Bruce Hirschfeld, MD
Vascular Surgery · Las Vegas, NVNPI 1770670226
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (25.5%), other and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Angiodynamics, Inc. at 48.1% of the total. Reporting peaked in 2020 at $6,135 and has fallen 51.3% since, to $2,987 in 2025.
Across 102 payments — averaging $277.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Angiodynamics, Inc.$14K
- Endologix LLC$9K
- Globus Medical$3K
- Stryker$2K
- W. L. Gore & Associates, Inc.$149
- Penumbra, Inc.$122
- plus $332 from 7 others
What the payments were for
- Consulting fees$4,20015%
- Travel & lodging$4,48416%
- Food & beverage$5,97521%
- Education$7,20025%
- Other$6,40023%
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. | 7 | $13,600 |
| Endologix LLC | 44 | $8,614 |
| Globus Medical | 21 | $3,357 |
| Stryker | 14 | $2,083 |
| W. L. Gore & Associates, Inc. | 3 | $149 |
| Penumbra, Inc. | 1 | $122 |
| LSI Solutions Inc | 1 | $110 |
| Tactile Systems Technology Inc | 5 | $83 |
| Lemaitre Vascular, Inc. | 1 | $41 |
| Getinge USA Sales, LLC | 2 | $36 |
| Acera Surgical, Inc. | 1 | $28 |
| 4web, Inc. | 1 | $22 |
| Janssen Scientific Affairs, LLC | 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.
- VenaCure 1470 Pro$8,800
- EVLT$4,800
- Ovation$3,628
- ALIF$2,114
- Alto Abdominal Stent Graft System$1,738
- AFX2 Bifurcated Endograft System$1,246
- TRITANIUM$1,125
- ES2$1,062
- Torus Stent Graft System$1,061
- ENDOCROSS Device$1,061
- AERO$563
- SERRATO$563
- XLIF$442
- RELINE$235
- AFX$221
- Indigo System$122
- CASCADIA$120
- COR KNOT$110
How this compares
$28,258 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| Gabapentin | 11 | $99 |
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
- Alvancin LouisLas Vegas$17K
- Amir GhaffarianLas Vegas$14K
- 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.