Medicare Enrolled

Dr. Melissa Smith, M.D.

Ophthalmology · San Marcos, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
2430 S IH 35 STE 106, San Marcos, TX 78666
5123531300
In practice since 2006 (19 years)
NPI: 1922198621 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. Smith 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. Smith

Dr. Melissa Smith is an ophthalmology specialist in San Marcos, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 2,483 Medicare services across 2,204 unique beneficiaries.

Between the years covered by Open Payments, Dr. Smith received a total of $2,162 from 18 pharmaceutical and/or device companies across 73 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. Smith 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 37% volume in TX $2,162 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,483
Medicare services
Top 37% in TX for ophthalmology
2,204
Unique beneficiaries
$80
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~131 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 698 $82 $150
Optic nerve imaging (OCT scan) 294 $24 $95
Eye exam, established patient, focused 235 $60 $110
Retinal imaging (OCT scan) 203 $28 $95
Office visit, established patient (30-39 min) 179 $81 $175
Visual field test, extended 176 $42 $175
Comprehensive eye exam, new patient 168 $88 $185
Corneal topography and eye depth measurement 136 $27 $300
Cataract surgery with lens implant 124 $418 $1,950
Ultrasound scan of cornea to determine thickness 101 $7 $45
Office visit, established patient (20-29 min) 59 $56 $125
Removal of recurring cataract in lens capsule using a laser 37 $247 $750
Exam of the internal drainage system of eye 30 $20 $40
Complex removal of cataract with insertion of prosthetic lens 16 $521 $2,500
Ct scan of cornea 14 $25 $45
New patient office visit (45-59 min) 13 $110 $225
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.
5.0% high complexity
24.6% medium
70.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,162
Total received (2018-2024)
Avg $309/year across 7 years
Top 45% in TX for ophthalmology
18
Companies
73
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
$2,162 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$815
2023
$502
2022
$261
2021
$212
2020
$135
2019
$125
2018
$111

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$407
BIOTISSUE HOLDINGS INC.
$276
AbbVie Inc.
$257
Allergan, Inc.
$249
Alcon Vision LLC
$185
Sun Pharmaceutical Industries Inc.
$141
BIOTISSUE HOLDINGS, INC.
$121
Allergan Inc.
$111
RxSight Inc
$105
Bausch & Lomb Americas Inc.
$77
Tarsus Pharmaceuticals, Inc.
$65
Oyster Point Pharma, Inc.
$49
Amgen Inc.
$39
Rayner Intraocular Lenses Limited
$23
SUN PHARMACEUTICAL INDUSTRIES INC.
$17
EYEVANCE PHARMACEUTICALS LLC
$15
Horizon Therapeutics plc
$13
Johnson & Johnson Surgical Vision, Inc.
$13
Top 3 companies account for 43.5% of total payments
Associated products mentioned in payments ›
CEQUA · Centurion · Cequa · Clareon · DURYSTA · Flarex · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LUMIGAN · MIEBO · Omidria · One Series Ultra · PROKERA · RESTASIS · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · Rocklatan · TEPEZZA · TYRVAYA · VUITY · VYZULTA · XDEMVY · rocklatan
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 $87 per 100 Medicare services performed
Looking for an ophthalmology specialist in San Marcos?
Compare ophthalmologists in the San Marcos area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
13
Per 100K population
5.1
County median income
$85,827
Nearest hospital
CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS
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. Smith is a mixed practice specialist, with moderate Medicare volume, 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. Smith experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Smith performed 698 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. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $2,162 from 18 companies across 73 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. Smith's costs compare to other ophthalmologists in San Marcos?
Dr. Smith's average Medicare payment per service is $80. 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. Smith) 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 →