Medicare Enrolled
Dr. Luis Destarac, M.D.
Allergy & Immunology · Tyler, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Destarac 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. Destarac
Dr. Luis Destarac is an allergy & immunology specialist in Tyler, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Destarac performed 3,504 Medicare services across 1,585 unique beneficiaries.
Between the years covered by Open Payments, Dr. Destarac received a total of $38,868 from 48 pharmaceutical and/or device companies across 702 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in allergy & immunology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Destarac 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 39% volume in TX
$38,868 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,504
Medicare services
Top 39% in TX for allergy & immunology
1,585
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~175 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 |
|---|---|---|---|
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
841 | $92 | $234 |
| Allergy skin test A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens. |
638 | $3 | $12 |
| 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. |
374 | $93 | $238 |
| Allergy immunotherapy preparation A professional service involving the preparation and administration of one or more antigens. |
307 | $12 | $25 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
233 | $167 | $614 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
213 | $9 | $41 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
164 | $132 | $457 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
110 | $39 | $95 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
64 | $6 | $52 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
58 | $7 | $103 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
54 | $27 | $61 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
52 | $6 | $30 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
50 | $82 | $354 |
| Lung volume test using gas dilution or washout A test that measures the amount of air in your lungs by using a gas dilution or washout method. |
50 | $13 | $56 |
| 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. |
50 | $125 | $365 |
| Bronchial secretion aspiration via endoscope Removal of initial lung airway secretions using an endoscope. This procedure involves inserting a scope into the airways to clear fluid or mucus. |
48 | $72 | $885 |
| Bronchial irrigation and suction for cell collection This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing. |
44 | $3 | $406 |
| Exercise-induced lung stress test A test performed to evaluate how the lungs function during physical exertion. It helps identify breathing difficulties or lung conditions that occur specifically when exercising. |
33 | $22 | $85 |
| Bronchoscopy A procedure to examine the airways inside the lungs using a thin, flexible tube with a camera. |
21 | $0 | $440 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
20 | $62 | $163 |
| 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. |
16 | $90 | $308 |
| Removal of lung lining tube This procedure involves the removal of a tube that has been placed in the lining of the lung. |
15 | $121 | $548 |
| Thoracentesis, removal of fluid from between lung and chest cavity This procedure involves removing fluid that has accumulated in the space between the lung and the chest wall. |
13 | $110 | $473 |
| Lung surface agent instillation via chest tube A medical agent is delivered directly onto the surface of the lung through a chest tube. This procedure involves the administration of medication or other substances to the pleural space. |
13 | $56 | $686 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
12 | $112 | $322 |
| Bronchoscopy with ultrasound and lymph node sampling A procedure using an endoscope and ultrasound to examine the lung airways and collect samples from 1 to 2 lymph nodes. |
11 | $170 | $672 |
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.
0.4% high complexity
2.7% medium
96.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$38,868
Total received (2018-2024)
Avg $5,553/year across 7 years
Top 10% in TX for allergy & immunology
48
Companies
702
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$19,912 (51.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,057 (28.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$7,900 (20.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,921
2023
$5,321
2022
$9,493
2021
$2,138
2020
$3,187
2019
$13,060
2018
$1,747
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Mylan Specialty L.P.
$27,881
AstraZeneca Pharmaceuticals LP
$2,369
GlaxoSmithKline, LLC.
$1,928
Intuitive Surgical, Inc.
$1,132
Boehringer Ingelheim Pharmaceuticals, Inc.
$738
Ethicon Inc.
$717
Regeneron Healthcare Solutions, Inc.
$462
GENZYME CORPORATION
$315
SANOFI-AVENTIS U.S. LLC
$254
Actelion Pharmaceuticals US, Inc.
$236
Sunovion Pharmaceuticals Inc.
$229
Gilead Sciences, Inc.
$213
PFIZER INC.
$208
Baxter Healthcare
$178
Merck Sharp & Dohme Corporation
$159
CSL Behring
$147
United Therapeutics Corporation
$143
Inogen, Inc.
$129
HARMONY BIOSCIENCES LLC
$119
Genentech USA, Inc.
$110
Takeda Pharmaceuticals U.S.A., Inc.
$104
Inspire Medical Systems, Inc.
$103
Mallinckrodt Hospital Products Inc.
$95
INOGEN, INC.
$93
JAZZ PHARMACEUTICALS INC.
$93
Electromed, Inc.
$92
Advanced Respiratory, Inc
$80
Grifols USA, LLC
$62
ADVANCED RESPIRATORY, INC
$59
Paratek Pharmaceuticals, Inc.
$54
ANI Pharmaceuticals, Inc.
$43
Shire North American Group Inc
$41
Jazz Pharmaceuticals Inc.
$38
Exeltis, USA Inc.
$34
INTUITIVE SURGICAL, INC.
$21
Optinose US, Inc.
$20
Novartis Pharmaceuticals Corporation
$18
HOSPIRA, INC.
$17
Nevro Corp.
$16
Fisher & Paykel Healthcare Inc
$15
ABBVIE INC.
$14
Bayer HealthCare Pharmaceuticals Inc.
$13
Janssen Pharmaceuticals, Inc
$13
La Jolla Pharmaceutical Company
$13
Harmony Biosciences LLC
$13
Allergan, Inc.
$12
Allergan Inc.
$12
Philips Electronics North America Corporation
$11
Top 3 companies account for 82.8% of total payments
Associated products mentioned in payments ›
ACTHAR · AIRSUPRA · ANORO · AREXVY · ASMANEX · AVYCAZ · BEVESPI AEROSPHERE · BREO · BREZTRI · BROVANA · CUTAQUIG · CUVITRU · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · Da Vinci Surgical System · Dymista · EUCRISA · Esbriet · FASENRA · FISHER & PAYKEL HEALTHCARE · GATTEX · GIAPREZA · GLASSIA · HYQVIA · Hillrom - Life 2000 Ventilation System · Hillrom - Vest System Model 105 Home Care · Hizentra · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · INSPIRE · Kerendia · LONHALA MAGNAIR · MONARCH · NUCALA · NUZYRA · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · Omnia · PANZYGA · PURIFIED CORTROPHIN GEL · Perforomist · Privigen · Prolastin-C Liquid · SEEBRI · SMARTVEST · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Sleep Other · TEFLARO · TEZSPIRE · TRELEGY ELLIPTA · TYVASO · The Vest System Model 105 Home Care · UPTRAVI · Veklury · WAKIX · Wakix · XARELTO · XOLAIR · XYREM · XYWAV · Xhance · Xolair · Xyrem · YUPELRI · Yupelri · ZERBAXA
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 →
The majority of payments (51%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in allergy & immunology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 10% for allergy & immunology in TX.
Equivalent to $1,109 per 100 Medicare services performed
Geographic Context
Allergy & immunologists within 10 mi
4
Per 100K population
1.7
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
0.0 mi
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. Destarac is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 10% of TX peers, with 20 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. Destarac experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Destarac performed 841 hospital follow-up visit, high complexity 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. Destarac receive payments from pharmaceutical companies?
Yes. Dr. Destarac received a total of $38,868 from 48 companies across 702 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. Destarac's costs compare to other allergy & immunologists in Tyler?
Dr. Destarac's average Medicare payment per service is $61. 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. Destarac) 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.
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