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Elias I Ayoub, MD

Otolaryngology · Downey

NPI 1568400885

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
52 years
Creighton University School of Medicine, 1974

Offices

1 location

Looking this up.

Hospitals listed: Pih Health Downey Hospital · Uci Health-Lakewood. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Ayoub’s office at (562) 862-5160 to ask if they take your plan before you enroll.

California Medical Board record

Licence G39256 · Current

Licensed to practise in California · since 1979 · expires 2027-05-31 · Creighton University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Pih Health Downey HospitalDowney, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of PIH Health, which runs 3 hospitalsPatients rate it 3 of 5 · 73% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.157, Oct 2024 – Sep 2025
  • Uci Health-LakewoodLakewood, CAAcute Care Hospital · Proprietary · Has an emergency departmentPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 1 of 5 · 48% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.105, Oct 2024 – Sep 2025
See every measure and the patient survey for Pih Health Downey Hospital

Behind the star rating — Deaths: 1 better, 5 the same, 0 worse of 6 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 4 the same, 2 worse of 6 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Pih Health Downey Hospital
Clostridium Difficile (C.Diff)Infections0.157BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.28 (0.21 to 2.34) · 403 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.44 to 1.29)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.9 · 35 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.9 · 46 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 178 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.9 · 201 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.1 · 160 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 2,052 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.41) · 2,633 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.46) · 2,714 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.1 (0.61 to 5.59) · 276 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.66 (0 to 3.39) · 27 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.19 (0.51 to 3.87) · 273 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.89 (0 to 18.8) · 29 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (0.84 to 9.46) · 25 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.72 (0.21 to 3.24) · 63 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.29 (0 to 1.22) · 2,012 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.198No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.3 · 124 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits23.1 · 614 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits3.7 · 229 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits16.5 · 234 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.8 · 495 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 86 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.6 (9.3 to 16.8) · 432 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 156 casesNo differentJan 2024 – Dec 2024

What patients said (1,108 patients answered, 22% of those asked)

Patient survey stars by topic at Pih Health Downey Hospital
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Pih Health Downey Hospital
Room was "always" clean77%
Nurses "always" communicated well76%
Doctors "always" communicated well75%
Staff "always" explained56%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge80%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect81%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital73%
Staff "always" explained possible side effects39%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Uci Health-Lakewood

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 6 the same, 2 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Uci Health-Lakewood
Clostridium Difficile (C.Diff)Infections0.105BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.94 (0 to 1.97) · 512 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.15 (0.77 to 1.53)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths192.76 (139.14 to 246.38) · 35 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2 · 27 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.4 · 57 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.5 · 56 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.8 · 149 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.2 · 264 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths14.5 · 223 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.5 · 1,866 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.29 (0.07 to 0.51) · 3,098 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.07 to 0.48) · 3,262 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.72 (1.33 to 6.11) · 498 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.91 (1.29 to 4.53) · 492 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.25 (1.53 to 20.97) · 28 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.71 (0.2 to 3.22) · 80 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.91 (0.24 to 1.58) · 2,875 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.2 · 89 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.584No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.28No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.498No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.265No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.5 · 181 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.3 · 403 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-5.3 · 56 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits32.6 · 184 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits89.6 · 289 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.5 · 495 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits4.8 · 96 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12 · 70 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.7 · 111 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.9 (9.5 to 17.5) · 95 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.6 to 1.2) · 80 casesNo differentJan 2024 – Dec 2024

What patients said (391 patients answered, 15% of those asked)

Patient survey stars by topic at Uci Health-Lakewood
Cleanliness3
Nurse communication1
Doctor communication1
Communication about medicines1
Discharge information2
Overall hospital rating1
Quietness1
Recommend hospital1
Share of patients giving the best answer at Uci Health-Lakewood
Room was "always" clean66%
Nurses "always" communicated well66%
Doctors "always" communicated well68%
Staff "always" explained50%
Yes, staff "did" give patients this information79%
Yes, staff "did" give patients information about help after discharge78%
Doctors "always" explained things so they could understand62%
Doctors "always" listened carefully67%
Doctors "always" treated them with courtesy and respect75%
Patients who gave a rating of "9" or "10" (high)49%
Staff "always" explained new medications63%
Nurses "always" explained things so they could understand60%
Nurses "always" listened carefully64%
Nurses "always" treated them with courtesy and respect73%
"Always" quiet at night33%
"YES", patients would definitely recommend the hospital48%
Staff "always" explained possible side effects36%
Yes, staff "did" give patients information about possible symptoms80%

