Daniel Clair, MD
Vascular Surgery · Nashville, TNNPI 1366406589
Payments from drug & device makers
What this record shows
This record is dominated by other: $816,033 of the $993,405 with a category attached, or 82.1%. Shockwave Medical, Inc accounts for 85.8% of it on its own, with 38 other manufacturers making up the rest. Reporting peaked in 2024 at $847,874 and has fallen 95.7% since, to $36,668 in 2025. Among vascular surgery clinicians in TN 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 339 payments — averaging $2930.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shockwave Medical, Inc$853K
- Boston Scientific$34K
- Medtronic$30K
- Bard Peripheral Vascular, Inc.$22K
- Endologix LLC$17K
- Penumbra, Inc.$7K
- plus $30K from 33 others
Across 83 payments — averaging $6129.61 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.
- Surmodics, Inc.$115K
- Shape Memory Medical Inc.$108K
- Contego Medical, Inc$98K
- Inari Medical, Inc.$93K
- Shockwave Medical, Inc$47K
- M.a. Med Alliance S.A.$45K
- plus $4K from 3 others
What the payments were for
- Consulting fees$117,98512%
- Speaking & faculty fees$23,1552%
- Travel & lodging$20,4732%
- Food & beverage$15,6772%
- Education$820%
- Other$816,03382%
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.
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.
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$850,760
- IN.PACT Admiral$14,024
- GENERAL - THERAPIES$9,470
- LIMFLOW SYSTEM$7,176
- GENERAL VASCULAR INTERVENTION$5,676
- FlowMet$5,400
- ANGIOJET$5,222
- HawkOne$4,633
- RUBY Coil$4,000
- Penumbra System$3,250
- GENERAL PAIN MANAGEMENT$3,000
- CLINICAL TRIAL PRODUCT$2,400
- FLEX Scoring Catheter$2,154
- Zilver PTX$1,905
- FLOWTRIEVER CATHETER, S$1,712
- CT THROMBECTOMY SYSTEM KIT$1,712
- Cook Medical Zilver PTX$1,500
- E-nside TAAA$1,200
- Endurant$1,005
- Abre$905
How this compares
$993,405 in reported general payments places this provider in the 95th 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 | 55 | $72,377 |
| ClopidogrelClopidogrel Bisulfate | 28 | $397 |
| Gabapentin | 31 | $256 |
| Rosuvastatin Calcium | 24 | $146 |
| Oxycodone Hcl | 21 | $135 |
| Cephalexin | 12 | $55 |
| Furosemide | 17 | $49 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Nashville
- Patrick StoneNashville$46K
- Allen LeeNashville$39K
- Julia BollNashville$36K
- Thomas NaslundNashville$31K
- Lauren FryeNashville$20K
- Patrick RyanNashville$19K
- Jim Bob FaulkNashville$13K
- Mary NallyNashville$10K
- Sergio Sastriques DunlopNashville$10K
- Ziad Al AdasNashville$9K
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.