Medicare Enrolled
Dr. David Gorsulowsky, MD
Optician · Fremont, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-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. Gorsulowsky 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. Gorsulowsky
Dr. David Gorsulowsky is an optician specialist in Fremont, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gorsulowsky performed 11,071 Medicare services across 3,878 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gorsulowsky received a total of $23,772 from 43 pharmaceutical and/or device companies across 986 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. Gorsulowsky 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 8% volume in CA
$23,772 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,071
Medicare services
Top 8% in CA for optician
3,878
Unique beneficiaries
$83
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~554 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 |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
3,717 | $7 | $15 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
1,260 | $40 | $130 |
| 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. |
1,005 | $78 | $165 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
874 | $104 | $225 |
| Affinity per square centimeter A measurement of affinity per square centimeter. |
662 | $336 | $800 |
| 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. |
575 | $107 | $235 |
| Puraply AM application per square centimeter Application of Puraply AM dressing to the skin. The charge is calculated based on the surface area treated. |
492 | $86 | $165 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
358 | $75 | $210 |
| Wound tissue removal, 20 sq cm or less This procedure involves the removal of tissue from a wound area measuring 20 square centimeters or less. |
292 | $104 | $200 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
279 | $51 | $105 |
| 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. |
233 | $159 | $325 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
120 | $438 | $1,310 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
118 | $13 | $25 |
| Simple drainage of skin abscess A minor procedure to drain a localized collection of pus from the skin. The abscess is opened to allow the fluid to escape and promote healing. |
107 | $115 | $235 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
104 | $71 | $125 |
| 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. |
90 | $151 | $295 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
75 | $30 | $100 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes. The wound area covered is 25.0 square centimeters or less. |
69 | $152 | $305 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 65 | $426 | $805 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
64 | $1 | $3 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
55 | $34 | $110 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
52 | $52 | $105 |
| Skin graft repair, 10 sq cm or less A surgical procedure to repair a wound by transferring a small piece of skin to the affected area. The graft covers wounds on the face, neck, hands, feet, or other specified body parts. |
41 | $737 | $1,420 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
32 | $61 | $195 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
31 | $591 | $1,235 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
29 | $232 | $840 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
27 | $739 | $1,430 |
| Intraoperative pathology examination, first tissue block A pathologist examines a tissue sample removed during surgery to provide a preliminary diagnosis. This test is performed on the first tissue block obtained from the procedure. |
27 | $103 | $200 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
25 | $115 | $230 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
24 | $105 | $175 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
23 | $175 | $345 |
| Lip biopsy A procedure to remove a small sample of tissue from the lip for laboratory examination. |
18 | $114 | $240 |
| Tissue fungi or parasites test A laboratory test to detect the presence of fungi or parasites in a tissue sample. |
18 | $4 | $45 |
| 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. |
16 | $148 | $345 |
| Shaving of skin growth, 0.5 cm or less Removal of a small skin growth by shaving it off the surface. This procedure is performed on the scalp, neck, hands, feet, or genitals. |
15 | $85 | $215 |
| Additional Mohs surgery stage with microscopic exam This procedure involves the removal and microscopic examination of an additional stage of tissue from the trunk, arms, or legs. It is performed in stages to ensure complete removal of the growth. |
15 | $410 | $770 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
14 | $273 | $925 |
| Eyelid biopsy A procedure to remove a small sample of tissue from the eyelid for laboratory examination. |
14 | $175 | $375 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
14 | $74 | $170 |
| Shaving of small skin growth on face or mouth area A minor procedure to shave off a small skin growth, measuring 0.5 cm or less, located on the face, ears, eyelids, nose, lips, or mouth. |
11 | $103 | $235 |
| 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. |
11 | $68 | $205 |
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.
0.1% high complexity
6.4% medium
93.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$23,772
Total received (2018-2024)
Avg $3,396/year across 7 years
Top 8% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
986
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
$19,536 (82.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$4,205 (17.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$31 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,286
2023
$8,050
2022
$3,494
2021
$2,953
2020
$1,842
2019
$1,763
2018
$1,384
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Janssen Biotech, Inc.
$820
ABBVIE INC.
$634
LEO Pharma Inc.
$582
Lilly USA, LLC
$381
SUN PHARMACEUTICAL INDUSTRIES INC.
$299
Regeneron Healthcare Solutions, Inc.
$287
Amgen Inc.
$253
Galderma Laboratories, L.P.
$212
Novartis Pharmaceuticals Corporation
$171
Organogenesis Inc.
