Medicare Enrolled

Dr. Nathaniel Schuster, M.D.

Neurology · San Diego, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
200 W ARBOR DR, San Diego, CA 92103
6195435754
In practice since 2011 (15 years)
NPI: 1861781205 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. Schuster 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. Schuster

Dr. Nathaniel Schuster is a neurology specialist in San Diego, CA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Schuster performed 637 Medicare services across 426 unique beneficiaries.

Between the years covered by Open Payments, Dr. Schuster received a total of $312,365 from 23 pharmaceutical and/or device companies across 497 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Schuster 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.

✓ 15 years in practice ▲ Top 42% volume in CA $312,365 industry payments

Medicare Practice Summary

Medicare Utilization ↗
637
Medicare services
Top 42% in CA for neurology
426
Unique beneficiaries
$63
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
Trigger point injection, 3 or more muscles
Injection of medication into three or more specific muscle trigger points to relieve pain.
81 $25 $204
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.
69 $72 $347
Injection of anesthetic or steroid into sacroiliac joint with imaging guidance
This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection.
57 $93 $1,181
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.
56 $77 $892
Injection of anesthetic or steroid into upper neck and back of head nerve
An injection of an anesthetic agent and/or steroid into a nerve located in the upper neck and back of the head.
54 $59 $533
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
48 $25 $247
Bilateral facial and neck nerve muscle paralysis injection
Injection of a chemical agent to paralyze muscles in the face and neck on both sides.
38 $94 $503
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
36 $54 $455
Facial nerve injection with anesthetic and/or steroid
An injection of an anesthetic agent and/or steroid into the facial nerve. This procedure delivers medication directly to the nerve.
36 $31 $490
Injection of anesthetic agent and/or steroid into other nerve or branch 35 $25 $632
Sacral spine nerve root injection with imaging guidance
An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement.
22 $92 $1,152
New patient office visit, complex (60-74 min) 22 $142 $673
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
21 $113 $480
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
18 $40 $469
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.
18 $80 $926
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.
14 $108 $539
Sedation by physician, initial 15 minutes
Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older.
12 $9 $190
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 ↗
$312,365
Total received (2018-2024)
Avg $44,624/year across 7 years
Top 3% in CA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
497
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
$212,622 (68.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$59,218 (19.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$40,525 (13.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$25,288
2023
$96,860
2022
$64,671
2021
$50,103
2020
$41,716
2019
$32,136
2018
$1,592

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Averitas Pharma Inc.
$25,156
Abbott Laboratories
$77
SPR Therapeutics, Inc
$55
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Lilly USA, LLC
$124,050
Averitas Pharma Inc.
$63,033
GRT US Holding, Inc.
$58,749
Collegium Pharmaceutical, Inc.
$58,350
Eli Lilly and Company
$3,000
Lundbeck LLC
$1,750
Boston Scientific Corporation
$1,000
Nevro Corp.
$589
SPR Therapeutics, Inc
$398
Allergan, Inc.
$393
Merz Pharmaceuticals, LLC
$159
Medtronic, Inc.
$153
Spinal Simplicity, LLC
$127
Vertos Medical, Inc.
$124
Amgen Inc.
$122
AbbVie Inc.
$91
Avanos Medical
$78
Abbott Laboratories
$77
Relievant Medsystems, Inc.
$40
Medtronic USA, Inc.
$37
Biohaven Pharmaceuticals, Inc.
$17
Nalu Medical, Inc.
$16
Tenex Health Inc.
$11
Top 3 companies account for 78.7% of all-time payments
Associated products mentioned in payments ›
ACCURIAN · BOTOX · CLINICAL TRIAL PRODUCT · COOLIEF* COOLED RADIOFREQUENCY · EMGALITY · ETERNA · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GENERATOR · General - Pain Management · General - Therapies · HA MINUTEMAN G3-R · INTELLIS ADAPTIVESTIM · Intracept · NURTEC ODT · Nalu Neurostimulation System · Omnia · QUTENZA · Qutenza · RESTORE · REYVOW · SPECTRA WAVEWRITER · SPRINT PNS System · SUPERION · Senza Spinal Cord Stimulation System · VYEPTI · Xeomin · Xtampza · mild Device Kit
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 (68%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neurology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for neurology in CA.

Looking for a neurology specialist in San Diego?
Compare neurologists in the San Diego area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurologists within 10 mi
177
Per 100K population
5.4
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. Schuster is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 3% of CA peers, with 15 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. Schuster experienced with trigger point injection, 3 or more muscles?
Based on Medicare claims data, Dr. Schuster performed 81 trigger point injection, 3 or more muscles 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. Schuster receive payments from pharmaceutical companies?
Yes. Dr. Schuster received a total of $312,365 from 23 companies across 497 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. Schuster's costs compare to other neurologists in San Diego?
Dr. Schuster's average Medicare payment per service is $63. 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. Schuster) 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 →