Medicare Enrolled
Dr. Evan Vapnek, M.D.
Urology Physician · San Diego, 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. Vapnek 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. Vapnek
Dr. Evan Vapnek is an urology physician in San Diego, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Vapnek performed 1,833 Medicare services across 1,292 unique beneficiaries.
Between the years covered by Open Payments, Dr. Vapnek received a total of $10,758 from 66 pharmaceutical and/or device companies across 361 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology 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. Vapnek 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
$10,758 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,833
Medicare services
Top 42% in CA for urology physician
1,292
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~96 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 |
|---|---|---|---|
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
444 | $2 | $9 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
306 | $50 | $300 |
| 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. |
246 | $67 | $440 |
| 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. |
172 | $100 | $600 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
163 | $8 | $60 |
| 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 | $120 | $780 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
58 | $196 | $1,209 |
| 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. |
53 | $77 | $540 |
| 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. |
50 | $51 | $310 |
| Simple change of bladder tube | 42 | $85 | $480 |
| Endoscopic removal of foreign body, stone, or stent from urethra or bladder A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item. |
38 | $280 | $1,585 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
32 | $58 | $360 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
26 | $104 | $600 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
23 | $68 | $385 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
20 | $7 | $52 |
| 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. |
20 | $44 | $280 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
14 | $125 | $730 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
13 | $3 | $20 |
| 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. |
13 | $107 | $483 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
12 | $21 | $120 |
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.
2.1% high complexity
9.7% medium
88.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$10,758
Total received (2018-2024)
Avg $1,537/year across 7 years
Top 19% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
66
Companies
361
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
$10,758 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,651
2023
$1,095
2022
$1,855
2021
$1,620
2020
$790
2019
$2,658
2018
$1,089
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PROCEPT BioRobotics Corporation
$313
UROGEN PHARMA, INC.
$258
IMMUNITYBIO, INC.
$124
Bayer Healthcare Pharmaceuticals Inc.
$115
ABBVIE INC.
$110
Janssen Biotech, Inc.
$87
COLOPLAST CORP
$85
Blue Earth Diagnostics Limited
$57
Merck Sharp & Dohme LLC
$47
Antares Pharma, Inc.
$47
Tempus AI, Inc
$47
Sumitomo Pharma America, Inc.
$42
ACCORD HEALTHCARE, INC.
$40
Laborie Medical Technologies Corp.
$38
Novartis Pharmaceuticals Corporation
$32
Axonics, Inc.
$27
Calyxo, Inc.
$24
PFIZER INC.
$22
AstraZeneca Pharmaceuticals LP
$22
Myriad Genetic Laboratories, Inc.
$20
Boston Scientific Corporation
$18
Photocure Inc
$18
PROGENICS PHARMACEUTICALS, INC.
$17
Telix Pharmaceuticals
$14
SUN PHARMACEUTICAL INDUSTRIES INC.
$14
Tolmar, Inc.
$14
Top 3 companies account for 42.1% of 2024 payments
All-time payments by company (2018-2024) ›
NeoTract Inc.
$1,450
Allergan, Inc.
$560
Teleflex LLC
$521
PROCEPT BioRobotics Corporation
$498
Janssen Biotech, Inc.
$462
Ferring Pharmaceuticals Inc.
$421
Antares Pharma, Inc.
$371
Coloplast Corp
$366
ABBVIE INC.
$326
Endo Pharmaceuticals Inc.
$325
UROGEN PHARMA, INC.
$300
180 Medical, Inc.
$265
COLOPLAST CORP
$249
Myovant Sciences Inc.
$242
AstraZeneca Pharmaceuticals LP
$242
Merck Sharp & Dohme Corporation
$242
Bayer HealthCare Pharmaceuticals Inc.
$225
Astellas Pharma US Inc
$223
Progenics Pharmaceuticals, Inc.
$213
PFIZER INC.
$212
Myriad Genetic Laboratories, Inc.
$200
AbbVie, Inc.
$194
UroGen Pharma, Inc.
