Medicare Enrolled

Dr. Duna Raoof, MD

Ophthalmology · Laguna Hills, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
24401 CALLE DE LA LOUISA, Laguna Hills, CA 92653
9499512020
In practice since 2009 (16 years)
NPI: 1437389822 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. Raoof 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. Raoof

Dr. Duna Raoof is an ophthalmology specialist in Laguna Hills, CA, with 16 years of NPI registration. Based on federal Medicare data, Dr. Raoof performed 2,994 Medicare services across 2,461 unique beneficiaries.

Between the years covered by Open Payments, Dr. Raoof received a total of $80,805 from 31 pharmaceutical and/or device companies across 324 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Raoof 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.

✓ 16 years in practice ▲ Top 33% volume in CA $80,805 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,994
Medicare services
Top 33% in CA for ophthalmology
2,461
Unique beneficiaries
$96
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~187 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
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
459 $31 $75
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.
392 $96 $303
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
311 $71 $140
CT scan of cornea
A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye.
281 $28 $120
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.
273 $124 $418
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
272 $401 $2,150
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
264 $37 $140
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
207 $27 $75
Insertion of drug delivery implant into tear duct
A small implant containing medication is placed into the tear duct of the eye to deliver drugs directly to the eye over time.
201 $14 $500
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
192 $50 $140
Tear duct plug insertion
A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface.
46 $176 $418
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
32 $280 $562
Cataract removal with artificial lens and drainage device insertion
Surgical removal of the eye's natural lens followed by the insertion of an artificial lens and a drainage device into the front chamber of the eye.
30 $482 $2,923
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.
20 $77 $120
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
14 $100 $185
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.
9.1% high complexity
31.6% medium
59.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$80,805
Total received (2018-2024)
Avg $11,544/year across 7 years
Top 5% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
324
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
$52,531 (65.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$21,327 (26.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,947 (8.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$16,268
2023
$21,719
2022
$28,388
2021
$8,701
2020
$560
2019
$3,833
2018
$1,335

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alcon Vision LLC
$7,292
Glaukos Corporation
$5,798
Alcon Research LLC
$2,000
BIOTISSUE HOLDINGS INC.
$389
Bausch & Lomb Americas Inc.
$163
SUN PHARMACEUTICAL INDUSTRIES INC.
$162
Sight Sciences, Inc.
$141
Dompe US, Inc.
$90
Tarsus Pharmaceuticals, Inc.
$54
Amgen Inc.
$46
Mallinckrodt Hospital Products Inc.
$42
Johnson & Johnson Surgical Vision, Inc.
$41
ABBVIE INC.
$27
Ocular Therapeutix, Inc.
$24
Top 3 companies account for 92.8% of 2024 payments
All-time payments by company (2018-2024) ›
Alcon Vision LLC
$37,905
Alcon Research LLC
$17,424
Sight Sciences, Inc.
$12,335
Glaukos Corporation
$7,082
Johnson & Johnson Surgical Vision, Inc.
$945
Shire North American Group Inc
$938
Ocular Therapeutix, Inc.
$425
Novartis Pharmaceuticals Corporation
$416
BIOTISSUE HOLDINGS INC.
$389
Sun Pharmaceutical Industries Inc.
$353
RxSight Inc
$348
Bausch & Lomb Americas Inc.
$312
Bausch & Lomb, a division of Bausch Health US, LLC
$307
Allergan, Inc.
$261
Aerie Pharmaceuticals, Inc.
$213
SUN PHARMACEUTICAL INDUSTRIES INC.
$185
Kala Pharmaceuticals, Inc.
$143
Allergan Inc.
$135
Dompe US, Inc.
$123
Oyster Point Pharma, Inc.
$119
NEW WORLD MEDICAL,INC.
$89
Thea Pharma Inc.
$60
Tarsus Pharmaceuticals, Inc.
$54
ABBVIE INC.
$47
Amgen Inc.
$46
Mallinckrodt Hospital Products Inc.
$42
BioTissue Holdings, Inc.
$28
GLAUKOS CORPORATION
$27
Alcon Laboratories Inc
$24
TissueTech, Inc.
$17
Eyevance Pharmaceuticals LLC
$14
Top 3 companies account for 83.7% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ARGOS · AcrySof · AcrySof IQ PanOptix · AcrySof IQ PanOptix UV IOL · AcrySof IQ VIVITY IOL · Ahmed Glaucoma Valve · BESIVANCE · BROMSITE · BromSite · BromSite (bromfenac ophthalmic solution) 0.075% · CE-marked KXLA system · CEQUA · COMBIGAN · Capella Aberrometer · Centurion · Cequa · Clareon · DEXTENZA · DUREZOL · DURYSTA · ENVISTA ENVY · EYSUVIS · Flarex · ILUX · INVELTYS · ISTENT · KXL System · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LOTEMAX SM · LUMIGAN · LenSx · MIEBO · OMNI · OMNI SURGICAL SYSTEM · OMNI Surgical System · OMNI(R) SURGICAL SYSTEM (US) · OXERVATE · PAZEO · PROKERA · PROLENSA · Photrexa · Prokera · RESTASIS · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · RXSIGHT INJECTOR HANDPIECE · ReSTOR · ReSure Sealant · Rhopressa · Rocklatan · Simbrinza · TEARCARE SYSTEM · TECNIS IOL · TEPEZZA · TRAVATAN Z · TYRVAYA · TearCare SmartLid · Tecnis 1-piece IOL · Tecnis IOL · Tecnis Simplicity · VUITY · VYZULTA · Wavelight · XDEMVY · XELPROS · XEN GLAUCOMA TREATMENT SYSTEM · XIIDRA · iSTENT iNJECT TRABECULAR MICRO-BYPASS STENT SYSTEM · iStent · iStent inject Trabecular Micro-Bypass Stent System · rhopressa · rocklatan
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 (65%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 5% for ophthalmology in CA.

Looking for an ophthalmology specialist in Laguna Hills?
Compare ophthalmologists in the Laguna Hills area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
290
Per 100K population
9.2
County median income
$113,702
Nearest hospital
MEMORIALCARE SADDLEBACK MEDICAL CENTER
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. Raoof is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 5% of CA peers, with 16 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. Raoof experienced with retinal imaging (oct scan)?
Based on Medicare claims data, Dr. Raoof performed 459 retinal imaging (oct scan) 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. Raoof receive payments from pharmaceutical companies?
Yes. Dr. Raoof received a total of $80,805 from 31 companies across 324 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. Raoof's costs compare to other ophthalmologists in Laguna Hills?
Dr. Raoof's average Medicare payment per service is $96. 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. Raoof) 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 →