Has Daniel Rukstalis, MD received payments from drug or device companies?

Yes. Drug and device makers reported $1,093 in general payments to Daniel Rukstalis, MD across 18 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Daniel Rukstalis, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Daniel Rukstalis, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Daniel Rukstalis, MD

Urology · Roanoke, VANPI 1245296375

Payments from drug & device makers

$1,093in general payments, 2019–2025

Across 18 payments — averaging $60.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Virtual Incision Corporation$157
Procept Biorobotics Corporation$151
Koelis Inc.$125
Teleflex LLC$125
Agiliti Surgical, Inc.$116
Boston Scientific$115
plus $304 from 7 others

What the payments were for

Food & beverage$1,05296%
Gifts$414%

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
Virtual Incision Corporation	2	$157
Procept Biorobotics Corporation	1	$151
Koelis Inc.	2	$125
Teleflex LLC	1	$125
Agiliti Surgical, Inc.	1	$116
Boston Scientific	1	$115
Ambu Inc.	2	$109
Neotract Inc.	1	$48
Welch Allyn	1	$41
EDAP Technomed Inc	2	$37
Laborie Medical Technologies Corp.	1	$33
Medtronic	2	$26
Histosonics, Inc.	1	$10

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

$1,093 in reported general payments places this provider in the 30th percentile of 300 urology providers in Virginia.

See all urology providers in Virginia →

Medicare billing

Part B allowed, 2024

$67,540

Medicare patients

302

Services billed

755

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
MyrbetriqMirabegron	36	$18,640
Tamsulosin Hcl	90	$425
Finasteride	19	$45

Paid to pharmacies, not to this prescriber.

Other urology in Roanoke

Charles DanielRoanoke$94K
David KageyRoanoke$90K
Rodney PoffenbergerRoanoke$85K
Robert WhisnantRoanoke$84K
Mark SchmidtRoanoke$84K
Yu ZhangRoanoke$34K
Mehrad AdibiRoanoke$21K
Robert GivenVirginia Beach$8.7M
Michael WilliamsVirginia Beach$2.7M
Michael FabrizioVirginia Beach$1.6M

See the full list for Virginia →

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.

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