Medicare Enrolled

Dr. Kristopher Downing, MD

Orthopaedic Hand Surgery Physician · La Jolla, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Mixed engagement
9834 GENESEE AVE, La Jolla, CA 92037
8588241703
In practice since 2006 (19 years)
NPI: 1851451439 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. Downing 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. Downing

Dr. Kristopher Downing is an orthopaedic hand surgery physician in La Jolla, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Downing performed 842 Medicare services across 577 unique beneficiaries.

Between the years covered by Open Payments, Dr. Downing received a total of $173,198 from 39 pharmaceutical and/or device companies across 136 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic hand surgery physician. 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. Downing 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 ▲ 842 Medicare services $173,198 industry payments

Medicare Practice Summary

Medicare Utilization ↗
842
Medicare services
Bottom 44% in CA for orthopaedic hand surgery physician
577
Unique beneficiaries
$60
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~44 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
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
136 $5 $17
Range of motion measurement
A test to measure how far a patient can move their arms, legs, or spine sections.
92 $18 $64
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.
89 $71 $248
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.
88 $102 $351
Hand range of motion measurement
This procedure measures the movement and flexibility of the hand joints.
70 $15 $51
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.
55 $143 $488
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.
53 $129 $451
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
36 $34 $103
Limited ultrasound of joint or extremity
A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels.
36 $35 $159
New patient office visit, complex (60-74 min) 35 $159 $594
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
33 $36 $115
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
31 $41 $152
Ultrasound-guided joint aspiration or injection
Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement.
28 $77 $244
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
16 $90 $272
Injection of anesthetic agent and/or steroid into other nerve or branch 16 $17 $224
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.
15 $143 $648
Imaging guidance for procedure, 60 minutes or less
Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less.
13 $13 $143
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 ↗
$173,198
Total received (2018-2024)
Avg $24,743/year across 7 years
Top 5% in CA for orthopaedic hand surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
136
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
$151,694 (87.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,869 (6.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$7,611 (4.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,025 (1.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$705
2023
$4,372
2022
$3,446
2021
$152,908
2020
$97
2019
$7,637
2018
$4,032

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$197
KLS-Martin L.P.
$147
Elevate Surgical CO
$90
Smith+Nephew, Inc.
$89
ILLUMINOSS MEDICAL, INC.
$66
Skeletal Dynamics Inc
$58
Nevro Corp.
$22
Bioventus LLC
$20
Endo USA, Inc.
$17
Top 3 companies account for 61.5% of 2024 payments
All-time payments by company (2018-2024) ›
ENCORE MEDICAL, LP
$151,694
Arthrex, Inc.
$5,125
SportsTek Medical, Inc
$3,473
AXOGEN
$3,071
Trice Medical, Inc.
$2,025
Stryker Corporation
$1,706
TriMed, Inc.
$1,522
KLS-Martin L.P.
$944
Elevate Surgical Co
$793
Elevate Surgical CO
$626
Linvatec Corporation
$199
Zimmer Biomet Holdings, Inc.
$184
Catalyst OrthoScience
$183
Endo Pharmaceuticals Inc.
$157
DePuy Synthes Sales Inc.
$152
Bioventus LLC
$145
ImpactOrtho, Inc.
$145
Smith+Nephew, Inc.
$120
ACUMED LLC
$115
Wright Medical Technology, Inc.
$99
FX Shoulder USA, Inc
$97
Medartis Inc.
$95
Skeletal Dynamics Inc
$84
ILLUMINOSS MEDICAL, INC.
$66
Exsomed Holding Company LLC
$60
Integra LifeSciences Corporation
$47
IlluminOss Medical, Inc.
$40
NuVasive, Inc.
$30
HERAEUS MEDICAL, LLC.
$23
Nevro Corp.
$22
Abbott Laboratories
$20
Medtronic USA, Inc.
$19
ERMI Inc.
$19
Amgen Inc.
$19
Orthofix Medical, Inc.
$19
Endo USA, Inc.
$17
ACELL, INC.
$15
Arthrosurface Incorporated
$14
Lilly USA, LLC
$13
Top 3 companies account for 92.5% of all-time payments
Associated products mentioned in payments ›
ACUMED · AEQUALIS PERFORM · AEQUALIS PERFORM REVERSED · AETOS Shoulder System · APTUS · AQUAMANTYS · Aimovig · Avance Nerve Graft · AxoGuard Nerve Connector · AxoGuard Nerve Protector · BIOBRACE 23MM · BLUEPRINT PSI SYSTEM · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Catalyst Total CSR · Comprehensive Shoulder System · DISTAL EXTREMITIES IMPLANTS SOFT TISSUE H&W MINI TIGHTROPES · DYNACORD · Durolane · EMGALITY · EXOGEN ULTRASOUND BONE HEALING SYSTEM · Exogen · Exogen Ultrasound Bone Healing System · GAMMA · Geminus · HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET · HYDROSET · HemiCAP Wrist · ICONIX · INFINITY · INate · Integra · Katalyst Bipolar Radial Head System · LCP PLATES & SCREWS · MAKO · NEUROMATRIX · NVM5 · OCTRODE · OMEGA · PALACOS · PERFORM GLENOID · Photodynamic Bone Stabilization Procedure Pack · Physio-Stim · RELIGN · REUNION · Regeneten · Segway blade or mieye camera · Senza · Sidus Stem-Free Shoulder · T2 ALPHA · TENOGLIDE TENDON PROTECTOR SHEET · TFN ADVANCED · VA-LCP PLATES & SCREWS · XIAFLEX
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 orthopaedic hand surgery physician in CA.

Looking for an orthopaedic hand surgery physician in La Jolla?
Compare orthopaedic hand surgery physicians in the La Jolla area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopaedic hand surgery physicians within 10 mi
26
Per 100K population
0.8
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. Downing is a clinical cardiology specialist, with moderate Medicare volume, with mixed 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. Downing experienced with betamethasone steroid injection?
Based on Medicare claims data, Dr. Downing performed 136 betamethasone steroid injection 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. Downing receive payments from pharmaceutical companies?
Yes. Dr. Downing received a total of $173,198 from 39 companies across 136 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. Downing's costs compare to other orthopaedic hand surgery physicians in La Jolla?
Dr. Downing's average Medicare payment per service is $60. 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. Downing) 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.

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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 →