Medicare Enrolled

Dr. Thomas Kepczyk, M.D.

Gastroenterology · 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 2005 (20 years)
NPI: 1629062344 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. Kepczyk 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. Kepczyk

Dr. Thomas Kepczyk is a gastroenterology in San Marcos, TX, with 20 years in practice. Based on federal Medicare data, Dr. Kepczyk performed 1,288 Medicare services across 1,222 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kepczyk received a total of $12,716 from 52 pharmaceutical and/or device companies across 725 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Kepczyk 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.

✓ 20 years in practice▲ Top 16% volume in TX$ $12,716 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,288
Medicare services
Top 16% in TX for gastroenterology
1,222
Unique beneficiaries
$99
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~64 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.

ProcedureVolumeAvg. paidAvg. submitted
Removal of polyps or growths of large bowel using an endoscope with mechanical snare189$201$1,067
Upper GI endoscopy with biopsy188$59$680
Office visit, established patient (30-39 min)176$84$217
Colonoscopy with biopsy170$92$847
Office visit, established patient (20-29 min)156$61$148
New patient office visit (45-59 min)66$108$332
Hospital follow-up visit, moderate complexity50$61$146
Colorectal cancer screening; colonoscopy on individual at high risk47$170$778
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm44$93$649
New patient office visit (30-44 min)42$74$219
Initial hospital admission, moderate complexity42$100$278
New patient office or other outpatient visit, 15-29 minutes25$45$151
Office visit, established patient (10-19 min)22$40$100
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk19$174$781
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$88$518
Hospital follow-up visit, high complexity14$91$212
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less13$48$146
Insertion of guide wire with dilation of esophagus using a flexible endoscope11$106$701
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.
1.0% high complexity
32.9% medium
66.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$12,716
Total received (2018-2024)
Avg $1,817/year across 7 years
Top 16% in TX for gastroenterology
52
Companies
725
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
$12,716 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,477
2023
$1,931
2022
$1,759
2021
$1,535
2020
$929
2019
$1,737
2018
$2,348

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,810
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,732
AbbVie, Inc.
$1,025
Janssen Biotech, Inc.
$851
AbbVie Inc.
$809
Gilead Sciences, Inc.
$606
QOL Medical, LLC
$601
Takeda Pharmaceuticals U.S.A., Inc.
$519
Ferring Pharmaceuticals Inc.
$445
PFIZER INC.
$323
Janssen Scientific Affairs, LLC
$305
Daiichi Sankyo Inc.
$243
Intercept Pharmaceuticals, Inc.
$236
Celgene Corporation
$227
Lilly USA, LLC
$213
INTERCEPT PHARMACEUTICALS, INC.
$210
UCB, Inc.
$203
Nestle HealthCare Nutrition Inc.
$200
Regeneron Healthcare Solutions, Inc.
$192
GENZYME CORPORATION
$176
Intuitive Surgical, Inc.
$144
Phathom Pharmaceuticals, Inc.
$140
FUJIFILM Healthcare Americas Corporation
$125
Ardelyx, Inc.
$122
Amgen Inc.
$96
RedHill Biopharma Inc.
$84
Synergy Pharmaceuticals Inc
$78
Evoke Pharma, Inc.
$78
Prometheus Laboratories Inc.
$72
Merck Sharp & Dohme LLC
$69
Braintree Laboratories, Inc.
$63
IRONWOOD PHARMACEUTICALS, INC
$62
AIMMUNE THERAPEUTICS, INC.
$61
Ipsen Biopharmaceuticals, Inc
$61
Merck Sharp & Dohme Corporation
$60
Romark Laboratories, LC
$59
Ironwood Pharmaceuticals, Inc
$59
Allergan Inc.
$48
AMAG Pharmaceuticals, Inc.
$48
Organon LLC
$37
Johnson & Johnson Health Care Systems Inc.
$32
Fresenius Kabi USA, LLC
$32
Pharmacosmos Therapeutics Inc.
$31
NESTLE HEALTHCARE NUTRITION INC.
$28
Olympus America Inc.
$22
Shire North American Group Inc
$19
Shionogi Inc
$14
EVOKE PHARMA, INC.
$13
Alfasigma USA, Inc.
$13
Cumberland Pharmaceuticals, Inc.
$11
Micro-tech Endoscopy USA, Inc.
$7
Napo Pharmaceuticals Inc
$4
Top 3 companies account for 35.9% of total payments
Associated products mentioned in payments ›
ALINIA · AMITIZA · AMJEVITA · APRISO · AVSOLA · Alinia · Alinia Tablets 500mg 30 count bottle · Amitiza · Bylvay · CIMZIA · CLENPIQ · CREON · Cimzia · Creon · DIFICID · DUPIXENT · Da Vinci Surgical System · Dexilant · EOHILIA · EVIS EXERA · Entyvio · Epclusa · FERAHEME · FUJIFILM · GATTEX · GIMOTI · HUMIRA · Humira · IBSRELA · IDACIO · INFLECTRA · INJECTAFER · IQIRVO · Insight and SureClip · LINZESS · Linzess · Livdelzi · MAVYRET · MONOFERRIC · MOTEGRITY · Mavyret · Monoferric · Motegrity · Movantik · Mytesi · OCALIVA · OMVOH · Omeclamox · REBYOTA · RELISTOR · REMICADE · RENFLEXIS · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUPREP BOWEL PREP · SUTAB · Sucraid · Symproic · TREMFYA · TRULANCE · Talicia · Trulance · UCERIS · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · XIFAXANIBSD · XIFIXAN · ZENPEP · ZEPOSIA · Zelnorm
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 $987 per 100 Medicare services performed
Looking for a gastroenterology in San Marcos?
Compare gastroenterologys in the San Marcos area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
10
Per 100K population
3.9
County median income
$85,827
Nearest hospital
CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Kepczyk is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX), and high industry engagement (low-engagement, top 16%), with 20 years of practice experience.

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. Kepczyk experienced with removal of polyps or growths of large bowel using an endoscope with mechanical snare?
Based on Medicare claims data, Dr. Kepczyk performed 189 removal of polyps or growths of large bowel using an endoscope with mechanical 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. Kepczyk receive payments from pharmaceutical companies?
Yes. Dr. Kepczyk received a total of $12,716 from 52 companies across 725 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. Kepczyk's costs compare to other gastroenterologys in San Marcos?
Dr. Kepczyk's average Medicare payment per service is $99. 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. Kepczyk) 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.

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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 →