Original Medicare doctor bills

$78,293

Medicare paid this office $78,293 for 433 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit (20+ min)293$36,127$64
New patient visit (45+ min)184$19,957$108
Removal of impacted ear wax217$10,627$34

Procedures Medicare counted

Procedure volume Medicare published
Melanoma (skin cancer) excision1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Removal of impacted ear wax––31106289313

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

433 Original Medicare patients in 2024. Average age 74 · Under 65 12% · 85 and older 17% · Women 62% · Also on Medicaid 78% · Health risk score 1.72. Sicker patients than 9 in 10 peers; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 75% · Diabetes 56% · Coronary heart disease 28% · Chronic kidney disease 28% · Depression 23% · Heart failure 22% · COPD 20% · Dementia 13% · Atrial fibrillation 11% · Cancer 9% · Stroke 9%.

The office billed $172,910, Medicare allowed $113,377 and paid $78,293; for 1,165 services of 29 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20244331,165741.72$172,910$78,293
20234851,273741.84$208,853$103,101
20224591,068741.86$195,765$97,806
2021479962751.84$185,955$97,452
2020433901732.00$206,655$91,525
20196351,457732.01$335,765$138,903
20186561,463742.33$313,680$129,475
20176761,610732.23$356,520$155,082
20168412,048732.10$432,090$194,414
20158182,160732.30$429,415$192,218
20148552,412742.13$475,290$211,779
20139152,527732.01$514,000$213,867

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Short return visit (20+ min)305$41,338$70
New patient visit (45+ min)241$28,669$119
Removal of impacted ear wax197$10,723$37
Comprehensive hearing and speech recognition test13$386$30
Test for eardrum and muscle function12$230$19

2022: 5 services

Original Medicare services billed in 2022
Short return visit (20+ min)301$39,742$71
New patient visit (45+ min)236$29,066$123
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$7,295$87
Removal of impacted ear wax86$4,139$39
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,710$159

2021: 5 services

Original Medicare services billed in 2021
Short return visit (20+ min)278$37,367$72
New patient visit (45+ min)254$32,567$128
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$6,450$88
Initial hospital care with moderate level of medical decision making at least 75 minutes18$3,084$171
Removal of impacted ear wax30$1,257$41

2020: 6 services

Original Medicare services billed in 2020
Short return visit (20+ min)233$28,473$61
New patient visit (45+ min)227$28,370$125
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$6,458$90
Initial hospital care with moderate level of medical decision making at least 75 minutes23$4,526$174
Comprehensive hearing and speech recognition test13$287$22
Test for eardrum and muscle function13$196$15

2019: 6 services

Original Medicare services billed in 2019
New patient visit (45+ min)316$36,776$116
Short return visit (20+ min)343$35,432$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes50$23,180$85
Initial hospital care with moderate level of medical decision making at least 75 minutes59$10,063$162
Comprehensive hearing and speech recognition test20$572$29
Test for eardrum and muscle function18$295$16

2018: 7 services

Original Medicare services billed in 2018
New patient visit (45+ min)329$38,328$116
Short return visit (20+ min)362$37,141$53
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes49$13,884$83
Initial hospital care with moderate level of medical decision making at least 75 minutes53$8,552$161
Removal of impacted ear wax26$955$37
Comprehensive hearing and speech recognition test31$891$29
Test for eardrum and muscle function31$510$16

2017: 7 services

Original Medicare services billed in 2017
Short return visit (20+ min)399$46,297$58
New patient visit (45+ min)321$39,770$124
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes43$13,711$81
Initial hospital care with moderate level of medical decision making at least 75 minutes48$8,079$158
Comprehensive hearing and speech recognition test61$1,861$31
Test for eardrum and muscle function61$1,064$17
New patient visit (30+ min)12$891$74

2016: 12 services

Original Medicare services billed in 2016
New patient visit (45+ min)421$53,522$127
Short return visit (20+ min)424$48,975$58
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes86$28,227$88
Initial hospital care with moderate level of medical decision making at least 75 minutes96$15,964$166
Incision of windpipe for insertion of breathing tube (older than 2 years)15$5,136$342
Long return visit (40+ min)25$2,774$111
Comprehensive hearing and speech recognition test80$2,366$29
Biopsy of voice box using an endoscope13$1,994$142
New patient visit (30+ min)19$1,776$93
Test for eardrum and muscle function80$1,317$16
Return visit (30+ min)13$1,208$93
Removal of impacted ear wax23$950$41

