Charles Joels, MD
Vascular Surgery · Chattanooga, TNNPI 1497770283
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $9,611 of the $11,104 with a category attached, or 86.6%. 22 manufacturers reported payments, led by W. L. Gore & Associates, Inc. at 32.3% of the total.
Across 148 payments — averaging $75.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$4K
- Medtronic$2K
- Shockwave Medical, Inc$873
- Penumbra, Inc.$719
- Silk Road Medical, Inc.$655
- Boston Scientific$628
- plus $3K from 16 others
Across 44 payments — averaging $1984.61 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Medtronic$45K
- Abbott$38K
- Philips North America LLC$3K
- Boston Scientific$1K
What the payments were for
- Travel & lodging$1,49313%
- Food & beverage$9,61187%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 35 | $3,587 |
| Medtronic(2 entities) | 31 | $1,972 |
| Shockwave Medical, Inc | 7 | $873 |
| Penumbra, Inc. | 7 | $719 |
| Silk Road Medical, Inc. | 5 | $655 |
| Boston Scientific | 7 | $628 |
| Abbott | 6 | $566 |
| Cook Medical LLC | 5 | $439 |
| Bard Peripheral Vascular, Inc. | 19 | $403 |
| Inari Medical, Inc. | 3 | $356 |
| GE HealthCare | 1 | $146 |
| Getinge USA Sales, LLC | 4 | $136 |
| Bolton Medical Inc | 1 | $113 |
| Terumo Medical Corporation | 1 | $113 |
| Cordis US CORP. | 3 | $106 |
| Stryker | 1 | $88 |
| Smith+Nephew | 3 | $62 |
| Philips North America LLC | 3 | $40 |
| Lemaitre Vascular, Inc. | 2 | $32 |
| Imperative Care, Inc | 1 | $30 |
| Johnson & Johnson | 2 | $25 |
| Haemonetics Corporation | 1 | $17 |
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$871
- GORE TAG Thoracic Branch Endoprosthesis$811
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$721
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$517
- HawkOne$471
- FLOWTRIEVER CATHETER, S$467
- GORE VIABAHN VBX Balloon Expandable Endo$462
- ENROUTE Transcarotid Stent$440
- Indigo System$381
- GORE TAG Thoracic Endoprosthesis$380
- Protege RX$375
- ELUVIA$341
- Endurant$304
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$295
- ESPRIT$270
- CT THROMBECTOMY SYSTEM KIT$244
- GORE VIABAHN Endoprosthesis$181
- Zenith$143
- GORE EXCLUDER AAA Endoprosthesis$140
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$137
How this compares
$11,104 in reported general payments places this provider in the 65th percentile of 117 vascular surgery providers in Tennessee.
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 | 73 | $46,904 |
| XareltoRivaroxaban | 18 | $17,859 |
| ClopidogrelClopidogrel Bisulfate | 140 | $1,251 |
| Gabapentin | 67 | $1,131 |
| Rosuvastatin Calcium | 32 | $375 |
| Pregabalin | 11 | $290 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 60 | $212 |
| Warfarin Sodium | 13 | $43 |
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 |
|---|---|---|
| Johnson & JohnsonXarelto | $25 | $17,85918 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 65th percentile of 117 vascular surgery providers in Tennessee.
Other vascular surgery in Chattanooga
- Christopher LesarChattanooga$311K
- William HarrisChattanooga$122K
- Mark FugateChattanooga$100K
- Larry SprouseChattanooga$44K
- Neelima KatraguntaChattanooga$27K
- Karen RudolphChattanooga$18K
- Amith ReddyChattanooga$11K
- Jeffrey HornChattanooga$6K
- Daniel ClairNashville$993K
- Anton Dias PereraGermantown$832K
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.