Medicare Enrolled

Dr. Tricia Markusen, MD

Obstetrics & Gynecology · Monterey, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
889 PACIFIC ST, Monterey, CA 93940
8316490175
In practice since 2005 (20 years)
NPI: 1912908955 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. Markusen 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. Markusen

Dr. Tricia Markusen is an obstetrics & gynecology specialist in Monterey, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Markusen performed 5,779 Medicare services across 1,573 unique beneficiaries.

Between the years covered by Open Payments, Dr. Markusen received a total of $2,141 from 28 pharmaceutical and/or device companies across 132 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in obstetrics & gynecology. 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. Markusen 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 1% volume in CA $2,141 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,779
Medicare services
Top 1% in CA for obstetrics & gynecology
1,573
Unique beneficiaries
$33
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~289 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
Denosumab injection (Prolia/Xgeva) 3,900 $18 $27
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.
543 $97 $139
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.
402 $69 $98
Pelvic and clinical breast exam for cancer screening
A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider.
259 $43 $43
Annual depression screening 180 $21 $21
Pap smear screening test
A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis.
172 $49 $48
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.
70 $11 $30
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
54 $3 $25
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.
42 $138 $194
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
31 $20 $26
Insertion of temporary bladder tube 29 $38 $140
Transvaginal pelvic ultrasound
An ultrasound exam using a probe inserted into the vagina to image the uterus, ovaries, fallopian tubes, cervix, and surrounding pelvic structures.
28 $106 $400
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.
22 $123 $179
Endometrial biopsy
A procedure to remove a small sample of tissue from the lining of the uterus for examination.
18 $82 $300
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.
15 $42 $62
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.
14 $90 $121
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 ↗
$2,141
Total received (2018-2024)
Avg $306/year across 7 years
Top 23% in CA for obstetrics & gynecology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
132
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
$1,952 (91.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$189 (8.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$365
2023
$286
2022
$309
2021
$452
2020
$286
2019
$258
2018
$185

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Astellas Pharma US Inc
$159
MAYNE PHARMA COMMERCIAL LLC
$109
Amgen Inc.
$49
Ethicon US, LLC
$25
Meditrina
$23
Top 3 companies account for 86.8% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$248
MAYNE PHARMA COMMERCIAL LLC
$247
TherapeuticsMD, Inc.
$228
Astellas Pharma US Inc
$204
Radius Health, Inc.
$137
PFIZER INC.
$120
Avion Pharmaceuticals
$93
Daiichi Sankyo Inc.
$91
AbbVie Inc.
$84
Roche Diagnostics Corporation
$84
ABBVIE INC.
$73
Boston Scientific Corporation
$59
MAYNE PHARMA INC.
$49
Allergan Inc.
$47
COLOPLAST CORP
$45
Vertical Pharmaceuticals, LLC
$43
CooperSurgical, Inc.
$37
AbbVie, Inc.
$37
AMAG Pharmaceuticals, Inc.
$30
Becton, Dickinson and Company
$27
Ethicon US, LLC
$25
Meditrina
$23
Coloplast Corp
$22
Lilly USA, LLC
$21
Lupin Inc.
$19
Merck Sharp & Dohme Corporation
$17
Organon LLC
$17
Olympus America Inc.
$14
Top 3 companies account for 33.8% of all-time payments
Associated products mentioned in payments ›
ANNOVERA · Altis · BD SUREPATH · BIJUVA · Balcoltra · DIVIGEL · EVENITY · Endosee · FEMALE INCONTINENCE · FORTEO · IMVEXXY · INJECTAFER · INTRAROSA · LO LOESTRIN FE · MYFEMBREE · MYRBETRIQ · NEXPLANON · ORILISSA · Olympus · Orilissa · Prenate Mini · RS Harmony Test Related Products · SOLOSEC · SYMPHION · Tymlos · VISTASEAL · VRAYLAR · Veozah
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 (91%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an obstetrics & gynecology specialist in Monterey?
Compare obstetricians & gynecologists in the Monterey area by procedure volume, costs, and industry payment transparency.
Browse obstetricians & gynecologists nearby

Geographic Context

Obstetricians & gynecologists within 10 mi
45
Per 100K population
10.3
County median income
$94,486
Nearest hospital
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
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. Markusen is a clinical cardiology specialist, with above-average Medicare volume (top 1% in CA), with low-engagement industry engagement, 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. Markusen experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Markusen performed 3,900 denosumab injection (prolia/xgeva) 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. Markusen receive payments from pharmaceutical companies?
Yes. Dr. Markusen received a total of $2,141 from 28 companies across 132 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. Markusen's costs compare to other obstetricians & gynecologists in Monterey?
Dr. Markusen's average Medicare payment per service is $33. 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. Markusen) 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 →