Medicare Enrolled

Dr. Linda Rouel, M.D.

Family Medicine · El Cajon, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
860 JAMACHA RD, El Cajon, CA 92019
6194569920
In practice since 2006 (19 years)
NPI: 1326128950 verify on NPPES ↗
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. Rouel 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 →
Are you Dr. Rouel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Rouel

Dr. Linda Rouel is a family medicine specialist in El Cajon, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rouel performed 1,304 Medicare services across 666 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rouel received a total of $8,132 from 41 pharmaceutical and/or device companies across 373 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Rouel is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 17% volume in CA $8,132 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,304
Medicare services
Top 17% in CA for family medicine
666
Unique beneficiaries
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~69 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
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.
723 $81 $180
Annual alcohol misuse screening, 5 to 15 minutes 129 $15 $30
Annual depression screening 101 $15 $30
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
100 $138 $200
Home health agency supervision, complex multidisciplinary care
Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision.
63 $87 $150
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
41 $36 $75
Transitional care management, high complexity
Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem.
31 $156 $220
Annual wellness visit, initial visit
A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment.
25 $176 $250
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
23 $2 $25
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
21 $74 $75
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
21 $24 $25
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
15 $56 $120
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.
11 $107 $220
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$8,132
Total received (2018-2024)
Avg $1,162/year across 7 years
Top 5% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
373
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,132 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,572
2023
$1,591
2022
$1,337
2021
$1,309
2020
$675
2019
$1,045
2018
$604

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$322
ABBVIE INC.
$264
GlaxoSmithKline, LLC.
$224
Lilly USA, LLC
$204
IRONWOOD PHARMACEUTICALS, INC
$80
Bayer Healthcare Pharmaceuticals Inc.
$75
Boehringer Ingelheim Pharmaceuticals, Inc.
$74
Novo Nordisk Inc
$63
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$62
PFIZER INC.
$59
Kowa Pharmaceuticals America, Inc.
$34
Nevro Corp.
$27
Boston Scientific Corporation
$23
Ardelyx, Inc.
$23
Xeris Pharmaceuticals, Inc.
$22
Vision Quest Industries Inc.
$15
Top 3 companies account for 51.6% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,234
Lilly USA, LLC
$1,179
GlaxoSmithKline, LLC.
$764
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$667
AbbVie Inc.
$574
Boehringer Ingelheim Pharmaceuticals, Inc.
$406
Bayer HealthCare Pharmaceuticals Inc.
$323
ABBVIE INC.
$317
Ironwood Pharmaceuticals, Inc
$313
Synergy Pharmaceuticals Inc
$306
Amgen Inc.
$179
Novartis Pharmaceuticals Corporation
$149
Merck Sharp & Dohme Corporation
$142
Amarin Pharma Inc.
$137
Janssen Pharmaceuticals, Inc
$135
BOSTON SCIENTIFIC CORPORATION
$129
Allergan, Inc.
$117
Novo Nordisk Inc
$100
Bayer Healthcare Pharmaceuticals Inc.
$94
RedHill Biopharma Inc.
$90
Nevro Corp.
$85
IRONWOOD PHARMACEUTICALS, INC
$80
PFIZER INC.
$78
SANOFI-AVENTIS U.S. LLC
$77
E.R. Squibb & Sons, L.L.C.
$56
Xeris Pharmaceuticals, Inc.
$42
Esperion Therapeutics, Inc.
$40
Biohaven Pharmaceuticals, Inc.
$37
Abbott Laboratories
$36
Kowa Pharmaceuticals America, Inc.
$34
Vision Quest Industries Inc.
$27
NeoTract Inc.
$24
Boston Scientific Corporation
$23
Otsuka America Pharmaceutical, Inc.
$23
Ardelyx, Inc.
$23
Dexcom, Inc.
$20
Smith+Nephew, Inc.
$20
Merck Sharp & Dohme LLC
$15
DERMIRA, INC.
$13
Sunovion Pharmaceuticals Inc.
$12
Phadia US Inc.
$11
Top 3 companies account for 39.1% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · APRISO · BELSOMRA · BOTOX · BREATHTEK · BREZTRI · COLLAGENASE SANTYL · CREON · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FREESTYLE LIBRE 2 · GVOKE HYPOPEN · IBSRELA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LONHALA MAGNAIR · Linzess · MOUNJARO · NEXLETOL · NURTEC ODT · OACTIVE ALIGN CUSTOM R · Omnia · Otezla · Ozempic · QBREXZA · QULIPTA · Repatha · SOLIQUA 100/33 · STEGLATRO · Senza · TRADJENTA · TRELEGY ELLIPTA · TRULANCE · TRULICITY · Talicia · Trulance · UBRELVY · UroLift · VIBERZI · VRAYLAR · VYNDAMAX · Vascepa · WATCHMAN · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · ZORYVE
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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for family medicine in CA.

Looking for a family medicine specialist in El Cajon?
Compare family medicine physicians in the El Cajon area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
1,222
Per 100K population
37.2
County median income
$102,285
Nearest hospital
GROSSMONT HOSPITAL
8.7 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 reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Rouel is a clinical cardiology specialist, with above-average Medicare volume (top 17% in CA), with low-engagement industry engagement in the top 5% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Rouel experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rouel performed 723 office visit, established patient (30-39 min) 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. Rouel receive payments from pharmaceutical companies?
Yes. Dr. Rouel received a total of $8,132 from 41 companies across 373 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. Rouel's costs compare to other family medicine physicians in El Cajon?
Dr. Rouel's average Medicare payment per service is $74. 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. Rouel) 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 →
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. Data Coverage reflects 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →