Christian Simmons
Vascular Surgery · Little Rock, ARNPI 1619234366
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.7% of the total across 120 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 18 manufacturers, the largest accounting for just 22.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $3,049 and has fallen 78.6% since, to $652 in 2025.
Across 120 payments — averaging $66.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Medical LLC$2K
- Boston Scientific$1K
- W. L. Gore & Associates, Inc.$1K
- Medtronic$883
- Endologix LLC$698
- Penumbra, Inc.$664
- plus $2K from 12 others
What the payments were for
- Travel & lodging$3484%
- Food & beverage$7,33992%
- Education$3184%
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 |
|---|---|---|
| Cook Medical LLC | 36 | $1,776 |
| Boston Scientific | 17 | $1,050 |
| W. L. Gore & Associates, Inc. | 14 | $1,016 |
| Medtronic(2 entities) | 11 | $883 |
| Endologix LLC | 8 | $698 |
| Penumbra, Inc. | 4 | $664 |
| Lemaitre Vascular, Inc. | 10 | $498 |
| Abbott | 5 | $316 |
| Silk Road Medical, Inc. | 2 | $244 |
| Philips North America LLC | 3 | $177 |
| Polynovo North America LLC | 2 | $157 |
| Getinge USA Sales, LLC | 2 | $140 |
| Inari Medical, Inc. | 1 | $130 |
| Baxter Healthcare | 1 | $80 |
| Avanos Medical | 1 | $79 |
| EKOS Corporation | 1 | $50 |
| Hologic Sales And Service, LLC | 1 | $25 |
| Cardiva Medical, Inc. | 1 | $23 |
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.
- Indigo System$495
- ENROUTE Transcarotid Neuroprotection System$365
- Indigo$299
- GORE TAG Thoracic Branch Endoprosthesis$287
- ENROUTE Transcarotid Stent$244
- Cook Medical AAA$202
- HawkOne$147
- Alto Abdominal Stent Graft System$146
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$145
- Ovation$139
- FLOWTRIEVER CATHETER, S$130
- CT THROMBECTOMY SYSTEM KIT$130
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$121
- Cook Medical Zenith$120
- Zilver PTX$120
- Artegraft$111
- Perclose ProGlide suture mediated closure system$110
- GENERAL VASCULAR INTERVENTION$107
- EXCLUDER AAA Endoprosthesis$104
- AFX$103
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 | 15 | $13,172 |
| Gabapentin | 26 | $1,304 |
| Cilostazol | 36 | $711 |
| Oxycodone Hcl | 37 | $126 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Little Rock
- Mohammed MoursiLittle Rock$116K
- Kalenda KasanganaLittle Rock$15K
- Kyla Shelton LangLittle Rock$14K
- Andre RamdonLittle Rock$10K
- Lauren Story-HeftaLittle Rock$9K
- Steven MeadorsLittle Rock$8K
- Guillermo EscobarLittle Rock$4K
- Oleksiy GudzLittle Rock$3K
- Ulugbek NegmadjanovLittle Rock$2K
- Robert CasaliLittle Rock$21
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.