Medicare Enrolled

Dr. David Kunkel, M.D.

Gastroenterology · San Diego, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
200 W ARBOR DR, San Diego, CA 92103
8009268273
In practice since 2008 (17 years)
NPI: 1902056245 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. Kunkel 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 →
Are you Dr. Kunkel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Kunkel

Dr. David Kunkel is a gastroenterology specialist in San Diego, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Kunkel performed 708 Medicare services across 667 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kunkel received a total of $202,427 from 22 pharmaceutical and/or device companies across 209 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Kunkel 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.

✓ 17 years in practice ▲ Top 50% volume in CA $202,427 industry payments

Medicare Practice Summary

Medicare Utilization ↗
708
Medicare services
Top 50% in CA for gastroenterology
667
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~42 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.
143 $85 $369
Moderate sedation during GI endoscopy
Sedation services provided by the physician performing a gastrointestinal endoscopic procedure. This requires an independent trained observer to assist in monitoring the patient.
75 $4 $218
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
61 $210 $1,872
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.
58 $29 $318
Rectal and anal tone and sensation test
A physical examination to assess muscle tone and sensory function in the rectum and anus.
58 $38 $533
Rectal sensitivity and function study
A test to evaluate the sensitivity and functional performance of the rectum.
58 $69 $311
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
41 $80 $1,224
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.
37 $123 $559
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
35 $53 $1,656
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
23 $77 $1,049
Esophageal motility study
A test that evaluates the movement and function of the esophagus.
22 $47 $240
Esophageal function monitoring via nasal tube
This procedure involves monitoring and recording esophageal function using a tube inserted through the nose that contains electrodes.
20 $35 $203
Esophageal function monitoring via capsule
This procedure involves monitoring and recording the function of the esophagus using a small capsule attached to the esophageal wall.
19 $67 $608
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
17 $188 $1,854
Injection beneath large bowel lining via endoscope
A flexible endoscope is used to inject medication or fluid beneath the lining of the large intestine.
15 $14 $1,634
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
14 $107 $468
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
12 $146 $2,779
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 ↗
$202,427
Total received (2018-2024)
Avg $28,918/year across 7 years
Top 2% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
209
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
$180,478 (89.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$19,694 (9.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,256 (1.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$75,329
2023
$55,911
2022
$26,337
2021
$25,486
2020
$2,850
2019
$12,271
2018
$4,243

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Phathom Pharmaceuticals, Inc.
$49,959
Regeneron Healthcare Solutions, Inc.
$13,570
GENZYME CORPORATION
$7,384
EVOKE PHARMA, INC.
$3,898
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$360
PFIZER INC.
$125
Ardelyx, Inc.
$32
Top 3 companies account for 94.1% of 2024 payments
All-time payments by company (2018-2024) ›
Regeneron Healthcare Solutions, Inc.
$79,206
Phathom Pharmaceuticals, Inc.
$49,959
PFIZER INC.
$22,437
Shire North American Group Inc
$14,586
Evoke Pharma, Inc.
$12,123
GENZYME CORPORATION
$7,491
EVOKE PHARMA, INC.
$3,898
Ardelyx, Inc.
$2,120
RedHill Biopharma Inc.
$2,100
Takeda Pharmaceuticals U.S.A., Inc.
$2,056
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,260
GI Supply, Inc.
$1,200
Mahana Therapeutics, Inc.
$1,154
Palette Life Sciences, Inc.
$986
Alfasigma USA, Inc.
$750
Allergan Inc.
$677
Medtronic, Inc.
$122
Shield Therapeutics Inc
$97
AstraZeneca Pharmaceuticals LP
$83
Covidien LP
$75
ABBVIE INC.
$34
Synergy Pharmaceuticals Inc
$13
Top 3 companies account for 74.9% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · DUPIXENT · Deflux · ENDOFLIP · EndoFlip · GIMOTI · IBSRELA · LINZESS · MOTEGRITY · Solesta · TRULANCE · Talicia · Trulance · VOQUEZNA · VYNDAQEL · XIFAXAN · Zelnorm
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 (89%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for gastroenterology in CA.

Looking for a gastroenterology specialist in San Diego?
Compare gastroenterologists in the San Diego area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
150
Per 100K population
4.6
County median income
$102,285
Nearest hospital
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR
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. Kunkel is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 2% of CA peers, with 17 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. Kunkel experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kunkel performed 143 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. Kunkel receive payments from pharmaceutical companies?
Yes. Dr. Kunkel received a total of $202,427 from 22 companies across 209 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. Kunkel's costs compare to other gastroenterologists in San Diego?
Dr. Kunkel's average Medicare payment per service is $77. 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. Kunkel) 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 →