Adam Shpigel, MD
Interventional Cardiology · Saint Louis, MONPI 1417223447
Payments from drug & device makers
Across 501 payments — averaging $68.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$20K
- Abbott$2K
- Edwards Lifesciences$2K
- Boston Scientific$2K
- Abiomed$1K
- Amgen$964
- plus $6K from 31 others
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) | 20 | $20,262 |
| Abbott | 29 | $2,344 |
| Edwards Lifesciences | 41 | $2,109 |
| Boston Scientific | 44 | $1,783 |
| Abiomed | 20 | $1,193 |
| Amgen | 52 | $964 |
| Novartis | 55 | $931 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 40 | $826 |
| Shockwave Medical, Inc | 45 | $779 |
| Philips North America LLC | 6 | $437 |
| Johnson & Johnson | 22 | $375 |
| Boehringer Ingelheim | 17 | $356 |
| Chiesi USA, Inc. | 17 | $297 |
| Cardiovascular Systems Inc. | 12 | $260 |
| AstraZeneca | 16 | $244 |
| Pfizer | 11 | $225 |
| Kestra Medical Technology Services, Inc. | 7 | $126 |
| Merck | 6 | $105 |
| Amarin Pharma, Inc. | 6 | $104 |
| Alnylam Pharmaceuticals Inc. | 4 | $88 |
| Livanova USA, Inc. | 1 | $68 |
| Scpharmaceuticals Inc. | 3 | $62 |
| E.r. Squibb & Sons, L.L.C. | 4 | $60 |
| Cardiva Medical, Inc. | 3 | $59 |
| Inari Medical, Inc. | 3 | $52 |
| Lantheus Medical Imaging, Inc. | 2 | $51 |
| Heartflow, Inc. | 2 | $48 |
| Kiniksa Pharmaceuticals International, PLC | 2 | $43 |
| Bayer | 2 | $41 |
| Lexicon Pharmaceuticals, Inc. | 2 | $38 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $29 |
| Biotronik Inc. | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $22 |
| Astellas Pharma US Inc | 1 | $20 |
| ZOLL Circulation Inc | 1 | $18 |
| Novo Nordisk | 1 | $16 |
| Cook Medical LLC | 1 | $13 |
How this compares
$34,469 in reported general payments places this provider in the 65th percentile of 182 interventional cardiology providers in Missouri.
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.
Other interventional cardiology in Saint Louis
- Harvey SerotaSaint Louis$7.1M
- Gil VardiSaint Louis$2M
- Alan ZajariasSaint Louis$1.6M
- Anish ThomasSaint Louis$1.5M
- Richard BachSaint Louis$1.5M
- John LasalaSaint Louis$995K
- Jasvindar SinghSaint Louis$993K
- George KichuraSaint Louis$811K
- Usman QayyumSaint Louis$721K
- Marc SintekSaint Louis$552K
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.