Medicare Enrolled
Dr. Anatoly Bulkin, M.D.
Surgery · Escondido, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed engagement
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. Bulkin 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. Bulkin?
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What this data tells you about Dr. Bulkin
Dr. Anatoly Bulkin is a surgery specialist in Escondido, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Bulkin performed 4,950 Medicare services across 2,421 unique beneficiaries.
Between the years covered by Open Payments, Dr. Bulkin received a total of $48,339 from 91 pharmaceutical and/or device companies across 565 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. Payments are distributed across multiple categories and often reflect legitimate professional engagement with the medical industry. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Bulkin 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.
✓ 20 years in practice
▲ Top 2% volume in CA
$48,339 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,950
Medicare services
Top 2% in CA for surgery
2,421
Unique beneficiaries
$149
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~248 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 |
|---|---|---|---|
| Puraply xt, per square centimeter | 975 | $128 | $542 |
| Chemical injection for multiple incompetent leg veins A procedure involving the injection of a chemical agent into several non-functioning veins in the leg. |
589 | $173 | $457 |
| 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. |
576 | $76 | $168 |
| 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. |
445 | $108 | $247 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
412 | $57 | $193 |
| 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. |
339 | $161 | $445 |
| 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. |
300 | $218 | $509 |
| 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. |
210 | $106 | $282 |
| 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. |
185 | $146 | $373 |
| 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. |
159 | $156 | $397 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
138 | $51 | $268 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
68 | $962 | $4,600 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the trunk, arms, or legs covering 25 square centimeters or less. |
62 | $132 | $350 |
| Skin graft site preparation, trunk/arms/legs Preparation of the skin area on the trunk, arms, or legs to receive a skin graft. This procedure is specified for infants and children covering 100.0 square centimeters or 1% of body area or less. |
61 | $298 | $660 |
| 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. |
56 | $138 | $309 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
46 | $31 | $91 |
| 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. |
39 | $152 | $273 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
35 | $90 | $224 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
30 | $234 | $550 |
| Radiologist review of abdominal aorta image A radiologist reviews images of the abdominal aorta to evaluate the blood vessel. |
29 | $95 | $282 |
| 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. |
27 | $130 | $384 |
| Arterial catheter insertion, initial second order branch A procedure to insert a tube into a secondary branch of an artery in the abdomen, pelvis, or leg. |
26 | $734 | $1,590 |
| 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. |
26 | $1,193 | $3,232 |
| Infusion tube insertion with imaging guidance A radiologist inserts an infusion tube into the body while using imaging guidance to ensure proper placement and reviews the procedure. |
22 | $353 | $930 |
| 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. |
20 | $115 | $340 |
| Skin and tissue removal, 20 sq cm or less This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller. |
18 | $109 | $224 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
18 | $16 | $27 |
| Insertion of vena cava tube A procedure to place a tube into the vena cava, the large vein that carries blood to the heart. |
13 | $247 | $943 |
| Radiologist review of arm or leg vein image A radiologist reviews an image of a vein in one arm or leg. |
13 | $97 | $224 |
| New patient office visit, complex (60-74 min) | 13 | $186 | $427 |
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.
4.7% high complexity
45.8% medium
49.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$48,339
Total received (2018-2024)
Avg $6,906/year across 7 years
Top 5% in CA for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
91
Companies
565
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.
Other
Charitable contributions, space rental, and other categories
$19,019 (39.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$14,813 (30.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,029 (29.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$477 (1.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$9,176
2023
$8,841
2022
$9,671
2021
$3,667
2020
$2,362
2019
$3,408
2018
$11,213
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AngioDynamics, Inc.
$6,000
Becton, Dickinson and Company
$1,535
Integra LifeSciences Corporation
$772
Medtronic, Inc.
$175
CARDIVA MEDICAL, INC.
$72
Novo Nordisk Inc
$71
Janssen Pharmaceuticals, Inc
$64
Davol Inc.
$59
Solventum Corporation
$51
Boston Scientific Corporation
$46
PolyNovo North America LLC
$31
Ethicon US, LLC
$28
Artivion, Inc.
$28
W. L. Gore & Associates, Inc.
$24
Elevate Surgical CO
$24
Abbott Laboratories
$23
Bolton Medical Inc
$22
Silk Road Medical, Inc.
