Ashlee Vinyard, MD
Vascular Surgery · Louisville, KYNPI 1528479193
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (55.8%), food and beverage and education — rather than concentrated in one kind of arrangement. Medtronic accounts for 67.5% of it on its own, with 30 other manufacturers making up the rest. Reporting peaked in 2020 at $4,035 and has fallen 63.7% since, to $1,465 in 2025.
Across 97 payments — averaging $120.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$8K
- W. L. Gore & Associates, Inc.$703
- Endologix LLC$626
- Inari Medical, Inc.$493
- Silk Road Medical, Inc.$366
- Cook Medical LLC$159
- plus $1K from 25 others
What the payments were for
- Grants$6,50056%
- Food & beverage$4,59739%
- Education$5485%
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) | 19 | $7,860 |
| W. L. Gore & Associates, Inc. | 8 | $703 |
| Endologix LLC | 4 | $626 |
| Inari Medical, Inc. | 8 | $493 |
| Silk Road Medical, Inc. | 3 | $366 |
| Cook Medical LLC | 3 | $159 |
| Integra Lifesciences Corporation | 3 | $159 |
| Penumbra, Inc. | 2 | $141 |
| Terumo Medical Corporation | 1 | $138 |
| Cardiovascular Systems Inc. | 1 | $125 |
| Johnson & Johnson | 7 | $122 |
| Smith+Nephew | 6 | $110 |
| Bard Peripheral Vascular, Inc. | 5 | $110 |
| Kerecis Limited | 4 | $63 |
| Lemaitre Vascular, Inc. | 3 | $59 |
| Bolton Medical Inc | 2 | $52 |
| Bone Support Inc. | 1 | $43 |
| Imperative Care, Inc | 1 | $39 |
| Boston Scientific | 1 | $36 |
| AbbVie | 2 | $36 |
| Pfizer | 2 | $35 |
| Baxter Healthcare | 1 | $26 |
| E.r. Squibb & Sons, L.L.C. | 2 | $23 |
| Convatec Inc. | 1 | $18 |
| Angiodynamics, Inc. | 1 | $16 |
| Atricure, Inc. | 1 | $16 |
| Argon Medical Devices, Inc. | 1 | $16 |
| Solventum Corporation | 1 | $15 |
| Polynovo North America LLC | 1 | $14 |
| Sanara Medtech Inc. | 1 | $14 |
| Philips North America LLC | 1 | $12 |
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.
- Endurant$6,617
- Alto Abdominal Stent Graft System$537
- INTEGRA$390
- ENROUTE Transcarotid Neuroprotection System$366
- ENROUTE Transcarotid Stent$366
- FLOWTRIEVER CATHETER, S$363
- CT THROMBECTOMY SYSTEM KIT$363
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$273
- GORE TAG Thoracic Branch Endoprosthesis$207
- IN.PACT Admiral$140
- ANGIO-SEAL$138
- METACROSS OTW$138
- GLIDESHEATH SLENDER$138
- GORE VIABAHN VBX Balloon Expandable Endo$138
- ENROUTE .014 Guidewire$134
- ENHANCE Transcarotid Peripheral Access Kit$134
- INTEGRA DERMAL REGENERATION TEMPLATE$130
- PRIMATRIX$130
- Diamondback Peripheral$125
- Zilver PTX$117
How this compares
$11,645 in reported general payments places this provider in the 60th percentile of 72 vascular surgery providers in Kentucky.
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 | 41 | $36,231 |
| Cilostazol | 65 | $939 |
| ClopidogrelClopidogrel Bisulfate | 52 | $367 |
| Oxycodone Hcl | 65 | $241 |
| Prednisone | 16 | $27 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $35 | $36,23141 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 60th percentile of 72 vascular surgery providers in Kentucky.
Other vascular surgery in Louisville
- Amit DwivediLouisville$406K
- Abindra SigdelLouisville$84K
- Ferenc NagyLouisville$47K
- Gregory SchmiederLouisville$44K
- Erik WayneLouisville$25K
- Matthew JungLouisville$24K
- Nancy ClarkLouisville$19K
- Salem GeorgeLouisville$10K
- Nathaniel LiuLouisville$10K
- Hazaim AlwairLouisville$9K
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.