2015: 10 services

Original Medicare services billed in 2015
New patient visit (45+ min)441$55,800$127
Short return visit (20+ min)425$49,577$58
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes82$20,752$88
Initial hospital care with moderate level of medical decision making at least 75 minutes108$18,683$171
Incision of windpipe for insertion of breathing tube (older than 2 years)19$6,494$342
Comprehensive hearing and speech recognition test151$4,577$30
Removal of impacted ear wax66$2,813$41
Long return visit (40+ min)23$2,666$116
Test for eardrum and muscle function151$2,581$17
Biopsy of voice box using an endoscope12$1,664$139

2014: 11 services

Original Medicare services billed in 2014
Short return visit (20+ min)488$55,751$57
New patient visit (45+ min)376$49,324$131
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes87$24,700$87
Initial hospital care with moderate level of medical decision making at least 75 minutes94$15,946$168
New patient visit (30+ min)70$5,300$76
Incision of windpipe for insertion of breathing tube (older than 2 years)13$4,686$335
Removal of impacted ear wax101$4,505$41
Comprehensive hearing and speech recognition test144$4,397$30
Long return visit (40+ min)27$3,150$117
Test for eardrum and muscle function143$2,482$17
Exam of the nose and throat using an endoscope11$1,356$123

2013: 11 services

Original Medicare services billed in 2013
Short return visit (20+ min)527$60,047$57
New patient visit (45+ min)254$33,099$130
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes91$27,585$84
New patient visit (30+ min)230$18,983$83
Initial hospital care with moderate level of medical decision making at least 75 minutes102$16,773$163
Incision of windpipe for insertion of breathing tube (older than 2 years)29$9,412$325
Comprehensive hearing and speech recognition test147$4,108$28
Removal of impacted ear wax76$3,831$45
Test for eardrum and muscle function152$2,391$16
Biopsy of voice box using an endoscope12$1,840$142
Exam of the nose and throat using an endoscope13$1,662$128

Medicaid work

$137,346 in 2024

Medicaid paid $137,346 for 1,806 billed services this clinician did in 2024, up to 85 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Short return visit (20+ min)1,014$72,691
New patient visit (45+ min)398$39,361
New patient visit (30+ min)201$19,786
Removal of impacted ear wax193$5,509
Medicaid work by year
20241,806485$137,346
20232,4354100$187,171
20221,946498$170,537
20211,7814102$130,322
20201,446390$73,087
20191,310477$46,058
2018921263$24,663
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)1,354$96,854
New patient visit (30+ min)392$41,288
New patient visit (45+ min)425$41,231
Removal of impacted ear wax264$7,798

2022

Largest Medicaid services in 2022
Short return visit (20+ min)1,130$87,575
New patient visit (30+ min)399$43,350
New patient visit (45+ min)354$37,411
Removal of impacted ear wax63$2,201

2021

Largest Medicaid services in 2021
Short return visit (20+ min)978$55,736
New patient visit (30+ min)482$38,069
New patient visit (45+ min)307$35,928
Removal of impacted ear wax14$589

2020

Largest Medicaid services in 2020
New patient visit (30+ min)669$41,178
Short return visit (20+ min)709$25,215
New patient visit (45+ min)68$6,693

2019

Largest Medicaid services in 2019
New patient visit (30+ min)575$25,028
Short return visit (20+ min)710$19,755
1ST HOSP IP/OBS HIGH 7512$846
New patient visit (45+ min)13$429

2018

Largest Medicaid services in 2018
Short return visit (20+ min)596$12,813
New patient visit (30+ min)325$11,850