$192
Bayer Healthcare Pharmaceuticals Inc.
$189
Laborie Medical Technologies Corp.
$164
Boston Scientific Corporation
$128
Merck Sharp & Dohme LLC
$127
IMMUNITYBIO, INC.
$124
ABC Home Medical Supply, Inc.
$122
GENZYME CORPORATION
$118
Axonics, Inc.
$117
Avadel Specialty Pharmaceuticals, LLC
$116
Profound Medical Corp.
$112
Intuitive Surgical, Inc.
$94
Blue Earth Diagnostics Limited
$82
Amgen Inc.
$76
Acerus Pharmaceuticals Corporation
$69
Photocure Inc
$63
ConvaTec Inc.
$62
Telix Pharmaceuticals
$57
Novartis Pharmaceuticals Corporation
$50
Tempus AI, Inc
$47
Sumitomo Pharma America, Inc.
$42
ACCORD HEALTHCARE, INC.
$40
Allergan Inc.
$34
Analogic Corporation
$30
AbbVie Inc.
$28
Dendreon Pharmaceuticals LLC
$27
Sun Pharmaceutical Industries Inc.
$25
Supernus Pharmaceuticals, Inc.
$24
Rochester Medical Corporation
$24
Alnylam Pharmaceuticals Inc.
$24
Calyxo, Inc.
$24
Foundation Medicine, Inc.
$23
Olympus America Inc.
$22
Accord Healthcare, Inc.
$22
Travere Therapeutics, Inc.
$18
MEDIVATION FIELD SOLUTIONS LLC
$17
PROGENICS PHARMACEUTICALS, INC.
$17
BOSTON SCIENTIFIC CORPORATION
$17
Sagent Pharmaceuticals, Inc.
$16
C. R. Bard, Inc. & Subsidiaries
$16
Ethicon US, LLC
$15
SUN PHARMACEUTICAL INDUSTRIES INC.
$14
Duchesnay USA Incorporated
$14
Tolmar, Inc.
$14
Top 3 companies account for 23.5% of all-time payments
Associated products mentioned in payments ›
ADVANCE · ANKTIVA · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · AquaBeam Robotic System · Axonics · Axonics r-SNM System · Axumin · BOTOX · CAMCEVI · CVAC ASPIRATION SYSTEM · CYSVIEW · Cysview · Da Vinci Surgical System · EDEX · ELIGARD · ERLEADA · EVUSHELD · FIRMAGON · FLOCATH · GEMTESA · GENTLECATH · GREENLIGHT · GentleCath · Glydo · ILLUCCIX · JELMYTO · JEVTANA · KEYTRUDA · LUPRON DEPOT · LYNPARZA · Lupron · Lupron Depot · MAGIC3 · MYRBETRIQ · MYRISK · Magic 3 · NOCDURNA · Natesto · Noctiva · Nubeqa · ORGOVYX · OTREXUP · OXLUMO · Optilume BPH Drug Coated Balloon Catheter · Osphena · PLUVICTO · POSLUMA · PROLARIS · PROVENGE · PYLARIFY · Prolaris · Prolia · ROCHESTER MAGIC3 · ReTrace · Rezum Generator · SPECTRA · SPEEDICATH · ShockPulse - SE · SpeediCath · TITAN · TLANDO · TOVIAZ · Thiola · Titan · Tulsa-Pro · UPSYLON · UROLIFT · UroLift · UroLift System · VISTASEAL · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · YONSA · 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
131
Per 100K population
4.0
County median income
$102,285
Nearest hospital
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR
0.0 mi
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. Vapnek is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 19% 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. Vapnek experienced with automated urinalysis?
Based on Medicare claims data, Dr. Vapnek performed 444 automated urinalysis 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. Vapnek receive payments from pharmaceutical companies?
Yes. Dr. Vapnek received a total of $10,758 from 66 companies across 361 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. Vapnek's costs compare to other urology physicians in San Diego?
Dr. Vapnek's average Medicare payment per service is $57. 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. Vapnek) 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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