Frank Duperier, MD
General Surgery · San Antonio, TXNPI 1609864909
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.9%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 28 manufacturers reported payments, led by Intuitive Surgical at 35.2% of the total. 2025 is the largest year on record at $4,552, 3.8 times the $1,186 reported in 2019.
Across 127 payments — averaging $64.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Medtronic$3K
- Stryker$929
- Lexington Medical, Inc.$647
- Novo Nordisk$268
- Baxter Healthcare$138
- plus $778 from 22 others
What the payments were for
- Consulting fees$5607%
- Travel & lodging$3,06637%
- Food & beverage$4,58856%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Intuitive Surgical | 26 | $2,887 |
| Medtronic | 32 | $2,567 |
| Stryker | 4 | $929 |
| Lexington Medical, Inc. | 11 | $647 |
| Novo Nordisk | 15 | $268 |
| Baxter Healthcare | 4 | $138 |
| Corcept Therapeutics | 1 | $113 |
| Johnson & Johnson | 4 | $93 |
| Vertex | 2 | $64 |
| Lilly USA, LLC | 3 | $58 |
| Intra-sana Laboratories | 2 | $51 |
| Endo Pharmaceuticals Inc. | 3 | $43 |
| Daiichi Sankyo Inc. | 2 | $41 |
| Davol Inc. | 2 | $40 |
| Covidien LP | 1 | $34 |
| Nalpropion Pharmaceuticals LLC | 2 | $30 |
| Fisher & Paykel Healthcare Inc | 1 | $26 |
| Standard Bariatrics, Inc. | 1 | $24 |
| Eisai Inc. | 2 | $22 |
| Pacira Pharmaceuticals Incorporated | 1 | $21 |
| Medinc Of Texas | 1 | $18 |
| Innocoll Pharmaceuticals Limited | 1 | $16 |
| Rhythm Pharmaceuticals, Inc. | 1 | $16 |
| Eagle Pharmaceuticals, Inc. | 1 | $15 |
| LSI Solutions Inc | 1 | $15 |
| Vivus LLC | 1 | $14 |
| Collegium Pharmaceutical, Inc. | 1 | $13 |
| Currax Pharmaceuticals LLC | 1 | $11 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$8,214 in reported general payments places this provider in the 85th percentile of 61 general surgery providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ursodiol | 28 | $1,696 |
| Dexlansoprazole DrDexlansoprazole | 12 | $1,370 |
| Sucralfate | 11 | $1,175 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 36 | $724 |
| Ondansetron OdtOndansetron | 41 | $579 |
| Omeprazole | 47 | $326 |
| Pantoprazole Sodium | 27 | $154 |
| Alprazolam | 13 | $103 |
Paid to pharmacies, not to this prescriber.
Other general surgery in San Antonio
- Dana ReissSan Antonio$7K
- George HsiehSan Antonio$379
- Megan ParmerSan Antonio$0
- Mark MuirSan Antonio$0
- Peter AltshulerSan Antonio$0
- Brian PickardSan Antonio$0
- Omar BarakatHouston$145K
- Adam SmithFort Worth$62K
- Aaron BranskyPlano$32K
- Michael DarnellFt Worth$18K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.