Drugs they prescribed that Part D paid

$155,442

Pharmacies billed $155,442 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

2,830 generic and 169 brand-name prescriptions · $155,442 in drug cost · 282 antibiotic prescriptions to 192 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Dupixent11$40,087$3,644
Xhance35$33,101$946
Ofloxacin123$12,973$105
Ipratropium284$8,707$31
Neomycin-Polymyxin-Hydrocort207$7,567$37
See all 28 drugs
Every Part D drug this clinician prescribed
Dupixent11$40,087$3,644
Xhance35$33,101$946
Ofloxacin123$12,973$105
Ipratropium284$8,707$31
Neomycin-Polymyxin-Hydrocort207$7,567$37
Fluticasone Propionate602$6,954$12
Neomycin-Polymyxin-Hc105$4,236$40
Pilocarpine58$4,095$71
Montelukast312$2,912$9
Azelastine86$2,688$31
Dexlansoprazole Dr13$2,175$167
Omeprazole185$1,774$10
Ciprofloxacin-Dexamethasone23$1,499$65
Mometasone Furoate36$1,229$34
Ciprofloxacin49$1,213$25
Fluocinolone Acetonide Oil27$983$36
Triamcinolone Acetonide14$856$61
Amoxicillin-Clavulanate Potass106$802$8
Meclizine126$733$6
Albuterol Sulfate Hfa30$726$24
Pantoprazole48$671$14
Methylprednisolone44$244$6
Azithromycin83$195$2
Naproxen67$180$3
Cephalexin32$157$5
Ondansetron13$113$9
Levofloxacin21$93$4
Ibuprofen13$31$2

Year by year

Part D prescribing by year
20243,016924None6%$155,442
20233,0079591% (21)3%$126,153
20223,1629780% (11)4%$133,395
20213,1819731% (26)None$137,135
20203,7841,1171% (32)None$158,863
20194,6481,4530% (13)9%$230,503
20185,0841,5722% (80)7%$253,129
20175,1671,5612% (99)None$232,192
20164,9481,4292% (112)10%$228,573
20154,8141,2452% (93)12%$221,931
20144,6901,1683% (133)13%$192,732
20134,5341,1513% (138)16%$210,308

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 28 drugs

Part D drugs prescribed in 2023
Neomycin-Polymyxin-Hydrocort244$13,836$57
Fluticasone Propionate588$11,926$20
Ofloxacin158$11,531$73
Pilocarpine81$8,294$102
Montelukast290$7,471$26
Azelastine152$6,740$44
Dexlansoprazole Dr21$6,690$319
Ipratropium113$4,242$38
Neomycin-Polymyxin-Hc59$3,224$55
Ciprofloxacin-Dexamethasone26$3,005$116
Omeprazole172$2,880$17
Amoxicillin-Clavulanate Potass138$2,148$16
Mometasone Furoate40$2,048$51
Meclizine137$1,993$15
Pantoprazole86$1,711$20
Ciprofloxacin48$1,527$32
Fluocinolone Acetonide Oil14$871$62
Triamcinolone Acetonide25$657$26
Cephalexin49$622$13
Naproxen97$496$5
Methylprednisolone49$494$10
Azithromycin79$489$6
Albuterol Sulfate Hfa13$481$37
Clindamycin14$371$26
Levofloxacin29$356$12
Acetaminophen-Codeine18$176$10
Ibuprofen28$113$4
Amoxicillin12$62$5

2022: 27 drugs

Part D drugs prescribed in 2022
Neomycin-Polymyxin-Hydrocort268$17,267$64
Ofloxacin116$11,858$102
Fluticasone Propionate627$11,843$19
Ciprofloxacin-Dexamethasone74$9,911$134
Dexilant18$9,111$506
Montelukast363$8,329$23
Azelastine158$7,703$49
Pilocarpine50$6,599$132
Mometasone Furoate54$3,136$58
Omeprazole213$2,716$13
Amoxicillin-Clavulanate Potass143$2,135$15
Neomycin-Polymyxin-Hc39$2,127$55
Pantoprazole111$1,535$14
Meclizine125$1,449$12
Fluocinolone Acetonide Oil19$1,301$68
Triamcinolone Acetonide15$934$62
Methylprednisolone91$897$10
Ciprofloxacin44$787$18
Albuterol Sulfate Hfa17$695$41
Naproxen126$620$5
Cephalexin45$409$9
Azithromycin64$367$6
Levofloxacin53$357$7
Ibuprofen35$178$5
Insulin11$88$8
Atorvastatin11$80$7
Prednisone16$77$5

