RxDoctor Payments Data

Damon Pierce, MD

Vascular Surgery · Seattle, WANPI 1912101742

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (59.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Cardiovascular Systems Inc. accounts for 61.8% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2020 at $5,075 and has fallen 91.2% since, to $447 in 2025.

$8,041in general payments, 2019–2025

Across 37 payments — averaging $217.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Cardiovascular Systems Inc.$5K
  • W. L. Gore & Associates, Inc.$2K
  • Medtronic$190
  • Terumo Medical Corporation$159
  • Cook Medical LLC$76
  • Biom'up France SAS$74
  • plus $76 from 3 others
$9,913in research payments, 2019–2025

Across 2 payments — averaging $4956.25 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.

  • Silk Road Medical, Inc.$10K

What the payments were for

  • Consulting fees$1502%
  • Speaking & faculty fees$4,80060%
  • Travel & lodging$1,40617%
  • Food & beverage$1,68521%

General payments by program year

19
20
22
23
24
25

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.

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.

How this compares

$8,041 in reported general payments places this provider in the 65th percentile of 111 vascular surgery providers in Washington.

See all vascular surgery providers in Washington

Medicare billing

Part B allowed, 2024
$172,151
Medicare patients
358
Services billed
797

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.

Other vascular surgery in Seattle

See the full list for Washington

Where these figures come from

Is this you, or does something look wrong? →