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Pain management doctors who accept Medicare in San Antonio, TX
CMS lists 52 clinicians in this specialty with a practice address in San Antonio. Accept Medicare assignment (the Medicare-approved amount as full payment): 50. Offer telehealth: 22.
Typical amounts Medicare approves in ZIP 78258 (2024 Medicare rates, the latest CMS has published): a new-patient visit $126, of which you pay about $32; a follow-up visit $97, of which you pay about $24 — the 20% coinsurance after the yearly Part B deductible. Clinicians who don't accept assignment can charge up to 15% more; with a Medicare Advantage plan, your plan's copay applies instead.
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Order: clinicians who accept assignment first, then by MIPS score (highest first), then by last name.
Alexander J. Chen, MD
✓ Accepts Medicare assignmentMIPS score (2024): 100/100✓ TelehealthGraduated 2007 · Tufts University School of MedicineMaleDrug and device company payments (2025): $498Matthew L. McClure, MD
✓ Accepts Medicare assignmentMIPS score (2024): 96.6/100Graduated 2009 · University of Texas Medical Branch at GalvestonMaleOther offices in San Antonio: 2Drug and device company payments (2025): $2,398Mfonobong I. Okubadejo, MD
✓ Accepts Medicare assignmentMIPS score (2024): 96.6/100Graduated 2016 · R Franklin University of Med & Sci/chicago Medical SchoolFemaleOther offices in San Antonio: 1Drug and device company payments (2025): $1,356Akinoluwa J. Oluwatomi, MD
✓ Accepts Medicare assignmentMIPS score (2024): 96.6/100Graduated 1995MaleDrug and device company payments (2025): $718Jamie L. Roper, DO
✓ Accepts Medicare assignmentMIPS score (2024): 95.6/100Graduated 2011 · Philadelphia College of Osteopathic MedicineFemaleOther offices in San Antonio: 2Drug and device company payments (2025): $85William A. Tisdall, MD
✓ Accepts Medicare assignmentMIPS score (2024): 89.6/100✓ TelehealthGraduated 2002 · University of Washington School of MedicineMaleOther offices in San Antonio: 1Drug and device company payments (2025): $6,605Steven I. Sloan, MD
✓ Accepts Medicare assignmentMIPS score (2024): 88.9/100Graduated 2000 · University of Colorado School of Medicine, DenverMaleOther offices in San Antonio: 3Charles E. Bryant, MD
✓ Accepts Medicare assignmentMIPS score (2024): 86.5/100✓ TelehealthGraduated 2010 · University of Alabama School of MedicineMaleOther offices in San Antonio: 1Drug and device company payments (2025): $5,833Yurii D. Borshch, MD
✓ Accepts Medicare assignmentMIPS score (2024): 85.2/100Graduated 1984MaleDrug and device company payments (2025): $1,301Manuel Ybarra, MD
✓ Accepts Medicare assignmentMIPS score (2024): 83/100✓ TelehealthGraduated 2002MaleDrug and device company payments (2025): $4,766Sergio J. Alvarado, MD
✓ Accepts Medicare assignmentMIPS score (2024): 78.1/100✓ TelehealthGraduated 2000 · University of Texas Medical School at San AntonioMaleDrug and device company payments (2025): $1,164Ellen W. Lin, MD
✓ Accepts Medicare assignmentMIPS score (2024): 77.8/100✓ TelehealthGraduated 2001 · University of Texas Medical School at San AntonioFemaleOther offices in San Antonio: 1Drug and device company payments (2025): $7,608Arnold Deleon, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100✓ TelehealthGraduated 2007 · University of Texas Medical School at San AntonioMaleOther offices in San Antonio: 1Drug and device company payments (2025): $1,774Matthew B. Hoch, DO
✓ Accepts Medicare assignmentMIPS score (2024): 75/100Graduated 2011 · Philadelphia College of Osteopathic MedicineMaleOther offices in San Antonio: 1Drug and device company payments (2025): $148Michael Hunter, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100✓ TelehealthGraduated 2015MaleOther offices in San Antonio: 1Drug and device company payments (2025): $1,804Shaun C. Jackson, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100Graduated 2003 · Louisiana State University School of Medicine in New OrleansMaleDrug and device company payments (2025): $1,159Stephanie Jones, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100✓ TelehealthGraduated 1992 · University of Texas Medical School at San AntonioFemaleOther offices in San Antonio: 2Drug and device company payments (2025): $1,420Karl A. Lautenschlager, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100Graduated 2007 · Uniformed Services Uhs Fe Hebert School of MedMaleOther offices in San Antonio: 1Drug and device company payments (2025): $165Liliana Meskill, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100Graduated 2010 · Louisiana State University School of Medicine in ShreveportFemaleOther offices in San Antonio: 1Drug and device company payments (2025): $186Mark A. Moran, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100Graduated 2002 · University of Texas Medical School at San AntonioMaleOther offices in San Antonio: 1Drug and device company payments (2025): $564Joshua T. Shroll, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100Graduated 2010 · Ohio State University College of MedicineMaleDrug and device company payments (2025): $590Justin J. Vigil, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100✓ TelehealthGraduated 1994MaleOther offices in San Antonio: 2Drug and device company payments (2025): $272Sandra L. Rojas, MD
✓ Accepts Medicare assignmentMIPS score (2024): 63.9/100Graduated 1993FemaleDrug and device company payments (2025): $762Ricardo A. Alvarado, MD
✓ Accepts Medicare assignmentMIPS score (2024): 22.8/100Graduated 2005 · University of Texas Medical School at San AntonioMaleDrug and device company payments (2025): $743Ellen B. Duncan, MD
✓ Accepts Medicare assignmentMIPS score (2024): 22.4/100✓ TelehealthGraduated 1991 · University of Texas Medical School at San AntonioFemaleOther offices in San Antonio: 1Drug and device company payments (2025): $635Larina Gutenberg, DO
✓ Accepts Medicare assignmentMIPS score (2024): 22.2/100Graduated 2004FemaleDrug and device company payments (2025): $319Roberto J. Diaz, MD
✓ Accepts Medicare assignmentMIPS score (2024): 18.9/100Graduated 2005 · University of Texas Medical School at San AntonioMaleDrug and device company payments (2025): $1,406Patrick Ahern, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2023 · University of Texas Southwestern Medical School at DallasMaleDrug and device company payments (2025): $2,093Michele F. Alston, MD
✓ Accepts Medicare assignmentGraduated 2014 · University of South Alabama College of MedicineFemaleDrug and device company payments (2025): $333Raheel Bengali, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2010 · University of Miami, LM Miller School of MedicineMaleOther offices in San Antonio: 3Drug and device company payments (2025): $1,773Colton Besett, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2021 · University of Texas Medical Branch at GalvestonMaleDrug and device company payments (2025): $1,253Arnulfo T. Carrasco, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 1987 · Texas Tech University Health Science Center School of MedicineMaleUrfan A. Dar, MD
✓ Accepts Medicare assignmentGraduated 1986MaleDrug and device company payments (2025): $1,980James D. Davis, MD
✓ Accepts Medicare assignmentGraduated 1991 · Texas a & M University System, HSC, College of MedicineMaleOther offices in San Antonio: 1Drug and device company payments (2025): $566Jennifer L. Erian, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2014 · University of Texas Medical School at San AntonioFemaleOther offices in San Antonio: 3Drug and device company payments (2025): $2,168Derek A. Fitzgerald, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2020MaleDrug and device company payments (2025): $1,906John J. Hartman, MD
✓ Accepts Medicare assignmentGraduated 2018 · University of Texas Medical Branch at GalvestonMaleDrug and device company payments (2025): $55Kerry C. Latch, MD
✓ Accepts Medicare assignmentGraduated 1994 · Texas Tech University Health Science Center School of MedicineMaleOther offices in San Antonio: 1Drug and device company payments (2025): $159Taylor W. Lewis, MD
✓ Accepts Medicare assignmentGraduated 2015 · University of Texas Medical Branch at GalvestonMaleDrug and device company payments (2025): $1,772Raul G. Martinez, MD
