Dr. Karel David Capek , MD
General Practice โข Refugio, TX
107 Swift St
Refugio, TX 783772425
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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NPI assigned on June 30, 2009; this date does not establish years in practice.
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Published CMS data list 471 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 99291 โ Critical care: 140 service units.
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 98 service units.
- 99239 โ Hospital discharge day management: 49 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 452 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:
- Gabapentin โ 51 prescription fills, including refills.
- Amlodipine Besylate โ 34 prescription fills, including refills.
- Spironolactone โ 33 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 all 23 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under General Practice in Texas (2024, 221 clinicians with data). Median for this group: 452. Middle half: 78 to 2,858.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 73 in 2019 to 471 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2023.
Practice Location & Contact Primary Location
107 Swift St
Refugio, TX 783772425
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 3 distinct additional practice-address records in Lexington, NE; Lincoln, NE; Refugio, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Fisher County Hospital District; Refugio County Memorial Hospital District. 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
University Of Nebraska College Of Medicine
2012
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $63,330 in 2023
The total amount Medicare approved for these services in 2023. 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, 2023.
Paid by Medicare
About $48,933 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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, 2023.
30-day fills
991 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
$36,640 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 2024
All general payments: $78.95 across 2 records.
By nature of payment
- Education: $78.95 across 2 records.
Reporting-company totals
- Averitas Pharma Inc.: $78.95 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 2024 (published June 30, 2026).
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 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
2009
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. Capek 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. Capek 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 Refugio and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under General Practice in Texas (2024, 221 clinicians with data). Median for this group: 452. Middle half: 78 to 2,858.
Too few clinicians listed under General Practice in Refugio have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under General Practice in Texas (2024, 221 clinicians with data). Median for this group: $17,804. Middle half: $993 to $222,529.
Too few clinicians listed under General Practice in Refugio have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Capek are from 2023.
1 active clinicians are listed under General Practice with a practice address in Refugio, TX (1,066 in Texas).
Addresses are self-reported to NPPES and may be out of date.
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 545% from 73 in 2019 to 471 in 2023.
- 2019: 73
- 2020: 916
- 2021: 3,462
- 2022: 1,070
- 2023: 471
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Medicare-allowed amount
Medicare-allowed amount increased 369% from $13,497 in 2019 to $63,330 in 2023.
- 2019: $13,497
- 2020: $132,972
- 2021: $419,812
- 2022: $132,978
- 2023: $63,330
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Paid by Medicare
Paid by Medicare increased 355% from $10,754 in 2019 to $48,933 in 2023.
- 2019: $10,754
- 2020: $105,384
- 2021: $316,574
- 2022: $94,143
- 2023: $48,933
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 114% from 211 in 2020 to 452 in 2024.
- 2020: 211
- 2021: 2,648
- 2022: 1,375
- 2023: 541
- 2024: 452
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30-day fills
30-day fills increased 139% from 416 in 2020 to 991 in 2024.
- 2020: 416
- 2021: 5,772
- 2022: 3,026
- 2023: 1,097
- 2024: 991
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Part D drug cost
Part D drug cost increased 162% from $13,967 in 2020 to $36,640 in 2024.
- 2020: $13,967
- 2021: $162,298
- 2022: $64,380
- 2023: $41,573
- 2024: $36,640
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2024 only.
