Medicare Enrolled

Dr. Kirsten Tolstrup

Optician · San Francisco, CA
Practice pattern: Cardiac & Cardiac — Practice combining cardiac and cardiac services
Speaking/Promotional
1 DANIEL BURNHAM CT STE 260, San Francisco, CA 94109
4155025099
In practice since 2006 (19 years)
NPI: 1396772786 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. Tolstrup 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. Tolstrup

Dr. Kirsten Tolstrup is an optician specialist in San Francisco, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Tolstrup performed 1,008 Medicare services across 942 unique beneficiaries.

Between the years covered by Open Payments, Dr. Tolstrup received a total of $23,596 from 5 pharmaceutical and/or device companies across 54 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. Tolstrup 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 ▲ 1,008 Medicare services $23,596 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,008
Medicare services
Bottom 47% in CA for optician
942
Unique beneficiaries
$42
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~53 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
Echocardiogram with color Doppler
An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function.
146 $3 $606
Follow-up ultrasound of heart blood flow, valves and chambers
An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function.
111 $6 $396
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.
104 $81 $577
Heart muscle strain imaging 89 $10 $263
Follow-up heart ultrasound
An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress.
88 $21 $626
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.
79 $106 $773
Stress echocardiogram with ECG monitoring
An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings.
66 $65 $1,255
Echocardiogram, transthoracic
An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function.
62 $106 $1,123
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision.
58 $19 $724
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results.
52 $13 $360
Transesophageal echocardiogram
An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function.
35 $95 $1,955
Echocardiogram, transthoracic
An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers.
35 $16 $1,184
EKG interpretation and report
A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report.
33 $7 $47
Stress echocardiogram
An ultrasound of the heart performed while at rest and during exercise or drug-induced stress to evaluate heart function under different conditions.
23 $59 $448
New patient office visit, complex (60-74 min) 15 $142 $1,085
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.
12 $110 $867
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.
20.6% high complexity
55.3% medium
24.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$23,596
Total received (2018-2024)
Avg $3,371/year across 7 years
Top 8% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
5
Companies
54
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
$21,324 (90.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,272 (9.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$65
2023
$572
2022
$128
2021
$129
2020
$1,229
2019
$10,534
2018
$10,939

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$37
Edwards Lifesciences Corporation
$29
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Lantheus Medical Imaging, Inc.
$21,988
Abbott Laboratories
$753
Edwards Lifesciences Corporation
$428
CryoLife, Inc.
$300
ABIOMED
$128
Top 3 companies account for 98.2% of all-time payments
Associated products mentioned in payments ›
DEFINITY · Definity · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Impella · MITRACLIP · Mitra Clip system · On-X · PASCAL · Tendyne Mitral Valve System
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 (90%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in optician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 8% for optician in CA.

Looking for an optician specialist in San Francisco?
Compare opticians in the San Francisco area by procedure volume, costs, and industry payment transparency.
Browse opticians nearby

Geographic Context

Opticians within 10 mi
1,298
Per 100K population
155.2
County median income
$141,446
Nearest hospital
CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS
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. Tolstrup is a cardiac & cardiac specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 8% 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. Tolstrup experienced with echocardiogram with color doppler?
Based on Medicare claims data, Dr. Tolstrup performed 146 echocardiogram with color doppler 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. Tolstrup receive payments from pharmaceutical companies?
Yes. Dr. Tolstrup received a total of $23,596 from 5 companies across 54 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. Tolstrup's costs compare to other opticians in San Francisco?
Dr. Tolstrup's average Medicare payment per service is $42. 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. Tolstrup) 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 →