2021: 31 drugs

Part D drugs prescribed in 2021
Neomycin-Polymyxin-Hydrocort234$14,041$60
Dexilant31$13,732$443
Ofloxacin118$13,001$110
Ciprofloxacin-Dexamethasone63$12,219$194
Fluticasone Propionate533$9,956$19
Montelukast536$8,905$17
Pilocarpine50$6,737$135
Azelastine116$6,283$54
Mometasone Furoate52$3,665$70
Amoxicillin-Clavulanate Potass156$2,994$19
Omeprazole198$2,634$13
Neomycin-Polymyxin-Hc31$1,990$64
Triamcinolone Acetonide33$1,973$60
Meclizine106$1,464$14
Pantoprazole105$1,361$13
Ciprofloxacin50$1,211$24
Albuterol Sulfate Hfa17$754$44
Methylprednisolone70$700$10
Nystatin14$669$48
Cephalexin64$607$9
Azithromycin73$520$7
Naproxen83$461$6
Acetaminophen-Codeine25$281$11
Famotidine11$262$24
Atorvastatin22$253$12
Levocetirizine Dihydrochloride15$250$17
Ibuprofen51$244$5
Levofloxacin25$202$8
Mupirocin11$130$12
Ondansetron12$112$9
Prednisone16$102$6

2020: 33 drugs

Part D drugs prescribed in 2020
Ciprodex88$23,046$262
Dexilant41$18,287$446
Montelukast984$17,914$18
Fluticasone Propionate690$13,326$19
Neomycin-Polymyxin-Hydrocort215$13,281$62
Ofloxacin121$8,118$67
Azelastine147$7,804$53
Mometasone Furoate52$5,052$97
Ciprofloxacin-Dexamethasone19$3,889$205
Neomycin-Polymyxin-Hc32$2,921$91
Omeprazole230$2,875$12
Pilocarpine29$2,599$90
Pazeo11$2,271$206
Triamcinolone Acetonide38$2,099$55
Fluocinolone Acetonide Oil18$1,901$106
Ciprofloxacin46$1,342$29
Amoxicillin-Clavulanate Potass86$1,251$15
Clotrimazole-Betamethasone12$1,096$91
Meclizine116$1,062$9
Pantoprazole70$777$11
Albuterol Sulfate Hfa18$768$43
Cephalexin62$602$10
Methylprednisolone60$596$10
Azithromycin85$570$7
Levocetirizine Dihydrochloride20$520$26
Levofloxacin43$437$10
Acetaminophen-Codeine31$290$9
Naproxen45$247$5
Losartan21$224$11
Ibuprofen45$187$4
Amoxicillin17$145$9
Glimepiride11$37$3
Hydrochlorothiazide12$37$3

2019: 34 drugs

Part D drugs prescribed in 2019
Ciprodex244$57,875$237
Dexilant62$31,822$513
Montelukast1,325$30,250$23
Fluticasone Propionate824$15,373$19
Ofloxacin163$11,098$68
Neomycin-Polymyxin-Hydrocort187$10,971$59
Omeprazole330$8,050$24
Azelastine157$7,689$49
Mometasone Furoate65$6,516$100
Pazeo23$4,494$195
Esomeprazole Magnesium15$3,719$248
Fluocinolone Acetonide Oil23$3,119$136
Meclizine179$2,370$13
Amoxicillin-Clavulanate Potass128$2,155$17
Ciprofloxacin67$1,863$28
Triamcinolone Acetonide19$1,674$88
Methylprednisolone83$1,283$15
Neomycin-Polymyxin-Hc21$990$47
Cephalexin61$642$11
Azithromycin107$636$6
Levocetirizine Dihydrochloride14$607$43
Levofloxacin81$606$7
Ranitidine30$537$18
Naproxen67$424$6
Clindamycin21$401$19
Calcitriol14$383$27
Ibuprofen52$328$6
Pantoprazole15$197$13
Ondansetron14$191$14
Acetaminophen-Codeine11$119$11
Mupirocin14$107$8
Amoxicillin14$97$7
Ibu14$75$5
Prednisone12$65$5

2018: 36 drugs

Part D drugs prescribed in 2018
Dexilant85$40,526$477
Ciprodex172$37,662$219
Montelukast1,390$35,160$25
Fluticasone Propionate992$17,669$18
Neomycin-Polymyxin-Hydrocort229$13,830$60
Ofloxacin111$12,195$110
Omeprazole412$10,960$27
Azelastine179$9,891$55
Fluocinolone Acetonide Oil48$7,150$149
Triamcinolone Acetonide41$6,492$158
Esomeprazole Magnesium21$5,725$273
Pazeo18$3,581$199
Qnasl17$3,457$203
Amoxicillin-Clavulanate Potass166$2,943$18
Mometasone Furoate41$2,760$67
Meclizine193$2,654$14
Neomycin-Polymyxin-Hc28$1,932$69
Methylprednisolone106$1,651$16
Clotrimazole-Betamethasone13$1,224$94
Ciprofloxacin41$1,177$29
Levofloxacin81$952$12
Naproxen114$898$8
Cephalexin68$782$12
Acetaminophen-Codeine77$615$8
Azithromycin65$556$9
Calcitriol14$522$37
Nystatin12$521$43
Ranitidine36$500$14
Carbamazepine11$450$41
Clindamycin11$267$24
Mupirocin19$203$11
Ondansetron15$157$10
Prednisone20$128$6
Amoxicillin13$126$10
Lorazepam22$74$3
Diazepam11$23$2

