,230 (23.3%)

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)

Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 (43%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for optometrist in TX.

Equivalent to $1,732 per 100 Medicare services performed
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 within 10 mi
436
Per 100K population
21.4
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. Nettleton is a clinical cardiology specialist, with above-average Medicare volume (top 21% in TX), with mixed engagement industry engagement in the top 3% of TX peers.

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. 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. 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. Nettleton receive payments from pharmaceutical companies?
Yes. Dr. Nettleton received a total of $9,563 from 34 companies across 139 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. 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 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 →