Highest-Volume ESWL — Shockwave Lithotripsy Surgeons in California (2026 update)

44 California providers billed Medicare for ESWL — Shockwave Lithotripsy (CPT 50590) in 2024. The top 10 by case volume are below — the full ranked list, CSV export and competitor-payment intel are available with a DocVol subscription ($199/mo, cancel anytime).

Database refreshed July 2026Live NPPES registryⓘ sources
#SurgeonLocationMedicare cases (2024)
1Nadeem Rahman, MDClovis, CA83
2Christopher Johnson, MDSan Luis Obispo, CA54
3Theodore Affue, M.D.El Centro, CA50
4Aytac Apaydin, MDSalinas, CA36
5Thomas Minor, MDClovis, CA36
6Craig Canfield, M.D.San Luis Obispo, CA32
7Kevin Shandera, M.D.Rancho Mirage, CA27
8Samuel Lee, M.D.Apple Valley, CA26
9Richard Long, M.D.San Ramon, CA25
10Karan Singh, M.D.Laguna Hills, CA24

34 more California surgeons in the full list

Plus: who already pays them (Stryker? Medtronic? Arthrex?), CSV export for your CRM, and every other state and procedure.

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Frequently asked questions

How many surgeons perform ESWL — Shockwave Lithotripsy in California?
44 California providers billed Medicare for ESWL — Shockwave Lithotripsy (CPT 50590) in CY2024. CMS suppresses providers with 10 or fewer Medicare patients, so the true count is somewhat higher.
Where does this data come from?
CMS Medicare Physician & Other Practitioners (fee-for-service Part B claims, CY2024, released May 2026) and CMS Open Payments. Both are official U.S. federal datasets.
Does this include all of a surgeon's cases?
No — it covers traditional Medicare only (no Medicare Advantage, commercial, or Medicaid claims). Absolute volumes undercount total practice, but the ranking of high- vs low-volume surgeons is a strong targeting signal.

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