2017: 38 drugs

Part D drugs prescribed in 2017
Dexilant108$42,832$397
Montelukast1,327$27,390$21
Ciprodex86$17,538$204
Fluticasone Propionate1,126$14,015$12
Fluocinolone Acetonide Oil78$12,194$156
Ofloxacin113$11,660$103
Neomycin-Polymyxin-Hydrocort183$9,569$52
Omeprazole469$8,137$17
Esomeprazole Magnesium22$7,224$328
Triamcinolone Acetonide72$7,008$97
Nasonex21$6,754$322
Azelastine159$5,336$34
Mometasone Furoate52$4,291$83
Pazeo13$3,736$287
Meclizine204$2,619$13
Qnasl13$2,495$192
Amoxicillin-Clavulanate Potass147$2,434$17
Dymista13$2,306$177
Neomycin-Polymyxin-Hc36$2,097$58
Clotrimazole-Betamethasone14$1,415$101
Methylprednisolone97$1,246$13
Pilocarpine14$1,078$77
Hydrocortisone-Acetic Acid12$1,024$85
Levofloxacin99$851$9
Carbamazepine31$740$24
Cephalexin75$683$9
Acetaminophen-Codeine98$670$7
Nystatin16$503$31
Ciprofloxacin27$439$16
Azithromycin62$397$6
Calcitriol13$386$30
Naproxen54$313$6
Doxazosin Mesylate12$256$21
Lidocaine Hcl Viscous14$226$16
Pantoprazole18$216$12
Clindamycin12$201$17
Amoxicillin14$103$7
Lorazepam11$30$3

2016: 50 drugs

Part D drugs prescribed in 2016
Dexilant101$34,453$341
Montelukast1,126$25,915$23
Ciprodex108$20,869$193
Fluticasone Propionate977$12,472$13
Neomycin-Polymyxin-Hydrocort203$10,969$54
Nasonex37$10,283$278
Fluocinolone Acetonide Oil57$9,775$171
Nexium13$9,287$714
Azelastine169$7,884$47
Omeprazole437$6,680$15
Ofloxacin104$6,383$61
Albuterol Sulfate15$5,965$398
Ranexa14$5,836$417
Triamcinolone Acetonide35$5,600$160
Coreg Cr13$4,327$333
Pataday18$3,884$216
Qnasl18$3,473$193
Dymista19$3,406$179
Amoxicillin-Clavulanate Potass143$2,954$21
Meclizine189$2,874$15
Mometasone Furoate26$2,432$94
Pilocarpine28$2,190$78
Ventolin Hfa25$2,014$81
Neomycin-Polymyxin-Hc44$1,972$45
Methylprednisolone94$1,757$19
Clotrimazole-Betamethasone17$1,622$95
Levofloxacin107$1,507$14
Acetaminophen-Codeine105$858$8
Cephalexin83$718$9
Nystatin14$600$43
Ciprofloxacin37$582$16
Repaglinide11$567$52
Levothyroxine25$506$20
Carbamazepine24$441$18
Clindamycin19$397$21
Pantoprazole26$374$14
Naproxen65$336$5
Azithromycin35$320$9
Mupirocin27$236$9
Doxazosin Mesylate12$231$19
Losartan11$167$15
Prednisone22$166$8
Amoxicillin16$159$10
Ranitidine17$143$8
Latanoprost13$137$11
Metformin13$70$5
Lidocaine Hcl Viscous11$55$5
Simvastatin12$46$4
Lorazepam11$39$4
Amlodipine Besylate12$35$3

