David Coughlin, MD
Neurology · San Diego, CANPI 1740543784
Payments from drug & device makers
What this record shows
This record is dominated by grants: $18,750 of the $20,486 with a category attached, or 91.5%. Medtronic accounts for 91.5% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2019 at $19,253 and has fallen 99.5% since, to $106 in 2025.
Across 43 payments — averaging $476.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$19K
- Boston Scientific$871
- Abbott$241
- Acadia Pharmaceuticals Inc$127
- GE HealthCare$115
- Merz North America, Inc.$100
- plus $282 from 9 others
Across 8 payments — averaging $48,641 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Genentech, Inc.$389K
What the payments were for
- Consulting fees$5633%
- Grants$18,75092%
- Food & beverage$1,1736%
- Education$10%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medtronic | 1 | $18,750 |
| Boston Scientific | 10 | $871 |
| Abbott | 3 | $241 |
| Acadia Pharmaceuticals Inc | 6 | $127 |
| GE HealthCare | 3 | $115 |
| Merz North America, Inc. | 1 | $100 |
| AbbVie | 6 | $89 |
| Lilly USA, LLC | 3 | $48 |
| Neurocrine Biosciences, Inc. | 2 | $36 |
| Novartis | 2 | $33 |
| Adamas Pharmaceuticals, Inc. | 1 | $23 |
| Kyowa Kirin, Inc. | 1 | $22 |
| Teva Pharmaceuticals USA, Inc. | 1 | $19 |
| Sunovion Pharmaceuticals Inc. | 1 | $11 |
| Travere Therapeutics, Inc. | 2 | $1 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- ACTIVA$18,750
- Infinity DBS Pulse Generators$183
- XEOMIN$100
How this compares
$20,486 in reported general payments places this provider in the 85th percentile of 1,996 neurology providers in California.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| RytaryCarbidopa/Levodopa | 67 | $117,708 |
| IngrezzaValbenazine Tosylate | 16 | $114,802 |
| NuplazidPimavanserin Tartrate | 13 | $101,815 |
| GocovriAmantadine Hcl | 12 | $41,106 |
| Rasagiline Mesylate | 37 | $8,451 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 159 | $7,187 |
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 50 | $4,089 |
| Gabapentin | 34 | $939 |
| AmantadineAmantadine Hcl | 27 | $774 |
| Donepezil Hcl | 22 | $480 |
| Quetiapine Fumarate | 19 | $357 |
| Propranolol Hcl | 14 | $353 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 12 | $333 |
| Trazodone Hcl | 25 | $274 |
| Clonazepam | 31 | $184 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Neurocrine Biosciences, Inc.Ingrezza | $36 | $114,80216 claims |
| Acadia Pharmaceuticals IncNuplazid | $127 | $101,81513 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 1,996 neurology providers in California.
Other neurology in San Diego
- Chamindra LavertySan Diego$662K
- Hossein AnsariSan Diego$377K
- Revere KinkelSan Diego$266K
- Andrew BlumenfeldCarlsbad$4.9M
- Khashayar DashtipourLoma Linda$3.3M
- Regina BerkovichWest Hollywood$3M
- Daniel BandariNewport Beach$2.6M
- Perry ShiehLos Angeles$2.4M
- Sandeep ThakkarIrvine$2M
- David LiebeskindLos Angeles$1.9M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.