$22
CORDIS US CORP.
$22
MIMEDX Group, Inc.
$21
Inari Medical, Inc.
$20
Imperative Care, Inc
$19
ShockWave Medical, Inc
$17
Avita Medical Americas, Llc
$16
Reflow Medical Inc
$10
Merit Medical Systems Inc
$6
Top 3 companies account for 90.5% of 2024 payments
All-time payments by company (2018-2024) ›
AngioDynamics, Inc.
$18,562
Endologix, Inc.
$5,602
Smith & Nephew, Inc.
$4,415
Becton, Dickinson and Company
$3,343
Penumbra, Inc.
$1,955
Musculoskeletal Transplant Foundation Inc.
$1,709
Janssen Pharmaceuticals, Inc
$1,125
Medtronic, Inc.
$1,008
Philips Electronics North America Corporation
$978
Organogenesis Inc.
$941
Integra LifeSciences Corporation
$861
LeMaitre Vascular, Inc.
$696
ZOLL Medical Corporation
$525
E.R. Squibb & Sons, L.L.C.
$499
Inari Medical, Inc.
$410
ORGANOGENESIS INC.
$359
Bard Peripheral Vascular, Inc.
$262
Cardiovascular Systems Inc.
$243
Ethicon US, LLC
$228
Cook Medical LLC
$221
Smith+Nephew, Inc.
$209
PFIZER INC.
$206
Silk Road Medical, Inc.
$198
Boston Scientific Corporation
$197
Medtronic Vascular, Inc.
$189
Allergan Inc.
$186
BIOTRONIK INC.
$183
Endologix, LLC
$168
Terumo Medical Corporation
$144
AbbVie Inc.
$129
Resmed Corp
$120
Endologix LLC
$117
Allergan, Inc.
$112
Misonix Inc
$96
CARDIVA MEDICAL, INC.
$91
Nevro Corp.
$90
Tactile Systems Technology Inc
$89
PORTOLA PHARMACEUTICALS, INC.
$84
EKOS Corporation
$83
Cardinal Health 200, LLC
$78
Novo Nordisk Inc
$71
Bolton Medical Inc
$70
ABBVIE INC.
$67
CORDIS US CORP.
$65
Biocompatibles, Inc.
$61
Abbott Laboratories
$59
Davol Inc.
$59
PolyNovo North America LLC
$55
Acera Surgical, Inc.
$53
Amniox Medical, Inc.
$53
Solventum Corporation
$51
Maquet Cardiovascular U.S. Sales, L.L.C.
$43
Kerecis Limited
$43
Shire North American Group Inc
$40
Janssen Scientific Affairs, LLC
$40
BARD PERIPHERAL VASCULAR, INC.
$39
Avinger Inc.
$38
Medline Industries, Inc.
$37
BOSTON SCIENTIFIC CORPORATION
$34
Next Science LLC
$32
Novartis Pharmaceuticals Corporation
$32
Covidien LP
$30
Artivion, Inc.
$28
CSL Behring
$26
Trevena, Inc.
$25
BSN Medical Inc
$25
W. L. Gore & Associates, Inc.
$24
Elevate Surgical CO
$24
Reprise Biomedical, Inc.
$22
Avenu Medical Inc.
$22
MIMEDX Group, Inc.
$21
Innovation Technologies Inc
$21
BioTissue Holdings, Inc.
$21
MEDELA LLC
$20
Merit Medical Systems Inc
$20
Collaborative Care Diagnostics, LLC
$20
CryoLife, Inc.
$20
Imperative Care, Inc
$19
KCI USA, Inc.
$19
ACELL, INC.
$18
TEI Medical Inc.
$17
ShockWave Medical, Inc
$17
Cardinal Health 200 LLC
$17
Surmodics, Inc.
$16
Aroa Biosurgery Incorporated
$16
Avita Medical Americas, Llc
$16
AstraZeneca Pharmaceuticals LP
$15
Hydrofera LLC
$15
Bioventus LLC
$14
Advanced Oxygen Therapy Inc.
