Medicare Enrolled

Dr. Ralph Rynning, M.D.

Orthopedic Surgery · San Diego, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
5555 RESERVOIR DR, San Diego, CA 92120
6192869480
In practice since 2007 (18 years)
NPI: 1952595316 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. Rynning 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. Rynning

Dr. Ralph Rynning is an orthopedic surgery specialist in San Diego, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Rynning performed 933 Medicare services across 652 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rynning received a total of $6,377 from 22 pharmaceutical and/or device companies across 97 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Rynning 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.

✓ 18 years in practice ▲ Top 48% volume in CA $6,377 industry payments

Medicare Practice Summary

Medicare Utilization ↗
933
Medicare services
Top 48% in CA for orthopedic surgery
652
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~52 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.
159 $106 $350
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
155 $1 $11
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.
154 $73 $250
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.
150 $31 $157
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
143 $59 $234
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.
62 $93 $350
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.
47 $126 $450
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.
21 $1,211 $4,400
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.
15 $158 $2,050
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.
15 $141 $1,685
Arthroscopic rotator cuff repair
A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions.
12 $892 $3,365
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.
1.6% high complexity
31.9% medium
66.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$6,377
Total received (2018-2024)
Avg $911/year across 7 years
Top 38% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
97
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
$3,477 (54.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,900 (45.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$719
2023
$1,355
2022
$241
2021
$282
2020
$62
2019
$1,332
2018
$2,386

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$587
Smith+Nephew, Inc.
$64
Elevate Surgical CO
$38
Bioventus LLC
$17
Pacira Pharmaceuticals Incorporated
$13
Top 3 companies account for 95.8% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$2,194
ENCORE MEDICAL, LP
$1,665
Arthrex, Inc.
$1,073
Wright Medical Technology, Inc.
$828
DePuy Synthes Sales Inc.
$122
Smith+Nephew, Inc.
$104
Globus Medical, Inc.
$86
Elevate Surgical CO
$38
Nevro Corp.
$32
Pacira Pharmaceuticals Incorporated
$32
Heron Therapeutics, Inc.
$24
AbbVie Inc.
$24
Kerecis Limited
$19
DJO, LLC
$19
Trevena, Inc.
$17
Bioventus LLC
$17
Arthrosurface Incorporated
$16
Elevate Surgical Co
$14
Baudax Bio Inc.
$14
Orthogenrx Inc.
$14
ERMI Inc.
$13
ACELL, INC.
$13
Top 3 companies account for 77.3% of all-time payments
Associated products mentioned in payments ›
AEQUALIS ASCEND FLEX · AEQUALIS PERFORM REVERSED · AETOS Shoulder System · ANJESO · Ascend Flex · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · BLUEPRINT PSI SYSTEM · CMF OL1000 · Clavicular Fracture Fixation · DALVANCE · DJO Surgical Alians Proximal Humerus Fracture Plate · DJO Surgical AltiVate Reverse · DJO Surgical Match Point System · DUROLANE · EVOS MINI · EVOS SMALL · EXPAREL · Exparel · GAMMA · GenVisc 850 · Katalyst Bipolar Radial Head System · Kerecis Omega3 SurgiClose · ORTHOVISC · Olinvyk · Omnia · Proximal Humerus Strut · SpeedSpiral · T2 · TFN · TFN ADVANCED · Zynrelef
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 (54%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an orthopedic surgery specialist in San Diego?
Compare orthopedic surgeons in the San Diego area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons within 10 mi
259
Per 100K population
7.9
County median income
$102,285
Nearest hospital
KAISER FOUNDATION HOSPITAL - SAN DIEGO
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. Rynning is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 18 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. Rynning experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rynning performed 159 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. Rynning receive payments from pharmaceutical companies?
Yes. Dr. Rynning received a total of $6,377 from 22 companies across 97 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. Rynning's costs compare to other orthopedic surgeons in San Diego?
Dr. Rynning's average Medicare payment per service is $100. 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. Rynning) 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 →