Daiva Nevidomskyte, MD
Vascular Surgery · Tacoma, WANPI 1164712931
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,295 of the $4,413 with a category attached, or 74.7%. It is spread thinly across 16 manufacturers, the largest accounting for just 22.0%. 2025 is the largest year on record at $1,869, 2.8 times the $671 reported in 2019. That places this record below the midpoint for vascular surgery clinicians in WA, where the typical reported total is $4,221.
Across 64 payments — averaging $68.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$970
- Stryker$951
- Inari Medical, Inc.$530
- Penumbra, Inc.$462
- Silk Road Medical, Inc.$363
- W. L. Gore & Associates, Inc.$248
- plus $887 from 10 others
What the payments were for
- Travel & lodging$1,11725%
- Food & beverage$3,29575%
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 |
|---|---|---|
| Medtronic(2 entities) | 21 | $970 |
| Stryker | 7 | $951 |
| Inari Medical, Inc. | 6 | $530 |
| Penumbra, Inc. | 13 | $462 |
| Silk Road Medical, Inc. | 3 | $363 |
| W. L. Gore & Associates, Inc. | 2 | $248 |
| Terumo Medical Corporation | 1 | $159 |
| Abbott | 1 | $152 |
| Johnson & Johnson | 2 | $146 |
| Cook Medical LLC | 2 | $131 |
| Philips North America LLC | 1 | $123 |
| Smith+Nephew | 1 | $100 |
| Boston Scientific | 1 | $28 |
| Venclose Inc. | 1 | $21 |
| Lemaitre Vascular, Inc. | 1 | $14 |
| Bsn Medical 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.
- FLOWTRIEVER CATHETER, S$1,117
- CT THROMBECTOMY SYSTEM KIT$1,117
- ENROUTE Transcarotid Neuroprotection System$496
- ENROUTE Transcarotid Stent$346
- Endurant$310
- Indigo System$252
- EXCLUDER AAA Endoprosthesis$248
- PROGREAT$159
- Azur CX Detachable$159
- HI-TORQUE COMMAND$152
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$150
- ENDURANT IIS$144
- Valiant Captivia$138
- Avalus$130
- Cook$127
- IGT D Peripheral$123
- XARELTO$120
How this compares
$4,413 in reported general payments places this provider in the 50th percentile of 111 vascular surgery providers in Washington.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 82 | $983 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Tacoma
- Felix VladimirTacoma$19K
- Amit KainthTacoma$12K
- Chatt JohnsonTacoma$10K
- Charles AndersenTacoma$9K
- Hao VuTacoma$7K
- Jonathan RatcliffTacoma$5K
- Allen RubinTacoma$5K
- Sarah KochTacoma$4K
- Benjamin StarnesSeatle$666K
- Kathleen GibsonBellevue$593K
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.