$11
Reflow Medical Inc
$10
Top 3 companies account for 59.1% of all-time payments
Associated products mentioned in payments ›
(6536) Phoenix · (6577) Visions 014 · (6578) Visions 018 · (9281) Turbo Elite · (9282) Turbo Power · AFX · AFX2 Bifurcated Endograft System · AIR 11 · ALPHAVAC · ANASTOCLIP · ANDEXXA · ARTEGRAFT · ARTEGRAFT VASCULAR GRAFT · AVYCAZ · Acticor · Apligraf · Auryon Laser System 100-120 Vac · BILAYER WOUND MATRIX BWM · BRILINTA · BRITE TIP RADIANZ · BlastX · CAMZYOS · CARDIVA VASCADE MVP VVCS 6-12F · CATHETER · COLLAGENASE SANTYL · CUTIMED SORBACT · CUTIMED SORBION · CVX-300 · Cardiva VASCADE MVP VVCS 6-12F · Clarivein · Concerto · Cook Celect · Cook Medical AAA · Cook Medical Introducers · Cook Medical Thoracic · Cook Medical Zilver PTX · CryoFlex · DALVANCE · DERMABOND PRINEO · DIAMONDBACK PERIPHERAL · Diamondback Peripheral · EKOSONIC · ELIQUIS · ENDORE · ENDURANT IIS · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · ENTRESTO · EVERPOINT · Echelon Flex · Ellipsys System · Endurant · FLEXITOUCH · FLIXENE · FLOWTRIEVER CATHETER · FUSION BIOLINE · Flexitouch Plus · GATTEX · GENERAL VASCULAR INTERVENTION · GENERAL THERAPIES · GORE VIABAHN VBX Balloon Expandable Endo · General - Vascular Intervention · HYDROFERA BLUE · Hi-Torque Command guide wire · Hyalomatrix Wound Device · IGT D Peripheral · IGT_D Peripheral · IGT_D Therapy · INTEGRA MESHED BILAYER WOUND MATRIX · Indigo · Indigo System · Integra · Irrisept · JETI ALL IN ONE NON-STERILE KIT · Kcentra · Kerecis Omega3 SurgiClose · LIFESTENT · LUNDERQUIST · LUTONIX · LifeStent Solo Vascular Stent · MetaCross · Miro3D · NEOX · NOVOSORB BTM · OMNIGRAFT · ONYX 18 · Olinvyk · Omnia · Ovation · Ozempic · PANTHERIS · PICO 7 · POWERFLEX Pro PTA Catheter · PRECISE · PREVENA · PRIMATRIX · PRODIGY CATHETER · PROLENE · Peripheral Orbital Atherectomy System · PhotoFix · Prelude Introducers · Puraply · Puraply Antimicrobial · RADIAL 360 · RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM · RENASYS · RESTOREFLO · Ranger · Recell · Regranex · Relay Plus · Restrata Wound Matrix · Rivacor · S · S.M.A.R.T. CONTROL Self-Expanding Nitinol Stent · S.M.A.R.T. Flex Stent · SURGICEL NU-KNIT · SYMPLICITY G3 · Santyl · Senza · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Solia · SonicOne · SonicOne Clinic · Sublime 014 Rx PTA Balloon Dilatation Catheter · Surecross Support Catheters · Surgicel Powder · TEFLARO · TR BAND · Topical oxygen chamber for extremities · VALIANT CAPTIVIA · VALVULOTOM · VARITHENA · VENACURE 1470 PRO · VENOVO · VISTASEAL · Valiant Captivia · Varithena Administration Pack · Vascular · Venclose Maven Catheter · XARELTO
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 5% for surgery in CA.
Geographic Context
Surgerists within 10 mi
286
Per 100K population
8.7
County median income
$102,285
Nearest hospital
KAISER FOUNDATION HOSPITAL - SAN MARCOS
3.9 mi
3.9 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. Bulkin is a clinical cardiology specialist, with above-average Medicare volume (top 2% in CA), with mixed engagement industry engagement in the top 5% of CA peers, with 20 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. Bulkin experienced with puraply xt, per square centimeter?
Based on Medicare claims data, Dr. Bulkin performed 975 puraply xt, per square centimeter 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. Bulkin receive payments from pharmaceutical companies?
Yes. Dr. Bulkin received a total of $48,339 from 91 companies across 565 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. Bulkin's costs compare to other surgerists in Escondido?
Dr. Bulkin's average Medicare payment per service is $149. 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. Bulkin) 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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