Medicare Enrolled

Dr. Jennifer Gruenenfelder, M.D.

Urology Physician · Orange, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
101 THE CITY DR S, Orange, CA 92868
7144568888
In practice since 2006 (19 years)
NPI: 1922063627 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. Gruenenfelder 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. Gruenenfelder

Dr. Jennifer Gruenenfelder is an urology physician in Orange, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gruenenfelder performed 758 Medicare services across 656 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gruenenfelder received a total of $85,333 from 21 pharmaceutical and/or device companies across 262 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Gruenenfelder 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 ▲ 758 Medicare services $85,333 industry payments

Medicare Practice Summary

Medicare Utilization ↗
758
Medicare services
Bottom 37% in CA for urology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
656
Unique beneficiaries
$79
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~40 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 (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.
181 $70 $210
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.
109 $88 $291
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.
54 $43 $144
Insertion of temporary bladder tube 52 $18 $58
Cystoscopy with chemical ablation of bladder
A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue.
52 $111 $390
Electronic assessment of bladder emptying
A test that uses electronic monitoring to evaluate how well the bladder empties urine.
43 $3 $19
Abdominal device insertion with pressure and urine flow study
A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate.
43 $27 $105
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
43 $44 $197
Non-needle muscle activity measurement of bladder and bowel openings
This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles.
42 $13 $143
Complex urodynamic pressure flow study
A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning.
33 $78 $243
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
22 $35 $85
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.
20 $117 $407
Simple insertion of temporary bladder tube
A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder.
15 $17 $58
Urethral sling procedure for female incontinence
A surgical procedure that creates a supportive sling around the urethra to help control urinary leakage in women.
14 $435 $1,670
Ureteral stone crushing with stent insertion
An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open.
12 $306 $961
Vaginal defect repair using endoscope
A surgical procedure to repair a defect in the vagina using an endoscope, which is a thin, lighted tube inserted into the body to visualize the area.
12 $679 $2,202
Ureteral stent insertion via endoscope
A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder.
11 $99 $358
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.
9.9% high complexity
0.0% medium
90.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$85,333
Total received (2018-2024)
Avg $12,190/year across 7 years
Top 5% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
262
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$71,003 (83.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$7,655 (9.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,675 (7.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$5,844
2023
$2,132
2022
$22,486
2021
$18,301
2020
$8,936
2019
$13,379
2018
$14,255

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$3,017
Axonics, Inc.
$1,371
BLUEWIND MEDICAL
$1,250
INTUITIVE SURGICAL, INC.
$109
Boston Scientific Corporation
$98
Top 3 companies account for 96.5% of 2024 payments
All-time payments by company (2018-2024) ›
Allergan Inc.
$26,956
ABBVIE INC.
$24,857
Allergan, Inc.
$19,121
Axonics, Inc.
$11,501
BLUEWIND MEDICAL
$1,250
Astellas Pharma US Inc
$272
PFIZER INC.
$202
Coloplast Corp
$174
Axonics Modulation Technologies, Inc.
$159
UROVANT SCIENCES INC
$150
Medtronic USA, Inc.
$141
INTUITIVE SURGICAL, INC.
$109
AbbVie, Inc.
$109
Boston Scientific Corporation
$98
180 Medical, Inc.
$77
Medtronic, Inc.
$69
Rochester Medical Corporation
$26
Janssen Biotech, Inc.
$21
Dendreon Pharmaceuticals LLC
$16
Ferring Pharmaceuticals Inc.
$14
Endo Pharmaceuticals Inc.
$12
Top 3 companies account for 83.1% of all-time payments
Associated products mentioned in payments ›
ALLODERM · ALTIS · AMS 800 Artificial Urinary Sphincter · AVEED · Axonics · Axonics r-SNM System · BOTOX · BOTOX - UROLOGY · BOTOX THERAPEUTIC · Bulkamid · Da Vinci Surgical System · FEMALE INCONTINENCE · FIRMAGON · GEMTESA · GENTLECATH GLIDE · INTERSTIM · Lupron · Lupron Depot · MAGIC3 · MYRBETRIQ · PREMARIN · PROVENGE · PVC · REVI · TOVIAZ · XTANDI · ZYTIGA
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 (83%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in urology physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for urology physician in CA.

Looking for an urology physician in Orange?
Compare urology physicians in the Orange area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology physicians within 10 mi
226
Per 100K population
7.1
County median income
$113,702
Nearest hospital
PROVIDENCE ST. JOSEPH HOSPITAL
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. Gruenenfelder is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional 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. Gruenenfelder experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gruenenfelder performed 181 office visit, established patient (30-39 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. Gruenenfelder receive payments from pharmaceutical companies?
Yes. Dr. Gruenenfelder received a total of $85,333 from 21 companies across 262 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. Gruenenfelder's costs compare to other urology physicians in Orange?
Dr. Gruenenfelder's average Medicare payment per service is $79. 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. Gruenenfelder) 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 →