Alan Speir, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Falls Church, VANPI 1003885443
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $26,900 of the $39,478 with a category attached, or 68.1%. 7 manufacturers reported payments, led by Atricure, Inc. at 57.8% of the total. Reporting peaked in 2019 at $36,593 and has fallen 99.8% since, to $56 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 56 payments — averaging $704.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Atricure, Inc.$23K
- Medtronic$15K
- Philips North America LLC$1K
- Abbott$111
- Abiomed$36
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$33
- plus $23 from 1 others
What the payments were for
- Consulting fees$26,90068%
- Speaking & faculty fees$5,50014%
- Travel & lodging$5,73315%
- Food & beverage$1,3453%
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 |
|---|---|---|
| Atricure, Inc. | 24 | $22,828 |
| Medtronic | 20 | $15,141 |
| Philips North America LLC | 3 | $1,306 |
| Abbott | 5 | $111 |
| Abiomed | 1 | $36 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $33 |
| Terumo Cardiovascular Systems Corporation | 1 | $23 |
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.
- Avalus$11,500
- (9124) LM Undivided$1,163
- Mosaic$1,046
- Hancock$830
- ATRICURE SYNERGY ABLATION SYSTEM$772
- Simulus$600
- (AM5) Lead management$120
How this compares
$39,478 in reported general payments places this provider in the 90th percentile of 109 thoracic surgery (cardiothoracic vascular surgery) providers in Virginia.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Virginia →
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 thoracic surgery (cardiothoracic vascular surgery) in Falls Church
- Michael WeyantFalls Church$47K
- Eric SarinFalls Church$36K
- Ramesh SinghFalls Church$31K
- Liam RyanFalls Church$17K
- Daniel TangFalls Church$17K
- Melanie SubramanianFalls Church$7K
- Paul MassimianoFalls Church$5K
- Linda BogarFalls Church$4K
- Clinton KempNorfolk$367K
- Sandeep KhandharFairfax$261K
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.