Medicare Enrolled

Dr. Frank Coufal, M.D.

Neurological Surgery · La Jolla, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
9834 GENESEE AVE, La Jolla, CA 92037
8586771755
In practice since 2006 (19 years)
NPI: 1760495303 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. Coufal 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. Coufal? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Coufal

Dr. Frank Coufal is a neurological surgery specialist in La Jolla, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Coufal performed 655 Medicare services across 555 unique beneficiaries.

Between the years covered by Open Payments, Dr. Coufal received a total of $3,092 from 16 pharmaceutical and/or device companies across 43 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. 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. Coufal 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 $3,092 industry payments

Medicare Practice Summary

Medicare Utilization ↗
655
Medicare services
Top 17% in CA for neurological surgery
555
Unique beneficiaries
$183
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~34 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 (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.
171 $74 $250
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.
91 $107 $355
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.
74 $143 $700
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.
40 $141 $500
Imaging guidance for procedure, 60 minutes or less
Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less.
37 $13 $1,000
New patient office visit, complex (60-74 min) 24 $186 $700
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 $98 $400
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.
23 $204 $2,600
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.
23 $140 $461
Critical care, first 30-74 min
Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient.
23 $173 $900
Spinal fusion of additional segment
A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column.
22 $308 $4,000
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.
21 $49 $150
Spinal stabilization device placement, 3-6 segments
Surgical placement of a device to stabilize three to six vertebrae in the back.
15 $602 $7,500
Computer-assisted spinal procedure
A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution.
15 $181 $2,300
Brain covering repair with graft
Surgical repair of the protective layers surrounding the brain using a tissue or synthetic graft.
14 $525 $12,800
Skull bone removal for brain blood aspiration
A surgical procedure involving the removal of a portion of the skull bone to access and drain a blood accumulation located in the upper brain, either outside or below the brain membrane.
13 $1,522 $10,000
Skull bone defect and brain repair
Surgical repair of a defect in the skull bone and associated brain tissue.
13 $569 $14,000
Partial removal of spine bone with nerve release, 1 segment
A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment.
12 $672 $11,200
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.
6.9% high complexity
5.6% medium
87.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,092
Total received (2018-2024)
Avg $442/year across 7 years
Top 50% in CA for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
43
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
$3,092 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$373
2023
$297
2022
$985
2021
$81
2020
$244
2019
$494
2018
$616

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Globus Medical, Inc.
$229
Medtronic, Inc.
$145
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Surgalign Spine Technologies, Inc.
$943
Globus Medical, Inc.
$391
Innovasis Inc
$375
Medtronic, Inc.
$375
Medtronic USA, Inc.
$262
Integra LifeSciences Corporation
$146
Nevro Corp.
$116
Intrinsic Therapeutics
$102
Centinel Spine, LLC
$102
Orthofix Medical, Inc.
$82
OssDsign Incorporated
$52
Providence Medical Technology, Inc.
$39
Stryker Corporation
$38
DePuy Synthes Sales Inc.
$33
Biogen, Inc.
$23
NuVasive, Inc.
$12
Top 3 companies account for 55.3% of all-time payments
Associated products mentioned in payments ›
10MM · 3-Degrees Anterior Cervical Plating (ACP) System · ACIS · ALLOGRAFT · ARAI SURGICAL NAVIGATION SYSTEM · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · CAVUX Cervical Cage · CLYDESDALE PTC SPINAL SYSTEM · COALITION AGX / AGX RP · CODMAN CERTAS · COFIX IMPLANT 10 MM · COFLEX INTERLAMINAR TECHNOLOGY · CREO · CREO 5.5 · DURAMATRIX · Excelsius3D Imaging System · HEDRON · Hedron C · INDEPENDENCE · INTELLIS · INTELLIS ADAPTIVESTIM · Independence MIS · PRODISC C · QUARTEX · SYNCHROMED · Senza Spinal Cord Stimulation System · TYSABRI · XLIF
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.

Looking for a neurological surgery specialist in La Jolla?
Compare neurological surgerists in the La Jolla area by procedure volume, costs, and industry payment transparency.
Browse neurological surgerists nearby

Geographic Context

Neurological surgerists within 10 mi
79
Per 100K population
2.4
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
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. Coufal is a clinical cardiology specialist, with above-average Medicare volume (top 17% in CA), with low-engagement industry engagement, 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. Coufal experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Coufal performed 171 office visit, established patient (20-29 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. Coufal receive payments from pharmaceutical companies?
Yes. Dr. Coufal received a total of $3,092 from 16 companies across 43 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. Coufal's costs compare to other neurological surgerists in La Jolla?
Dr. Coufal's average Medicare payment per service is $183. 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. Coufal) 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 →