Medicare Enrolled

Dr. John Costouros, MD

Orthopedic Surgery · Redwood City, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Mixed engagement
450 BROADWAY ST, Redwood City, CA 94063
6507256609
In practice since 2006 (19 years)
NPI: 1437238565 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. Costouros 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. Costouros

Dr. John Costouros is an orthopedic surgery specialist in Redwood City, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Costouros performed 1,156 Medicare services across 810 unique beneficiaries.

Between the years covered by Open Payments, Dr. Costouros received a total of $1,620,405 from 24 pharmaceutical and/or device companies across 594 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Costouros 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 ▲ Top 42% volume in CA $1,620,405 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,156
Medicare services
Top 42% in CA for orthopedic surgery
810
Unique beneficiaries
$201
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~61 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
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
401 $35 $120
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.
354 $115 $220
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.
88 $133 $400
Total shoulder joint prosthetic repair
Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function.
87 $1,320 $12,379
Methylprednisolone acetate injection, 80 mg
An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication.
33 $9 $20
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
32 $55 $300
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
31 $51 $150
Arthroscopic shoulder debridement
A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions.
28 $135 $5,000
Arthroscopic shoulder surgery for bone shaving and ligament repair
A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament.
28 $152 $2,000
Arthroscopic rotator cuff repair
A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions.
23 $994 $9,489
Endoscopic release of biceps tendon
A minimally invasive procedure using an endoscope to release the tendon that connects the biceps muscle to the shoulder.
22 $485 $8,091
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.
17 $77 $180
Shoulder tendon release
A surgical procedure to cut or release a tendon in the shoulder joint to improve movement or relieve pain.
12 $376 $6,125
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.
2.4% high complexity
5.6% medium
92.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,620,405
Total received (2018-2024)
Avg $231,486/year across 7 years
Top 2% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
594
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.

Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$1,340,124 (82.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$249,759 (15.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$16,853 (1.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$13,669 (0.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$135,893
2023
$134,473
2022
$447,399
2021
$290,696
2020
$177,383
2019
$192,084
2018
$242,477

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$91,754
MEDACTA USA, INC.
$43,469
Hikma Pharmaceuticals USA
$344
Shoulder Innovations, Inc.
$177
DePuy Synthes Sales Inc.
$105
Heron Therapeutics, Inc.
$44
Top 3 companies account for 99.8% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$873,099
Stryker Corporation
$388,284
MEDACTA USA, INC.
$94,316
Catalyst OrthoScience
$77,469
Wright Medical Technology, Inc.
$65,175
WRIGHT MEDICAL TECHNOLOGY, INC.
$61,579
FX Shoulder USA, Inc
$37,474
Medacta USA, Inc.
$12,693
DePuy Synthes Products, Inc.
$2,925
AcelRx Pharmaceuticals, Inc.
$2,000
Evolution Surgical, Inc
$1,780
EVOLUTION SURGICAL, INC
$1,341
Zimmer Biomet Holdings, Inc.
$1,048
Hikma Pharmaceuticals USA
$344
Shoulder Innovations, Inc.
$177
Smith & Nephew, Inc.
$170
DePuy Synthes Sales Inc.
$158
Biedermann Motech, Inc.
$101
Smith+Nephew, Inc.
$94
Pacira Pharmaceuticals Incorporated
$67
Heron Therapeutics, Inc.
$44
Medical Device Business Services, Inc.
$27
Ethicon US, LLC
$20
Kinamed, Inc.
$19
Top 3 companies account for 83.7% of all-time payments
Associated products mentioned in payments ›
AEQUALIS · AEQUALIS ASCEND FLEX · AEQUALIS FLEX REVIVE · AEQUALIS PERFORM · AEQUALIS PERFORM REVERSED · AEQUALIS PERFORM+ · AIM LAPARASCOPES · AMISTEM · ARTHREX · ARTHROPLASTY IMPLANTS REVERS TOTAL SHOULDER REVERS · ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE REVERS · AUGMENT · Archer CSR Total Shoulder System · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · BLUEPRINT PSI SYSTEM · Bone Anchors with Arthroscopic Delivery System · COMBOGESIC IV · Catalyst TSR · Catalyst Total CSR · Comprehensive Shoulder System · DSUVIA · DYNACORD · EXPAREL · GMK SPHERE · GMK Sphere · GRYPHON · HEALIX · HEALIX KNOTLESS PEEK · INSPACE · IOVERA SYSTEM · InSet System · Juggerknotless Soft Anchor · MAKO · MECTA · NA · NEXTAR · NextAR Knee · NextAR TSA Platform · OMEGA · PERFORM GLENOID · PRIMARY SHOULDER · Primary Shoulder · Proximal Humerus Plating System · QUADRA · R&D EXTREMITIES · R&D UPPER EXT · REUNION · REVERSE SHOULDER · ROSA · Regeneten · Reverse Shoulder · Revision Cup · SIMPLICITI · STRATAFIX · Shoulder System · TORNIER FLEX · TORNIER PERFORM REVERSED GLENOID · TSR · ZYNRELEF · mymobility Platform
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 2% for orthopedic surgery in CA.

Looking for an orthopedic surgery specialist in Redwood City?
Compare orthopedic surgeons in the Redwood City area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
330
Per 100K population
44.3
County median income
$156,000
Nearest hospital
KAISER FOUNDATION HOSPITAL - REDWOOD CITY
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. Costouros is a clinical cardiology specialist, with moderate Medicare volume, with mixed engagement industry engagement in the top 2% 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. Costouros experienced with shoulder x-ray, 2+ views?
Based on Medicare claims data, Dr. Costouros performed 401 shoulder x-ray, 2+ views 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. Costouros receive payments from pharmaceutical companies?
Yes. Dr. Costouros received a total of $1,620,405 from 24 companies across 594 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. Costouros's costs compare to other orthopedic surgeons in Redwood City?
Dr. Costouros's average Medicare payment per service is $201. 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. Costouros) 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 →