Andi Peshkepija, MD
Vascular Surgery · Detroit, MINPI 1912347279
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (43.9%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Bolton Medical Inc at 28.2% of the total. Reporting peaked in 2024 at $6,436 and has fallen 54.5% since, to $2,926 in 2025.
Across 192 payments — averaging $125.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bolton Medical Inc$7K
- W. L. Gore & Associates, Inc.$6K
- Cook Medical LLC$5K
- Silk Road Medical, Inc.$3K
- Cook Incorporated$2K
- Medtronic$1K
- plus $1K from 3 others
What the payments were for
- Consulting fees$2,45010%
- Grants$1721%
- Travel & lodging$10,59844%
- Food & beverage$10,38943%
- Education$5392%
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 | 47 | $6,801 |
| W. L. Gore & Associates, Inc. | 72 | $5,874 |
| Cook Medical LLC | 37 | $4,783 |
| Silk Road Medical, Inc. | 5 | $2,975 |
| Cook Incorporated | 8 | $1,614 |
| Medtronic(2 entities) | 10 | $1,097 |
| Endologix LLC | 5 | $578 |
| Philips North America LLC | 6 | $317 |
| Penumbra, Inc. | 2 | $112 |
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.
- ENROUTE Transcarotid Neuroprotection System$5,491
- Grafts$4,861
- Zenith Alpha$4,190
- ENROUTE Transcarotid Stent$2,887
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$2,604
- GORE TAG Thoracic Branch Endoprosthesis$840
- GORE TAG Conformable Thoracic Endoprosthesis$735
- GORE TAG Thoracic Endoprosthesis$687
- EXCLUDER AAA Endoprosthesis$573
- TREO ABDOMINAL STENT-GRAFT SYSTEM$542
- Endurant$500
- Alto Abdominal Stent Graft System$266
- GORE TAG Conformable Thoracic Stent Graft$241
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$237
- ENDURANT IIS$182
- Zenith Spiral-Z$155
- Conformable TAG Thoracic Endoprosthesis$153
- Zenith$149
- Cook Medical Introducers$144
- GORE VIABAHN VBX Balloon Expandable Endo$144
How this compares
$24,149 in reported general payments places this provider in the 85th percentile of 183 vascular surgery providers in Michigan.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 41 | $500 |
| Cilostazol | 15 | $191 |
| Atorvastatin Calcium | 16 | $132 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Detroit
- Kevin OnofreyDetroit$65K
- Yevgeniy RitsDetroit$57K
- Kyle MarkelDetroit$33K
- Loay KabbaniDetroit$19K
- Judith LinDetroit$15K
- Alice LeeDetroit$14K
- Sun KimDetroit$11K
- David LorelliDetroit$7K
- Michael PerryDetroit$7K
- Nicolas MouawadWest Branch$1.7M
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.