Amir Ghaffarian, MD
Vascular Surgery · Las Vegas, NVNPI 1396242368
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 160 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 18.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $6,207, 6.1 times the $1,022 reported in 2022.
Across 160 payments — averaging $84.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bolton Medical Inc$2K
- W. L. Gore & Associates, Inc.$2K
- Penumbra, Inc.$2K
- Boston Scientific$1K
- Silk Road Medical, Inc.$764
- Endologix LLC$753
- plus $5K from 22 others
What the payments were for
- Food & beverage$13,561100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Bolton Medical Inc | 38 | $2,459 |
| W. L. Gore & Associates, Inc. | 20 | $2,105 |
| Penumbra, Inc. | 13 | $1,764 |
| Boston Scientific | 18 | $1,169 |
| Silk Road Medical, Inc. | 8 | $764 |
| Endologix LLC | 5 | $753 |
| Surmodics, Inc. | 6 | $748 |
| Abbott | 8 | $680 |
| Angiodynamics, Inc. | 4 | $596 |
| Inspiremd Ltd | 4 | $431 |
| Medtronic | 3 | $400 |
| Shockwave Medical, Inc | 4 | $399 |
| Stryker | 5 | $358 |
| Reflow Medical Inc | 2 | $283 |
| Cook Medical LLC | 4 | $185 |
| Asahi Intecc USA, Inc. | 1 | $87 |
| Tactile Systems Technology Inc | 3 | $75 |
| Lifenet Health | 2 | $47 |
| Koya Medical, Inc. | 3 | $41 |
| Nevro Corp. | 1 | $30 |
| Veryan Medical Incorporated | 1 | $29 |
| AbbVie | 1 | $28 |
| Acera Surgical, Inc. | 1 | $27 |
| Inari Medical, Inc. | 1 | $24 |
| Terumo Cardiovascular Systems Corporation | 1 | $22 |
| Bard Peripheral Vascular, Inc. | 1 | $20 |
| Lemaitre Vascular, Inc. | 1 | $20 |
| Kerecis Limited | 1 | $18 |
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.
- Indigo System$1,380
- RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM$1,191
- ENROUTE Transcarotid Neuroprotection System$936
- GORE TAG Thoracic Branch Endoprosthesis$787
- Sublime 014 Rx PTA Balloon Dilatation Catheter$638
- Sublime Microcatheter, 018, 200cm, Straight$638
- Pounce Thrombectomy System$638
- Pounce Thrombectomy$638
- Pounce Venous Thrombectomy System$638
- TREO ABDOMINAL STENT-GRAFT SYSTEM$611
- ENROUTE Transcarotid Stent$580
- Auryon Laser System 100-120 Vac$526
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$525
- Alto Abdominal Stent Graft System$468
- CGuard Prime Carotid Stent System$360
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$336
- ENDOCROSS Device$285
- Torus Stent Graft System$285
- EKOSONIC$249
- RUBY Coil$234
How this compares
$13,561 in reported general payments places this provider in the 60th percentile of 28 vascular surgery providers in Nevada.
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 | 24 | $13,683 |
| ClopidogrelClopidogrel Bisulfate | 34 | $233 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Las Vegas
- George PliagasLas Vegas$211K
- Sai KottapalliLas Vegas$53K
- Eddy LuhLas Vegas$34K
- Earl CottrellLas Vegas$30K
- Bruce HirschfeldLas Vegas$28K
- Alvancin LouisLas Vegas$17K
- Rohan KulkarniLas Vegas$9K
- Alexander GidayaLas Vegas$9K
- Alex LallLas Vegas$8K
- Peter LeeLas Vegas$8K
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.