Dr. Patrick Jacob Karas , MD
Neurological Surgery โข Galveston, TX
1005 Harborside Dr 5th Floor
Galveston, TX 775554202
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Patrick Karas is listed in NPPES under Neurological Surgery.
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NPI assigned on April 18, 2013; this date does not establish years in practice.
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Published CMS data list 110 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 53 service units.
- 99203 โ New patient outpatient office visit: 28 service units.
- 99204 โ New patient outpatient office visit: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 16 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Neurological Surgery in Texas (2024, 377 clinicians with data). Median for this group: 253. Middle half: 110 to 558.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 80 in 2022 to 110 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
1005 Harborside Dr 5th Floor
Galveston, TX 775554202
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Houston, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Utmb Faculty Group Practice. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Columbia University College Of Physicians And Surgeons
2014
What Public CMS Data Show
Neurological Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
99 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $9,104 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $6,738 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
16 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$186 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,278.63 across 36 records.
By nature of payment
- Food and Beverage: $1,278.63 across 36 records.
Reporting-company totals (3 largest of 10)
- Boston Scientific Corporation: $335.13 across 13 records.
- Globus Medical, Inc.: $321.56 across 13 records.
- Alafair Biosciences, Inc.: $182.68 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Karas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Karas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Galveston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Neurological Surgery in Texas (2024, 377 clinicians with data). Median for this group: 253. Middle half: 110 to 558.
Too few clinicians listed under Neurological Surgery in Galveston have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Neurological Surgery in Texas (2024, 377 clinicians with data). Median for this group: $49,359. Middle half: $14,821 to $116,053.
Too few clinicians listed under Neurological Surgery in Galveston have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 80% of clinicians listed under Neurological Surgery in Texas (2024, 377 clinicians with data). Median for this group: $38,942. Middle half: $11,262 to $91,042.
Too few clinicians listed under Neurological Surgery in Galveston have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 90% of clinicians listed under Neurological Surgery in Texas (2024, 289 clinicians with data). Median for this group: 120. Middle half: 41 to 260.
Too few clinicians listed under Neurological Surgery in Galveston have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 85% of clinicians listed under Neurological Surgery in Texas (2024, 289 clinicians with data). Median for this group: $1,175. Middle half: $431 to $3,196.
Too few clinicians listed under Neurological Surgery in Galveston have Medicare Part D data for 2024 to compare.
14 active clinicians are listed under Neurological Surgery with a practice address in Galveston, TX (669 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Galveston
14.3% of these 14 clinicians have the CMS telehealth indicator.
50% of these 14 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 38% from 80 in 2022 to 110 in 2024.
- 2022: 80
- 2023: 106
- 2024: 110
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Medicare-allowed amount
Medicare-allowed amount increased 44% from $6,342 in 2022 to $9,104 in 2024.
- 2022: $6,342
- 2023: $8,171
- 2024: $9,104
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Paid by Medicare
Paid by Medicare increased 33% from $5,061 in 2022 to $6,738 in 2024.
- 2022: $5,061
- 2023: $6,292
- 2024: $6,738
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 20% from 20 in 2022 to 16 in 2024.
- 2022: 20
- 2024: 16
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30-day fills
30-day fills decreased 20% from 20 in 2022 to 16 in 2024.
- 2022: 20
- 2024: 16
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Part D drug cost
Part D drug cost went from $163 in 2022 to $186 in 2024.
- 2022: $163
- 2024: $186
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $738.17 in 2021 to $1,278.63 in 2025.
- 2021: $738.17
- 2022: $2,966.46
- 2023: $1,378.73
- 2024: $809.39
- 2025: $1,278.63
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 36 records totaling $1,278.63.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Alafair Biosciences, Inc. |
Food and Beverage
In-kind items and services
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VersaWrap | General | $147.39 |
| Providence Medical Technology, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $124.99 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - DBS | General | $113.36 |
| Innovasis Inc |
Food and Beverage
Cash or cash equivalent
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โ | General | $104.50 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
EXCELSIUS GPS | General | $96.82 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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TRIALTIS | General | $73.42 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - DBS | General | $53.50 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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CORE | General | $37.53 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - DBS | General | $35.96 |
| Alafair Biosciences, Inc. |
Food and Beverage
In-kind items and services
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VersaWrap | General | $35.29 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INCEPTIV | General | $31.80 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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CORE | General | $31.36 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
EXCELSIUS GPS | General | $30.81 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - DBS | General | $27.36 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
CANOPY | General | $26.12 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
CREO | General | $24.88 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
QUARTEX | General | $23.26 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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INFINITY | General | $21.18 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
CREO | General | $20.67 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
FORTIFY | General | $17.67 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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QUARTEX | General | $17.27 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
CANOPY | General | $16.69 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - DBS | General | $15.68 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - DBS | General | $15.31 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
CREO | General | $14.70 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2022โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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53 | 36 | $193.47 | $65.75 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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28 | 28 | $288.36 | $80.92 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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15 | 15 | $437.20 | $133.48 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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14 | 14 | $275.57 | $96.51 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 16 | 111 | $185.89 | 15 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-03-01NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20210930000854
TX
7517364748
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Utmb Faculty Group Practice
200 Blossom St, Webster, TX 775984204
Utmb Faculty Group Practice
250 Blossom St, Webster, TX 775984204
Utmb Faculty Group Practice
Po Box, Dallas, TX 752650859
Utmb Faculty Group Practice
250 Blossom St, Webster, TX 775984241
Utmb Faculty Group Practice
511 Park Grove Dr, Katy, TX 774501759
Phone: 2813987001
Utmb Faculty Group Practice
301 University Blvd, Galveston, TX 775555302
Phone: 4097722222
Secondary Practice Locations
1515 Holcombe Blvd
Houston, TX 770304000
Phone: 7137926161
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Critical Care Medicine
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Nurse Practitioner - Acute Care
APRNFNP
Nurse Practitioner - Family
Nurse Practitioner
Colon & Rectal Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 650859, DEPT 710, DALLAS, TX 75265 (Tel: 4097722222)
Registered at PO BOX 4439, HOUSTON, TX 772104439 (Tel: 7137922991)
Registered at 1005 HARBORSIDE DR 5TH FLOOR, GALVESTON, TX 775554202 (Tel: 4097726782)
Registered at PO BOX 650859 DEPT 710, DALLAS, TX 752654202 (Tel: 4097720620)
NPI status registered as active in NPPES database
Registered at 7200 CAMBRIDGE ST, SUITE 9A, HOUSTON, TX 770304202 (Tel: 2167891862)
Registered at 7200 CAMBRIDGE ST, SUITE 9A, HOUSTON, TX 770304202 (Tel: 2167891862)
Recorded as PATRICK KARAS, M.D.
Neurological Surgery (license number reported to NPPES: TX BP10049681)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Neurological Surgery Specialists in Galveston
- Dr. Joseph Villarreal, MD
- Dr. Christian Ogasawara, MD
- Dr. Audrey Nath, MD
- Dr. Rishi Lall, MD
- Dr. Brian Oliver, MD
- Dr. Peter Kan, MD
Mailing Address
Po Box 650859, Dept 710
Dallas, TX 75265
Phone: 4097722222