2015: 44 drugs

Part D drugs prescribed in 2015
Dexilant148$43,416$293
Montelukast942$22,080$23
Nasonex84$18,841$224
Fluticasone Propionate1,000$15,428$15
Ofloxacin192$13,865$72
Ciprodex76$13,502$178
Fluocinolone Acetonide Oil62$10,403$168
Omeprazole563$9,351$17
Pataday48$8,773$183
Nexium12$7,933$661
Azelastine130$6,987$54
Ranexa14$4,491$321
Neomycin-Polymyxin-Hydrocort121$4,479$37
Amoxicillin-Clavulanate Potass145$3,456$24
Clotrimazole-Betamethasone27$2,886$107
Coreg Cr12$2,570$214
Methylprednisolone114$2,413$21
Meclizine158$2,374$15
Pilocarpine18$1,905$106
Nystatin22$1,049$48
Triamcinolone Acetonide12$1,039$87
Cephalexin99$955$10
Levofloxacin58$754$13
Neomycin-Polymyxin-Hc21$714$34
Acetaminophen-Codeine87$689$8
Ciprofloxacin52$643$12
Carbamazepine29$638$22
Ventolin Hfa11$560$51
Pantoprazole37$388$10
Levothyroxine15$379$25
Naproxen63$353$6
Azithromycin47$347$7
Clindamycin13$261$20
Mometasone Furoate14$212$15
Amoxicillin21$209$10
Ranitidine25$184$7
Atorvastatin15$182$12
Mupirocin14$151$11
Latanoprost12$130$11
Allopurinol13$115$9
Metformin21$111$5
Prednisone12$87$7
Lorazepam15$63$4
Diazepam12$38$3

2014: 47 drugs

Part D drugs prescribed in 2014
Dexilant130$24,647$190
Nasonex122$22,174$182
Fluticasone Propionate1,051$18,580$18
Montelukast685$15,180$22
Fluocinolone Acetonide Oil92$15,144$165
Ciprodex86$13,665$159
Omeprazole650$8,620$13
Nexium24$8,505$354
Azelastine114$6,824$60
Pataday40$5,877$147
Ofloxacin158$4,648$29
Pilocarpine36$2,684$75
Repaglinide12$2,430$202
Coreg Cr14$2,399$171
Amox Tr-Potassium Clavulanate104$2,314$22
Neomycin-Polymyxin-Hydrocort82$1,880$23
Meclizine168$1,785$11
Triamcinolone Acetonide30$1,688$56
Methylprednisolone66$1,490$23
Nystatin27$1,372$51
Clotrimazole-Betamethasone11$1,253$114
Cephalexin111$1,182$11
Acetaminophen-Codeine124$1,000$8
Fluocinolone Acetonide11$968$88
Xopenex Hfa11$590$54
Ciprofloxacin60$567$9
Neomycin-Polymyxin-Hc22$523$24
Levofloxacin38$482$13
Azithromycin49$454$9
Carbamazepine33$402$12
Pantoprazole38$371$10
Atorvastatin25$312$12
Naproxen58$295$5
Levocetirizine Dihydrochloride12$258$21
Clindamycin11$246$22
Losartan16$198$12
Ranitidine26$186$7
Metformin20$158$8
Mupirocin13$146$11
Amoxicillin12$145$12
Latanoprost14$130$9
Lorazepam18$111$6
Allopurinol14$88$6
Sulfamethoxazole-Trimethoprim11$81$7
Prednisone11$79$7
Simvastatin12$59$5
Diazepam15$56$4

2013: 44 drugs

Part D drugs prescribed in 2013
Fluticasone Propionate1,063$26,888$25
Dexilant145$24,212$167
Nasonex149$23,606$158
Nexium64$16,031$250
Montelukast478$15,195$32
Ciprodex75$12,317$164
Omeprazole606$9,013$15
Azelastine66$5,406$82
Singulair17$4,526$266
Fluocinolone Acetonide Oil69$4,501$65
Coreg Cr21$3,732$178
Amox Tr-Potassium Clavulanate116$3,668$32
Ofloxacin165$3,242$20
Pataday25$3,149$126
Astepro20$2,780$139
Avelox12$2,719$227
Pilocarpine35$2,033$58
Triamcinolone Acetonide19$1,835$97
Meclizine155$1,791$12
Neomycin-Polymyxin-Hydrocort81$1,709$21
Fluocinolone Acetonide15$1,652$110
Nystatin28$1,591$57
Cephalexin126$1,540$12
Methylprednisolone56$1,333$24
Acetaminophen-Codeine119$1,086$9
Ciprofloxacin60$934$16
Pantoprazole56$780$14
Atorvastatin30$572$19
Azithromycin56$559$10
Levocetirizine Dihydrochloride19$517$27
Levofloxacin36$483$13
Neomycin-Polymyxin-Hc19$432$23
Clopidogrel12$408$34
Clindamycin15$376$25
Naproxen60$346$6
Carbamazepine44$288$7
Metformin17$280$16
Ranitidine31$219$7
Amoxicillin18$197$11
Hydrocodone-Acetaminophen18$126$7
Lorazepam25$123$5
Allopurinol23$103$4
Prednisone11$62$6
Diazepam15$53$4

