Medicare Enrolled

Dr. Mark Kogan, M.D.

Gastroenterology · San Pablo, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
2089 VALE RD, San Pablo, CA 94806
5102345012
In practice since 2006 (19 years)
NPI: 1780690313 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. Kogan 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. Kogan? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Kogan

Dr. Mark Kogan is a gastroenterology specialist in San Pablo, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kogan performed 1,778 Medicare services across 738 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kogan received a total of $9,131 from 28 pharmaceutical and/or device companies across 154 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kogan 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 12% volume in CA $9,131 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,778
Medicare services
Top 12% in CA for gastroenterology
738
Unique beneficiaries
$73
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~94 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
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
658 $44 $240
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.
387 $56 $300
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.
161 $106 $600
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.
132 $79 $440
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.
83 $86 $540
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.
70 $91 $610
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.
64 $111 $865
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 $230 $1,092
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.
55 $132 $780
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
35 $70 $359
Liver stiffness measurement
A non-invasive test that uses ultrasound or similar technology to measure the stiffness of liver tissue. This measurement helps assess the degree of liver fibrosis or scarring.
23 $28 $160
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
18 $192 $798
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.
17 $115 $580
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
14 $142 $806
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 ↗
$9,131
Total received (2018-2024)
Avg $1,304/year across 7 years
Top 20% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
154
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$5,000 (54.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,965 (43.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$165 (1.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$638
2023
$958
2022
$696
2021
$5,525
2020
$258
2019
$612
2018
$443

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Janssen Biotech, Inc.
$331
ABBVIE INC.
$69
Madrigal Pharmaceuticals
$43
IRONWOOD PHARMACEUTICALS, INC
$29
Braintree Laboratories, Inc.
$26
Gilead Sciences, Inc.
$26
AIMMUNE THERAPEUTICS, INC.
$25
Takeda Pharmaceuticals U.S.A., Inc.
$24
CapsoVision, Inc.
$24
Phathom Pharmaceuticals, Inc.
$23
Celltrion USA Inc.
$17
Top 3 companies account for 69.5% of 2024 payments
All-time payments by company (2018-2024) ›
CapsoVision, Inc.
$5,024
Janssen Biotech, Inc.
$650
Gilead Sciences, Inc.
$480
Takeda Pharmaceuticals U.S.A., Inc.
$421
ABBVIE INC.
$351
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$337
AbbVie Inc.
$301
Ironwood Pharmaceuticals, Inc
$191
GENZYME CORPORATION
$176
Ardelyx, Inc.
$165
AbbVie, Inc.
$157
Merck Sharp & Dohme Corporation
$143
Boston Scientific Corporation
$124
Concordia Pharmaceuticals Inc.
$115
Intercept Pharmaceuticals, Inc.
$81
Medtronic, Inc.
$81
Braintree Laboratories, Inc.
$58
Madrigal Pharmaceuticals
$43
Nestle HealthCare Nutrition Inc.
$40
IRONWOOD PHARMACEUTICALS, INC
$29
AIMMUNE THERAPEUTICS, INC.
$25
Phathom Pharmaceuticals, Inc.
$23
QOL Medical, LLC
$23
Ferring Pharmaceuticals Inc.
$22
Merck Sharp & Dohme LLC
$22
AstraZeneca Pharmaceuticals LP
$21
Celltrion USA Inc.
$17
Dova Pharmaceuticals
$11
Top 3 companies account for 67.4% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · Amitiza · CREON · CapsoCam Colon · CapsoCam Plus · DIFICID · DUPIXENT · Donnatal · Doptelet · ENTYVIO · Entyvio · Epclusa · GENERAL - THERAPIES · GI GENIUS · HUMIRA · Humira · IBSRELA · LINZESS · Linzess · MAVYRET · Mavyret · Motegrity · OCALIVA · PLENVU · REBYOTA · REMICADE · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUFLAVE · SUTAB · Sucraid · TREMFYA · VOQUEZNA · XIFAXAN · ZENPEP · ZYMFENTRA
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 (55%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

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

Geographic Context

Gastroenterologists within 10 mi
185
Per 100K population
15.9
County median income
$125,727
Nearest hospital
ADVENTIST HEALTH VALLEJO
9.4 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. Kogan is a clinical cardiology specialist, with above-average Medicare volume (top 12% in CA), with consulting-driven industry engagement in the top 20% 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. Kogan experienced with chronic care management, additional 20 min/month?
Based on Medicare claims data, Dr. Kogan performed 658 chronic care management, additional 20 min/month 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. Kogan receive payments from pharmaceutical companies?
Yes. Dr. Kogan received a total of $9,131 from 28 companies across 154 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. Kogan's costs compare to other gastroenterologists in San Pablo?
Dr. Kogan's average Medicare payment per service is $73. 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. Kogan) 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 →