✓ Accepts Medicare assignmentGraduated 1994 · University of Texas Medical School at San AntonioMaleOther offices in San Antonio: 1Drug and device company payments (2025): $81Charles W. Murphy, MD
✓ Accepts Medicare assignmentGraduated 1980 · University of Texas Southwestern Medical School at DallasMaleDrug and device company payments (2025): $92Adedeji Olusanya, DO
✓ Accepts Medicare assignment✓ TelehealthGraduated 2020MaleDrug and device company payments (2025): $3,388Janki Patel, DO
✓ Accepts Medicare assignment✓ TelehealthGraduated 2019 · University of Texas Medical Branch at GalvestonFemaleDrug and device company payments (2025): $144Tommy T. Pham, MD
✓ Accepts Medicare assignmentGraduated 2021MaleDrug and device company payments (2025): $1,531Shyam S. Purswani, MD
✓ Accepts Medicare assignmentGraduated 1990MaleDrug and device company payments (2025): $68Prafulla C. Singh, MD
✓ Accepts Medicare assignmentGraduated 1987MaleOther offices in San Antonio: 1Drug and device company payments (2025): $75William Z. Smith, MD
✓ Accepts Medicare assignmentGraduated 2014MaleDrug and device company payments (2025): $685Sarah E. Trampota, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2005FemaleOther offices in San Antonio: 1Drug and device company payments (2025): $5,698Sridhar Vasireddy, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 1992MaleDrug and device company payments (2025): $2,672Darius Zagunis, MD
✓ Accepts Medicare assignmentGraduated 1999MaleDrug and device company payments (2025): $2,467Dmitriy Buyanov, MD
May accept assignment✓ TelehealthGraduated 2002MaleDrug and device company payments (2025): $369Alexander A. Timchenko, MD
May accept assignmentGraduated 1999MaleOther offices in San Antonio: 1Drug and device company payments (2025): $331
Before you book
This list comes from Medicare's enrollment records, not from reviews. Call the office to confirm the clinician is taking new Medicare patients. With Original Medicare, a clinician who accepts assignment can only charge you the Medicare deductible and coinsurance; one who doesn't may charge up to 15% more than the Medicare-approved amount. If you have a Medicare Advantage plan, check that the clinician is in the plan's network.
The MIPS final score (0–100) comes from Medicare's Merit-based Incentive Payment System for 2024. It combines quality measures, cost, improvement activities and use of certified health records, and it sets a payment adjustment. Clinicians who report as a group share the group's score. It is not a patient rating, and many clinicians have no published score.
Payments from drug and medical device companies come from CMS Open Payments (2025 general payments: meals, travel, consulting and speaking fees, gifts and similar), summed for each clinician. Receiving payments is legal and common and does not mean a clinician did anything wrong.
Other specialists in San Antonio
- Primary care doctors1,366
- Geriatricians13
- Nurse practitioners1,862
- Cardiologists214
- Dermatologists91
- Orthopedic surgeons154
- Neurologists187
- Gastroenterologists84
- Ophthalmologists140
- Optometrists244
- Podiatrists95
- Urologists64
- Pulmonologists86
- Nephrologists89
- Endocrinologists35
- Rheumatologists29
- ENT doctors63
- Oncologists98
- Psychiatrists189
- Psychologists149
- Therapists and counselors839
- Physical therapists421
- Occupational therapists67
- Speech therapists47
- Audiologists40
- Chiropractors82
- Gynecologists214
- General surgeons138
- Vascular surgeons42
- Physiatrists63
- Allergists30
- Dietitians35
- Neurosurgeons42
- Infectious disease doctors52
Other care in San Antonio
Hospitals · Nursing homes · Dialysis centers · Home health agencies · Hospices
Nearby cities
Enrollment, addresses and scores are as reported to CMS and can change. This is not a list of in-network providers for any Medicare Advantage plan, and it is not medical advice. Source: CMS Provider Data Catalog — Doctors and Clinicians National Downloadable File, Clinician MIPS Performance 2024 and Facility Affiliation Data (released Oct 2, 2026).