Medicare Enrolled
Dr. Robert Rubenstein, M.D.
Clinical Neurophysiology Physician · Silverdale, WA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Rubenstein 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. Rubenstein
Dr. Robert Rubenstein is a clinical neurophysiology physician in Silverdale, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rubenstein performed 34,805 Medicare services across 1,545 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rubenstein received a total of $107,978 from 75 pharmaceutical and/or device companies across 860 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in clinical neurophysiology physician. 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. Rubenstein 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.
✓ 20 years in practice
▲ Top 20% volume in WA
$107,978 industry payments
Medicare Practice Summary
Medicare Utilization ↗34,805
Medicare services
Top 20% in WA for clinical neurophysiology physician
1,545
Unique beneficiaries
$9
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,740 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
33,100 | $5 | $18 |
| 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. |
456 | $115 | $476 |
| 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. |
377 | $85 | $366 |
| 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. |
303 | $57 | $259 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
119 | $76 | $286 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
91 | $105 | $448 |
| Nerve conduction study, 3-4 tests A diagnostic test that measures how well nerves send electrical signals. It involves performing 3 to 4 separate nerve conduction studies to evaluate nerve function. |
82 | $74 | $327 |
| Limited needle EMG of arm or leg muscles A test that measures the electrical activity in specific muscles of the arm or leg using a needle electrode. This limited study evaluates muscle function in a targeted area. |
65 | $46 | $184 |
| Awake and drowsy EEG A test that records electrical activity in the brain while the patient is awake and drowsy. |
61 | $43 | $162 |
| Nerve conduction studies, 5-6 tests A series of 5 to 6 tests that measure how well nerves send electrical signals. The procedure evaluates nerve function and helps identify damage or dysfunction. |
52 | $97 | $391 |
| Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 33 | $60 | $229 |
| Nerve conduction studies, 7-8 tests A series of 7 to 8 nerve conduction tests to evaluate how well nerves are sending signals to muscles. |
31 | $129 | $513 |
| 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. |
18 | $74 | $322 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of one arm or leg using a needle electrode. |
17 | $76 | $328 |
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 ↗$107,978
Total received (2018-2024)
Avg $15,425/year across 7 years
Top 14% in WA for clinical neurophysiology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
75
Companies
860
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
$94,624 (87.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,776 (11.8%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$578 (0.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$7,323
2023
$8,411
2022
$16,597
2021
$29,237
2020
$18,064
2019
$15,682
2018
$12,665
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$4,134
Eisai Inc.
$288
Alexion Pharmaceuticals, Inc.
$267
EMD Serono, Inc.
$235
PFIZER INC.
$213
Lilly USA, LLC
$203
Novartis Pharmaceuticals Corporation
$173
ACADIA Pharmaceuticals Inc
$158
GENZYME CORPORATION
$152
ARGENX US, INC.
$148
UCB, Inc.
$146
Lundbeck LLC
$110
Genentech USA, Inc.
$102
MDD US Operations, LLC
$95
Alnylam Pharmaceuticals Inc.
$86
Neurelis, Inc.
$84
Celgene Corporation
$74
Neurocrine Biosciences, Inc.
$71
Acorda Therapeutics, Inc
$67
Teva Pharmaceuticals USA, Inc.
$65
TG Therapeutics, Inc.
$61
Biogen, Inc.
$57
Otsuka America Pharmaceutical, Inc.
$56
SK Life Science, Inc.
$37
Amneal Pharmaceuticals LLC
$29
Takeda Pharmaceuticals U.S.A., Inc.
$29
LivaNova USA, Inc.
$29
JAZZ PHARMACEUTICALS INC.
$25
Sumitomo Pharma America, Inc.
$24
Azurity Pharmaceuticals, Inc.
$22
Ipsen Biopharmaceuticals, Inc
$22
Merz Pharmaceuticals, LLC
$21
Amgen Inc.
$21
ITF Therapeutics LLC
$19
Top 3 companies account for 64.0% of 2024 payments
All-time payments by company (2018-2024) ›
Allergan, Inc.
$32,000
Allergan Inc.
$24,609
AbbVie Inc.
$18,653
ABBVIE INC.
$18,233
GENZYME CORPORATION
$1,150
Novartis Pharmaceuticals Corporation
$994
Teva Pharmaceuticals USA, Inc.
$973
Alexion Pharmaceuticals, Inc.
$760
ACADIA Pharmaceuticals Inc
$719
Biogen, Inc.
$686
EMD Serono, Inc.
$646
Lilly USA, LLC
$579
Amgen Inc.
$578
UCB, Inc.
$456
Acorda Therapeutics, Inc
$431
Lundbeck LLC
$428
Genentech USA, Inc.
$404
PFIZER INC.
$357
Neurocrine Biosciences, Inc.
$346
Amneal Pharmaceuticals LLC
$326
ARGENX US, INC.
$321
Eisai Inc.
$308
IMPEL PHARMACEUTICALS INC.
$285
SK Life Science, Inc.
$273
Merz Pharmaceuticals, LLC
$204
Neurelis, Inc.
