Adam Defoe, MD
Vascular & Interventional Radiology · Fargo, NDNPI 1003044975
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,647 of the $6,036 with a category attached, or 60.4%. 16 manufacturers reported payments, led by Medtronic at 41.5% of the total. Reporting peaked in 2022 at $2,044 and has fallen 86.6% since, to $273 in 2025.
Across 84 payments — averaging $71.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Inari Medical, Inc.$1K
- Terumo Medical Corporation$996
- Nevro Corp.$659
- Penumbra, Inc.$154
- Endologix LLC$94
- plus $273 from 10 others
What the payments were for
- Travel & lodging$3,64760%
- Food & beverage$2,38940%
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(2 entities) | 35 | $2,507 |
| Inari Medical, Inc. | 17 | $1,353 |
| Terumo Medical Corporation | 10 | $996 |
| Nevro Corp. | 6 | $659 |
| Penumbra, Inc. | 1 | $154 |
| Endologix LLC | 1 | $94 |
| Stryker | 3 | $69 |
| Cook Medical LLC | 3 | $65 |
| Surmodics, Inc. | 1 | $30 |
| Argon Medical Devices, Inc. | 1 | $20 |
| Shockwave Medical, Inc | 1 | $19 |
| Sirtex Medical Inc | 1 | $15 |
| Laborie Medical Technologies Corp. | 1 | $14 |
| Route 92 Medical, Inc. | 1 | $14 |
| Boston Scientific | 1 | $13 |
| W. L. Gore & Associates, Inc. | 1 | $13 |
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.
- IN.PACT Admiral$1,538
- FLOWTRIEVER CATHETER, S$1,374
- Navicross$797
- AZUR$797
- GlideWire$797
- Senza$549
- CT THROMBECTOMY SYSTEM KIT$491
- HawkOne$227
- Penumbra System$154
- MVP$127
How this compares
Too few vascular & interventional radiology providers in North Dakotato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| EliquisApixaban | 22 | $17,089 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 11 | $1,791 |
| ClopidogrelClopidogrel Bisulfate | 45 | $787 |
Paid to pharmacies, not to this prescriber.
Other vascular & interventional radiology in Fargo
- Peter BieglerFargo$10K
- Joseph MarionFargo$4K
- Richard PenneyFargo$4K
- Eric PromersbergerFargo$2K
- Jon MachayyaFargo$2K
- Daniel MickelsonFargo$73
- Randall SmithGrand Forks$35K
- Sridhar NaiduMinot$16K
- Barry AmosMinot$13K
- Agnieszka SolbergMinot$4K
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.