Money from drug and device companies

$406 in 2025

Industry payments by year
2025314None$406
202411None$21
202334None$83
202222None$50
202111None$20
202011None$23

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
GlaxoSmithKlineNucala$249
12 payments
  • Meals for Nucala · 2025-11-10 · $34
  • Meals for Nucala · 2025-10-09 · $21
  • Meals for Nucala · 2025-10-01 · $15
  • Meals for Nucala · 2025-09-04 · $14
  • Meals for Nucala · 2025-08-29 · $5
  • Meals for Nucala · 2025-08-08 · $35
  • Meals for Nucala · 2025-06-02 · $8
  • Meals for Nucala · 2025-04-26 · $34
  • Meals for Nucala · 2025-03-31 · $10
  • Meals for Nucala · 2025-03-12 · $7
  • Meals for Nucala · 2025-03-07 · $34
  • Meals for Nucala · 2025-01-29 · $33
Madrigal PharmaceuticalsRezdiffra$125
1 payment
  • Meals for Rezdiffra · 2025-11-19 · $125
Phathom PharmaceuticalsVoquezna$32
1 payment
  • Meals for Voquezna · 2025-11-12 · $32
See all 14 published payments
Every published payment
Madrigal PharmaceuticalsMeals · 2025-11-19Rezdiffra$125
Phathom PharmaceuticalsMeals · 2025-11-12Voquezna$32
GlaxoSmithKlineMeals · 2025-11-10Nucala$34
GlaxoSmithKlineMeals · 2025-10-09Nucala$21
GlaxoSmithKlineMeals · 2025-10-01Nucala$15
GlaxoSmithKlineMeals · 2025-09-04Nucala$14
GlaxoSmithKlineMeals · 2025-08-29Nucala$5
GlaxoSmithKlineMeals · 2025-08-08Nucala$35
GlaxoSmithKlineMeals · 2025-06-02Nucala$8
GlaxoSmithKlineMeals · 2025-04-26Nucala$34
GlaxoSmithKlineMeals · 2025-03-31Nucala$10
GlaxoSmithKlineMeals · 2025-03-12Nucala$7
GlaxoSmithKlineMeals · 2025-03-07Nucala$34
GlaxoSmithKlineMeals · 2025-01-29Nucala$33
See earlier years (2024, 2023, 2022, 2021, 2020)

2024: $21

Payments by company in 2024
Optinose USXhance$21
1 payment
  • Meals for Xhance · 2024-05-31 · $21

2023: $83

Payments by company in 2023
GlaxoSmithKlineNucala$47
2 payments
  • Meals for Nucala · 2023-11-09 · $22
  • Meals for Nucala · 2023-09-12 · $25
Inspire Medical SystemsInspire$19
1 payment
  • Meals for Inspire · 2023-11-21 · $19
Optinose USXhance$18
1 payment
  • Meals for Xhance · 2023-09-21 · $18

2022: $50

Payments by company in 2022
GenzymeDupixent$33
1 payment
  • Meals for Dupixent · 2022-12-05 · $33
GlaxoSmithKlineNucala$17
1 payment
  • Meals for Nucala · 2022-12-27 · $17

2021: $20

Payments by company in 2021
StrykerXpress Ent Dilation System$20
1 payment
  • Meals for Xpress Ent Dilation System · 2021-11-05 · $20

2020: $23

Payments by company in 2020
OptiNose USXhance$23
1 payment
  • Meals for Xhance · 2020-02-03 · $23

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
0.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1568400885
Licence
CA G39256California G39256: Current · expires 2027-05-31
Trained
Creighton University School of Medicine, 1974 · 52 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Otolaryngology (207Y00000X)
Mailing address
11480 Brookshire Ave, Suite 303, Downey, CA, 90241
NPI first listed
2006-06-02
NPI last updated
2023-10-11
NPI record certified
2023-10-11

This is when the NPI record was last certified, not a medical board exam.