$146
GENZYME CORPORATION
$136
Incyte Corporation
$97
E.R. Squibb & Sons, L.L.C.
$84
Genentech USA, Inc.
$70
Arcutis Biotherapeutics, Inc.
$38
Almirall LLC
$33
Boehringer Ingelheim Pharmaceuticals, Inc.
$25
UCB, Inc.
$18
Top 3 companies account for 47.5% of 2024 payments
All-time payments by company (2018-2024) ›
LEO Pharma Inc.
$6,654
Janssen Biotech, Inc.
$1,872
ABBVIE INC.
$1,793
Lilly USA, LLC
$1,516
Regeneron Healthcare Solutions, Inc.
$1,342
Novartis Pharmaceuticals Corporation
$1,007
Organogenesis Inc.
$951
AbbVie Inc.
$894
Sun Pharmaceutical Industries Inc.
$781
PFIZER INC.
$766
Genentech USA, Inc.
$687
GENZYME CORPORATION
$673
SUN PHARMACEUTICAL INDUSTRIES INC.
$600
Galderma Laboratories, L.P.
$453
Incyte Corporation
$388
ORGANOGENESIS INC.
$382
Dermavant Sciences, Inc.
$319
Amgen Inc.
$308
Ortho Dermatologics, a division of Bausch Health US, LLC
$305
Journey Medical Corporation
$265
AbbVie, Inc.
$259
UCB, Inc.
$253
E.R. Squibb & Sons, L.L.C.
$227
EPI Health, LLC
$159
Almirall LLC
$142
NOVARTIS PHARMACEUTICALS CORPORATION
$90
Arcutis Biotherapeutics, Inc.
$82
Helsinn Therapeutics (U.S.), Inc.
$80
Janssen Scientific Affairs, LLC
$68
Boehringer Ingelheim Pharmaceuticals, Inc.
$58
MAYNE PHARMA INC.
$57
Genentech, Inc.
$48
Nabriva Therapeutics, plc
$42
Bayer HealthCare Pharmaceuticals Inc.
$36
Merck Sharp & Dohme Corporation
$35
Taro Pharmaceuticals USA, Inc.
$34
SANOFI-AVENTIS U.S. LLC
$31
STRATA Skin Sciences, Inc.
$26
Aclaris Therapeutics, Inc.
$21
DUSA Pharmaceuticals, Inc.
$18
Mayne Pharma Inc.
$17
Mission Pharmacal Company
$17
DERMIRA, INC.
$16
Top 3 companies account for 43.4% of all-time payments
Associated products mentioned in payments ›
ABSORICA · ABSORICA (isotretinoin) · ABSORICA LD · ADBRY · AKLIEF · ARAZLO · Absorica LD · Actemra · BLU-U · Bimzelx · CIBINQO · CLODERM · COSENTYX · Cimzia · DORYX · DUOBRII · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · ENSTILAR · EPIDUO FORTE · ESKATA · EUCRISA · Erivedge · Exelderm · FINACEA · Finacea · HALOG OINTMENT (Halcinonide Ointment · HUMIRA · Humira · ILUMYA · ILUMYA (tildrakizumab-asmn) injection · JUBLIA · Klisyri · LIBTAYO · OLUMIANT · ONEXTON · OPZELURA · ORACEA · Otezla · Ovace · PICATO · Puraply · Puraply Antimicrobial · QBREXZA · REMICADE · RINVOQ · SILIQ · SIVEXTRO · SKYRIZI · SPEVIGO · Seysara · Sitavig · Sivextro · Skyrizi · Sotyktu · TALTZ · TECENTRIQ · TREMFYA · TWYNEO · TargaDox · Tremfya · USP) 0.1% · VALCHLOR · VTAMA · Veltin · WYNZORA · Winlevi · XOLAIR · XTRAC · 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 (82%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 8% for optician in CA.
Geographic Context
Opticians within 10 mi
622
Per 100K population
37.7
County median income
$126,240
Nearest hospital
WASHINGTON HOSPITAL
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. Gorsulowsky is a clinical cardiology specialist, with above-average Medicare volume (top 8% in CA), with low-engagement industry engagement in the top 8% 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. Gorsulowsky experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Gorsulowsky performed 3,717 destruction of precancerous skin growths, 2-14 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. Gorsulowsky receive payments from pharmaceutical companies?
Yes. Dr. Gorsulowsky received a total of $23,772 from 43 companies across 986 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. Gorsulowsky's costs compare to other opticians in Fremont?
Dr. Gorsulowsky's average Medicare payment per service is $83. 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. Gorsulowsky) 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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