Cheguevara Afaneh, MD
Surgery · New York, NYNPI 1205089463
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (55.9%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 78.7% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2022 at $319,853 and has fallen 73.2% since, to $85,725 in 2025. Among surgery clinicians in NY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,767 payments — averaging $796.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$1.1M
- W. L. Gore & Associates, Inc.$290K
- Johnson & Johnson$3K
- Medical Device Business Services, Inc.$2K
- Davol Inc.$2K
- Asensus Surgical, Inc.$600
- plus $2K from 14 others
Across 1 payment — averaging $16,000 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.
- Intuitive Surgical Operations, Inc.$16K
What the payments were for
- Consulting fees$62,0284%
- Speaking & faculty fees$346,00525%
- Travel & lodging$177,27813%
- Food & beverage$34,4942%
- Education$786,79156%
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 | 1,389 | $1,107,271 |
| W. L. Gore & Associates, Inc. | 338 | $290,355 |
| Johnson & Johnson(2 entities) | 4 | $3,494 |
| Medical Device Business Services, Inc. | 1 | $1,513 |
| Davol Inc. | 8 | $1,511 |
| Asensus Surgical, Inc. | 1 | $600 |
| BD | 2 | $543 |
| Laborie Medical Technologies Corp. | 2 | $525 |
| Boston Scientific | 4 | $344 |
| Celltrion USA Inc. | 2 | $93 |
| AbbVie | 4 | $85 |
| Tactile Systems Technology Inc | 2 | $48 |
| Lilly USA, LLC | 2 | $43 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $39 |
| Integra Lifesciences Corporation | 1 | $32 |
| Conmed Corporation | 1 | $24 |
| Solventum Corporation | 1 | $23 |
| AstraZeneca | 1 | $21 |
| Shire North American Group Inc | 1 | $16 |
| Teleflex LLC | 1 | $15 |
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$1,048,133
- SYNECOR Biomaterial$157,639
- GORE SYNECOR Biomaterial$83,486
- GORE ENFORM Preperitoneal Biomaterial$68,441
- GORE BIO-A Tissue Reinforcement$51,494
- DA VINCI SP$49,600
- GORE DUALMESH Biomaterial$25,383
- GORE ENFORM Biomaterial$9,686
- Product in Development$9,310
- BIO-A Tissue Reinforcement$6,760
- SEAMGUARD Staple Line Reinforcement$3,675
- Senhance$1,800
- PROGEL$294
- SPYGLASS$264
- Phasix Mesh$159
- GORE SYNECOR Preperitoneal Biomaterial$150
- GORE VIABIL Biliary Endoprosthesis$137
- Bard 3DMax Mesh$135
How this compares
$1,406,594 in reported general payments places this provider in the 95th percentile of 1,596 surgery providers in New York.
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 |
|---|---|---|
| Oxycodone Hcl | 11 | $34 |
Paid to pharmacies, not to this prescriber.
Other surgery in New York
- Flavio Malcher Martins de OliveiraNew York$695K
- Yuri NovitskyNew York$548K
- Rasa ZarnegarNew York$478K
- Tanuja DamaniNew York$459K
- Rache SimmonsNew York$371K
- Marina KurianNew York$328K
- Megan JenkinsNew York$290K
- Brian JacobNew York$225K
- Robin BlackstoneNew York$174K
- Mitchell RoslinNew York$156K
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.