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), 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 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $78.95.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Averitas Pharma Inc. |
Education
In-kind items and services
|
QUTENZA | General | $43.00 |
| Averitas Pharma Inc. |
Education
In-kind items and services
|
QUTENZA | General | $35.95 |
Source: CMS Open Payments, program year 2024, 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 2018โ2022 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, 2019โ2023; 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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99291
Critical care, first 30-74 minutes
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140 | 73 | $1497.50 | $193.39 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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98 | 46 | $579.49 | $108.49 |
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99239
Hospital discharge day management, more than 30 minutes
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49 | 43 | $575.94 | $104.44 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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46 | 12 | $735.00 | $139.38 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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42 | 40 | $1126.55 | $155.63 |
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93010
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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39 | 36 | $84.00 | $7.42 |
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99284
Emergency department visit with moderate level of medical decision making
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36 | 34 | $1153.00 | $108.39 |
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99285
Emergency department visit with high level of medical decision making
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21 | 20 | $1697.00 | $160.31 |
Source: CMS Part B by Provider and Service, 2023; 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 |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 51 | 3,585 | $884.78 | 32 |
| Amlodipine Besylate | Amlodipine Besylate | 34 | 2,600 | $268.55 | 13 |
| Spironolactone | Spironolactone | 33 | 2,585 | $196.69 | 18 |
| Furosemide | Furosemide | 28 | 2,004 | $131.78 | 15 |
| Eliquis | Apixaban | 28 | 1,500 | $29,105.18 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 26 | 2,370 | $170.78 | 13 |
| Pantoprazole Sodium | Pantoprazole Sodium | 25 | 2,100 | $334.65 | 14 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 23 | 2,010 | $478.51 | 12 |
| Celecoxib | Celecoxib | 19 | 835 | $532.47 | 14 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 17 | 685 | $502.63 | โ |
| Sertraline Hcl | Sertraline Hcl | 16 | 1,380 | $143.02 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 16 | 1,200 | $210.67 | โ |
| Lisinopril | Lisinopril | 14 | 1,200 | $89.70 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 14 | 120 | $152.01 | 12 |
| Fluticasone Propionate | Fluticasone Propionate | 13 | 690 | $188.62 | โ |
| Glipizide | Glipizide | 13 | 690 | $672.68 | โ |
| Dexamethasone | Dexamethasone | 13 | 96 | $47.49 | 13 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 12 | 328 | $102.46 | โ |
| Atenolol | Atenolol | 12 | 995 | $119.63 | โ |
| Rivastigmine | Rivastigmine | 12 | 600 | $1,307.92 | โ |
| Fluoxetine Hcl | Fluoxetine Hcl | 11 | 450 | $184.86 | โ |
| Mupirocin | Mupirocin | 11 | 188 | $127.74 | โ |
| Enoxaparin Sodium | Enoxaparin Sodium | 11 | 400 | $686.91 | โ |
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: 2026-08-03NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 207Q00000X
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
NUCC Taxonomy Code: 2086S0102X
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20190213000355
TX
5294073532
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
Refugio County Memorial Hospital District
107 Swift St, Refugio, TX 783772425
Phone: 3615262321138
Fisher County Hospital District
774 State Hwy 70 N, Rotan, TX 795466918
Phone: 3257352256
Secondary Practice Locations
110 E Vance St
Refugio, TX 783774421
Phone: 4097718516
1201 N Erie St
Lexington, NE 688501560
Phone: 4097718516
3740 El Paso Dr
Lincoln, NE 685165803
Phone: 4097718516
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Registered Nurse, NPC(FNP)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
General Practice (license number reported to NPPES: TX R4374)
General Practice (license number reported to NPPES: NE 26789)
Registered at 107 SWIFT ST, REFUGIO, TX 783772425 (Tel: 4097718516)
Surgery (license number reported to NPPES: NE 6064)
Surgery (license number reported to NPPES: TX R4374)
Registered at 100 MEDICAL DR, BORGER, TX 790077579 (Tel: 4097718516)
Registered at 126 POMPANO AVE, GALVESTON, TX 775503130 (Tel: 4097718516)
Registered at 4714 FM 1488 RD STE 132, CONROE, TX 773844930 (Tel: 4097718516)
Registered at 4714 FM 1488 RD STE 132, CONROE, TX 773844930 (Tel: 8778682528)
NPI status registered as active in NPPES database
Registered at 301 UNIVERSITY BLVD, ROUTE 0534, GALVESTON, TX 775550534 (Tel: 4097718516)
Registered at 301 UNIVERSITY BLVD, ROUTE 0534, GALVESTON, TX 775550534 (Tel: 4097718516)
Recorded as KAREL CAPEK, M.D.
Surgery (license number reported to NPPES: NE 6064)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
126 Pompano Ave
Galveston, TX 775503130
Phone: 4097718516