Medicare Enrolled
Dr. William Costigan, M.D.
Orthopaedic Surgery of the Spine Physician · Pasadena, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Costigan 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. Costigan
Dr. William Costigan is an orthopaedic surgery of the spine physician in Pasadena, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Costigan performed 3,394 Medicare services across 2,272 unique beneficiaries.
Between the years covered by Open Payments, Dr. Costigan received a total of $7,149 from 27 pharmaceutical and/or device companies across 182 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. 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. Costigan 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 6% volume in CA
$7,149 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,394
Medicare services
Top 6% in CA for orthopaedic surgery of the spine physician
2,272
Unique beneficiaries
$108
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~170 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. |
1,046 | $102 | $295 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
441 | $35 | $128 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
295 | $52 | $670 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
289 | $89 | $719 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
289 | $57 | $403 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
106 | $35 | $120 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
102 | $116 | $1,442 |
| 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. |
89 | $123 | $455 |
| Injection, methylprednisolone acetate, 40 mg | 81 | $6 | $15 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
61 | $105 | $850 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
61 | $65 | $475 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
60 | $166 | $1,962 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
49 | $28 | $120 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
48 | $61 | $730 |
| 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. |
48 | $466 | $8,192 |
| 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. |
43 | $305 | $2,995 |
| Fusion of spine in lower back | 41 | $1,301 | $11,855 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
39 | $57 | $225 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
32 | $45 | $200 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
31 | $121 | $1,461 |
| 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. |
26 | $210 | $1,700 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
21 | $617 | $5,700 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
19 | $593 | $5,695 |
| 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. |
18 | $71 | $195 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
16 | $43 | $176 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
16 | $28 | $97 |
| MRI of middle spinal canal, without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the middle section of the spinal canal. It is performed without the use of contrast dye. |
14 | $112 | $1,460 |
| Anterior lumbar interbody fusion with partial disc removal A surgical procedure to fuse the lower spine bones by accessing the area through the abdomen and partially removing a spinal disc. |
13 | $558 | $11,470 |
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.
3.6% high complexity
39.5% medium
56.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,149
Total received (2018-2024)
Avg $1,021/year across 7 years
Bottom 44% in CA for orthopaedic surgery of the spine physician
27
Companies
182
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
$7,149 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,648
2023
$584
2022
$577
2021
$1,773
2020
$576
2019
$1,207
2018
$783
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Globus Medical, Inc.
$926
Orthofix Medical, Inc.
$564
Carbofix Spine Inc
$79
Medtronic, Inc.
$47
Highridge Medical LLC
$32
Top 3 companies account for 95.2% of 2024 payments
All-time payments by company (2018-2024) ›
NuVasive, Inc.
$2,059
Abbott Laboratories
$1,361
Globus Medical, Inc.
$1,221
SPINEFRONTIER, INC.
$743
Orthofix Medical, Inc.
$564
Medtronic, Inc.
$130
Relievant Medsystems, Inc.
$126
DePuy Synthes Sales Inc.
$105
Carbofix Spine Inc
$79
KARL STORZ Endoscopy-America
$70
Smith+Nephew, Inc.
$69
Baxter Healthcare
$68
Horizon Therapeutics plc
$64
Medtronic USA, Inc.
$56
SI-BONE, Inc.
$55
Bioventus LLC
$50
Alphatec Spine, Inc
$50
Stryker Corporation
$50
Medline Industries, Inc.
$42
Integra LifeSciences Corporation
$38
Highridge Medical LLC
$32
RedHill Biopharma Inc.
$24
PROVIDENCE MEDICAL TECHNOLOGY, INC.
$24
Kowa Pharmaceuticals America, Inc.
$21
Avanos Medical
$17
PFIZER INC.
$15
Vertiflex, Inc.
$15
Top 3 companies account for 64.9% of all-time payments
Associated products mentioned in payments ›
ALIF · Biomet SpinalPak Non-invasive Spine Fusion Stimulator System · COALITION AGX / AGX RP · CODMAN CERTAS · CORAIL · CREO NXT · DCI / HOPKINS · DUEXIS · ExcelsiusGPS Robotic Navigation System · FLOSEAL · Hyalomatrix Wound Device · ILIF · INTELLIS ADAPTIVESTIM · IVAS · IVS - VERTEBRAL AUGMENTATION PRODUCTS · InSpan · Inspan · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LYRICA · MAGEC · MARS ACDF Retractor · Mariner · Modulus · Movantik · Nexus · ON-Q PUMP AND ACCESSORIES · PEEK Corpectomy · PENNSAID · PLIF · PROCLAIM · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Pulse · RAYOS · RELINE · RESTORE · Seglentis · Superion ISS · TLX · XLIF · iFuse Implant
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.
Geographic Context
Orthopaedic surgery of the spine physicians within 10 mi
74
Per 100K population
0.8
County median income
$87,760
Nearest hospital
GLENDALE ADVENTIST MEDICAL CENTER
3.1 mi
3.1 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. Costigan is a clinical cardiology specialist, with above-average Medicare volume (top 6% 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. Costigan experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Costigan performed 1,046 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. Costigan receive payments from pharmaceutical companies?
Yes. Dr. Costigan received a total of $7,149 from 27 companies across 182 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. Costigan's costs compare to other orthopaedic surgery of the spine physicians in Pasadena?
Dr. Costigan's average Medicare payment per service is $108. 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. Costigan) 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 →
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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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