Medicare Enrolled

Dr. Shannon Marek, M.D.

Internal Medicine · San Marcos, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1305 WONDER WORLD DR, San Marcos, TX 78666
5127548676
In practice since 2007 (18 years)
NPI: 1528282050 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. Marek 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. Marek? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Marek

Dr. Shannon Marek is an internal medicine specialist in San Marcos, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Marek performed 1,250 Medicare services across 1,177 unique beneficiaries.

Between the years covered by Open Payments, Dr. Marek received a total of $7,840 from 45 pharmaceutical and/or device companies across 477 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Marek 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.

✓ 18 years in practice ▲ Top 29% volume in TX $7,840 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,250
Medicare services
Top 29% in TX for internal medicine
1,177
Unique beneficiaries
$104
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~69 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
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
261 $198 $1,067
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
225 $30 $680
Esophageal dilation with guide wire and endoscope
A flexible endoscope is used to insert a guide wire into the esophagus, followed by dilation to widen the esophageal passage.
152 $86 $701
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.
117 $85 $217
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.
108 $105 $332
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
102 $55 $847
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
78 $64 $148
External hemorrhoid removal by rubber banding
A procedure to remove external hemorrhoids using rubber bands to cut off blood supply. The affected tissue is tied off and eventually falls off.
71 $141 $784
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
41 $169 $778
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
33 $75 $219
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
28 $100 $278
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
12 $51 $151
Endoscopic removal of esophagus, stomach, or small bowel polyps
This procedure uses an endoscope and a mechanical snare to remove polyps or growths from the esophagus, stomach, or upper small bowel.
11 $126 $827
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
11 $174 $781
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 ↗
$7,840
Total received (2018-2024)
Avg $1,120/year across 7 years
Top 11% in TX for internal medicine
45
Companies
477
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
$7,840 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,542
2023
$1,204
2022
$998
2021
$1,025
2020
$489
2019
$873
2018
$1,710

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,035
ABBVIE INC.
$1,015
AbbVie Inc.
$603
AbbVie, Inc.
$561
Celgene Corporation
$542
Janssen Biotech, Inc.
$509
Takeda Pharmaceuticals U.S.A., Inc.
$412
QOL Medical, LLC
$361
Intuitive Surgical, Inc.
$294
Gilead Sciences, Inc.
$286
Janssen Scientific Affairs, LLC
$182
Allergan Inc.
$166
PFIZER INC.
$158
Ferring Pharmaceuticals Inc.
$155
Lilly USA, LLC
$146
GENZYME CORPORATION
$146
Intercept Pharmaceuticals, Inc.
$95
Cardiovascular Systems Inc.
$92
Regeneron Healthcare Solutions, Inc.
$89
Phathom Pharmaceuticals, Inc.
$76
AMAG Pharmaceuticals, Inc.
$70
Merck Sharp & Dohme Corporation
$68
Merck Sharp & Dohme LLC
$63
Shield Therapeutics Inc
$57
Braintree Laboratories, Inc.
$46
Ardelyx, Inc.
$46
Johnson & Johnson Health Care Systems Inc.
$45
Pharmacosmos Therapeutics Inc.
$45
Ironwood Pharmaceuticals, Inc
$45
INTERCEPT PHARMACEUTICALS, INC.
$44
NESTLE HEALTHCARE NUTRITION INC.
$40
Romark Laboratories, LC
$39
Evoke Pharma, Inc.
$37
Amgen Inc.
$36
Daiichi Sankyo Inc.
$34
UCB, Inc.
$29
Lucid Diagnostics Inc.
$24
VIVUS LLC
$23
Olympus America Inc.
$22
Ipsen Biopharmaceuticals, Inc
$22
Celltrion USA Inc.
$20
AIMMUNE THERAPEUTICS, INC.
$20
Prometheus Laboratories Inc.
$14
Cumberland Pharmaceuticals, Inc.
$13
IRONWOOD PHARMACEUTICALS, INC
$13
Top 3 companies account for 33.8% of total payments
Associated products mentioned in payments ›
ACCRUFER · AMITIZA · AMJEVITA · APRISO · AVSOLA · Alinia · Alinia Tablets 500mg 30 count bottle · Amitiza · CIMZIA · CLENPIQ · CREON · Cimzia · Creon · DIFICID · DUPIXENT · Da Vinci Surgical System · ENTYVIO · EVIS EXERA · Entyvio · Epclusa · FERAHEME · GIMOTI · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · IQIRVO · LINZESS · Linzess · MAVYRET · MOTEGRITY · Mavyret · Monoferric · Motegrity · OCALIVA · OMVOH · Omeclamox · PANCREAZE · REBYOTA · RELISTOR · REMICADE · RENFLEXIS · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUPREP · SUTAB · Sucraid · TREMFYA · TRULANCE · VEGZELMA · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
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 $627 per 100 Medicare services performed
Looking for an internal medicine specialist in San Marcos?
Compare internal medicine physicians in the San Marcos area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
97
Per 100K population
37.8
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. Marek is a clinical cardiology specialist, with above-average Medicare volume (top 29% in TX), with low-engagement industry engagement in the top 11% of TX peers, with 18 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. Marek experienced with colon polyp removal with endoscopic snare?
Based on Medicare claims data, Dr. Marek performed 261 colon polyp removal with endoscopic snare 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. Marek receive payments from pharmaceutical companies?
Yes. Dr. Marek received a total of $7,840 from 45 companies across 477 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. Marek's costs compare to other internal medicine physicians in San Marcos?
Dr. Marek's average Medicare payment per service is $104. 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. Marek) 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 →