Medicare Enrolled

Dr. Stelios Koutsoumbelis, M.D.

Orthopedic Surgery · Plainview, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
651 OLD COUNTRY RD, Plainview, NY 11803
5166818822
In practice since 2010 (16 years)
NPI: 1316258015 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. Koutsoumbelis 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. Koutsoumbelis

Dr. Stelios Koutsoumbelis is an orthopedic surgery specialist in Plainview, NY, with 16 years of NPI registration. Based on federal Medicare data, Dr. Koutsoumbelis performed 927 Medicare services across 696 unique beneficiaries.

Between the years covered by Open Payments, Dr. Koutsoumbelis received a total of $128,617 from 24 pharmaceutical and/or device companies across 156 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Koutsoumbelis 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.

✓ 16 years in practice ▲ Top 47% volume in NY $128,617 industry payments

Medicare Practice Summary

Medicare Utilization ↗
927
Medicare services
Top 47% in NY for orthopedic surgery
696
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~58 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 (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.
310 $78 $375
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
115 $5 $27
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
93 $36 $177
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.
86 $97 $500
Ketorolac injection, per 15 mg
An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg.
68 $0 $13
Pelvis X-ray, 1-2 views
An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints.
49 $25 $161
X-ray of upper spine, 2-3 views
An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures.
47 $36 $175
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
36 $13 $268
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.
30 $115 $550
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
21 $109 $530
MRI of lower spine, without contrast
A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine.
19 $145 $1,607
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
16 $158 $1,035
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.
15 $27 $153
X-ray of middle spine, 2 views
An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints.
11 $31 $165
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.
11 $143 $755
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 ↗
$128,617
Total received (2018-2024)
Avg $18,374/year across 7 years
Top 9% in NY for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
156
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
$102,061 (79.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$23,670 (18.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,886 (2.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,530
2023
$783
2022
$33,428
2021
$18,076
2020
$14,599
2019
$21,789
2018
$36,412

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$3,370
Globus Medical, Inc.
$61
VERTEX PHARMACEUTICALS INCORPORATED
$34
SPINAL ELEMENTS, INC.
$25
DePuy Synthes Sales Inc.
$22
Orthofix Medical, Inc.
$17
Top 3 companies account for 98.2% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$80,001
K2M, Inc.
$16,145
Centinel Spine, LLC
$11,317
Biogennix, LLC
$10,000
Medtronic USA, Inc.
$4,154
Medtronic, Inc.
$3,370
Misonix Inc
$1,500
NuVasive, Inc.
$652
Biocomposites Inc
$277
DePuy Synthes Sales Inc.
$230
Orthofix Medical, Inc.
$165
SI-BONE, Inc.
$149
Boston Scientific Corporation
$134
RTI Surgical, Inc.
$92
Globus Medical, Inc.
$91
Smith & Nephew, Inc.
$65
BAXTER HEALTHCARE
$51
DJO, LLC
$49
Baxter Healthcare
$39
VERTEX PHARMACEUTICALS INCORPORATED
$34
Endo Pharmaceuticals Inc.
$33
SPINAL ELEMENTS, INC.
$25
Horizon Therapeutics plc
$25
Abbott Laboratories
$18
Top 3 companies account for 83.6% of all-time payments
Associated products mentioned in payments ›
ACP · ACTIFUSE · ACTILIF C FLX · ADAPTIX INTERBODY SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY · ADHERUS AUTOSPRAY DURAL SEALANT · AERO-LL · ALEUTIAN · ALTOS · AttraX · BACS · BRAINLAB · Bendini · BoneScalpel · CAPRI CORPECTOMY CAGE SYSTEM · CASCADIA · CASCADIA INTERBODY SYSTEM · CATALYFT PL EXPANDABLE INTERBODY SYSTEM · CD HORIZON · CD HORIZON SPINAL SYSTEM · CMF · CMF SPINALOGIC · COALITION · COALITION AGX · COHERE · DENALI SPINAL SYSTEM · EVEREST · EVEREST MI · EVEREST SPINAL SYSTEM · EXPEDIUM · GAMMA · GENERAL PAIN MANAGEMENT · GENERAL K2M PRODUCT DISCUSSION · General K2M Product Discussion · Helix · INDEPENDENCE MIS · INTELLIS · LessRay · MAP3 CELLULAR ALLOGENEIC BONE GRAFT · MESA Spinal System · MOJAVE PL 3D Expandable Interbody System · Medical Devices · Morpheus · N/A · NANOSS ABGS FAMILY · NIAGARA LATERAL ACCESS SYSTEM · NuVasive Power · O-ARM · O-ARM-Spine · OASYS · ORTHOVISC · PENNSAID · PICO · PRODISC C · PRODISC L · Proclaim Family of SCS IPGs · RELINE · RESTORE · RISE · SONICANCHOR · SPINEJACK · STAILIF C FLX · STALIF C FLX · STALIF C-Ti · STEALTHSTATION S8 PLATFORM · SYMPHONY · Spinal-Stim · Spinal-stim · Stimulan · TRITANIUM · Transom · XIAFLEX · YUKON · iFuse Implant
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 (79%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 9% for orthopedic surgery in NY.

Looking for an orthopedic surgery specialist in Plainview?
Compare orthopedic surgeons in the Plainview area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
495
Per 100K population
35.7
County median income
$143,408
Nearest hospital
PLAINVIEW HOSPITAL
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. Koutsoumbelis is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 9% of NY peers, with 16 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. Koutsoumbelis experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Koutsoumbelis performed 310 office visit, established patient (20-29 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. Koutsoumbelis receive payments from pharmaceutical companies?
Yes. Dr. Koutsoumbelis received a total of $128,617 from 24 companies across 156 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. Koutsoumbelis's costs compare to other orthopedic surgeons in Plainview?
Dr. Koutsoumbelis'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. Koutsoumbelis) 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 →