Brian Rapp, MD
Vascular Surgery · Fort Smith, ARNPI 1407014657
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,493 of the $5,109 with a category attached, or 68.4%. It is spread thinly across 22 manufacturers, the largest accounting for just 20.6%. Reporting peaked in 2019 at $1,767 and has fallen 81.3% since, to $330 in 2025.
Across 65 payments — averaging $78.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Angiodynamics, Inc.$1K
- Silk Road Medical, Inc.$1K
- W. L. Gore & Associates, Inc.$754
- Boston Scientific$608
- Medtronic$390
- Abbott$304
- plus $957 from 16 others
What the payments were for
- Travel & lodging$1,58831%
- Food & beverage$3,49368%
- Entertainment$281%
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 |
|---|---|---|
| Angiodynamics, Inc. | 2 | $1,052 |
| Silk Road Medical, Inc. | 11 | $1,045 |
| W. L. Gore & Associates, Inc. | 9 | $754 |
| Boston Scientific | 10 | $608 |
| Medtronic(2 entities) | 5 | $390 |
| Abbott | 3 | $304 |
| Inari Medical, Inc. | 2 | $265 |
| Philips North America LLC | 4 | $147 |
| Lemaitre Vascular, Inc. | 4 | $145 |
| BD | 1 | $76 |
| Shockwave Medical, Inc | 2 | $68 |
| Amgen | 1 | $47 |
| Stryker | 1 | $35 |
| Smith+Nephew | 2 | $33 |
| Covidien LP | 1 | $26 |
| Cook Medical LLC | 1 | $25 |
| Penumbra, Inc. | 1 | $17 |
| Johnson & Johnson | 1 | $16 |
| Medline Industries LP | 1 | $16 |
| Tactile Systems Technology Inc | 1 | $15 |
| KCI USA, Inc. | 1 | $13 |
| Bard Peripheral Vascular, Inc. | 1 | $13 |
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$832
- ENROUTE Transcarotid Stent System$727
- ENHANCE Transcarotid Peripheral Access Kit$727
- ENROUTE 0.014 Guidewire$727
- Endurant$275
- FlowTriever$232
- ClotTriever$232
- ESPRIT$202
- GORE TAG Conformable Thoracic Endoprosthesis$145
- GORE-TEX Vascular Graft$138
- GORE VIABAHN VBX Balloon Expandable Endo$132
- ENROUTE Transcarotid Stent$105
How this compares
Too few vascular surgery providers in Arkansasto place this figure against a meaningful peer group, so we don't.
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 | 17 | $10,276 |
| Cilostazol | 117 | $1,663 |
| ClopidogrelClopidogrel Bisulfate | 116 | $817 |
| Gabapentin | 27 | $434 |
| Atorvastatin Calcium | 37 | $188 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $119 |
| Pantoprazole Sodium | 12 | $81 |
| Hydrochlorothiazide | 12 | $8 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Fort Smith
- Christopher StoutRogers$333K
- Mohammed MoursiLittle Rock$116K
- Matthew HendrichJonesboro$41K
- Mark WrightJonesboro$28K
- Nestor AritaMountain Home$19K
- Heather LeblancPine Bluff$16K
- Kalenda KasanganaLittle Rock$15K
- Kyla Shelton LangLittle Rock$14K
- Andre RamdonLittle Rock$10K
- Lauren Story-HeftaLittle Rock$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.