Medicare Enrolled

Dr. Tomy Starck, MD

Ophthalmology · San Antonio, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
6818 HEUERMANN ROAD, San Antonio, TX 78256
2103085550
In practice since 2007 (19 years)
NPI: 1972641751 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. Starck 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. Starck? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Starck

Dr. Tomy Starck is an ophthalmology specialist in San Antonio, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Starck performed 3,082 Medicare services across 2,549 unique beneficiaries.

Between the years covered by Open Payments, Dr. Starck received a total of $5,722 from 24 pharmaceutical and/or device companies across 178 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. Starck 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 31% volume in TX $5,722 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,082
Medicare services
Top 31% in TX for ophthalmology
2,549
Unique beneficiaries
$94
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~162 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 1,144 $80 $150
Retinal imaging (OCT scan) 318 $26 $50
Eye exam, established patient, focused 307 $62 $125
Comprehensive eye exam, new patient 210 $84 $179
Cataract surgery with lens implant 180 $404 $800
Removal of recurring cataract in lens capsule using a laser 174 $249 $525
Optic nerve imaging (OCT scan) 172 $24 $45
Corneal topography and eye depth measurement 153 $34 $95
Ct scan of cornea 148 $25 $40
Ultrasound scan of cornea to determine thickness 68 $7 $15
New patient office visit (45-59 min) 63 $113 $235
Visual field test, extended 56 $41 $75
Removal of eye fluid 41 $93 $200
Removal of foreign body in cornea using slit lamp 23 $43 $200
Complex removal of cataract with insertion of prosthetic lens 14 $562 $925
Imaging of front third of eye using a special microscope 11 $28 $40
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.
5.8% high complexity
23.3% medium
70.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,722
Total received (2018-2024)
Avg $817/year across 7 years
Top 20% in TX for ophthalmology
24
Companies
178
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
$3,390 (59.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,332 (40.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$628
2023
$433
2022
$623
2021
$770
2020
$280
2019
$2,615
2018
$372

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Johnson & Johnson Surgical Vision, Inc.
$2,713
Alcon Vision LLC
$1,093
Bausch & Lomb Americas Inc.
$323
Bausch & Lomb, a division of Bausch Health US, LLC
$255
Novartis Pharmaceuticals Corporation
$246
Carl Zeiss Meditec USA, Inc.
$137
Sight Sciences, Inc.
$130
Oyster Point Pharma, Inc.
$121
Kala Pharmaceuticals, Inc.
$120
Allergan, Inc.
$104
Harrow Eye, LLC
$99
Shire North American Group Inc
$85
Tarsus Pharmaceuticals, Inc.
$51
Sun Pharmaceutical Industries Inc.
$48
CooperVision Inc.
$32
AbbVie Inc.
$29
TearLab Corp
$28
Mallinckrodt Hospital Products Inc.
$17
Allergan Inc.
$17
Amgen Inc.
$17
Aerie Pharmaceuticals, Inc.
$16
Dompe US, Inc.
$15
Ethicon US, LLC
$14
RxSight Inc
$13
Top 3 companies account for 72.2% of total payments
Associated products mentioned in payments ›
ACTHAR · ARGOS · ATLAS 9000 · AcrySof IQ PanOptix · AcrySof IQ PanOptix UV IOL · AcrySof IQ VIVITY · AcrySof IQ VIVITY IOL · BROMSITE · CATALYS SYSTEM · COMBIGAN · Centurion · Cequa · Clareon · Clariti Contact Lens · DUREZOL · DURYSTA · EVICEL · EYSUVIS · HYDRUS Microstent · ILEVRO · INVELTYS · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LOTEMAX · LOTEMAX GEL · LOTEMAX SM · LUMIGAN · MIEBO · OMNI SURGICAL SYSTEM · OMNI(R) SURGICAL SYSTEM (US) · OXERVATE · One Series Ultra · One Series Ultra IOL Delivery System · PROLENSA · RESTASIS · RESTASIS MULTIDOSE · ReSTOR · Rocklatan · Simbrinza · TEARLAB OSMOLARITY SYSTEM · TEPEZZA · TOTAL30 · TRAVATAN Z · TYRVAYA · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Simplicity · Tecnis Symfony IOL · VEVYE · VYZULTA · XDEMVY · 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 (59%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $186 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.
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Geographic Context

Ophthalmologists within 10 mi
164
Per 100K population
8.0
County median income
$70,571
Nearest hospital
LEGENT ORTHOPEDIC + SPINE
3.9 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. Starck is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 20% of TX peers, 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. Starck experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Starck performed 1,144 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. Starck receive payments from pharmaceutical companies?
Yes. Dr. Starck received a total of $5,722 from 24 companies across 178 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. Starck's costs compare to other ophthalmologists in San Antonio?
Dr. Starck's average Medicare payment per service is $94. 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. Starck) 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 →