Ashley Shustak, MD
Colon & Rectal Surgery · Norfolk, VANPI 1629422084
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (43.1%), education and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 84.8% of it on its own, with 6 other manufacturers making up the rest. 2024 is the largest year on record at $4,023, more than ten times the $88 reported in 2019.
Across 23 payments — averaging $195.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- Medtronic$221
- Takeda Pharmaceuticals U.S.A., Inc.$138
- Boston Scientific$111
- KCI USA, Inc.$100
- Merck$88
- plus $24 from 1 others
What the payments were for
- Travel & lodging$1,93643%
- Food & beverage$80818%
- Education$1,75039%
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 |
|---|---|---|
| Intuitive Surgical | 15 | $3,813 |
| Medtronic | 2 | $221 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $138 |
| Boston Scientific | 1 | $111 |
| KCI USA, Inc. | 1 | $100 |
| Merck | 1 | $88 |
| AbbVie | 1 | $24 |
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.
- Da Vinci Surgical System$1,861
- DAVINCI XI$1,750
- INTERSTIM$122
- GATTEX$113
How this compares
$4,494 in reported general payments places this provider in the 75th percentile of 46 colon & rectal 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 14 | $917 |
| ErythromycinErythromycin Base | 23 | $685 |
| Oxycodone Hcl | 18 | $48 |
| Metronidazole | 24 | $44 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Norfolk
- Andrew VorenbergRichmond$560K
- Craig RezacArlington$33K
- Kimberly MatzieFairfax$28K
- Rodolfo PigalargaArlington$24K
- Gregory FitzharrisHampton$22K
- Ayana Chase-GreavesFredericksburg$11K
- Linda FarkasChesapeake$11K
- Emily RivetRichmond$5K
- Jaime BohlRichmond$5K
- Zachary GreggCharlottesville$5K
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.