Danielle Dombrowski
Vascular Surgery · Nellis Afb, NVNPI 1285997338
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,666 of the $7,088 with a category attached, or 65.8%. 21 manufacturers reported payments, led by Penumbra, Inc. at 37.7% of the total. Reporting peaked in 2019 at $4,170 and has fallen 88.2% since, to $490 in 2025. That places this record below the midpoint for vascular surgery clinicians in NV, where the typical reported total is $9,415.
Across 87 payments — averaging $81.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$3K
- Medtronic$1K
- Silk Road Medical, Inc.$1K
- W. L. Gore & Associates, Inc.$722
- Bard Peripheral Vascular, Inc.$297
- Shockwave Medical, Inc$264
- plus $557 from 15 others
What the payments were for
- Travel & lodging$2,42234%
- Food & beverage$4,66666%
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 |
|---|---|---|
| Penumbra, Inc. | 8 | $2,673 |
| Medtronic(3 entities) | 21 | $1,449 |
| Silk Road Medical, Inc. | 10 | $1,125 |
| W. L. Gore & Associates, Inc. | 5 | $722 |
| Bard Peripheral Vascular, Inc. | 7 | $297 |
| Shockwave Medical, Inc | 8 | $264 |
| AstraZeneca | 5 | $98 |
| Cardiovascular Systems Inc. | 5 | $90 |
| Novartis | 4 | $81 |
| Thrombolex, Inc. | 1 | $49 |
| Acera Surgical, Inc. | 2 | $38 |
| Mylan Specialty L.p. | 2 | $33 |
| BD | 1 | $27 |
| Terumo Medical Corporation | 1 | $23 |
| Organogenesis Inc. | 1 | $22 |
| Inari Medical, Inc. | 1 | $22 |
| Imperative Care, Inc | 1 | $20 |
| Urgo Medical North America, LLC | 1 | $17 |
| Irhythm Technologies, Inc. | 1 | $17 |
| Boehringer Ingelheim | 1 | $11 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 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.
- Indigo$3,390
- ENROUTE Transcarotid Neuroprotection System$900
- ENROUTE Transcarotid Stent System$900
- ENHANCE Transcarotid Peripheral Access Kit$900
- ENROUTE 0.014 Guidewire$900
- Endurant$587
- HawkOne$472
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$429
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$181
- GORE TAG Thoracic Branch Endoprosthesis$177
- RUBY Coil$171
- ULTRASCORE$150
- Penumbra Ruby Coil$141
- GORE TAG Conformable Thoracic Endoprosthesis$116
How this compares
$7,088 in reported general payments places this provider in the 35th percentile of 28 vascular surgery providers in Nevada.
Other vascular surgery in Nellis Afb
- Cara PozoloNellis Afb$11K
- George PliagasLas Vegas$211K
- Ashanga YatawattaReno$78K
- Sai KottapalliLas Vegas$53K
- Eddy LuhLas Vegas$34K
- Earl CottrellLas Vegas$30K
- Bruce HirschfeldLas Vegas$28K
- Issa MirmehdiNorth Las Vegas$17K
- Alvancin LouisLas Vegas$17K
- Thelinh NguyenReno$16K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.