$203
Janssen Pharmaceuticals, Inc
$203
Celgene Corporation
$199
Boston Scientific Corporation
$141
UPSHER-SMITH LABORATORIES LLC
$137
CSL Behring
$129
Biohaven Pharmaceutical Holding Company Ltd.
$128
Alnylam Pharmaceuticals Inc.
$128
BOSTON SCIENTIFIC CORPORATION
$123
Kyowa Kirin, Inc.
$116
MDD US Operations, LLC
$114
US WorldMeds, LLC
$101
Upsher-Smith Laboratories LLC
$82
Amylyx Pharmaceuticals, Inc.
$74
Avanir Pharmaceuticals, Inc.
$73
CATALYST PHARMACEUTICALS, INC.
$72
Ipsen Biopharmaceuticals, Inc
$65
Supernus Pharmaceuticals, Inc.
$65
LivaNova USA, Inc.
$62
TG Therapeutics, Inc.
$61
Grifols USA, LLC
$60
Promius Pharma LLC
$58
Corium, LLC
$57
Otsuka America Pharmaceutical, Inc.
$56
GE HEALTHCARE
$56
TG THERAPEUTICS, INC.
$54
Avion Pharmaceuticals
$53
GE Healthcare
$50
Bausch Health US, LLC
$46
Vertical Pharmaceuticals, LLC
$44
Azurity Pharmaceuticals, Inc.
$43
ASSERTIO THERAPEUTICS, Inc.
$32
Currax Pharmaceuticals LLC
$30
Takeda Pharmaceuticals U.S.A., Inc.
$29
E.R. Squibb & Sons, L.L.C.
$27
JAZZ PHARMACEUTICALS INC.
$25
Sunovion Pharmaceuticals Inc.
$25
Sumitomo Pharma America, Inc.
$24
Biohaven Pharmaceuticals, Inc.
$24
Cala Health, Inc.
$23
BANNER LIFE SCIENCES, LLC
$20
Horizon Therapeutics plc
$19
Octapharma USA, Inc.
$19
Xeris Pharmaceuticals, Inc.
$19
Adamas Pharmaceuticals, Inc.
$19
ITF Therapeutics LLC
$19
Akcea Therapeutics, Inc.
$17
Abbott Laboratories
$16
Mitsubishi Tanabe Pharma America, Inc.
$14
Strongbridge US INC.
$12
Top 3 companies account for 69.7% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AIMOVIG · AJOVY · AMPYRA · AMS · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · Activase · Adlarity · Aimovig · Austedo XR · BAFIERTAM · BOTOX · BOTOX THERAPEUTIC · BRIUMVI · Briviact · CALA TRIO · COMIRNATY · CONTRAVE · Cambia · DIVIGEL · DUOPA · DYSPORT · Dhivy · Dysport · EMGALITY · ENTRESTO · EPIDIOLEX · EVENITY · FIRDAPSE · GILENYA · GOCOVRI · Gamunex-C · Gocovri · Gralise · HORIZANT · HYQVIA · Hizentra · Horizant · INBRIJA · INGREZZA · Infinity DBS Pulse Generators · KESIMPTA · KEVEYIS · KISUNLA · LEMTRADA · LUMIZYME · LYRICA · Leqembi · MAVENCLAD · MAYZENT · MIGRANAL · MYOBLOC · Mavenclad · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Neupro · Nuedexta · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONFI · ONGENTYS · ONPATTRO · OSMOLEX ER · Ocrevus · Ocrevus Zunovo · Ongentys · PANZYGA · Ponvory · Privigen · QULIPTA · RELYVRIO · REXULTI · RYTARY · Radicava · Rebif · Repatha · Rystiggo · SOLIRIS · Soliris · TECFIDERA · TEGSEDI · TOPIRAMATE Extended Release Capsules · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · TYSABRI · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VNS Therapy · VUMERITY · VYALEV · VYVGART · VYVGART HYTRULO · Vimpat · WATCHMAN · WATCHMAN Access System · WELLBUTRIN · XCOPRI · Xadago · Xeomin · ZEMBRACE SYMTOUCH · ZEMBRACE SYMTOUCH SUMATRIPTAN INJECTION · ZEPOSIA · Zembrace · Zilbrysq
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 (88%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in clinical neurophysiology physician and does not inherently indicate bias, but patients may wish to be aware.
Geographic Context
Clinical neurophysiology physicians within 10 mi
6
Per 100K population
2.2
County median income
$98,546
Nearest hospital
HARRISON MEDICAL CENTER
0.0 mi
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. Rubenstein is a mixed practice specialist, with above-average Medicare volume (top 20% in WA), with speaking/promotional industry engagement in the top 14% of WA peers, with 20 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. Rubenstein experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Rubenstein performed 33,100 botox injection, per unit 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. Rubenstein receive payments from pharmaceutical companies?
Yes. Dr. Rubenstein received a total of $107,978 from 75 companies across 860 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. Rubenstein's costs compare to other clinical neurophysiology physicians in Silverdale?
Dr. Rubenstein's average Medicare payment per service is $9. 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. Rubenstein) 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 →
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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.
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