Medicare Enrolled
Dr. Sunil Rayan, M.D.
Vascular Surgery Physician · Encinitas, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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. Rayan 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 →
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What this data tells you about Dr. Rayan
Dr. Sunil Rayan is a vascular surgery physician in Encinitas, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rayan performed 2,538 Medicare services across 1,408 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rayan received a total of $33,575 from 36 pharmaceutical and/or device companies across 210 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in vascular surgery physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Rayan 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 12% volume in CA
$33,575 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,538
Medicare services
Top 12% in CA for vascular surgery physician
1,408
Unique beneficiaries
$168
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~134 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
955 | $0 | $2 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
235 | $168 | $395 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
199 | $106 | $242 |
| New patient office visit, complex (60-74 min) | 180 | $177 | $391 |
| 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. |
152 | $101 | $206 |
| 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. |
142 | $130 | $312 |
| Chemical destruction of first incompetent vein with imaging guidance This procedure uses imaging guidance to chemically destroy the first incompetent vein in the arm or leg. |
105 | $1,547 | $4,105 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
75 | $212 | $524 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
68 | $152 | $309 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
57 | $152 | $279 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
44 | $33 | $590 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
44 | $112 | $280 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
33 | $64 | $159 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
33 | $152 | $308 |
| Anterior lumbar interbody fusion with partial disc removal A surgical procedure to fuse the lower spine bones by accessing the area through the abdomen and partially removing a spinal disc. |
30 | $768 | $3,054 |
| Ultrasound-guided injection into a single leg vein A chemical agent is injected into one incompetent vein in the leg while using ultrasound to guide the needle placement. |
30 | $1,212 | $2,738 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
23 | $131 | $380 |
| Radiologist review of abdominal aorta image A radiologist reviews images of the abdominal aorta to evaluate the blood vessel. |
22 | $51 | $103 |
| Spinal stabilization device placement, 2-3 segments Surgical placement of a device to stabilize the front of two to three spinal segments. |
21 | $92 | $811 |
| Anterior spinal fusion with partial disc removal, each additional disc This procedure involves fusing spine bones together through an incision in the front of the body, with partial removal of the disc, for each additional disc treated. |
18 | $161 | $658 |
| Chemical injection for multiple incompetent leg veins A procedure involving the injection of a chemical agent into several non-functioning veins in the leg. |
17 | $173 | $450 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
16 | $72 | $140 |
| Balloon dilation of leg artery A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter to restore blood flow. |
15 | $272 | $818 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
13 | $885 | $2,203 |
| Ultrasound of head and neck blood flow, one side An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels on one side of the head and neck. |
11 | $109 | $260 |
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.
4.9% high complexity
69.0% medium
26.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$33,575
Total received (2018-2024)
Avg $4,796/year across 7 years
Top 10% in CA for vascular surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
210
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$26,877 (80.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,652 (19.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$46 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,704
2023
$1,485
2022
$3,658
2021
$5,259
2020
$3,827
2019
$7,138
2018
$10,504
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$617
Silk Road Medical, Inc.
$489
Endologix LLC
$334
AngioDynamics, Inc.
$245
Boston Scientific Corporation
$18
Top 3 companies account for 84.6% of 2024 payments
All-time payments by company (2018-2024) ›
Endologix, Inc.
$15,063
Endologix LLC
$8,951
Endologix, LLC
$3,196
Silk Road Medical, Inc.
$2,377
Medtronic, Inc.
$1,038
W. L. Gore & Associates, Inc.
$424
AngioDynamics, Inc.
$349
Medtronic USA, Inc.
$269
Boston Scientific Corporation
$177
Cook Medical LLC
$172
NeoTract Inc.
$151
Abbott Laboratories
$151
BOSTON SCIENTIFIC CORPORATION
$134
Cardiovascular Systems Inc.
$116
TITAN SPINE, LLC
$106
PFIZER INC.
$93
Bard Peripheral Vascular, Inc.
$92
Tactile Systems Technology Inc
$88
Janssen Pharmaceuticals, Inc
$70
E.R. Squibb & Sons, L.L.C.
$54
Musculoskeletal Transplant Foundation Inc.
$54
Becton, Dickinson and Company
$49
Penumbra, Inc.
$46
Bolton Medical Inc
$44
Myovant Sciences Inc.
$41
Philips Electronics North America Corporation
$40
Inari Medical, Inc.
$40
MEDLINE INDUSTRIES LP
$35
Medtronic Vascular, Inc.
$35
LeMaitre Vascular, Inc.
$24
Blue Earth Diagnostics Limited
$22
Maquet Cardiovascular U.S. Sales, L.L.C.
$17
CORDIS US CORP.
$17
Chiesi USA, Inc.
$15
TISSUETECH, INC.
$13
Amniox Medical, Inc.
$11
Top 3 companies account for 81.0% of all-time payments
Associated products mentioned in payments ›
(4067) Tack Endo Sys BTK · (6577) Visions 014 · ABRE · ABSOLUTE PRO · ADVANCE · AFX · AFX2 Bifurcated Endograft System · ALPHAVAC · ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY · AQUAMANTYS · AURYON LASER SYSTEM 100-120 VAC · Abre · Alto Abdominal Stent Graft System · Atlas · Axumin · C3 Delivery System · CHANTIX · CONCERTOTM · CT THROMBECTOMY SYSTEM KIT · Cook Medical IAA · DIAMONDBACK PERIPHERAL · Diamondback Peripheral · ELIQUIS · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · EVERFLEX · EVERFLEX PROTG EVERFLEX · EXCLUDER Iliac Branch Endoprosthesis · FLEXITOUCH · FLIXENE · FLOWTRIEVER CATHETER · Flexitouch Plus · GENERAL - BALLOONS · GENERAL - METALLIC STENTS · GENERAL - THERAPIES · GENERAL METALLIC STENTS · GLIDEPATH · GORE EXCLUDER Iliac Branch Endoprosthesis · GORE TAG Thoracic Endoprosthesis · GORE VIABAHN VBX Balloon Expandable Endo · General - Metallic Stents · HAWKONE · IN.PACT ADMIRAL · IN.PACT Admiral · KENGREAL · LUTONIX · NEOX · ORGOVYX · Ovation · Ovation iX Iliac Stent Graft · Penumbra Ruby Coil · Penumbra System · Peripheral Orbital Atherectomy System · RADIAL 360 · RESTOREFLO · Relay Plus · S · SOLYX · TURBOHAWK · UroLift · VENASEAL · VENOVO · VERIFY · VIABAHN VBX Balloon Expandable Endoprosthesis · Varithena Administration Pack · Venovo · XARELTO · XTANDI · ZILVER PTX · nanoLOCK · nanoLOCK-C
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 →
The majority of payments (80%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 10% for vascular surgery physician in CA.
Geographic Context
Vascular surgery physicians within 10 mi
36
Per 100K population
1.1
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
0.0 mi
0.0 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. Rayan is a clinical cardiology specialist, with above-average Medicare volume (top 12% in CA), with consulting-driven industry engagement in the top 10% 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. Rayan experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Rayan performed 955 contrast dye for imaging (iodine-based) 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. Rayan receive payments from pharmaceutical companies?
Yes. Dr. Rayan received a total of $33,575 from 36 companies across 210 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. Rayan's costs compare to other vascular surgery physicians in Encinitas?
Dr. Rayan's average Medicare payment per service is $168. 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. Rayan) 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 →
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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.
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